conditions

From laboratory diagnostic techniques "gold standard" remains a classic test of EM Meares and TA Stamey (1968): collection of the first and second urine sample, obtaining prostate secretion by massage, and then - the third urine sample. Microscopic and bacteriological indicators allow us to establish the presence of an inflammatory process and its localization. It should be remembered that not every sown from prostate secretion or a third urine sample microorganism should be considered as an herbs with viagra effect etiological factor in prostatitis, given the possibility of contamination of the material urethral microflora.

A number of physico-chemical and biochemical changes of prostate secretion, could serve as additional diagnostic criteria for chronic prostatitis, these should include: the shift of the pH secret to the alkaline side, lowering the content of acid phosphatase in the exacerbation of the inflammatory process, as well as increased activity of lysozyme and, in some cases , PSA. Highly informative in identifying and characteristics of inflammation in the prostate is a smear cytology gland secretions, including luminescent-cytologic. Retains its diagnostic value of test of crystallization of the secret. In healthy men, such crystallization forms a characteristic pattern in the form of a fern leaf. In case of violation of aggregation properties of the secret, that is most often observed when the androgen hormonal levels in patients with chronic prostatitis, this figure is broken. If the increase in the number of leukocytes in viagra 100mg secretions are likely talking about her inflamed, their normal levels when the available clinical picture is not indicative of the absence of prostatitis. Well-known nutritional provocation spicy food or weak alcoholic drinks, sometimes used for gonorrhea or trichomoniasis prostatitis, as well as provocative tests with prednisone or pirogenalom that parenteral administration can activate slow-inflammatory processes and thereby facilitate their objective the identification. Uroflowmetry is a simple and reliable way to determine the status of urodynamics, can detect early signs of bladder outlet obstruction, as well as to the dynamic control of the sick in the process of medical check-up. Needle biopsy of the prostate gland is, basically, the method of differential diagnosis of chronic prostatitis, prostate cancer and benign prostatic hyperplasia.

Thus, the diagnosis of chronic prostatitis is based on an analysis of complaints and medical history, data, rectal examination of prostate cancer, the analysis of secretions and urine from their crops and determine the sensitivity of microflora to antibiotics identified. Other methods are sexual abstinence used in addition to clarifying the nature of complications, which is important in the development of treatment.

It is, in turn, must be complex, due to which both the physician and on patient need considerable patience. It is known that some patients treatment is ineffective. The cause could be a change agent, Fatal etiopathogenetic points autoaggression, violations of patient treatment.

Traditional methods of treating chronic prostatitis:

    * Antibiotic;
    * Massage of the prostate gland;
    * Phytotherapy;
    * Heating microwave therapy;
    * Physiotherapy;
    * Surgical treatment.

Modern methods of treating chronic prostatitis:

    * Zinc;
    * Allopurinol, colchicine;
    * Non-steroidal anti-inflammatory drugs (ibuprofen, nimesulide);
    * Bioflavonoids (quercetin);
    * Cytokine inhibitors (a-MSH, il-1 Ra, THF);
    * Α-blockers;
    * Inhibitors of 5-α - reductase;
    * Cyclosporin A.

A number of factors and circumstances must be taken into account when planning antibiotic therapy (ABT) of prostatitis: the nature of inoculated microflora sensitivity of microorganisms to antibiotics, the spectrum of action, side effects and pharmacokinetics of skin antibacterial drugs, the earlier the BLS, the starting date and duration of ABT, the dose and combination of antibacterial drugs; route of administration of antibacterial drugs, the need to combine ABT with other treatments. One must consider not only the sensitivity of this pathogen to a particular antibiotic, but also the ability of the drug to accumulate in the prostate gland. Antibacterial drug to pass through the membrane gland must be fat soluble, have unstable bond with proteins, the properties of macrolides. These conditions correspond to the most commonly used macrolides - erythromycin, oleandomitsina and tetracycline. The efficiency with infectious diseases of the prostate metatsiklina (rondomitsina) monomitsina, kanamycin, gentamicin, ampicillin, Ampioks in combination with sulfonamides (trimethoprim, bactrim, Biseptol) nitrofuranov, nitroksolinom, 5-NOK, and so on trichomonas urethritis, which often complicated trihomonadnyh prostatitis used nitrofuran derivatives, metronidazole, nitazol, trihomonatsid, lyutenurin, oktilin, fasizhin, tinidazole. Failures in the ABT of chronic prostatitis can be due to insufficient duration of the course, a low concentration of antibacterial agent and (or) formation in the lumen of acini and ducts of the prostate microcolonies of bacteria coated with extracellular polysaccharide sheath (M. Falagas, 1995). With the goal of therapy of chronic prostatitis using both traditional (oral, parenteral) and nonstandard (intraprostatic, endolymphatic, lymphotropic) route of administration of antimicrobials.