The term "prostatitis (microbial code 10 - 41)" refers to inflammatory processes that occur in the tissues of the prostate gland and lead to pain, difficulty urinating, frequent need to go to the toilet, decreased libido. According to various statistics, the disease mainly affects men of reproductive age, that is, from twenty-five to fifty years old. Depending on the features of the symptom complex and the degree of damage to the gland, two forms of prostatitis are distinguished: acute and chronic.
According to the MCB coding, prostatitis in the chronic form is assigned the value 41. 1, for the acute form the digit 41. 0 is used. The primary diagnosis is made by the visual examination of the patient and the study of the anamnesis. For confirmation, additional techniques are used - ultrasound and laboratory methods.
General characteristics and classification
Every third representative of the strong half of humanity knows what prostatitis is, proceeding in various 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 need to go to the toilet.
Prostatitis in men is a consequence of the defeat of the prostate by infectious agents that penetrate its tissues through the reproductive organs or systemic circulation. Reasons such as a common cold or bronchitis can also provoke an inflammatory process. Most often, this happens against the background of factors favorable to the spread of infection, among which, first of all, weakened immunity is called.
To obtain average indicators, there is a statistical coding of prostatitis mkb 10, which allows to objectively evaluate 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 for six months or more. In addition, the classification of the international code ICB 10 xp prostatitis characterizes this form of the disease as difficult to treat.
Code mkb 10 of acute prostatitis is assigned a slightly different code - 41. 0. This form of the disease is recognized as a well-adapted therapy used and proceeds against the background of pronounced symptoms of the disease. There is also code 41. 2. The given indicator is customary to designate a disease associated with the formation of abscesses of the prostate. 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 significantly increases against the background of the negative action of predisposing factors. The following reasons can become a kind of catalyst for inflammatory processes affecting the tissues of the prostate gland:
- Phenomena of stagnation, characterized by impaired blood flow and occurring 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 injury.
- Infectious and viral diseases of the genital area, including sexually transmitted diseases.
- Infectious and inflammatory diseases of other systems and organs, for example, bronchitis, purulent tonsillitis and a number of others.
As an additional predisposing factor, practical medicine also names problems with digestion, expressed in the appearance of systematic constipation. Therefore, an inappropriate approach to nutrition can also have an indirect effect on the onset of inflammation of the prostate gland.
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 knows that the classic signs of this unpleasant disease can significantly change depending on the stage and form of the pathology:
- Catarrhal prostatitis. The disease is characterized by the appearance of pain in the perineum, groin, frequent need to go to the toilet.
- Follicular prostatitis. The pain syndrome becomes more intense, there are difficulties with urination, and a false urge to go to the toilet may appear.
- Parenchymal prostatitis. Severe pain syndrome, aggravated by the act of urination or defecation, often there is a delay in the outflow of urine, 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 fade. It should be emphasized that the acquisition of 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 resulting from an infectious lesion of the tissues of the prostate gland. Its main symptoms are:
- Dysuric syndrome. Against the background of the negative influence 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 a frequent urge to urinate, including false and painful sensations.
- Pain syndrome. The prostate itself is devoid of nerve endings, respectively, painful sensations in prostatitis are a consequence of the spread of inflammatory processes and damage to the 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 the development of the disease, a decrease in libido and a 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 patient's psycho-emotional background. The man becomes more irritable, the development of depressive states, nervous breakdowns is possible.
Prostatitis is associated with a characteristic clinical picture, which greatly simplifies the timely diagnosis. As the main diagnostic methods, rectal examination performed by a specialist manually, ultrasound examination and collection of urine and prostatic secretions for analysis in a laboratory are called.
Methods of treatment
How to treat prostatitis, which methods will be most suitable in a particular clinical case, is determined exclusively by the attending physician, based on the results of research, the physiological characteristics of the patient, the form and degree of development of the disease. Most often, complex therapy methods are used, including taking medications, physiotherapy methods, folk remedies and diet correction.
Treatment of the chronic form
Chronic prostatitis is a particularly unpleasant disease, its treatment is fraught with a number of problems and difficulties, it is almost impossible to completely get rid of the disease. However, the use of competent therapy will allow to achieve a stable and long-term remission, as well as to eliminate 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 painkillers is allowed.
- Physiotherapy. To stimulate regenerative processes 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. The procedure helps to relieve inflammation, eliminate the phenomena of stagnation, pain. Massage, as a rule, is carried out by a specialist in a medical institution, however, after mandatory mastering of medical techniques, it is allowed to do it yourself at home.
- Immunomodulatory therapy. Therapy of chronic prostatitis involves the mandatory intake of immunomodulatory drugs that increase the immune forces and the general tone of the body. To eliminate this unpleasant disease, the selection of drugs should be based on the prescriptions of the attending physician.
In addition, the treatment provides for the patient's mandatory rejection of existing bad habits, correction of the diet and daily regimen. The inclusion of a number of products enriched with useful vitamins and microelements in the usual menu will help strengthen the body. Moderate physical activity is also an important measure. Physical activity will help avoid stagnation phenomena and normalize blood and lymphatic 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 an exacerbation
Competent treatment of acute prostatitis, subject to 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 must be carried out when the primary 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, a gentle diet can be used. If the disease proceeds against the background of the formation of purulent abscesses, it is necessary to use surgical intervention aimed at opening the capsule, removing the purulent masses 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 the course of inflammatory processes in the form of exacerbation, there is a risk of the formation of purulent abscesses in the tissues of the prostate gland, that is, a kind of capsules filled with purulent contents. The patient's condition in such a situation deteriorates sharply, there is a delay in the outflow of urine, severe pain syndrome, high fever, chills.
The most common complications of chronic prostatitis include the risk of developing inflammatory processes affecting the tissues of the bladder and genitals. In addition, in the vast majority of cases, the disease is accompanied by sexual dysfunction, leads to a decrease in libido, various disorders of the reproductive system and, in severe cases, impotence. It is almost impossible to completely cure such pathologies.
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 causes 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 complications of the disease.