CHRONIC PROSTATITIS AND FIBROSIS OF PROSTATE. PREDISPOSING FACTORS FOR SURGICAL COMPLICATIONS

Prostatitis is an inflammatory process of the prostate, which continues to be considered one of the most common urological diseases in men under 45. Predisposing factors as trophic, microcirculatory and congestive disorders, contributes to the onset and development of the inflammatory process in the prostate and risk factors as urethral catheter, urethrocystoscopy, endoscopic surgery for infection and deterioration of the integrity of the urethral epithelium. The purpose of this study was to determine the impact of chronic inflammation and fibrosis of prostate on urodynamics and local prostatic microcirculation and to evaluate the efficacy of medicamentous treatment. In the study were included 58 patients (with pronounced clinical symptoms as dysuria, stranguria, nocturnal pollakuria 2-4 times per night and residual urine about 50ml) that followed a course of treatment with Adenosprosin 250 mg. According to the study results, we can outline that the level of microcirculation and urodynamics impairment indicates the level of prostate fibrosis. This process in chronic prostatitis is reversible by using antifibrotic and anti-inflammatory treatment supplemented with Adenoprosin 250 mg.