The term "prostatitis (microbial code 10 - 41)" refers to inflammatory processes occurring in the tissues of the prostate leading to pain, difficulty urinating, frequent urge to go to the bathroom, decreased libido. . According to various statistics, the disease mainly affects men of childbearing 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 cipher 41, 0 is used. the primary diagnosis is made by visual examination of the patient and the study of the history. For confirmation, additional techniques are used: ultrasound and laboratory methods.
General characteristics and classification
One in three of the strong half of humanity knows what prostatitis is, which occurs in various forms, because this disease, caused by inflammation of the prostate, is one of the most common pathologies in the regionmale genitalia. The disease is manifested by characteristic symptoms: pain, burning sensation, aggravated by the act of urinating, decrease in sexual activity, frequent urge to go to the toilet.
Prostatitis in men is a consequence of the defeat of the prostate gland by infectious agents that enter its tissues through the reproductive organs or systemic circulation. Even such reasons as a cold or bronchitis can provoke an inflammatory process. Most often this occurs 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 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 an illness that lasts six months or more. In addition, the classification of the international ICB 10 xp prostatitis code characterizes this form of the disease as difficult to treat.
The acute prostatitis code mkb 10 is assigned a slightly different code - 41, 0. This form of the disease is recognized as a well-suited therapy that is used and takes place against the background of pronounced symptoms of the disease. There is also the code 41. 2. The given indicator is usual for a disease associated with the formation of abscess 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 see 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:
- Phenomena of stagnation, characterized by impaired blood circulation, and occurring against the background of a sedentary lifestyle, low sexual activity, excess weight.
- Systematic hypothermia of the body, caused, for example, by the peculiarities of work.
- Injuries, regardless of their nature and the time elapsed since the time of 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 cites problems with digestion, expressed by the appearance of systematic constipation. Thus, an inappropriate approach to nutrition can also have an indirect effect on the occurrence of inflammation of the prostate.
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 in various forms is. But not everyone is aware 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, frequent urges to go to the toilet.
- Follicular prostatitis. The pain syndrome becomes more intense, there is difficulty urinating, and a false urge to go to the toilet may appear.
- Parenchymal prostatitis. Severe pain syndrome, aggravated by the act of urinating or defecating, there is often a delay in the flow of urine, false urge to go to the toilet, high temperature, chills, weakness, tiredness.
The course of chronic prostatitis is accompanied by the appearance of almost all of the signs listed above, however, the symptoms become more worn out. It should be emphasized that the acquisition of a chronic form of the disease is quite rare against the background of exacerbations. Most of the time, this form of the disease develops gradually in humans, under the influence of inflammatory processes resulting from infectious damage to the tissues of the prostate. Its main symptoms are:
- Dysuric syndrome. Against the background of the negative influence of inflammatory processes, the prostate volume increases significantly, leading to compression of the ureter. This pathology is the main reason for the appearance of frequent urges to urinate, including false 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 nerve fibers adjacent to the prostate of the pelvic organs.
- Sexual dysfunctions. Diseases of the prostate 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 disturbances in the psycho-emotional background of the patient. 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 rapid diagnosis. The main diagnostic methods are rectal examination performed manually by a specialist, ultrasound examination, as well as the collection of urine and prostatic secretions for laboratory analysis.
Processing methods
Treatment of prostatitis, the most suitable methods 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 thesickness. Most often, complex therapy methods are used, including taking drugs, physiotherapy methods, folk remedies, as well as 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 pain relievers.
- Physiotherapy. To stimulate regenerative processes and increase the effectiveness of the active components of drugs, as well as 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 compulsory mastery of medical techniques, it is allowed to perform it yourself at home.
- Immunomodulatory therapy. Treatment of chronic prostatitis involves the compulsory intake of immunomodulatory drugs that increase the immune forces and the general tone of the body. To eliminate this unpleasant disease, the choice of drugs should be based on the prescriptions of the attending physician.
In addition, the treatment provides for the obligatory refusal of the patient of existing bad habits, the correction of the diet and the daily diet. The inclusion of a number of products enriched with vitamins and useful microelements in the usual menu will help strengthen the body. Moderate physical activity is also an important measure. Physical activity will prevent the phenomena of stagnation and normalize blood and lymphatic circulation.
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 deterioration of the patient's condition.
Treatment during an exacerbation
Competent treatment of acute prostatitis, subject to the prompt use of adequate therapy, allows you to completely get rid of the disease and normalize the functioning of the prostate. It is important to know that this form of the disease tends to become chronic and therefore treatment should be carried out as soon as the first symptoms appear.
Treatment of prostatitis in the acute stage includes the use of drugs with antibacterial and anti-inflammatory properties. In addition, methods of physiotherapy, massage, gentle nutrition 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 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, that is, a kind of capsules filled with purulent contents. The condition of the patient in such a situation sharply deteriorates, there is a delay in the outflow of urine, a 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 overwhelming majority of cases, the disease is accompanied by sexual dysfunction, leads 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.
In order 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 treatment at the onset of the first symptoms of the disease. It is the ignoring of the first alarm bells and the omission of the necessary time that leads to serious complications of the disease.