Causes of chronic prostatitis

In the conditions of the modern existence of mankind, young men of reproductive age suffer from Chronic prostatitis. Inflammation of the prostate gland is a disease most commonly seen in men. Approximately 50% of males suffer from one of the many forms of prostate inflammation.

With regard to chronic prostatitis, it can be argued that this disease tends to affect men aged 21 to 42 years, at the time when they are in their greatest sexual, reproductive and labor active heyday and develops from 2 days to many years. That is why identifying and curing chronic prostatitis for urologists is an extremely important aspect, and not only medical, but also socially significant.

Basic classifications of chronic prostate inflammation

Studying the modern classification of inflammation of the prostate gland, which was developed in the 1995s, we can distinguish 3 types of specific diseases:

Having infectious components available, we can talk about chronic inflammation of the prostate gland of a bacterial (infectious) type, in the absence of a microbial pathogen - non-bacterial (non-infectious) prostatitis. It is generally accepted that in 92-96% of cases the likelihood of non-bacterial inflammation of the prostate gland is extremely high, and only in 9-10% we are dealing with bacterial prostatitis.

Causes of chronic prostate inflammation

The etiological basis and mechanism of the onset of the disease of bacterial chronic inflammation of the prostate gland are directly related to the possibility of infectious elements entering the prostate in the following ways:

• Ascending (through the urethra).
• Descending (occurs during the throwing of infected urine from urea).
• Hematogenous (passes through the bloodstream).
• Lymphogenous (by the lymphatic collector).

The most common pathogens in the urethral canal are Escherichia coli, Klebsiella, Proteus, Staphylococcus, fungus, Corynebacterium, Enterococcus, parasites, and viral pathogens. Along with nonspecific flora, the causative agent of specific urethritis (chlamydia, gardnerella, mycoplasma, gonococcus, Trichomonas) takes part in the developmental factors of chronic inflammation of the prostate gland.

But, despite this, in order for chronic inflammation of the prostate gland to have a reason for development, it is important not only the presence and increased activity of bacteria, but also the presence of subsequent diseases that have arisen due to a low level of protection in the body. In this regard, the occurrence of chronic inflammation of the prostate gland carries with it a whole bunch of factors. For a start, it is worth taking the urological theme of diseases - purulent kidney disease, cystitis, urethritis, strictures of the urethral canals, acute inflammation of the prostate gland that is not completely cured, orchitis, epididymitis and other diseases of this kind.

Microbial etiogens can enter the prostate gland from a distant focus of infection, for example, if a man has sinusitis, tonsillitis, caries, chronic bronchitis, pneumonia, pyoderma and other diseases. They have a predisposition to chronic inflammation, localization of pain and general hypothermia, overheating and dampness, fatigue, unequal meals, rare discharge of fluid from the urethra, etc.

The causes of non-bacterial inflammation of the prostate gland are often congestive (congestive) diseases in the prostate

The latter are explained by poor venous circulation in the pelvic system and cause impaired drainage of the prostate acinus. Prostatitis can lead to filling the vessels of the prostate gland with plasma, swelling, incomplete disposal of secretions, negative action of barriers, contractions, and motor functions of the gland necessary for a healthy life of the prostate, and over time it can turn into cancer. Such reasons are caused by chronic prostatitis.

Stagnant change is often explained by a behavioral factor - long-term sexual deprivation, practical applications of interrupted or prolonged sexual intercourse, intense propensity to sexual activity, frequent sitting, hypodynamic syndromes, chronic intoxication (alcohol, nicotine, drugs), vibration in industrial work .

Also, for the development of chronic inflammation of the prostate gland, pathological disease of the pelvic organ, its nerve endings, which provide their provision with nerve cells (for example, suffered injuries of the musculoskeletal system), prostate adenomas, hemorrhoidal processes, constipation, androgen deficiencies, and others are prone to the development of chronic inflammation of the prostate gland. causes.

