The term "prostatitis (microbial code 10 - 41)" refers to an inflammatory process that occurs in the tissues of the prostate gland, and leads to pain, difficulty urinating, frequent desire to go to the toilet, decreased libido. According to various statistics, the disease affects mainly men of reproductive age, that is, from twenty -five to fifty years. Depending on the complex characteristics of the symptoms and the degree of damage to the glands, two forms of prostatitis are distinguished - acute and chronic.
According to the MCB coding, prostatitis in the chronic form is given a value of 41. 1, for the acute form, the digit 41. 0 is used. primary diagnosis is made by visual examination of the patient and study of the anamnesis. For validation, additional techniques were used: ultrasound and laboratory methods.
General characteristics and classifications
Every third representative of the strong half of humanity knows what prostatitis, proceeds in various forms, because this disease, provoked by inflammation of the prostate gland, is one of the most common pathologies in the male genital area. The disease is manifested by characteristic symptoms: pain, burning sensation, exacerbated by urination, decreased sexual activity, frequent desire to go to the toilet.
Prostatitis in men is the result of the defeat of the prostate by an infectious agent that penetrates into its tissues through the reproductive organs or systemic circulation. Even causes such as the flu or bronchitis can trigger the inflammatory process. Often, this occurs against the background of factors that promote the spread of infection, among which, first of all, a weakened immunity is called.
To obtain an average indicator, there is a statistical coding of prostatitis mkb 10, which allows you to objectively assess the situation regarding the incidence of the male half of the population. Chronic prostatitis mkb 10 has a code of 41. 1, which is assigned to diseases that last for six months or more. In addition, the international ICB code classification 10 xp prostatitis describes this form of the disease as difficult to treat.
Acute prostatitis mkb 10 code is given slightly differently - 41. 0. This form of the disease is recognized as a well -used acceptable therapy, and is continued with a background of obvious symptoms of the disease. There is also a code of 41. 2. The indicators given are the norm for prescribing diseases associated with the formation of prostate abscesses. It is important to know that the diagnosis of chronic prostatitis recommends that a man undergo treatment at least once every six months and regularly visit a specialist.
Predisposing factors
The likelihood of acute and chronic prostatitis in men increases significantly against the background of negative action of predisposing factors. The following reasons can be a kind of catalyst for inflammatory processes that affect prostate gland tissue:
- The phenomenon of stagnation, characterized by impaired blood flow, and arises against the background of an inactive lifestyle, low sexual activity, overweight.
- Systemic hypothermia of the body, caused, for example, by the peculiarities of work.
- Injuries, regardless of nature and time elapsed since the moment of injury.
- Infectious diseases, viruses in the genital area, including venereal diseases.
- Infectious and inflammatory diseases of other systems and organs, for example, bronchitis, purulent tonsillitis, and a few others.
As an additional predisposing factor, practical medicine also names problems with digestion, expressed in the appearance of systemic constipation. Therefore, an inappropriate dietary approach can also have an indirect effect on the occurrence of prostate gland inflammation.
Important! Timely elimination or reduction of the influence of negative factors is the most reasonable and effective method of preventing prostatitis in men.
Clinical picture
Probably many people know what prostatitis of various forms is. But not everyone is aware that the classic signs of this unpleasant disease can change significantly depending on the stage and form of pathology:
- Catarrhal prostatitis. The disease is characterized by the appearance of pain in the perineum, groin, frequent desire to go to the toilet.
- Follicular prostatitis. The pain syndrome becomes more intense, there is difficulty urinating, and a false desire to go to the toilet may appear.
- Prostatitis parenchyma. Severe pain syndrome, exacerbated by the act of urination or defecation, there is often a delay in the outflow of urine, a false urge to go to the toilet, high temperature, chills, weakness, fatigue.
The course of chronic prostatitis is accompanied by the appearance of almost all the signs listed above, however, the symptoms become more obsolete. It should be emphasized that the acquisition of chronic forms of the disease is relatively rare against the background of exacerbations. Most forms of the disease develop in men gradually, under the influence of inflammatory processes arising from infectious lesions on the tissues of the prostate gland. The main symptoms are:
- Disurik syndrome. Against the background of the negative influence of inflammatory processes, the prostate gland increases significantly in volume, which leads to compression of the ureter. This pathology is the main reason for the appearance of frequent urge to urinate, including false and painful sensations.
- Pain syndrome. The prostate itself has no nerve endings, respectively, the painful sensation in prostatitis is the result of the spread of inflammatory processes and damage to nerve fibers adjacent to the prostate gland of the pelvic organs.
