(195) DIAGNOSTICS OF CHRONIC PROSTATITIS IN WOMEN OF REPRODUCTIVE AGE

Improvement of the diagnostics of chronic prostatitis (CP) in women of reproductive age.

A gynecological, urological, and sexological examination of 34 women aged from 24 to 34 (31±4.1) with CP lasting between 1 and 4 years was carried out. An ultrasound study of the female prostate gland and paraurethral zone was conducted using the ultrasound diagnostical system APLIO of TOSHIBA expert class brand in the regime of grey scale using the Doppler method.

CP was formed at the background of latent course of an inflammatory disease in pelvic organs and was characterised by vivid symptoms (pain and discomfort during urination, local pain in perineum and the frontal wall of the vagina, heavy secretions from urethra). In 28 (82.4%) patients we found dyspareunia, which was accompanied by alibidemia in 18 (52.9%) of the examined.

During the ultrasound study of female prostate gland, a hypodense lesion having the volume from 0.7 to 1.7 cm with a clear capsule was exposed in the projection of the distal part of urethra in 24 (70.6%) women, in the projection of the proximal part of urethra – in 6 (17.6%) women, and along the urethra – in 4 (11.8%) women. The vascular markings of the paraurethral zone of female prostate gland during the coloured Doppler carding (CDC) were intense. At the same time during the CDC, it was established that the hypodense lesion was nonvascular, with single tiny vessels in the capsule zone.

CP in women of reproductive age was characterised by the explicit clinical recurrent course at the background of latent development of the inflammatory disease of pelvic organs and was formed mostly (70.6%) in patients with the distal location of paraurethral glands, accompanied with the spectre of sexual dysfunctions, where sexual pain should be distinguished as a diagnostical feature of this disease.

No conflict of interest.