prostatitis

Most men would rather not have to think about having an organ like the prostate gland - the main thing is that it works. But not enough, that half of all men after 60 years of age with complaints from an enlarged prostate expect, even in younger years, the prostate gland unpleasant to draw attention to their existence.

Definition Prostatitis Syndrome

The chestnut-sized prostate belongs to the male genital organs and contributes to the formation of sperm, to the closure of the bladder and spermatic ducts as well as to the hormone metabolism. The disorders described below are summarized under the term prostatitis syndrome:

  • Acute or chronic bacterial prostatitis: Like any other organ, the prostate can become inflamed, especially as it has a direct connection to the urethra and thus to the outside world, through which germs can enter the body. Rarely do pathogens also migrate via the blood or lymphatic channels. Germ-induced prostate infections, however, account for only 10% of all prostatitis cases.
  • Chronic abacterial prostatitis: The remaining 90% are disorders that are not caused by pathogens. Since these are the pain in the foreground, they are also referred to as chronic pain syndrome in the pelvis (English chronic pelvic pain syndrome = CPPS), which may be associated with or without signs of inflammation (abacterial inflammatory or non-inflammatory prostatitis). Earlier, the term prostate disease was used.
  • Asymptomatic prostatitis: Although there is a detectable inflammation, but there are no complaints. It is diagnosed, for example, in the search for causes of infertility.

What are the causes of prostate inflammation?

As complicated as the names are, so diverse are the underlying causes:

Acute or chronic bacterial prostatitis: Although the organism has a number of protective mechanisms, they may lose some of their effectiveness in some situations. These include strictures of the urethra (eg due to scars), procedures such as bladder reflexes or the insertion of a bladder catheter, but also diabetes mellitus or disorders of the immune system.

The pathogens are predominantly Escherichia coli (which make up a large part of the stool bacteria) and other intestinal bacteria, and occasionally Pseudomonas aeruginosa, a widespread soil and water germ, which is also in many people in the intestine and especially like a weakened immune system Use it. Also, the various pathogens of venereal diseases such as chlamydia, gonococci and mycoplasma can cause prostate infection. Tuberculosis bacteria are more likely to be washed over the blood.

Chronic Abacterial Prostatitis: Although this form is very common, the exact causes are still unknown. In recent years, various triggers have been suspected, such as a narrowing of the urethra with fluid retention in the prostate, a limited release of the prostate (which then accumulates), an autoimmune disease or even germs for which there are simply no detection methods. Also dysfunctions of the pelvic floor muscles and mental influences are discussed.

Recently, the symptoms have been attributed to a chronic "interstitial cystitis", an inflammation of the bladder, which is caused by an altered mucosal permeability to harmful substances. Presumably, several factors must come together to create a chronic pelvic pain syndrome.

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