What is diffuse change in the prostate

Diffusive changes in the prostate gland are dystrophic disorders of the structure of the prostate parenchyma due to any diseases (inflammation, neoplasm, abscess, etc.).

Determine the pathological foci in the tissue is possible with ultrasound. Thanks to this method, the doctor can differentiate the cyst from cancer, acute prostatitis from a chronic process, an abscess from the adenoma. Each disease has distinctive (pathognomonic) diffuse changes in the prostate that relate to ultrasound criteria.

An important point is the diagnosis of prostate cancer. It is characterized by a specific ultrasound pattern - the presence of a hypoechoic zone on the periphery. But in the early stages of echogenicity can be unchanged, which makes it difficult to visualize.

For chronic prostatitis, zonal formations of different echogenicity, the presence of calcification in the ducts, the compaction and enlargement of the capsule, the expansion of veins, sclerosing growths are characteristic.

With parenchymal prostatitis, heterogeneous echo-positive formations are revealed, which are small pustules. The gland is enlarged in size, which indicates the acute course of the process, the presence of an inflammatory edema. The configuration of the prostate is changed, histoarchitectonics (tissue structure) is broken. avodart prices

Early diagnosis of prostatitis prevents the development of an abscess. In the late stages of diffuse foci changes can progress, which eventually leads to extensive purulent inflammation.

Ultrasound is a mandatory list of diagnostic manipulations for diseases of the genitourinary system. However, it is worth remembering that ultrasound criteria can not unequivocally confirm or deny the diagnosis, they only inform the doctor about the functional and structural state of the organ.

What is "chronic prostatitis"

Inflammation of the prostate gland or chronic prostatitis is one of the most common diseases in men, often flowing secretly and leading to violations of sexual function and spermatogenesis (the process of formation in the testicles of male sex cells). More often the disease is detected at the age of up to 40 years. In recent years, the number of chronic prostate diseases is constantly increasing. For the disease, prostatitis is characterized by periods of exacerbation, as well as long-term remissions. Often, prostatitis accompanies vesiculitis - inflammation of seminal vesicles.

In determining the relative frequency of detection of various forms of chronic prostatitis, most experts have shown that the share of chronic bacterial prostatitis (hbp) accounts for 5-15% of cases. The most common etiological agents of bacterial prostatitis are representatives of the family of gram-negative bacteria Enterobacteriaceae, which fall from the gastrointestinal tract. The most common are strains of Escherichia coli, which are found in 65% to 80% of infections. Pseudomonas aeruginosa, Serratia species, Klebsiella and Enterobacter aerogenes, and Acinetobacter spp.

Are revealed in the remaining 10-15%. Enterococci account for between 5% and 10% of confirmed prostate infections. Treatment of chronic bacterial prostatitis to date continues to be a difficult task. The need for a complex of medicamental and physiotherapeutic effects in the treatment of chronic prostatitis is obvious. The subject of discussion is only the place and role of each method in the therapy of the disease. One way or another, the central place in the therapy of bacterial prostatitis belongs to antimicrobial drugs. The main etiological factors of acute prostatitis are infectious and congestive.

Of infectious factors, the development of the inflammatory process predominates when the gram-negative flora penetrates into the prostate tissue (E.coli, Klebsiella, Proteus, Pseudomonas aeruginosa). Perhaps the development of acute prostatitis and in the presence of gram-positive flora (staphylococci, streptococci, enterococci). In recent years, a significant role in the development of infectious prostatitis was given to pathogens of urogenital infections and atypical microorganisms (chlamydia, mycoplasma, ureaplasma, gardnerella, etc.).

Along with infections and invasions, there are non-infectious factors that cause acute inflammation of the prostate gland due to persistent stagnant (congested) phenomena in the veins of the pelvis and a violation of drainage of the prostate acini. Among the causes of congestion in one of the first places are sexual dysrhythmia and sexual dysrhythmia, such as interrupted sexual intercourse, sexual abstinence, the lack of regular sex life, sexual excesses. This inflammation of the prostate is sometimes called stagnant prostatitis.

There are three clinical forms of the disease, which are treated as its stages. This is catarrhal, follicular, or purulent focal, parenchymal, or diffuse purulent, prostatitis. Abscess of the prostate can be an independent hematogenous disease or a consequence of acute prostatitis. Sometimes patients develop stones in the prostate gland (calculous prostatitis). Symptoms of the disease can be divided into three main groups - pain, irritative and obstructive disorders of urination, symptoms of intoxication. The purpose of treatment of an acute inflammatory process of the prostate gland is to eliminate the causative agent of the disease and further restore the structure and function of the prostate.

