The relevance of studying the mechanisms of development of chronic prostatitis increases with the number of diagnosed cases of this disease.It is well known that chronic prostatitis (CP) occupies a dominant position among urological diseases and is the result of many factors in modern life (social environment, ecology, and increased resistance of pathogens to antimicrobial drugs).
Because the disease not only affects an increasing portion of the male population, but is also diagnosed at younger and younger ages, doctors tend to take a rather dismissive view of the problem, using formulaic treatment regimens that have no cure.
What is chronic prostatitis
The diagnosis of chronic prostatitis (CP) combines a rather broad range of pathological processes in the prostate, manifesting as a chronic inflammatory process of the tissue.However, we cannot regard CP solely as the result of infiltration of the prostate by pathogenic microorganisms, as this view justifies attempts to treat prostatitis solely with antibiotics, which almost never lead to lasting positive results.
The main factors in the development of pathology can be considered complex changes in tissues, as well as corresponding glandular functions, which are the main cause of the development of infectious microbiota.Chronic prostatitis is, to some extent, a collective diagnosis that combines a variety of factors:
- Decreased immunity.
- The stagnation process of the pelvic organs.
- Urodynamic disorders.
- Degenerative process of prostate parenchyma.
- Nutritional disorders.
- inflammatory process.
development mechanism
Penetration of pathogenic microbiota into the healthy prostate is virtually impossible to cause inflammatory processes, since the prostate microbiota is somewhat resistant to pathogens present in the urinary tract.However, the presence of one or more of the above-mentioned triggering factors can lead to the development of persistent inflammation, accompanied by the appearance of scarring.Fibrosis) or necrotic areas.
The proliferation of connective tissue during scarring causes the acini (ducts that provide secretion) to stagnate, exacerbating the disease process.Tissue necrosis leads to the formation of cavernous cavities, in which, in addition to dead epithelium, prostatic secretions accumulate.
Therefore, the main cause of the development of CP is not infection, but various physiological disorders that make the inflammatory process become chronic.
Another distinguishing feature of the disease that makes diagnosis difficult is theflow frequency.Often, under the influence of external factors or the internal state of the body, there are cyclic changes in the intensity of the pathology, during which acute conditions are replaced by periods of remission.
Not only are there often no symptoms at all, but there are also no laboratory parameters (such as white blood cells) to indicate the presence of infection.Despite the positive results, this condition cannot be considered recovery, since all physiological disorders in the gland remain unchanged.
reason
The main causes of pelvic organ circulatory disorders and prostate venous blood stagnation are:
- Always remain seated.
- Hypothermia throughout the body or directly in the pelvic area.
- Systemic constipation.
- Prolonged abstinence or excessive sexual activity.
- Chronic infection anywhere in the body (sinusitis, bronchitis).
- Excessive physical activity coupled with insufficient sleep or rest can lead to immune suppression.
- Have a history of genitourinary tract infection (gonorrhea, trichomoniasis).
- Systemic consumption of alcoholic beverages can have toxic effects on the body.
The presence of any of these causes leads to stagnation of processes, deterioration of the gland's excretory function and a decrease in cellular resistance to disease, thereby creating optimal conditions for the proliferation of pathogenic microorganisms in the prostate.
Is it possible to cure chronic prostatitis?
Although there is a wealth of systematic information on the mechanisms by which CP occurs,Its treatment is extremely difficultis one of the major issues in modern urological practice.
Since the disease occurs in each individual patient according to individual patterns, treatment must also be individualized, taking into account all the physiological changes occurring in the prostate.
The anatomy of the prostate allows access through the urethra or rectum, significantly reducing the effectiveness of the treatments used.For this, achieving relatively stable results requires a long course of treatment (usually several months), during which the patient is required to strictly comply with all the doctor's instructions.
Unfortunately, only complete cure can be achieved30 out of 100 cases.This is mainly due to a delay in seeking medical help due to a prolonged absence of severe symptoms or a conscious effort to avoid unpleasant diagnostic and treatment procedures.Generally speaking, the shrinkage process of the prostate is irreversible during treatment. Even long-term treatment can only completely eliminate symptoms and achieve stable remission, and its duration depends on whether the patient adheres to the doctor's recommendations.
treat
Comprehensive measures to treat cerebral palsy include:
antibacterial treatment
The use of antibiotics to inhibit the activity of the bacterial microflora can only be carried out after a series of laboratory tests, and based on the results of the tests the most effective drug is prescribed.
Generally speaking, antibiotics are taken for at least 30 days, depending on the severity of the disease.Interruption of treatment is unacceptable, as remaining microorganisms can become resistant to this group of drugs, subsequently requiring their replacement or even a longer course of therapy.When treating prostatitis, antibiotics with bactericidal effects are preferred:
- Fluoroquinolones;
- Azarid;
- Aminoglycosides;
- Tetracyclines.
If laboratory tests reveal a specific nature of the infection, such as trichomoniasis or a viral origin of prostatitis, nitroimidazole or antiviral drugs should be taken along with antibiotics.
Use antispasmodics and alpha-blockers
The main purpose of using this series of medications is to relieve pelvic floor spasms, help increase blood supply, improve urine flow, and reduce pain.
laxative
To avoid excessive pressure on the pelvic muscles during defecation, the use of laxatives is recommended, as straining during constipation can aggravate the patient's condition.
physical therapy
One of the most common physical treatments is rectal massage of the prostate.The therapeutic effect of fingering the prostate through the anus is to squeeze out infected secretions, which are then excreted through the urethra.
In addition, during massage, the blood supply to the tissues increases, which has a positive effect on antibacterial treatment.For rectal prostate massage, the following physical therapy methods can also be used:
- Current simulation.
- High frequency heat therapy.
- Infrared laser therapy.
prevention
After the condition is stabilized, the patient needs to follow rules that impose some restrictions on his usual lifestyle:
- Avoid water supply procedures in open reservoirs and pools.
- Consult your doctor regularly.
- Quit drinking completely.
- Have regular sex with one partner.
Following the rules will allow you to stay in remission for as long as possible and avoid getting worse.