Prostatitis

What do we mean by chronic prostatitis?


This definition covers a wide range of diseases and processes occurring in the prostate and lower urinary tract, ranging from the so-called prostatodinii with noninfectious prostatitis, allergic and metabolic disorders of the prostate and ending with infectious prostatitis. Lack of unity of terminology is especially true in the case of non-infectious CPs, which is interpreted by various authors as: prostatodiniya, a syndrome of chronic pelvic pain, postinfectious prostatitis, myalgia pelvic floor muscles, kongestivny prostatitis. At the same time, analysis of contemporary literature in the databases of the Cochrane Library and Medline did not reveal a single scientific position on the inquiry issue.
Chronic prostatitis is one of the most widespread diseases, and its manifestations are varied symptoms. Often, there are publications indicating an extremely high incidence of CP. It is reported that prostatitis leads to a significant reduction in quality of life for men of working age: its effects compared with angina, Crohn's disease or myocardial infarction. According to the cumulative incidence of the Association of Urologists chronic prostatitis ranges from 35 to 98% and from 40 to 70% in men of reproductive age.


Clinical characteristics

In his published works by various authors in different ways interpret clinical signs of disease. The recommendations of the AUA to the main features of chronic bacterial prostatitis include:
• re-development of symptoms of acute prostatitis;
• midstream urine contains more than 100 000 KOE / ml;
• usually rapid positive response to antibiotic therapy;
• patients began antibiotic treatment when the first symptoms, can prevent the attack of the disease.
• may be part of re-infection of the urinary tract.
Chronic infectious prostatitis and chronic pelvic pain syndrome is considered as the most common form of prostatitis. The main signs of chronic non-infectious prostatitis according to the recommendations of the AUA are: suffering, mostly young men from 20-50 years (mean age 43 years);
• basic and most frequent manifestation of the disease - the presence of pain or discomfort in the pelvic area, a minimum duration of 3 months;
• intensity of symptomatic manifestations varies considerably;
• The most frequent localization of pain - the perineum, but the discomfort can occur in any area of the pelvis;
• unilateral localization of pain in the testicle is not a sign of prostatitis;
• mandatory symptoms more characteristic than obstructive;
• Erectile dysfunction may accompany CP;
• pain after ejaculation, the most specific to HP, and distinguishes it from benign prostate hyperplasia and healthy men.
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