The term "prostate (microbial code 10 - 41)" refers to inflammatory processes that occur in the tissues of the prostate gland and that lead to pain, difficulty urinating, frequent desire to go to the toilet, decreased libido. According to various statistics, the disease mainly affects men of reproductive age, namely from twenty-five to fifty years. Depending on the characteristics of the symptom complex and the degree of glandular damage, two forms of prostatitis are distinguished - acute and chronic.
According to the MCB coding, the chronic form of prostatitis is assigned the value 41. 1, for the acute form the figure 41. 0. the primary diagnosis is established by visual examination of the patient and the study of the anamnesis. Additional confirmation techniques are used: ultrasound and laboratory methods.
General characteristics and classification
Every third representative of the strong half of humanity knows what is prostatitis, which develops in different forms, because this disease, provoked by inflammation of the prostate gland, is one of the most common pathologies of the male genital area. The disease is manifested by characteristic symptoms: pain, burning sensation, aggravated by the act of urination, decreased sexual activity, frequent desire to go to the toilet.
Prostatitis in men is a consequence of damage to the prostate by infectious agents penetrating into its tissues through the reproductive organs or the systemic circulation. Even reasons such as the common cold or bronchitis can provoke an inflammatory process. Most often, this occurs against the background of factors conducive to the spread of infection, among which, first of all, is called weakened immunity.
To get average indicators, there is a statistical coding of prostate 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 41. 1, which is assigned to a disease that lasts six months or more. In addition, the prostate classification of the international code ICB 10 xp characterizes this form of the disease as difficult to treat.
The code of acute prostatitis mkb 10 is set slightly differently - 41. 0. This form of the disease is known as an appropriate therapy used and persists against the background of pronounced symptoms of the disease. There is also code 41. 2. The given indicator is customary to define a disease associated with the formation of prostate abscess. It is important to know that the diagnosis of chronic prostatitis recommends that a man undergo treatment at least once every six months and visit a specialist regularly.
Predisposing factors
The possibility of acute and chronic prostatitis in men increases significantly against the background of the negative action of predisposing factors. The following reasons can become a kind of catalyst for inflammatory processes that affect the tissues of the prostate gland:
- Phenomena of stagnation, characterized by impaired blood circulation and arising against the background of a sedentary lifestyle, low sexual activity, overweight.
- Systematic hypothermia of the body, caused, for example, by the peculiarities of work.
- Injuries, regardless of their nature and the time elapsed since the moment of injury.
- Infectious, viral diseases of the genital area, including sexually transmitted diseases.
- Infectious and inflammatory diseases of other systems and organs, for example, bronchitis, purulent tonsils and a variety of others.
As an additional predisposing factor, practical medicine names digestive problems, expressed in the appearance of systemic constipation. Thus, an inappropriate approach to nutrition can also have an indirect effect on the occurrence of inflammation of the prostate gland.
Important! Eliminating or timely reducing the impact of negative factors is the most reasonable and effective method of preventing prostatitis in men.
Clinical appearance
Probably a lot of people know what prostate of different forms is. But not everyone is aware that the classic signs of this unpleasant disease can vary significantly depending on the stage and form of the pathology:
- Catarrhal prostates. The disease is characterized by the appearance of pain in the perineum, groin, frequent desire to go to the toilet.
- Follicular prostates. The pain syndrome becomes more intense, there is difficulty in urinating and a false desire to go to the toilet may appear.
- Parenchymal prostates. Severe pain syndrome, exacerbated by the act of urination or defecation, often has delayed urination, false urge to go to the toilet, high fever, chills, weakness, fatigue.
The course of chronic prostatitis is associated with the appearance of almost all the signs listed above, however the symptoms become more consumed. It should be noted that getting a chronic form of the disease is quite rare against the background of exacerbations. Mostly this form of the disease develops in men gradually, under the influence of inflammatory processes arising from an infectious lesion of the prostate gland tissue. Its main symptoms are:
- Dysuric syndrome. Against the background of the negative impact of inflammatory processes, the prostate gland significantly increases in volume, leading to compression of the ureter. This pathology is the main reason for the appearance of frequent desire to urinate, including false, painful sensations.
- Pain syndrome. The prostate itself has no nerve endings, namely, painful sensations in the prostate are a consequence of the spread of inflammatory processes and damage to nerve fibers adjacent to the prostate gland of the pelvic organs.
