What are prostatitis?

Monday 02 April 2018   Autore: Prof. A. Natali

Topic: Diagnostics in andrology

They are inflammatory diseases of the prostate

The prostate for men is a very important gland, located in the male perineum in a strategic point, below the bladder and at the front of the rectum. It is crossed by a part of that channel (the urethra) that allows the urine and the sperm to escape to the outside. We urologists in describing it often use an ortho-fruit term comparing the prostate to a chestnut, because this is normally its shape and size. Inside to prostate,by ejaculatory ducts, two structures (the seminal vesicles) are opened, producing, together at least 80%  of the liquid part  of sperm. This particular anatomical position, in contact with the outside through the urethra, and with the rectum, from which it separates a thin layer of mucosa, causes this gland to undergo infectious processes by germs that can come from the outside through the urethra or from the inside through the lymphatic vessels that drain the sigma and the rectum beyond the prostate, and to inflammatory processes as a result of incorrect behavioral factors related to the lifestyle. In fact, anxiety, stress, smoking, alcohol, use of drugs, unruly sexual activity especially if episodic, sedentary lifestyle, staying in the driving of vehicles continuously for many hours, incorrect feeding without fiber, irregular intestine, are all elements mixed together that contribute in a decisive way to inflammation of this gland and to give even in the absence of a very specific infectious agent, all a very variegated symptom cortege that can also affect the social life of the individual suffering from prostatitis, with disorders not only of urinary character, but also of a sexual kind. The real incidence of prostatitis is difficult to estimate, it is believed that at least a third of the male population suffers every year, but these are certainly underestimated percentages. Also because, due to the multiplicity of factors involved, a man can face this pathology at any age, even if the peak of incidence is between 20 and 50 years. A recent American research has pointed out that prostatitis is the first reason in the world for which a urological visit is requested. From the clinical point of view, acute, subacute and chronic prostatitis are distinguished. Chronic prostatitis, due to the tendency to recur often and willingly, represent the largest part. While from an etiological point of view (the factors that can determine them), we distinguish bacterial and abacterial prostatitis, depending on whether or not bacteria are present in the biological liquids that we are going to examine, essentially sperm and urine.

 

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Prostatitis


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