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Modern diagnosis and treatment of prostatitis.
At the present time hypodynamic free relations and broad carrier infections, sexually transmitted infections than ever true phrase: prostatitis sick almost every man. Prostatitis is of two kinds: the monk and prostatitis prostatitis Casanova - you can choose what you like. Indeed, today is mainly found infectious prostatitis (prostate Casanova), caused by infection with sexually transmitted diseases, and abakterialny prostate (prostatitis monk), the latter causes are lack of exercise, irregular sexual life, stagnation of blood in the pelvic organs, autoimmune processes. Accordingly, in this article we will talk about the etiology and early diagnosis of this disease, modern methods of treatment of prostatitis to prostate gland - the second man''s heart was healthy and always happy about a man, not a source of numerous problem.Prostatit - inflammation of the prostate gland.
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The reasons may be different, but most often 90% of the case - this sexually transmitted infections (STIs) - various bacteria, gonorrhea, gardnerellas, Trichomonas, Ureaplasma, mycoplasma, chlamydia, candida. In rare cases, the causes of prostatitis, and more often contributing factors to the infectious process are hypothermia, stress and irregular sexual life, physical inactivity, stagnation of blood in the pelvic organs, and constipation. Because the prostate gland (prostate) is responsible for urinary function, metabolism of sex hormones involved in sperm, provides biologically active substances of inflammation that affects the whole body. So with acute prostatitis (inflammation activity) are dominated by dizuricheskie complaints: pain in the perineum, increasing urination, frequent, painful urination, feeling of incomplete emptying of the bladder ...
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Also shared common symptoms of: weakness, chills, fever. Generally, acute prostatitis (or exacerbation of chronic) is by ingestion of bacterial infection in the prostate compromise with any other infection (ARI, tonsillitis, sinusitis), especially when weakened immuninitete (stress, hypothermia, acclimatization). Most often we encounter a patient with chronic prostatitis. Chronic prostatitis is very long a cause for any phenomena, and reduction of erections and frequent urination are moving so slowly that the man does not pay attention to them and seek treatment too late. Very often after the initial scoring of infection, the patient is experiencing moderate discomfort, which will soon pass - the infection becomes latent, chronic phase, but no less dangerous. Chronic inflammation usually does not cause immediate pain and serious violations, but due to permanent damage to the cells of the prostate gland become inflamed, die and are replaced by fibrous tissue.
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That is, instead of a functioning body, the prostate gradually replaced by scars, that is, begins fibrosis (sclerosis) of the prostate. And the more fibrosis, less normally functioning tissue, the more disturbed function of the prostate (especially sexual and spermoobrazuyuschaya). That is why the more people come to us with complaints of pain and not on urination disorders, and Erectile Dysfunction or absence of children. Thus, complaints of chronic prostatitis more often: the reduction or loss of erections, rapid ejaculation, painful orgasm erased, reduced fertility (ability to conceive), as well as frequent urination, incomplete bladder emptying, recurrent pain or discomfort in the perineum, scrotum, abdomen, the groin (as the inguinal canals). The diagnosis of chronic prostatitis is on the basis of complaints, the result of prostate secretion (presence of cells with fatty degeneration) and ultrasonography (heterogeneity, the presence of hyperechoic areas (scars, areas of fibrosis). Etiological diagnosis of chronic prostatitis is very difficult: we need not only a good laboratory, but also proper training patient is important and the method of recruitment tests.
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For example, I remark to my colleague, urologist from Germany working in state (insurance), hospital and private clinic. "When a man comes to me with complaints, he takes (PCR) in urine, where the laboratory certainly does not find anything and we just assign him a candle with diclofenac, saying that "you have no infections no", the German insurance system is absolutely not interested in allocating funds for the treatment of infections in their loved-citizens. But if a patient comes to a private clinic, we make it a provocation qualitative (activation of a chronic infection), and then typed by analysis of the secretion (juice) of the prostate gland after (Prostate) massage. And before that patient is usually 4-5 hours without urinating. Then we tend to find the infection and prescribe its treatment. To us insurance medicine has not climbed, so we''d make the correct diagnosis: a patient the night before the study extractive uses food (spicy, salty, spicy, fried, 150-200 g of spirits), the tunic or gonovaktsinu pirogenal accounted for 5 -6 hours mochivshis not, he runs massage of the prostate gland and out of the urethra a bit prostatic juice recruited for the study.
