Description of the causes, symptoms, characteristics of diagnosis and treatment of acute or chronic bacterial prostatitis. Recommendations from urologists who will help you quickly identify the disease and contact the clinic in a timely manner for diagnosis and prescription of complex therapy.
Prostatitis is one of the most common urological diseases in men. Inflammation of the prostate brings discomfort to life and can lead to sexual weakness.
According to various estimates, a quarter to a third of the male population aged 40 and over has prostate problems, among young people the statistics are better, but still unhappy.
Today we are going to talk about bacterial prostatitis (PB), consider the causes of its occurrence, symptoms and characteristics of diagnosis and treatment.
Causes of the occurrence
The complexity of PD is that it usually occurs in a subtle way and is not detected for a long time, which delays the start of treatment.
The main cause of bacterial inflammation of the prostate is infection of the gland, but not only does this lead to disease.
Among the causes of bacterial prostatitis, we highlight:
- Sedentary lifestyle.
- Violation of rhythm in sexual life.
- Too much.
- Chronic constipation.
- Alcohol abuse.
To understand how these causes affect the onset and development of pathology, let's consider their specifics.
Microbes and infections regularly enter the prostate, but this does not always lead to bacterial infection, as the immune system is functioning.
In addition, good blood flow quickly eliminates infections and stimulates local immunity in the gland area, which prevents infection.
Interesting!With a sedentary lifestyle and irregular sex, congestion forms in the prostate, which is an additional factor in the onset of the disease.
If you have a sedentary job, after 40, or even before, it is a good idea to go to the gym or do hip exercises at home.
In addition, obesity and chronic constipation interfere with blood flow in the gland region. Track your body weight and include fiber-rich foods in your diet to prevent constipation.
As for alcohol, it weakens the immune system (with regular abuse), which removes the protective barrier from the body and makes it easier for microbes to "gain a foothold" in the prostate.
Remember that bacteriological prostatitis does not occur from scratch; most of the time, the disease appears in people who do not monitor their health.
Symptoms of the disease
Like any other disease, PD has its own symptoms, the severity of which varies according to the stage of the disease and the characteristics of the patient's body.
Most of the time, a person with prostate inflammation worries about:
- Frequent urination.
- Painful feelings when going to the bathroom.
- Weight in the groin area.
- Decreased sexual desire, even erection problems.
The most pronounced symptoms occur when acute PD develops; if treatment is not started, the disease becomes chronic and the severity of symptoms is alleviated.
There is no need to rejoice here, as chronic inflammation is more difficult to treat and therapy requires more time.
Important!If you have the first symptoms of prostatitis, this is a reason to go to the urologist and make the diagnosis, because a quick start of treatment increases the chances of success.
The bacteria that cause prostatitis are microplasma, chlamydia and other microbes that can enter the prostate through urine or the blood stream of the primary infected organ.
Acute prostatitis
In the acute form, the patient may even have a temperature rise of up to 40 degrees, in addition to the appearance of fever. Groin pain can be acute, purulent discharge comes out of the urethra and the urge to use the bathroom is very common.
Acute bacterial prostatitis in men cannot go unnoticed, this is its advantage, as the patient immediately goes to the urologist.
In the acute form, there is a strong burning sensation when going to the bathroom and general irritability and fatigue occur.
If therapy is not started in time, PD can lead to complications:
- An abscess in the prostate body.
- Vesiculitis.
- Coliculitis.
- Scar changes in the prostate.
An abscess, in turn, can lead to rupture of the prostate and severe intoxication of the body and, in vesiculitis, pus appears in the semen and the reproductive function of the man can end.
Coliculitis is no less dangerous, in which a severe pain syndrome develops during sex, which can lead to psychological trauma and impotence.
Scarring changes lead to infertility, as they reduce motility and sperm quality. In addition, the narrowing of the scarred urethra makes urination difficult and leads to bladder obstruction, which may be the reason for the surgeon's intervention.
