According to several epidemiological studies the frequency of chronic prostatitis in the general population is 15-68% (Nickel JC, 1999). In the United States on patients with prostatitis accounts for about 8% of all outpatient visits to urologists (Collins MM et al. 1998). This is the most frequent urologic disease profile in men and 50 years and third in frequency in individuals older than 50 years (after BPH and prostate cancer). Investigations Moon et al. (1997) showed that about 65% of the male population in Wisconsin (USA) aged 20 to 50 years have a history of prostatitis. In Holland, during a similar study of chronic prostatitis was detected in 24% of men. Prevalence of diagnosis of prostatitis, among urological outpatients in Italy is 12.8% and is the cause of up to 19% of all visits to the doctor.
Conflicting and scarcity of epidemiological data on chronic prostatitis result from imprecise definition of the disease. The modern interpretation of the term "chronic prostatitis" and the classification of the disease have been mixed. Under his mask can hide a wide range of states of the prostate and lower urinary tract, ranging from infectious prostatitis, chronic pelvic pain syndrome, or so-called prostatodinii with abakterialnom prostatitis and ending with neurogenic dysfunction, allergy and metabolic disorders. Many experts consider chronic prostatitis as an inflammatory disease primarily of infectious origin with the possible accession of autoimmune disorders characterized by lesions of the parenchyma and interstitial tissue of the prostate.
At the same time it should be noted that chronic prostatitis abakterialny 8 times more common than the bacterial form of the disease, up to 10% of all cases (Roberts RO et al., 1997). According to Brunner H. et al. (1983) surveyed 600 patients at a specialized clinic, chronic bacterial prostatitis was detected only 5% of cases, abakterialny prostatitis - at 64% and prostatodiniya - 31% of patients. However, these data do not deny the role of other non-"classical" bacterial infection in the pathogenesis of chronic prostatitis abakterialnogo, as well as the fact that bacterial prostatitis may be in a certain period prior to abakterialnomu.
According to Johansen T.E.B. (2001) prostatitis - a syndrome characterized by symptoms of dysfunction of the lower urinary tract (LUTS) in the presence of inflammation in the prostate. At the same time are all types of chronic prostatitis, "is not acute. Specialists of the National Institutes of Health follows interpret the clinical concept of chronic prostatitis:
• the presence of pain in the pelvic / perineum, urogenital system for at-least 3 months;
• presence (or absence) of obstructive or irritative symptoms of urination;
• positive (or negative) results of bacteriological study.
Alexander R.B. et al. (2002) identified the following main characteristics of the disease:
- The term "prostatitis" - means inflammation of the prostate gland;
- Presence of inflammation is not the same infection
- The most important symptom for diagnosis is pain or discomfort in the pelvic area in men;
- Is considered a chronic prostatitis, symptoms of which there are more than 3 months;
- Symptoms of lower urinary tract function and sexual dysfunction is often accompanied by chronic prostatitis.
In the analytical work devoted to the syndrome of chronic pelvic pain in men, emphasizes that abakterialny chronic prostatitis is characterized by the following basic properties (Egan KJ and Krieger JL 1997):
- The main complaint is pain;
- Repeated and unsuccessful treatment history.
The variety of interpretations, including, can be attributed to the lack of quality of epidemiological studies of chronic prostatitis, which form the starting point should be clear and unambiguous definition of the disease. In addition, crucial for the organization of such research is reliable, universally accepted system for the standardized assessment of symptoms and diagnosis of prostatitis, which only formed.
Summarizing the above views, we can agree that the diagnosis of chronic prostatitis must meet the following conditions:
- Presence of inflammation in the prostate gland with positive or negative results of bacteriological tests;
- Presence of pain, discomfort in the pelvis and / or symptoms of lower urinary tract function;
- Duration of the disease for more than 3 months.
In epidemiological program "The Lennox and Addington County" is used for prostate-specific scale NIH-CPSI in men 20-74 years old (Downey et al. 2000). The presence of pain or discomfort in the perineum at rest and / or PE was reported 49,7% of respondents. The total score on the scale of pain was at least 4, with 36,6% of men have experienced pain during the previous week, the severity score of 8 or more. The specified location and severity of pain, usually enough doctors to diagnose "abakterialny prostatitis" (Nickel JC et al. 2001).
