The term "prostatitis (microbial code 10-41)" refers to inflammatory processes that occur in the tissues of the prostate that lead to pain, difficulty urinating, frequent use of the toilet, and decreased libido. According to various statistics, the disease mainly affects men of childbearing age, that is, between 25 and 50 years of age. 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 is assigned the value 41, 1 in the chronic form, and the number 41, 0 is used for the acute form. The primary diagnosis is made by visual examination of the patient and studying the medical history. Additional techniques are used for confirmation: ultrasound and laboratory methods.
General properties and classification
Every third representative of the strong half of humanity knows what prostatitis is in various forms, because this disease, provoked by inflammation of the prostate, is one of the most common pathologies of the male genital area. The disease is manifested in characteristic symptoms: pain, burning, aggravated by urination, decreased sexual activity, frequent use of 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 cold or bronchitis can also trigger an inflammatory process. Most often, this happens against the background of factors that favor the spread of the infection, among which, first of all, a weakened immunity is mentioned.
To get average indicators, there is statistical coding of prostatitis mkb 10, which allows you to objectively assess the situation in relation to 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 has lasted 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.
The code of acute prostatitis mkb 10 is assigned a little differently - 41, 0. This form of the disease is recognized as an accessible therapy and proceeds against the background of pronounced symptoms of the disease. There is also code 41. 2. The indicated indicator is common to denote a disease associated with abscess formation of the prostate. It is important to know that diagnosing chronic prostatitis recommends that a man seek treatment at least every six months and see a specialist regularly.
Predisposing factors
The likelihood of acute and chronic prostatitis in men increases significantly against the background of the negative effect of predisposing factors. The following reasons can become a kind of catalyst for inflammatory processes that affect the tissues of the prostate:
- Stagnation phenomena, characterized by circulatory disorders and against the background of a sedentary lifestyle, low sexual activity, obesity.
- Systematic hypothermia of the body, caused, for example, by the specifics of work.
- Injuries, regardless of their nature and the time elapsed since the time of the injury.
- Contagious 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.
Practical medicine also mentions digestive problems as an additional predisposing factor, which manifest themselves in the occurrence of systematic constipation. Thus, an improper diet can also have an indirect effect on the occurrence of prostate inflammation.
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 is of various forms. 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, and frequent urges to go to the bathroom.
- Follicular prostatitis. The pain syndrome becomes more intense, there is difficulty urinating, and there may be a false urge to go to the bathroom.
- Parenchymal prostatitis. Severe pain syndrome aggravated by urination or bowel movements, often there is a delay in the flow of urine, incorrect urge to go to the bathroom, high temperature, chills, weakness, tiredness.
The course of chronic prostatitis is accompanied by almost all of the symptoms listed above, but the symptoms wear off. It should be emphasized that the acquisition of a chronic form of the disease against the background of exacerbations is quite rare. Most often, in men, this form of the disease develops 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 volume of the prostate increases significantly, which leads to compression of the ureter. This pathology is the main reason for the appearance of frequent urination, including false, painful sensations.
- Pain syndrome. The prostate itself is free of nerve endings and painful sensations in prostatitis are a result of the spread of inflammatory processes and damage to the nerve fibers of the pelvic organs adjacent to the prostate.
- Sexual dysfunction. 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 sensations during sexual intercourse; in the early stages of the development of the disease, a decrease in libido and a lack of erection are possible. Impotence is characteristic of advanced forms of pathology.
You need to know that the development of prostatitis is often accompanied by disorders 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 significantly simplifies timely diagnosis. The main diagnostic methods mentioned are the rectal examination carried out manually by a specialist, the ultrasound examination, and the collection of urine and prostate secretions for analysis in a laboratory.
Treatment methods
How to treat prostatitis, which methods are most suitable in a given clinical case, is determined exclusively by the attending physician on the basis of the results of the research, the physiological characteristics of the patient, the form and degree of development of the disease. Most often, methods of complex therapy are used, including taking drugs, methods of physiotherapy, folk remedies, as well as correcting diet.
Treatment of the chronic form
Chronic prostatitis is a particularly unpleasant disease, the treatment of which is fraught with a number of problems and difficulties, it is almost impossible to get rid of the disease completely. However, through the use of competent therapy, long-term and stable remission can be achieved, the main symptoms of the disease can be eliminated and the quality of life can be significantly improved. The main treatment methods are:
- Medical treatment. The selection of drugs is carried out by a specialist according to an individually developed scheme, mainly antibacterial and anti-inflammatory drugs are used. To get rid of pain in the early stages of treatment, it is permissible to use pain relievers.
- Physical therapy. Physiotherapeutic methods such as laser therapy, magnetotherapy and electrophoresis are used to stimulate regenerative processes and to increase the effectiveness of the active ingredients of drugs in addition to drugs.
- Massage. One of the most effective methods of treating prostatitis, regardless of its shape and stage, is prostate massage. The procedure helps to relieve inflammation, eliminate signs of stagnation and pain. Massage is usually performed by a specialist in a medical institution, however, subject to the mandatory mastery of medical techniques, it is permissible to do it yourself at home.
- Immunomodulatory Therapy. Therapy for chronic prostatitis involves the mandatory use of immunomodulatory drugs that increase immune forces and the general tone of the body. To get rid of this unpleasant disease, the choice of drugs should be based on the prescriptions of the attending physician.
In addition, the treatment provides for the mandatory refusal of the patient from existing bad habits, correction of diet and daily regime. The inclusion in the usual menu of a number of products enriched with vitamins and beneficial microelements will help strengthen the body. Moderate physical activity is also an important measure. Physical activity helps avoid phenomena of stagnation and normalizes blood and lymph 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 worsening of the patient's condition.
Treatment during an exacerbation
Competent treatment of acute prostatitis allows you, subject to the timely application of adequate therapy, to completely eliminate the disease and normalize the functioning of the prostate. It is important to know that this form of the disease has a tendency to become chronic and so treatment should be carried out when the primary symptoms appear.
Therapy for prostatitis in the acute stage includes the use of drugs with antibacterial and anti-inflammatory properties. In addition, physiotherapeutic methods, massages, gentle nutrition can be used. If the disease proceeds against the background of the formation of purulent abscesses, then surgical intervention is required, the aim of which is to open the capsule, remove purulent masses and eliminate the focus of inflammation.
Possible complications
Failure to treat 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 an 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 patient's condition deteriorates sharply in such a situation, there is a delay in the outflow of urine, an intense pain syndrome, high fever, chills.
One of the most common complications of chronic prostatitis is 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, 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 determine the causes of the discomfort and to prescribe appropriate therapy when the first symptoms of the disease appear. It is the ignorance of the first alarm bells and the neglect of the necessary time that leads to serious complications of the disease.