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Chronic bacterial prostatitis


Chronic Bacterial Prostatitis

Chronic inflammatory process of the prostate gland is characterized by periodic recurrence of attacks of acute infectious lesions of the glandular tissue of the prostate. Most often, the hron form of prostatitis is formed as a result of neglected or untreated acute infectious prostatitis, the main pathogens in this pathology are Trichomonas and other urogenital infections.



Etiological factors in the development of the disease


The most common etiological factors in the development of chronic glandular tissue inflammation include infectious diseases. Chronic inflammatory process is dangerous not only by regular recurrence, but also by the gradual development of disorders in the functioning of the external genital organs and disorders in the reproductive properties of men. If the patient simply ignores the periodic courses of treatment, he has a risk of susceptibility to the development of malignant oncological pathologies in the tissues of the prostate.


It is necessary to highlight the main predisposing factors that are involved in the development of recurrence of the disease:


All possible etiopathogenic factors in the development of a chronic form of the course of the inflammatory process can be conditionally divided into two main groups:


There is a theory that intense nervous overstrain as a result of a sudden emotional shock or stress disorder may act as a predisposing factor.



Typical symptomatic signs


In the period between the recurrence of the disease, symptomatic signs do not develop, only slight discomfort in the pelvic area can be felt, as a result of hypertrophy of the glandular tissue.


During the relapse period, symptoms such as:



  • Uncomfortable sensations, mild pain syndrome in the pelvic region with irradiation to the suprapubic and lumbar spine. Painful sensations often intensify during the act of urination.
  • The urge to urinate becomes more frequent and is accompanied by a painful attack in the lower abdomen.
  • A feeling of cramps along the urethral cavity, with tension of the pelvic floor muscles and during prolonged intercourse, this symptom often appears during urination.
  • Urine flow slows down sharply or requires intense exertion, leaving a feeling of incomplete defecation of the bladder cavity.
  • Weakening of the erectile function of a man up to complete impotence.
  • Painful sensations at the height of orgasm and after ejaculation.

With multiple recurrences of attacks of the disease, patients decide that the disease will go away on its own and do not carry out the necessary course of treatment. With the progression of inflammatory processes in the tissues of the prostate, signs of an intense spread of infection may develop, this often ends in acute renal failure.


The following diseases can act as complications of chronic inflammatory processes in the glandular tissue of the prostate:



Carrying out treatment activities


In chronic prostatitis, patients receive only symptomatic and etiotropic treatment, since it is almost impossible to stop the pathogenetic mechanisms of the development of the disease with a drug method.


In order to eliminate signs of inflammatory changes in tissues and relieve pronounced pain syndrome, patients are prescribed non-steroidal anti-inflammatory drugs.


Depending on what type of bacterial pathogen is involved in the development of the disease, patients are prescribed etiotropic therapy with antibacterial drugs.


Medicines, the mechanism of action of which is based on blocking adrenergic receptors, are prescribed as antispasmodic conservative therapy. These drugs are able to relax the muscular apparatus of the perineum, thereby reducing the severity of pain.


Today Prostatilen is considered to be the drug of choice for chronic prostatitis.


This drug has the following pharmacological properties:



  • Restoration of the normal functioning of the prostate as a reproductive organ.
  • Reducing the severity of congestion in the excretory ducts of the prostate.
  • The complex mechanism of action has a depressing effect on all symptomatic signs of chronic prostatitis.
  • Renewal of blood supply and outflow of blood through the vessels circulating in the area of prostate tissue.
  • Bactericidal action on a pathogenic bacterial pathogen.

To maintain a long interictal period, patients are advised to regularly attend preventive consultations with a qualified urological specialist.


In order to prevent specific complications, the patients are advised to regularly carry out the necessary course of symptomatic and etiotropic treatment. A lot of an important point in preventive measures against chronic inflammatory processes is to reveal an active and physically yielding lifestyle. Supporting the rational nutritional mode contributes to the general strengthening of the body and an increase in the immune properties of the body.


Since this disease is characterized by a chronic pathogenetic flow mechanism, the forecast for further recovery is not favorable.