In the remaining 90% of cases, when using laboratory methods can not detect the bacteria, which are the cause of chronic prostatitis, the condition is classified as "chronic prostatitis nebakterialny" or "prostatodiniya. Observed for prostate symptoms are nonspecific. Awareness of the fact that the presence of symptoms does not necessarily indicate an isolated disease of the prostate gland, led to the emergence of a new term "chronic prostatitis / chronic pelvic pain syndrome." This term is used for patients with symptomatic prostatitis nebakterialnogo origin.
Thus, prostatitis is not fully known, the disease, since studies prevents ambiguous interpretation of the characteristic of his clinical and diagnostic features, as well as limited physical access to the prostate.
Rx Connecticut
Monday, September 14, 2009
Prostatitis - Your Reality
Prostatitis today for representatives of the stronger sex is an issue very relevant and urgent. Being a male in fact the most common urological disease in the world, prostatitis often occurs in men in a latent form, only later begins to manifest itself, resulting in a considerable number of cases of male infertility and impotence.
It would seem that medical scientists have come to a unanimous conclusion on the fact that the main and sole cause of prostate diseases is in fact an infection that spread to the prostate of men. However, things are a little different, except in limited cases, confirming the "official" theory. That is, in other words, prostatitis can "earn" is not due to infection of the prostate gland.
Doctors distinguish mainly 2 forms of the disease: acute and chronic forms of the disease prostatitis. More detail on the first case. It is known that acute diseases of the prostate, usually is caused by the actions of various microorganisms, particularly E. coli. Therefore, if we are talking about the acute form of prostate, there is, of course, the disease occurs due to infection. There are cases when infection is infected urine, which then penetrated the ducts of prostate gland (prostate), thus infecting the prostate, causing various disturbances of sexual function and contributing to the emergence of prostate diseases.
In the case of infected urine, it is compounded by even more, because the urine through their actions cause severe irritation and increases the formation of mucus, so prostatitis takes an acute form which occurs in men is very painful. This situation occurs in the case of chronic prostatitis which has arisen due to bacterial action. What are the symptoms of an acute form of prostate diseases: first, a man experiencing severe pain in the perineum, rectum, lumbosacral region may also be subjected to severe pain.
Second important reason for which we can determine prostatitis - difficulty and (or) painful urination and painful discharge of semen during sexual intercourse, in addition, there is a high body temperature, along with the above characteristics is indicative of an acute form of prostate disease.
As mentioned earlier in this article, despite the scientifically proven fact about the nature of the bacterial diseases of prostate, for the most part, the bacteria can not "penetrate" the prostate gland, unless it is literally changed. What does this mean? The explanation is simple: usually virtually any male - 40 years before and after - during the life of the prostate varies by lifestyle: Basically due to sedentary lifestyles (eg, sedentary work at a computer or work with machine at work) is the stagnation of blood in the veins, and as a consequence - the stagnation of fluids in the prostate.
And already then, the bacteria begin to "connect" in order to play a role: the young men under the age of 40 years, most often a disease called prostatitis due to sexually transmitted causes: ureaplasma, chlamydia, Trichomonas, etc. These bacteria act as pathogens as sexually transmitted diseases and in this case, the prostate. Speaking of the men stepped milestone of forty years, there's already things are a little different: it is also all over the "guilt" of the bacteria, but not the venereal nature (unless of course, the man "picked up" this kind of infection), and the most common bacterial organisms that are present in our body is always (!), but because after forty years, is undergoing a significant weakening of the immunity, then in this scenario and there is so unenviable situation.
What conclusion can be drawn from the entire expressed above and written? The conclusion is simple: take care of yourself, try to listen to their health, not to mention the typical "male" health, ie high male potency, absence of prostate diseases, etc. All of course is clear and very clear, but the question arises: how to be able to do it all, especially if the rhythm of life always leads to violate the prescribed healthy living and installation instructions? And again the answer is easy and understandable: it is crucial to seek medical attention andrologist, who always listen carefully to you, will give the necessary advice and recommendations which follow will be much easier.
We are accustomed to their daily lives, and when it comes to setting their own goals, especially if it's about self-management and healthy lifestyles, we often simply unable to control himself in this regard. Speaking on the topic: Who does not like vrach-androlog/urolog able to monitor the health of the male patient, besides helping to improve and his whole life. After all, for any of men who have prostate, is not a secret that prostatitis affects practically all aspects of life, causing a sea of uncomfortable feelings and creating an incredible amount of psychological complexes.
