Symptoms of prostatitis in men, cause and diagnostics

About 40% of the clinic urological patients are patients with chronic prostatitis.The symptoms of the prostatitis in men are often the reason for the changes in depressive conditions and psyche.

The disease of each third age of 25-30 does not threaten the life, but the difficulties of its diagnosis and treatment determine a long chronic course and often cause disability.

The functions of the prostate, mechanisms and reasons for the mechanisms and causes of inflammatory development allow you to properly understand the need for symptoms and timely treatment.

The functional value of the prostate gland

Its main function is the secretion of a special liquid (secret) that forms all the aggregate tissue of the body.90 - 95% secrecy provides water and basic trace elements, phospholipids, sperm, enzymes, proteins, proteins, citric acid and fructose.All components have their own goals and are severely balanced.

Provides the secret of the prostate:

1. The formation and maintenance of a neutral or a little alkaline environment in the field of urethra and sperm.This environment provides sperm for sperm life.
2. Sperm thinning is needed to prevent the shutdown of sperm with each other and ensure their promotion.In the process of concern, sperm mixed with prostate water.
3. Spermatozoa's vitality: Items in mystery are a food environment for microbial cells, and thanks to the female genital organs can be located in the female protagonist.
4. Protection of infection genitourinar system using zinc, semamine, polyamine and immunoglobulin A. The sync concentration in the prostate is 100 times higher than other organs.This pronounced has an antimicrobial activity, collects iron in iron and has sperm in a free condition;Sperm and polyamines are also highly anti -bacterial activities and participate in the immune system of prostate and urethra.

Prostate iron is also involved:

• In the hormonal metabolism, active Dihydrotestosterona by transforming the testosterone from the blood;The second adjusts the glove of the glove;This process continues with the presence of the same sink;
• Urinary act using smooth muscle fibers in the shaft capsule;
• In the process of ejaculation with the muscles under the bottom of the pelvis's bottom and the prostate;
• If the feeling of orgasm is in the sense of orgasm;This includes transmission of impulses to the brain during the ejaculation.

Thus, the prostate, along with the probability of participating in the general hormonal situation of a person, protects urogenital authorities from the aggression of conventional pathogenic and pathogenic microorganisms.

Cause and contributing factors

The main reason for the inflammation of the prostate is to enter the pathogenic and conventional pathogenic germs.In 60%, this is an E. coli.In recent investigations, the participation of Gonokoccal and Trichomonna infections in inflammation was approved.If the gland is a protective barrier and a decrease in local immune protection, mya-inaplasm, mycoplasm and outeasmasma, herpes virus and sitomeyhalinus, microorganisms (anal sex), Microorganisms (Anal sex).

For tuberculosis, it is possible to spread through the spread of the micobacteria through the spread of blood.The isolated cases of a secured prostatitis are detected, but rarely.

Roads of infecting:

• Hematogenous - Blood from other infection focus;It communicates with the veins of the penis, testicles, rectum, bladder and kidneys, this happens through the venous veins of the prostate
• Lenfogenous - through lymph veins
• urethroogenic - through the urethra

Contributive factors:

1. Especially a violation of the hormonal background, reducing testosterone levels, as a result of the reduction of antimicrobial prostatic barrier.
2. VaricoCele (expansion of seed vessels), hemorrhoids, varicose veins of the lower extremities.These diseases are a genetic defect in the venous valves, which is the result of a genetic defect, which is in the bodies of pelvis, local temperatures, in the norm (compared to total body temperature) and vital activities of microorganisms.
3. Osteocondrosis, back waist and other innervation disorders, a lifestyle of a sedentary.They can lead to long-term expansion of prostate vessels to last long time or contrary.First, the blood supply, the second continues until stagnant blood events.
4. Fast alcohol contributes to the paralysis of small ships and nicotine, long-term spasm.
5. Different infectious diseases, diabetes Mellitus, often and long negative mental effects, stress states, sleep disorders - all this helps to reduce common immunity.

Types of prostatitis

Basically, the first symptoms of the prostatitis are explained by the deterioration of blood supply, causing the oxygen deficiency or vascular spasm, causing non-identified rotten products, causing metabolic processes.They cause a strong irritation of many nervous receptors related to the nerves of the penis of the penis of the penis of the penis of the nerves under the pelvis, the nerves beneath the pelvis.

The classification of the National Institute of Health (depending on the progress of the inflammation), acute bacterial prostatitis is different, this is a rare (about 5% of all works) and chronic prostatitis.After the last one can develop, but 90% - 98% is the basis.It is believed to cause sexual disorders and infinity.