The leading direction of treatment of acute prostatitis is etiotropic therapy. Antimicrobials (antibacterial, antitrichomonadal, antiviral, antimycotic) drugs are certainly indicated in complex therapy and are necessary for suppressing the growth of microorganisms in the prostate gland, inflamed urethra. Treatment of calculous prostatitis depends on the size, amount and location of concretions (stones). The choice of the treatment method is also affected by the severity of cicatricial processes in the prostate.


The cause of chronic prostatitis is infection and stagnant processes in the prostate gland. People who are professionally involved in prolonged sitting (drivers, workers in mental work), as well as with hypothermia and vibration, are more often exposed. Often, prostatitis occurs due to abnormalities in the sexual sphere (sexual excesses or vice versa, abstinence, interrupted sexual intercourse, abuse of masturbation, lack of regularity and rhythm of sexual activity). Infectious pathogen often penetrates into the organ from the urethra along the excretory ducts of the prostate gland. The microflora in the urethra of a healthy person can be different without causing pathological changes.

The presence of the pathogen is not always a sufficient condition for the onset of chronic prostatitis. Significance has a state of protective mechanisms of the body, which can be weakened by alcohol, re-dressing. Infection can occur with casual sexual intercourse, frequent changes in the sexual partner. The causative agent of the infection can be entered into the prostate gland from other inflammation foci: cystitis, proctitis, colitis, dental caries, inflamed tonsils, otitis media, pneumonia, bronchitis, inflammation of the zhkt, hemorrhoids, varicose veins of the spermatic cord, lower limbs. Promote stagnation in the prostate gland and chronic diseases: polyarthritis, osteochondrosis, pathology of the cardiovascular system.

Chronic prostatitis is a chronic inflammation of the prostate gland. Chronic prostatitis is one of the most common diseases of the urogenital system in men. Modern research shows that in most cases, the cause of chronic prostatitis is a bacterial infection that keeps the inflammation in the tissues of the prostate gland. The main symptoms and signs of chronic prostatitis are: pain and discomfort in the perineum and genital organs, impaired sexual function (up to impotence), the appearance of a delay in urine, etc.

Very often, the chronic prostatitis is completely asymptomatic and can be detected only with a special examination. Diagnosis of chronic prostatitis is carried out by a specialist urologist. Modern tactics of treatment of chronic prostatitis include: a course of antibiotics, physiotherapy, sanatorium treatment. In some cases, with chronic prostatitis, surgical treatment is indicated.

Chronic prostatitis is one of the most common diseases of the genitourinary system in men younger than 50 years. In men over 50 years of age, chronic prostatitis is often associated with prostate adenoma. In chronic prostatitis chronic inflammation of the tissues of the prostate gland (prostate) is observed. The main difference between chronic prostatitis and acute is the duration of the disease and the tendency of its development: with acute prostatitis, the disease occurs suddenly (within a few hours or days) is acute (with severe pain, fever), but also quickly passes and ends with complete recovery. In chronic prostatitis, on the other hand, the disease can develop for a long time, the symptoms of the disease may be absent or mild (erased), and the prostatitis itself can not be treated and often recurs.

What are the causes of chronic prostatitis?

Currently, chronic prostatitis is considered as an infectious disease, that is, the main cause of prostatitis are pathogenic microbes that destroy prostate tissue. A healthy prostate gland is sterile, that is, it does not contain germs. Prostatitis occurs as a result of penetration into the prostate of pyogenic microbes (E. coli, staphylococci, streptococci, less often mycoplasma, candida, gonorrhea, trichomoniasis, tuberculosis), which begin to proliferate rapidly and destroy prostate tissue, causing inflammation.

With acute prostatitis, the infectious process in the prostate proceeds violently, and with chronic prostatitis slowly, with a gradual increase in inflammation. With chronic prostatitis, the infection only triggers an illness that can later develop even after the infection is eliminated. The fact that the primary infectious inflammation of the prostate gland leads to a violation of the innervation of the prostate and the emergence of an autoimmune process directed against the prostate tissue (the immune system of the patient with prostatitis attacks the prostate). This fact explains the presence of abacterial (sterile) forms of prostatitis, in which, despite the presence of a disease, infection in the prostate is not detected.