Therefore, we strongly recommend that every man for his protection, and constant self-confidence and further their future periodic visits to the doctor's office, andrologist, in addition, once a year to pass a full scan of "male system, thus providing a comfortable relationship with the world and confidence on 100% of its irresistibility and healthy future.
Often men just shy pay a visit to the urologist / andrologist because of their own psychological barriers delaying disease prostatitis up to unpleasant consequences. It will be useful for a man when his close friends and family (wife, parents, brothers, sisters, friends) will be able to persuade to come for a visit to the doctor and continue to attend urological office, not at all experiencing negative emotions and painful internal barriers. Yes, it's sometimes so difficult to accept as truth, but you should understand that time is not only cured the disease prostatitis only aggravate the situation of its progressive and permanent effect, because it is essential understanding on the part of relatives, particularly women, who care about future sexual life with her favorite man.
So, ladies and gentlemen, and very much loved ladies men, take all vyshenapisannogo note and do everything necessary to ensure the disease prostatitis forever receded when she suddenly caught up with the "second heart" of men, and if you men think you are all in order, just in case go through the diagnosis and sign up yet to see a doctor for preventive purposes.
Finally, briefly describe the methods and principles of treatment of prostatitis: in the case took an acute form of prostatitis usually prescribe an antibacterial treatment. In the chronic form of prostate treatment methods for taking a more proactive approach: along with the use of antibacterial and anti-inflammatory drugs used prostate massage his fingers and some other pharmaceutical drugs.
Rx Ohio
It would seem that medical scientists have come to a unanimous conclusion on the fact that the main and sole cause of prostate diseases is in fact an infection that spread to the prostate of men. However, things are a little different, except in limited cases, confirming the "official" theory. That is, in other words, prostatitis can "earn" is not due to infection of the prostate gland.
Doctors distinguish mainly 2 forms of the disease: acute and chronic forms of the disease prostatitis. More detail on the first case. It is known that acute diseases of the prostate, usually is caused by the actions of various microorganisms, particularly E. coli. Therefore, if we are talking about the acute form of prostate, there is, of course, the disease occurs due to infection. There are cases when infection is infected urine, which then penetrated the ducts of prostate gland (prostate), thus infecting the prostate, causing various disturbances of sexual function and contributing to the emergence of prostate diseases.
In the case of infected urine, it is compounded by even more, because the urine through their actions cause severe irritation and increases the formation of mucus, so prostatitis takes an acute form which occurs in men is very painful. This situation occurs in the case of chronic prostatitis which has arisen due to bacterial action. What are the symptoms of an acute form of prostate diseases: first, a man experiencing severe pain in the perineum, rectum, lumbosacral region may also be subjected to severe pain.
Second important reason for which we can determine prostatitis - difficulty and (or) painful urination and painful discharge of semen during sexual intercourse, in addition, there is a high body temperature, along with the above characteristics is indicative of an acute form of prostate disease.
As mentioned earlier in this article, despite the scientifically proven fact about the nature of the bacterial diseases of prostate, for the most part, the bacteria can not "penetrate" the prostate gland, unless it is literally changed. What does this mean? The explanation is simple: usually virtually any male - 40 years before and after - during the life of the prostate varies by lifestyle: Basically due to sedentary lifestyles (eg, sedentary work at a computer or work with machine at work) is the stagnation of blood in the veins, and as a consequence - the stagnation of fluids in the prostate.
And already then, the bacteria begin to "connect" in order to play a role: the young men under the age of 40 years, most often a disease called prostatitis due to sexually transmitted causes: ureaplasma, chlamydia, Trichomonas, etc. These bacteria act as pathogens as sexually transmitted diseases and in this case, the prostate. Speaking of the men stepped milestone of forty years, there's already things are a little different: it is also all over the "guilt" of the bacteria, but not the venereal nature (unless of course, the man "picked up" this kind of infection), and the most common bacterial organisms that are present in our body is always (!), but because after forty years, is undergoing a significant weakening of the immunity, then in this scenario and there is so unenviable situation.