- Sexual dysfunctions. Diseases of the prostate gland are characterized by the appearance of various disorders of a sexual nature. Most men complain of a decrease in the intensity and brightness of the sensations received during sexual intercourse; in the early stages of disease development, a decrease in sexual desire and lack of erection are possible. For advanced forms of pathology, impotence is characteristic.
You should know that the development of prostatitis is often associated with disturbances in the psycho-emotional background of the patient. The man becomes more irritated, the development of depressive states, nervous breakdowns is possible.
Prostatitis is accompanied by a characteristic clinical picture, which greatly simplifies the timely diagnosis. The main diagnostic methods are rectal examination performed by a specialist by hand, ultrasound examination, as well as collection of urine and prostate secretions for laboratory analysis.
Treatment methods
How to treat prostatitis, which methods will be most appropriate in a particular clinical case, is determined exclusively by the attending physician, based on the results of the research, the physiological characteristics of the patient, the form and the degree of development of the disease. Most often, methods of complex therapy are used, including medication, physiotherapy methods, folk remedies, as well as dietary correction.
Treatment of the chronic form
Chronic prostatitis is a particularly unpleasant disease, its treatment is fraught with a variety of problems and difficulties, it is almost impossible to completely eliminate the disease. However, the use of competent therapy will allow to achieve long-term and lasting remission, as well as the elimination of the main symptoms of the disease and significantly improve the 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 a specialist, mainly antibacterial and anti-inflammatory drugs are used. To eliminate pain in the early stages of treatment, the use of pain relievers is allowed.
- Physiotherapy. To stimulate regenerative processes and increase the effectiveness of the active ingredients of drugs, along with medicines, physiotherapy methods are used, such as, for example, laser therapy, magnetotherapy, electrophoresis.
- Massage. One of the most effective methods for treating prostatitis, regardless of its shape and stage, is prostate massage. The procedure helps relieve inflammation, eliminate the phenomena of stagnation, pain. Massage, as a rule, is performed by a specialist in a medical institution, however, subject to the mandatory mastery of medical techniques, it is permissible to perform it yourself at home.
- Immunomodulatory therapy. Chronic prostatitis therapy involves the mandatory intake of immunomodulatory drugs that increase immune forces and overall body tone. To eliminate this unpleasant disease, the choice of medication should be based on the prescriptions of the attending physician.
Furthermore, the treatment provides for the mandatory rejection of the patient from existing bad habits, diet correction and daily regimen. Including a number of products enriched with useful vitamins and trace elements in the usual menu will help strengthen the body. Moderate physical activity is also an important measure. Physical activity will help avoid the phenomena of stagnation and normalize blood and lymph flow.
Important! Treatment of prostatitis can be carried out only under the supervision of a specialist. Self-administration of drugs or the use of other techniques can lead to negative consequences and worsening of the patient's condition.
Treatment during an irritation
Competent treatment of acute prostatitis, depending on the timely use of adequate therapy, allows you to completely get rid of the disease and normalize the functioning of the prostate gland. It is important to know that this form of the disease tends to become chronic and therefore treatment should be carried out when the primary symptoms appear.
The therapy of prostatitis in the acute phase involves the use of drugs with antibacterial and anti-inflammatory properties. As a supplement can be used methods of physiotherapy, massage, a gentle diet. 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 purulent masses and eliminating the focus of inflammation.
Possible complications
Lack of treatment for acute and chronic forms of prostatitis can lead to the development of complications. Against the background of the course of inflammatory processes in the form of a deterioration, there is a risk of the formation of purulent abscesses in the tissues of the prostate gland, namely a kind of capsules filled with purulent contents. The patient's condition in such a situation worsens significantly, there is a delay in urine flow, intense pain syndrome, high fever, chills.
The most common complications of chronic prostatitis include the risk of developing inflammatory processes affecting the bladder tissues and genitals. Moreover, in the vast majority of cases, the disease is associated with sexual dysfunction, leads to a decrease in sexual desire, various disorders of the reproductive system and in the most severe cases - to impotence. It is almost impossible to completely cure such pathologies.
To cure the disease, to 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 causes of anxiety and prescribe adequate therapy when the first symptoms of the disease appear. It is ignorance of the first alarm bells and forgetting the necessary time that leads to serious complications of the disease.