Chronic form is divided into:

• Bacterial.
• Abacterial or chronic pelvic pain (in the absence of bacteria in case).This in turn is divided into inflammatory and non-metallin.
• Asymptomatic inflammation (in the absence of open symptoms).

Clinical manifestations

Acute prostatitis

The acute course is provoked with any microorganism and is characterized almost simultaneously to all cloth lobules.The most common cause gonococcus.An inflammatory process may be in the form of an abscess or not inflammation.The most characteristic symptoms of acute prostatitis are:

• Chicken and high body temperature (up to 38.5)^O and above).
• Severe intoxication - weakness, joints, headaches, growth in the pulse, an appetite, etc.
• Severe pain in the perineum in the wrong and waist areas.
• Urinary disorders - often and difficulty and difficulty in pain and urine in pain and urine, acute urine.
• Belovoy or transparent discharge from the urethra.

Due to severe pain, the prostate test is impossible through the rectum.Moreover, the spread of infection in the blood is controlled due to the development of an infection and a septic state.

Chronic prostatitis

The recommended classification is very diverse in the symptoms of chronic prostatitis in men, and the opinions of the disease and doctors on construction mechanisms are mostly different.The diagnosis is based on the patient's complaints, a clinical examination of the gland finger inspection through the rectal (rectal) and ultrasound examination.At the same time, the degree of pain, size and volume, contours, uniformity and softening or softening areas are estimated.

Partly the functional ability of the body and most importantly, the presence of inflammatory processes, as well as the form of the disease, the form of prostatic excretion, the learning of prostatic excretion.Material (secret) and sexual infections and sexual infections and spermogram analysis are obtained from a prostate massage with a prostate massage to discover the conditional pathogenes, PKR (myst), PKR (Mystery), (Mystery).

General symptoms of various forms of chronic prostatitis:

1. Accoulous, physical activity, physical activity, physical activity after sexual intercourse or intensifying "pain" and intensity anxiety or intensity.Sometimes they go through a paroxismal in nature.
2. The feeling of anxiety in the urethra or in the urethra, the feeling of crusia, small series-grace discharge (mainly after long-term delay).
3. Sudden often calls for strip (sometimes 3 times in 1 hour) and the feeling of the bladder, the prostate is explained by the violation of the nervous adjustment, its muscle fibers and bladder.
4. The increase in the acidity of the cannabis, the cause of the decline or absence of sperm mobility, reduce the ability to fertilize that causes their agglutination (glue).
5. Pain for orgasm or unloading disorders expressed in orgasm or orgasm, divorce disorders, subsequent or vice versa.These events are associated with an inflammatory process in seminal tuberculosis or sa-sada areas as a result of inflammation.

When the information provided is certain symptoms, it allows you to apply a qualified specialist in certain symptoms and give up the important methods of non-peculiar methods and understand what is important.Treatment is determined only after a complete and comprehensive examination to create the cause and form of the disease.

Differential diagnosis

In men, the dipherential diagnosis of the sharp prostatitis and different signs of chronic prostatitis is reflected in the table:

The form of prostatitis	Basic symptoms	Laboratory data
Acute bacteria	Sharp Start, severe pain in Crotch High temperature, intoxication, muddy, frequently with blood mix, urine	Leukocytosis (the number of leukocytes in the blood has increased) Accelerated esr A large number of red blood cells and leukocytes in urine analysis Perhaps the presence of Gonokokci
Chronic bacterial	Pain on the pelvic floor of a middle nature, Pain for discharge, Empty prematurely in the time of Dakhuria. Some symptoms may not	Red blood cells, in the microscopic examination of the glorious secret, Detection of E. Coli, Enterobacteria, Klebsell or other microorganisms in a bacteriological examination
Chronic abacterial (chronic pelvic pain syndrome):	Pain in a moderately expressed nature basin within 3 months	Bacteria are not detected in ordinary work
inflammation	Pronounce disorders, Average pain in the field of lower abdomen and 3 or more months in 40-65%	The presence of leukocytes in the third part of the gland and the third of the urine, the diagnosis of the "Chronic Prostatitis of the Redemption Party" in the Mears-Stamey Test)
non-metallic or non-stagnant (40% of patients with prostatitis)	Paragraph pelvic pain and anxiety with 3 months or more. Dizuric disorders are rarely.	Inflammation's laboratory data are not detected
Asymptomatic inflammatory prostatitis	There are no clinical subjective symptoms	Having signs of inflammation