Chronic form
Chronic bacterial prostatitis is primary or secondary. In the first case, it develops immediately, without an acute phase; in the second, it occurs as a neglected form of acute inflammation of the prostate.
The symptoms of the chronic phase are more turbid, but they also cause discomfort to the patient:
- Difficulty urinating.
- The need to use the bathroom is increasing.
- Erectile function is impaired.
- A burning sensation and weight is felt in the perineal region.
These are the main signs of chronic PD, if treatment is not started immediately (complex therapy), complications are possible in the form:
- Cystitis.
- Sepsis.
- Pyelonephritis.
- Reduced immunity.
The danger of the disease lies precisely in the less pronounced symptoms, which sometimes men simply do not pay attention to.
If it is impossible not to notice the acute phase, then the chronic inflammatory process is often ignored and treatment is long and not always effective.
Diagnosis of inflammation
When the first signs of prostatitis appear, you need to go to the doctor who will prescribe a set of diagnostic measures. They will allow to determine the presence of inflammation and its type, which will assist in the effective treatment of the disease.
Full diagnostics include:
- Digital examination of the prostate.
- Analysis of prostate secretion.
- Making a smear for STDs.
- Ultrasound of the gland.
The doctor may also order a spermogram and a biopsy to rule out or confirm the presence of prostate cancer.
Digital examination of the gland is an unpleasant but important step in the diagnosis, since the patient is simple, has irregular density and increased size.
The analysis of the secretion will determine the infectious or non-infectious form of the disease, and the ultrasound will help the doctor to see the outlines of the gland - if they are blurred, it is an obvious confirmation of prostatitis.
After diagnosis, the urologist decides on the patient's treatment, taking into account:
- Type of prostatitis.
- The form of the disease.
- Age of the patient.
- Individual patient characteristics.
- The presence of concomitant diseases.
Accurate diagnosis allows you to choose the ideal treatment regimen and the therapy shows the maximum effect. The more stages the diagnosis requires, the more accurate the diagnosis and the easier it is to prescribe complex therapy.
Treatment of inflammation of the prostate
Therapy for acute and chronic bacterial prostatitis is different, as it requires different dosages of drugs and differs in the duration of treatment.
Interesting!In the initial phase, it is important to eliminate the unpleasant symptoms for the patient in order to improve the quality of life, then the doctor's task is to get rid of the disease completely, regardless of its form.
Acute prostatitis therapy
In the treatment of acute prostatitis, etiotropic therapy is mandatorily prescribed, and antibiotics and antimicrobials cannot be administered in case of bacterial disease.
In addition, the following are assigned:
- Painkillers.
- Immunostimulants.
- Vitamins with trace elements.
- Massage.
PD drugs are individually selected, depending on the primary infection and the course of the disease.
Important!Antibiotics and antibacterial agents fight germs, while vitamins and immunostimulants help boost immunity.
Pre-acute massage helps to accelerate the excretion of secretions from the prostate and normalizes blood flow in the gland.
In the event of an acute course of the disease, massage cannot be prescribed and physiotherapeutic procedures, for example, laser and electrophoresis, are not recommended at this stage.
They are a mandatory stage of treatment, but are not recommended in the acute phase of PD.
Chronic prostatitis therapy
Treatment of chronic bacterial prostatitis requires longer therapy and a wider variety of procedures. Often, it is necessary to increase the dosage of medications.
Added to the treatment stages above:
- Taking herbal remedies.
- A full range of physiotherapy.
- Do special exercises.
- Consulting a psychologist.
With decreased potency, increased doses of vitamins and stimulants may be prescribed, as treatment requires regular sexual activity.
As for the exercises, they are selected according to the age, the course of the disease and the individual characteristics of the organism. In addition, the doctor takes into account the presence of side diseases.
With the article you learned how to determine bacterial prostatitis, so you only need to carefully monitor your health and see a doctor when the first signs of the disease appear.
The sooner therapy begins, the shorter the treatment process will be and the man will return to a fuller life sooner.