Prostate Problems - Tuberculosis Of The Prostate
Tuberculosis of the prostate and seminal vesicles are asymptomatic or with very little painting
. The earliest manifestation of tuberculosis of the prostate gland is dull pain in the sacrum and perineum. Causes of granulomatous prostatitis
Idiopathic
Tuberculosis
BCG therapy
blastomycosis
Complaints appear only at far come destructive process discomfort, pain in the rectal area, radiating to the suprapubic area, perineum, or pelvis Urethral symptoms, Pio or gemospermiya Dysuria
The diagnosis of cavernous tuberculosis of the prostate is set on the basis of data palpation cancer - revealed foci of seals, often woody density, which alternate with areas of fluctuation.
Prostate loses its shape and symmetry, with the size it is often remain within normal limits or increased slightly. However, the absence of palpable changes does not exclude the presence of tuberculosis lesions may have inflammation localized in the depths of the parenchyma.
Puncture biopsy, highlighting the typical signs of tuberculosis inflammation in the early stages of its development, is highly informative - the presence of elements of tuberculosis granulomas, epitelioidnokletochnaya and lymphoid infiltration, giant cells Pirogov-Langerhans, cheesy mass.
Abscess prostate
Abscess of the prostate gland is accompanied by spectacular chills, general malaise, fever (up to 40C) due to septic conditions, marked pain in the perineum. Urination , defecation difficult and painful, often a delay of urination.
Prostatic abscess may spontaneously opening of the urethra (usually), rectum, bladder, rarely - in the abdominal cavity. When inadvertent opening of an abscess in the urinary tract or gut the general condition of patients significantly improved, in the first case there is a sharp turbidity of urine.
Diagnosis usually does not cause difficulties. Sharp pain in the perineum and rectum, difficulty urinating, and sometimes delay it, the general plight of the patient and, most important fluctuation in the prostate with rectal her study can identify an abscess.
Re distributions inflammatory process in the surrounding tissue, breaking an abscess in her can install a large infiltration along the side walls of the rectum. Even harder proceeds abscessed prostatitis Complicated by phlebitis periprostaticheskih venous plexus. Undeniable diagnostic help is ultrasound study of the prostate gland.
Prostate cancer
According to established practice, most doctors rarely think about all the possible causes of complaints of patients during the first visit. Most immediately appointed urine sample and analysis of secretion of the prostate.
However, to date, have accumulated much data that if such tactics may be missing serious illness. It is about carcinoma in situ and other tumors of the bladder, chronic cystitis, pyelonephritis, adenoma, prostate cancer, neurogenic bladder dysfunction, interstitial cystitis, etc.
Therefore, consistent with a history, age, nature of complaints and the results of the previous treatment, the initial task of screening may be similar to symptoms of organic disease.
To avoid carcinoma in situ is recommended to conduct urine cytology, with suspected chronic cystitis, pyelonephritis sowing midstream urine, the presence of residual urine requires further explanation, the delay of urine in the bladder, suspicious palpation data require a study of prostate specific antigen - PSA.
Important diagnostic value has a digital rectal examination. Palpation per rectum.
When the prostate is normal, then palpation reveals a distance of 4-5 cm from the anus on the front wall of the rectum two ovoid Nye, slightly convex share her elastic and dense texture, clearly delineated from adjacent tissue. Both shares are obliquely downward and inward from the outside, among them there is a deepening of the triangular, the apex turned downwards. Shares of the prostate by palpation are not sensitive.
In the study of prostate per rectum to pay attention to
a) changes its value its share may be increased, or both, or one of them, they may be more or less form a bulge in the rectum
b) changing the shape of it instead of two separate shares of the prostate can form a solid mass, with an average groove disappears, it is observed in the hypertrophy of the prostate,
c) changes in consistency consistency may be fluctuating, with a soft, dense but uniform throughout the gland, but rather consistency can also become uneven due to the formation of solid fractions of knots, sometimes consistency becomes like wood
d) its boundaries instead of a normal or enlarged prostate, clearly distinguishable from surrounding tissue on the periphery, sometimes it merges with the neighboring tissues, it is difficult to establish its boundaries. This definition of its borders, especially in the beginning of cancer, should be done mainly at the edges of it, as germination usually starts right here
e) Finally palpation of the prostate, which normally should not be sensitive to the patient, in certain pathological cases, the sensitivity and even cause pain or or localized in certain locations.
Palpation per rectum, together with palpation through the abdominal wall with an empty bladder sometimes makes it possible to fairly accurately determine the increase in the size of the prostate.
by: Mark Clayson
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