The term "prostatitis (microbial code 10 - 41)" refers to inflammatory processes that occur in the tissues of the prostate gland and cause pain, difficulty urinating, frequent need to go to the bathroom, decreased libido. According to various statistics, the disease mainly affects men of reproductive age, that is, from twenty-five to fifty years. Depending on the characteristics 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 code 41 is used. 0. The primary diagnosis is made by visual examination of the patient and 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, which occurs in various forms, because this disease, caused 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 bathroom.
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. Even reasons such as a common cold or bronchitis can cause an inflammatory process. Most often, this happens against the background of factors favorable to the spread of infection, among which, first of all, it is called weakened immunity.
To obtain average indicators, 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 41. 1, which is assigned to a disease lasting six months or more. Furthermore, the ICB 10 xp prostatitis international code classification characterizes this form of the disease as difficult to treat.
The code for acute prostatitis mkb 10 is assigned a little differently - 41. 0. This form of the disease is recognized as a well-used therapy and develops against the background of pronounced symptoms of the disease. There is also code 41. 2. The indicator given usually designates 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 probability 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 poor blood flow and arising in the context of a sedentary lifestyle, low sexual activity, overweight.
- Systematic hypothermia of the body, provoked, for example, by the peculiarities of work.
- Injuries, regardless of their nature and time elapsed from the moment of 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 many others.
As an additional predisposing factor, practical medicine also names problems with digestion, expressed in the appearance of systematic constipation. Therefore, an improper approach to nutrition can also have an indirect effect on the appearance 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
Many people probably know what prostatitis is in various ways. But not everyone knows that the classic signs of this unpleasant disease can change significantly depending on the stage and form of the pathology:
- Catarrhal prostatitis. The disease is characterized by the appearance of pain in the perineum, groin, the frequent need to go to the bathroom.
- Follicular prostatitis. The pain syndrome becomes more intense, there are difficulties urinating, and a false need to go to the bathroom may appear.
- Parenchymal prostatitis. Severe pain syndrome, aggravated by the act of urinating or defecating, there is often a delay in the output of urine, false urge to go to the bathroom, 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 wear out more. 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 gradually in men, under the influence of inflammatory processes arising from an infectious lesion of the tissues of the prostate gland. Its main symptoms are:
- Dysuric syndromeAgainst the background of the negative influence of inflammatory processes, the prostate gland significantly increases 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 syndromeThe prostate itself lacks nerve endings, respectively, painful sensations in prostatitis are a consequence of the spread of inflammatory processes and damage to nerve fibers adjacent to the prostate gland of the pelvic organs.
- Sexual dysfunctionsDiseases 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 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 should know that the development of prostatitis is often accompanied by alterations in the psycho-emotional history of the patient. 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 timely diagnosis. As the main diagnostic methods, they are called rectal examination carried out by a specialist manually, ultrasound examination, as well as the collection of urine and prostate secretions for analysis in a laboratory.
Treatment methods
How to treat prostatitis, what 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 drugs, physiotherapy methods, folk remedies, and correcting the diet.
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 eliminate the disease. However, the use of competent therapy will allow to achieve a stable and long-term remission, as well as 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, it is allowed to use painkillers.
- Physiotherapy. To stimulate regenerative processes and increase the effectiveness of the active components of drugs, together with drugs, physiotherapy methods 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 performed by a specialist in a medical institution, however, subject to the mandatory mastery of medical techniques, it is allowed to perform it yourself at home.
- Immunomodulatory therapy. The 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 obligatory rejection of the patient of the existing bad habits, the correction of the diet and the daily regimen. The inclusion of a number of products enriched with useful vitamins and microelements in the usual menu will help to strengthen the body. Moderate physical activity is also an important measure. Physical activity will help prevent 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 have negative consequences and deterioration of the patient's condition.
Treatment during an exacerbation.
Competent treatment of acute prostatitis, subject to the timely use of appropriate 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, so treatment should 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 complement, physiotherapy methods, massages, a light diet can be used. If the disease progresses against the background of the formation of purulent abscesses, it is necessary to use a surgical intervention aimed at opening the capsule, removing purulent masses and removing 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 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 content. The patient's condition in such a situation deteriorates dramatically, 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 that affect the tissues of the bladder and genitals. In addition, in the vast majority of cases, the disease is accompanied by sexual dysfunction, leading to a decrease in libido, various disorders of the reproductive system, and in the most 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 appropriate therapy when the first symptoms of the disease appear. It is the ignorance of the first alarms and the omission of the necessary time that leads to serious complications of the disease.