What conclusion can be drawn from the entire expressed above and written? The conclusion is simple: take care of yourself, try to listen to their health, not to mention the typical "male" health, ie high male potency, absence of prostate diseases, etc. All of course is clear and very clear, but the question arises: how to be able to do it all, especially if the rhythm of life always leads to violate the prescribed healthy living and installation instructions? And again the answer is easy and understandable: it is crucial to seek medical attention andrologist, who always listen carefully to you, will give the necessary advice and recommendations which follow will be much easier.
We are accustomed to their daily lives, and when it comes to setting their own goals, especially if it's about self-management and healthy lifestyles, we often simply unable to control himself in this regard. Speaking on the topic: Who does not like vrach-androlog/urolog able to monitor the health of the male patient, besides helping to improve and his whole life. After all, for any of men who have prostate, is not a secret that prostatitis affects practically all aspects of life, causing a sea of uncomfortable feelings and creating an incredible amount of psychological complexes.
Therefore, we strongly recommend that every man for his protection, and constant self-confidence and further their future periodic visits to the doctor's office, andrologist, in addition, once a year to pass a full scan of "male system, thus providing a comfortable relationship with the world and confidence on 100% of its irresistibility and healthy future.
Often men just shy pay a visit to the urologist / andrologist because of their own psychological barriers delaying disease prostatitis up to unpleasant consequences. It will be useful for a man when his close friends and family (wife, parents, brothers, sisters, friends) will be able to persuade to come for a visit to the doctor and continue to attend urological office, not at all experiencing negative emotions and painful internal barriers. Yes, it's sometimes so difficult to accept as truth, but you should understand that time is not only cured the disease prostatitis only aggravate the situation of its progressive and permanent effect, because it is essential understanding on the part of relatives, particularly women, who care about future sexual life with her favorite man.
So, ladies and gentlemen, and very much loved ladies men, take all vyshenapisannogo note and do everything necessary to ensure the disease prostatitis forever receded when she suddenly caught up with the "second heart" of men, and if you men think you are all in order, just in case go through the diagnosis and sign up yet to see a doctor for preventive purposes.
Finally, briefly describe the methods and principles of treatment of prostatitis: in the case took an acute form of prostatitis usually prescribe an antibacterial treatment. In the chronic form of prostate treatment methods for taking a more proactive approach: along with the use of antibacterial and anti-inflammatory drugs used prostate massage his fingers and some other pharmaceutical drugs.
Rx Ohio
Symptoms of chronic prostatitis
Pain and discomfort in the perineum were the most common symptoms of chronic prostatitis.
The second and third places were occupied by the prevalence of suprapubic pain and discomfort, pain and discomfort during ejaculation, respectively.
• Among the symptoms associated with urination, the most common was an increased frequency of painful urination, and then - this is difficulty urinating and imperious urge to urinate.
• The average frequency of symptoms (0-5) in the first place - the frequency of urination, followed by pain and / or discomfort in the perineum, pain and / or discomfort in the suprapubic area and difficulty urinating. The highest average on a scale of severity of symptoms (0-10) associated with the frequency of urination, followed by pain / discomfort in the perineum and suprapubic area. 31% of men reported at least 8 of urination during the day, and 51% - of at least 2 of urination at night.
• Assessment of quality of life showed that only 8.2% of men who have discovered prostatitis, very satisfied, satisfied or almost satisfied with the quality of their lives. 14.6% of respondents gave an ambiguous answer, while 77.2% were almost satisfied, not very satisfied or not satisfied with the quality of their lives.
Rx New Mexico
The second and third places were occupied by the prevalence of suprapubic pain and discomfort, pain and discomfort during ejaculation, respectively.
• Among the symptoms associated with urination, the most common was an increased frequency of painful urination, and then - this is difficulty urinating and imperious urge to urinate.
• The average frequency of symptoms (0-5) in the first place - the frequency of urination, followed by pain and / or discomfort in the perineum, pain and / or discomfort in the suprapubic area and difficulty urinating. The highest average on a scale of severity of symptoms (0-10) associated with the frequency of urination, followed by pain / discomfort in the perineum and suprapubic area. 31% of men reported at least 8 of urination during the day, and 51% - of at least 2 of urination at night.
• Assessment of quality of life showed that only 8.2% of men who have discovered prostatitis, very satisfied, satisfied or almost satisfied with the quality of their lives. 14.6% of respondents gave an ambiguous answer, while 77.2% were almost satisfied, not very satisfied or not satisfied with the quality of their lives.
Rx New Mexico
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