A set of tests of dry urethra (without massage) in chronic prostatitis is not valid because the urethra is more damaged, and informative about the presence of infection in the prostate is almost no . If we talk about research methods, we recommend the following: diagnosis of bacterial, trichomonas, ureaplasmatic infections carried by specific gradings - that is, if the infection is - it grows in a favorable environment for her (and for each disease has its own specific environment). In addition to that screening is the gold standard of diagnosis, additional advantage is the ability to determine the sensitivity of isolated infections to antibiotics, which significantly improves the treatment. for the diagnosis of gonorrhea, gardnerely, chlamydia, we recommend that PCR (polymerase chain reaction). for the diagnosis of mycoplasma (vysokoimunogennoy infection) rekomendetsya RIF - determination of antibodies to the pathogen in the blood. In addition to the etiological diagnosis (see infections caused by prostatitis, and their sensitivity to antibiotics), we recommend you always do ultrasound genitals before and after ejaculation. If ejaculation happens reduce the size of seminal vesicles that is present frequent complication Prostatitis - vesicles (inflammation of the seminal vesicles). scrotal ultrasonography should be sighting the attention paid to the presence of cysts of the appendages (inflammatory fluid with the presence of infectious agents surrounded the capsule). Very often it is the presence of cysts and prostatovezikulita can cause recurrence of infection, when some time after treatment of the infection reappears.
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To investigate the immune status provodistya immunogram allowing to select the optimal immune therapy for the treatment of chronic infections. acuteness of the process (acute, subacute, chronic prostatitis) show clinical blood tests, urine and prostate secretion. is important in itself and Rectal examination: enlarged, hot, softened and delicate iron is characteristic of acute prostatitis, moderately painful iron noramlanyh sizes with areas of condensation characteristic of chronic prostatitis. a comprehensive treatment of prostatitis. It includes antibiotic therapy, taking into account the sensitivity of pathogens (in this case initially treated with major infection: Trichomonas, gardnerellas, gonorrhea, and then the smaller bacteria, Mycoplasma, Ureaplasma, Chlamydia).
If you have pain for a short time appointed protivovospalitelenye nonsteroidal drugs (diclofenac, ketoprofen, meloxicam), preference is given to drugs in the form of rectal suppositories, as the most secure and most effective at prostate. immunomodulating therapy is individually desirable, taking into account immunological analysis. Massage prostate is an essential method for treating infection, and even more non-infectious prostatitis. With massage, removal of the prostate casts pus, white blood cells, infectious agents, clogging the ducts of the prostate and worsen its work. Also massage improves blood circulation and the architecture of the prostate gland.
Normally, only 4-5% received medication reaches the prostate gland, which is why sometimes you can not create a concentration of the drug, sufficient for the death of the infection. If the massage increases blood flow to 5 times that significantly increases the concentration of drug in the prostate, and accordingly increases the effectiveness of treatment. In the late 90''s, some urologists in Europe and the U.S. refused to massage the prostate, as painful and the doctor and patient procedures. However, the results of treatment have dramatically deteriorated: he had to treat prostatitis with antibiotics 3 months (which almost always leads to medication liver damage), and by 2000, urologists reimposed prostate massage in the list of mandatory measures the prostate. Also, patients with chronic prostatitis recommended physiotherapy.
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All of her species also improve blood flow and have additional properties. Magnetotherapy good pain relief and inflammation. electrophoresis with lidasa has assasyvayuschim action. diadynamical currents improve the functioning of the prostate gland, and amplipulse for patients with erectile dysfunction. In the treatment of chronic prostatitis is of particular importance resolving and enzyme therapy. Since the diagnosis of chronic prostatitis is set precisely in the presence of scars in the prostate gland - their reduction and absorption is an important stage of complex treatment of prostate cancer.
As absorbing therapy used injections of enzymes and biologically active substances: trypsin, chymotrypsin, Longidaza extract, aloe, Phibbs, vitreous body. Oral (tablets) used enzymatic complexes containing papain, protease , pepsin and other proteolytic enzymes. Also in the treatment of prostatitis herbal medicine used: trianol, prostamed, proformas, pravenor. prparatov Each has its own testimony, which will be written separately.
The prostate contains seminal hillock, where the sperm passes through it - is an orgasm. Therefore it is necessary to make sure that the prostate was fine, then it will bring pleasant orgasms, but not unpleasant problem. In order not to find in a "sudden" symptoms of chronic prostatitis on ultrasonography suggest that you regularly screened for the presence of STIs. Not having a permanent sexual parnershi (or more than one) once in six months, having a spouse (permanent sexual parnershu) - once a year.