Follicular prostatitis is the second stage of the development of the inflammatory process. The destruction of the epithelium is pronounced distinctly; follicle epithelium penetrated by leukocytes; the mucous membrane of the
excretory ducts swells and in some places clogs their lumen, which leads to a delay of purulent discharge in the follicle and the formation of an abscess in it. The size of the follicle increases, it acts above the level of the
gland, when palpating, it has the shape of a grain or a pea, painful under pressure.
When the parenchymal form of prostatitis, the iron is inflamed, enlarged, dense consistency. When pressed, serous-purulent, bloody discharge. Subsequently, inflammatory infiltrates (accumulations of cellular elements with blood
and lymph in the tissues of the body) legit online pharmacy no prescription dissolve, and either complete recovery occurs with the formation of connective tissue elements, or the existing infiltrates and small abscesses progress and, merging with each other, melt
the prostate gland tissue. These abscesses can be located in different lobes of the gland or, merging with each other, to form one ulcer that fits inside the capsule of the gland (phlegmonous prostatitis). In some cases, the
inflammation passes to the canadadrugs tissue surrounding the gland and phlegmonous paraprostatitis is formed, and the pathological process can spread through the fiber, veins and lymphatic pathways. Even less often, periprostatic phlebitis
is observed, characterized by the presence of dense inflammatory cords. The latter form especially often leads to purulent processes in the prostate gland.
Symptoms and course
The symptoms and course of acute prostatitis are varied depending on the nature of the disease process. In the catarrhal form, the disease can occur with almost no subjective phenomena or be limited to a slight increase in the
urge to urinate. Objectively, some canadianpharmacy swelling, softness of the prostate gland and the presence of filaments in the second portion of urine can be noted. Further, when the process transitions to the follicular form, urination
becomes more frequent, accompanied by pathogenic spasms; pains in the perineum appear - independent and with bowel movements. On palpation pain is detected with pressure, an increase in the gland; in some areas, glands stretched
by pus, protruding above the surface of the gland, are protruded. When pressed, they disappear due to the extrusion of secretion into the urethra.
With follicular prostatitis, an increase in temperature is often observed. Urination becomes frequent, especially at night, which is associated with a rush of blood to the pelvic organs, including the prostate gland. Urine
uniformly purulent in both portions. Sometimes catarrhal or follicular prostatitis is manifested in the fact that the second portion of urine is more turbid than the first, with an admixture of canadian pharmacy online filaments in the form of commas,
since the contraction of the muscles of the perineum at the end of urination promotes the emptying of purulent follicles or excretory ducts into the urethra.
With appropriate treatment, inflammation in this stage can result in complete recovery: the products of inflammation are absorbed, the gland returns to normal. If untreated, the inflammatory process takes a chronic course. In
other cases, the follicles merge, and the process goes into parenchymal form. In this case, inflammation can capture the entire body or only part of it.
The spread of the disease process causes a significant increase in the volume of the prostate gland. Patients complain of dull pain in the anus, aggravated by bowel movements, pain in the perineum. With the localization of the
disease process in the lateral parts of the prostate gland, urination is not very frequent, but somewhat difficult and slightly painful by the end of the action. When the inflammation center is located directly near the back of
the urethra, urge to urinate becomes more frequent, pains appear at the end of the action, urine stream becomes intermittent, sometimes full urinary retention is observed. The general condition of patients may remain the same,
without the manifestation of febrile symptoms. Urine turbid in both portions.
In other cases, the disease process increases, capturing not only glandular tissue, but also the fiber surrounding the prostate gland. Then the general condition of the patients is disturbed, the temperature often rises (up to
39 ° C), there is a general weakness, loss of appetite. Urination is painful. Urination to urine
During the examination, the patient may either lie on his side on the couch, or stand, leaning forward, while it is best to lean on a chair or a couch. The examiner must protect the hand with a glove. In the veterinary version,
that is, immerse the arm to the shoulder to get to the prostate bull, there is no need. Such an option in general can cause distrust in the patient, if not panic. And jokes about urologists, who, in order to better feel the
body, refuse to