Characteristics of ultrasound diagnostics of chronic prostatitis
In this article it is considered an echomorphological verification of changes in a prostate gland at patients with chronic prostatitis at ultrasonography. The purpose of work was the comparative research and studying of ultrasonic parameters of a prostate gland at patients with various clinical forms of chronic prostatitis. Examination is conducted to 360 patients of able-bodied and reproductive age, suffering from infiltrative and proliferative, kongestivny, kalkulezny forms of chronic prostatitis. It is revealed that depending on localization an echo -pathological process in a prostate gland various clinical symptoms are revealed. At localization of concrements in a periuretralny zone dizurichesky frustration, in the central area - an anogenitalny syndrome, in a peripheral zone - a syndrome of pelvic pain prevailed, at the mixed pathology clinical symptoms were polymorphic. The overwhelming nature of sexual violations took place at all forms of chronic prostatitis and was characterized by frustration of a potentiality in the form of fear of failures of sexual intercourse, weakness of an erection and an orgasm that in 76% of cases caused psychostressful reaction of the sexual partner to sexual intercourse. And, even for men of 20-40 years it was expressed by psychomotor reaction of the sexual partner that fixed an oppressed depression of the patient before sexual intercourse. We consider that it is clinically expedient to consider ultrasonic signs taking into account the working classification of chronic prostatitises developed in clinic to which infiltrative and proliferative, stagnant changes and existence of kaltsinat in a prostate gland parenchyma are peculiar, for the purpose of more exact an echo - morphological verification of pathological process in a prostate gland. Timely ultrasonic diagnostics taking into account clinical forms of a disease as the main low-invasive method of a research gains the medical and social importance in view of decline in quality of life because of sexual frustration and stressful reactions from men. Ultrasonography gives essential help in identification of pathological changes in a prostate gland and in dynamic control of the carried-out conservative treatment at chronic prostatitises.