Symptoms of chronic prostate inflammation

The symptoms of chronic prostatitis are determined by both local and general non-local factors. Local manifestation belongs to the prostatic triad and is characterized by pain, urinary dysfunction and erectile dysfunction. Painful pathology in chronic inflammation of the prostate gland is characterized by constant whining in the focus of the disease, localized in the perineum, genitals, places above the pubic region and in the groin.

Pain syndromes intensify at the beginning of the urination procedure and at its end, and pain can be given to the head of the phallus, sacrum, rectum, therefore, working capacity and sleep are impaired. They also increase with the onset of orgasm and become intense precisely during ejaculation. Pain with prostatitis becomes so severe that they are often confused with osteochondrosis or radiculitis, so men refuse medication or simply do not visit a urologist.

The main distinguishing feature of prostate inflammation from cancer is that in the case of an inflammatory process, a plural number of tissues in the gland grow

If we are dealing with a tumor, then it is nothing more than a consequence of the division into parts of cells, which by their nature become malignant. The causes that provoked chronic prostatitis have an extremely aggressive characteristic and are actively spreading beyond the capsules of the prostate gland. You should also be aware that the complication caused by the disease is a significant difference between chronic inflammation of the prostate gland and its cancer.

In the case when there is oncology, an accelerated process of destruction of tissue parts is observed, which, in turn, disrupts the renal function, the function of the liver, part of the commands from the body ceases to flow to the brain, pains in the bone muscles are formed, which often confused with sciatica. If this is an inflammation of the prostate, it quickly weakens the general immunity, contributes to the development of concomitant diseases with an infectious bias and is a direct threat of intoxication to the body and can turn into cancer.

Chronic prostatitis is characterized by the reasons due to which the level of prostate-specific antigen in the blood rises

Preventive measures in relation to oncological diseases include the determination of the diagnosis, the appointment of protective measures and remain the best methods of protection against the threat of the development of malignant tumors.

Formations of malignant tumors that develop from the epithelial ducts and tissue of the prostate gland are called prostate carcinoma.

The urethra in chronic inflammation of the prostate gland responds with extremely painful sensations. In addition, it is possible to detect difficulty in starting the process of mixing, the urine stream is weakened or intermittent, incomplete emptying of urea is felt, there is a desire to frequent the bathroom, floating threads are found in the urine. In the terminology of prostatic diseases, there is such a word as prostatorrhea. Prostatorrhea is a discharge due to a decrease in the tissue norm of the prostate gland. After a man goes off in great need or undergoes physical activity, it manifests itself in his urethra.

In chronic inflammation of the prostate gland, itching sensations, a feeling of coldness, or excessive sweating in the perineal area, local changes in the color of the skin integument can be noted

These factors are directly related to the fact that blood circulation tends to stagnate and form an inflammatory process. Manifestations of impotence tend to express deterioration, sore erection, prolonged and frequent erectile activity at night, difficult or early ejaculation, loss of sexual desire (libido imbalance), blurred orgasms, admixture of plasma in semen, infertility.

Disorders associated with sexual relations are extremely negatively tolerated by men and lead to mental and emotional disorders, sometimes even cause depression and neurosis. They are the most detrimental to male sexual health.

All the information that is necessary for the correct diagnosis of chronic inflammation of the prostate gland can be determined using complex laboratory examinations

Primary studies with a threat of chronic prostatitis include finding out anamnesis and complaints, mandatory examinations of the prostate on objects of secretions (secretions), rashes, irritable reactions, manual rectal examinations of the prostate in order to determine the contours, boundaries, consistency and causes of pain in the prostate gland.

A large number of men who seek medical help (about a quarter) have no symptoms of chronic inflammation of the prostate gland for a long time. Prolonged inflammatory processes in the prostate can lead to complications in the form of impotence, inflammatory disorders of the seminal vesicles (vesiculitis), inflammation of the testicles (epididymo-orchitis), male infertility, enuresis, the formation of stones and processes in the prostate gland, prostate sclerosis.

Late access to a doctor can even lead to adenoma and prostate cancer.