Chronic bacterial prostatitis: causes, signs, diagnosis, therapy methods

Chronic bacterial prostatitis is one of the most common types of disease. This form of the disease is characterized by the frequency of its manifestation, and the lack of timely treatment can lead to various disorders - sexual dysfunction, in addition to contributing to the development of prostatic hyperplasia. But what is the causative agent of the disease and what will be the consequences if it is not treated? Let's take a closer look at these issues.

What is bacterial prostatitis?

Chronic bacterial prostatitis occurs in 15-20% of all people with the underlying disease. This disease is typical of middle-aged men as they still have a normal sex life and there is a very high probability of harmful bacteria entering their bodies. Harmful microorganisms with this type of prostatitis fall directly into the prostate area, where they actively multiply and interrupt the activity of an organ so important to men.

At the same time, inflammation can be promoted not only by the bacteria themselves, but also by their metabolic products.

Unlike other subspecies of the disease, chronic bacterial prostatitis has more pronounced symptoms, and microorganisms can spread not only inside the gland, but also beyond it, disrupting the functions of the bladder and other nearby organs.

disease causes

The main causative agent of chronic bacterial prostatitis is bacteria that can enter the body during sexual intercourse and the environment. Among pathogenic microbes, the following should be noted:

• Chlamydia;
• Streptococci;
• Staphylococci;
• Klebsiella;
• Pseudomonas aeruginosa;
• Trichomonas;
• Gonococci;
• Enterobacteriaceae;
• Escherichia coli.

The most common causative agent of the disease is E. coli, as it is found in 80% of patients with prostatitis.

Individual factors and illnesses can also aggravate the course of the illness and trigger its development. There is a high probability of developing chronic prostatitis in a man who:

1. Leads an inactive lifestyle;
2. Suffering from pyelonephritis or cystitis;
3. Has weak immunity;
4. Consume alcoholic beverages and tobacco products;
5. Often over-cooled;
6. Stress prone;
7. Suffering from constipation;
8. You have a horrible sex life;
9. Often comes into contact with direct sources of infection;
10. Has hormonal disturbances;
11. It has no normal intimate life.

It is noteworthy that chronic prostatitis, as a rule, is preceded by the acute form, so the patient has some time to prevent the development of the disease. The reason for developing a permanent shape is the spread of bacteria throughout the body through the circulatory, lymphatic and other systems of the body, and as soon as the immune system weakens, for example during colds, the prostate can become inflamed, causing discomfort and a host of other consequences.

Symptoms

The main symptoms of chronic bacterial prostatitis are similar to other types. The patient can experience:

• Pain in the lower abdomen;
• The inflammatory process is accompanied by an increase in body temperature;
• There is muscle fatigue and general body weakness;
• Urination may be accompanied by pain;
• There are pains in the anus and rectum.

It is noteworthy that, unlike the acute form, the symptoms of chronic prostatitis are less pronounced. With exacerbation of the disease, blood particles can be seen in the urine and the pain syndrome significantly increases.

If you do not pay attention to these symptoms and do not see a doctor in time, there is a very high probability of a complication in the form of:

1. Development of purulent processes in the genitourinary system;
2. Prostate adenomas;
3. Problems with urine flow;
4. Stone-like prostatitis;
5. Infertility;
6. Sexual dysfunction.

Similar complications are also possible in the case of prescribing incorrect treatment or self-medication without first consulting a doctor.

disease diagnosis

The diagnosis of chronic bacterial prostatitis can be made based on:

• General blood test - helps determine the shift of the WBC formula to the left, which indicates the course of inflammatory processes in the body;
• Routine urinalysis - will determine the increase in the content of white blood cells and erythrocytes, which are produced to fight harmful microorganisms;
• A three-glass urine sample - This analysis is similar to the usual one, only changes in a three-glass urine sample will be more noticeable;
• Analysis of prostate secretion - in the presence of bacterial prostatitis, specific protein fragments will appear in the secret;
• Uroflowmetry - observation of the patient to determine the daily amount of urine, as a rule, is performed by the patient in a hospital environment, and the result of the calculations is communicated to the attending physician.

Diagnostic methods are determined directly by an expert. It is not possible to make a diagnosis based on the classic exam and the interview.

treatment methods

In the treatment of bacterial prostatitis, a course of treatment is prescribed which consists of:

1. Antibacterial drugs, length of stay varies from 1, 5 to 2 weeks;
2. Non-steroidal anti-inflammatory drugs - help relieve inflammation and relieve patient pain;
3. Muscle relaxants - are prescribed for severe pain that does not allow the patient to empty the bladder, they relax the bladder walls.

An optional symptom of bacterial prostatitis is a depressive state in which the patient is prescribed antidepressants. This helps to reduce stress levels throughout the body, it reduces the production of hormones that can negatively affect the course of the disease.

In addition, with chronic bacterial prostatitis, courses of physical therapy are often prescribed, which may include one or more procedures:

• Electrophoresis - the introduction of special drugs under the influence of an electrical voltage of a special frequency;
• Ultrasound - activates the tissue regeneration process, eliminates inflammation, prevents scarring and normalizes metabolism;
• Magnetotherapy - aims to normalize the blood circulation process;
• Electrical stimulation of smooth muscles - allows you to get rid of congestion, improves the movement of secretory secretions;
• Laser therapy - normalizes prostate performance.

In some cases, prostate massage can also be used as a preventive measure, which helps to eliminate pain and improve organ activity.

Chronic bacterial prostatitis in recent years has been observed in patients with increasing frequency. This is due, in the first place, to the increase in STD cases, mainly chlamydia and candidiasis. This type of disease can occur regardless of age, although it most often attacks weaker middle-aged organisms.