- Sexual dysfunction. Prostate gland disease is characterized by the appearance of various disorders of a sexual nature. Most men complain of a decrease in the intensity and brightness of sensations received during intercourse; in the early stages of disease development, decreased libido and lack of erection are possible. For advanced forms of pathology, impotence is characteristic.
You need to know that the development of prostatitis is often accompanied by disturbances in the psycho-emotional background of the patient. The man becomes more irritable, the development of depressive states, nervous disorders are possible.
Prostatitis is associated with a characteristic clinical picture, which greatly facilitates timely diagnosis. As the main diagnostic method, rectal examination performed by a specialist manually, ultrasound examination, as well as collection of urine and prostate secretions for analysis in the laboratory are called.
Methods of treatment
How to treat prostatitis, which method is most appropriate in a particular clinical case, is determined exclusively by the attending physician, based on research results, physiological characteristics of the patient, the form and stage of disease development. Often, complex therapeutic methods are used, including taking medications, physiotherapy methods, folk remedies, as well as correcting the diet.
Treatment of chronic forms
Chronic prostatitis is a very unpleasant disease, its treatment is fraught with some problems and difficulties, it is almost impossible to eliminate the disease completely. However, the use of competent therapy will allow to achieve long -term and stable remission, as well as eliminate the main symptoms of the disease and significantly improve quality of life. The main methods of treatment are:
- Medical treatment. The selection of drugs is carried out according to a scheme developed individually by specialists, mainly antibacterial and anti-inflammatory drugs are used. To eliminate pain in the early stages of treatment, it is permissible to use painkillers.
- Physiotherapy. To stimulate the regenerative process and increase the effectiveness of the active components of drugs, along with drugs, methods of physiotherapy are used, such as, for example, laser therapy, magnetotherapy, electrophoresis.
- massage. One of the most effective methods of treating prostatitis, regardless of its form and stage, is prostate massage. This procedure helps relieve inflammation, eliminates the phenomenon of stagnation, pain. Massage, as a rule, is performed by specialists in medical institutions, however, subject to mandatory mastery of medical techniques, it is permissible to do it yourself at home.
- Immunomodulatory therapy. The therapy of chronic prostatitis involves the mandatory intake of immunomodulatory drugs that increase the immune system and general tone of the body. To eliminate this unpleasant disease, the choice of medication should be based on the prescription of the attending physician.
In addition, treatment provides mandatory rejection of patients from existing bad habits, dietary corrections and daily regimens. The inclusion of some products enriched with useful vitamins and microelements in the regular menu will help strengthen the body. Moderate physical activity is also an important step. Physical activity will help prevent the phenomenon of stagnation and normalize blood and lymph flow.
Important! Treatment of prostatitis can only be carried out under the supervision of a specialist. Self -administration of drugs or the use of other techniques can lead to negative consequences and deterioration of the patient's condition.
Treatment during exacerbations
Competent treatment of acute prostatitis, subject to the use of timely adequate therapy, allows you to completely get rid of the disease and normalize the function of the prostate gland. It is important to know that this form of the disease tends to be chronic, and therefore treatment should be carried out when the main symptoms appear.
Therapy of prostatitis in the acute stage includes the use of drugs with antibacterial and anti-inflammatory properties. As a supplement, methods of physiotherapy, massage, gentle diet can be used. If the disease persists against the background of the formation of purulent abscesses, it is necessary to use surgical intervention aimed at opening the capsule, removing the purulent mass and eliminating the focus of inflammation.
Possible complications
Lack of treatment for both acute and chronic forms of prostatitis can lead to the development of complications. Against the background of inflammatory processes in the form of exacerbations, there is a risk of the formation of purulent abscesses in the tissue of the prostate gland, which is a kind of capsule filled with purulent contents. The patient's condition in such conditions deteriorates sharply, there is a delay in the outflow of urine, intense pain syndrome, high fever, chills.
The most common complications of chronic prostatitis include the risk of developing an inflammatory process that affects the tissues of the bladder and genitals. In addition, in most cases, the disease is accompanied by sexual dysfunction, leads to decreased libido, various disorders of the reproductive system, and in the worst cases - impotence. It is almost impossible to cure such a pathology completely.
To cure the disease, prevent complications and the acquisition of chronic or advanced prostatitis, it is important to take the necessary measures in a timely manner. It is necessary to consult a specialist to identify the cause of discomfort and prescribe adequate therapy when the first symptoms of the disease appear. It is the ignorance of the first alarm bells and the omission of the necessary time that leads to serious disease complications.