Description of the causes, symptoms, characteristics of the diagnosis and treatment of acute or chronic bacterial prostatitis. Recommendations of urologists that will help you quickly identify the disease and timely communicate with the clinic for the diagnosis and prescription of complex therapy.
Prostatitis is one of the most common urological diseases in men, inflammation of the prostate gives life to discomfort and can lead to sexual weakness.
According to various estimates, a quarter to a third of the male population after 40 years experiences prostate problems, among young people the statistics are better, but still unhappy.
Today we will talk about bacterial prostatitis (BP), we will consider the causes of its appearance, symptoms and characteristics of diagnosis and treatment.
Causes of occurrence
The complexity of PD is that it often progresses in a subtle way and goes undetected for a long time, delaying the start of treatment.
The main cause of bacterial inflammation of the prostate is infection of the gland, but not only this leads to disease.
Among the causes of bacterial prostatitis, we highlight:
- Sedentary lifestyle.
- Violation of rhythm in sexual life.
- Overweight.
- Chronic constipation.
- Alcohol abuse.
To understand how these causes affect the onset and development of pathology, let's consider their details.
Germs and infections regularly enter the prostate, but this does not always lead to a bacterial infection, as the immune system is working.
In addition, good blood flow quickly eliminates infections and stimulates local immunity in the gland area, preventing infections.
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, and even before, it is a good idea to go to the gym or do hip exercises at home.
Also, obesity and chronic constipation interfere with blood flow in the gland area. Keep track of your body weight and include high fiber foods in your diet to prevent constipation.
As for alcohol, it weakens the immune system (with regular abuse), which removes the body's protective barrier and makes it easier for microbes to "take hold" in the prostate.
Remember, bacteriological prostatitis does not arise from scratch, most of the time the disease appears in those who do not control their health.
Symptoms of the disease
Like any other disease, PD has its own symptoms, the severity of which varies depending on the stage of the disease and the characteristics of the patient's body.
Very often, a person with an inflammation of the prostate worries about:
- Frequent urination.
- Painful sensations when going to the bathroom.
- Heaviness in the groin area.
- Decreased sexual desire, even erection problems.
The most pronounced symptoms are when acute PD develops, if treatment is not started, the disease becomes chronic and the severity of the symptoms softens.
There is no need to rejoice here, as chronic inflammation is more difficult to treat and therapy takes longer.
Important!If you have the first symptoms of prostatitis, this is a reason to go to the urologist and receive a diagnosis, because a quick start of treatment increases the chances of success.
Bacteria that cause prostatitis are microplasma, chlamydia, and other microbes that can enter the prostate through urine or the bloodstream from the infected primary organ.
Acute prostatitis
In acute form, the patient may even have a temperature rise of up to 40 degrees, as well as the appearance of fever. Pain in the groin can be sharp, a purulent discharge from the urethra appears, and the need to go to the bathroom is very frequent.
Acute bacterial prostatitis in man cannot go unnoticed, this is its advantage, since the patient goes immediately 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 on time, PD can lead to complications:
- An abscess in the body of the prostate.
- Vesiculitis.
- Colliculitis.
- Scar changes in the prostate gland.
An abscess, in turn, can lead to a ruptured prostate and severe intoxication of the body, and with vesiculitis, pus appears in the semen and the man's reproductive function may end.
Colliculitis is no less dangerous, in which a severe pain syndrome develops during sexual intercourse, which can lead to psychological trauma and impotence.
Scar changes lead to infertility, as they reduce the motility and quality of sperm. In addition, 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 arises as an advanced form of acute inflammation of the prostate.
The symptoms of the chronic phase are more blurred, but they also cause discomfort to the patient:
- Difficulty urinating.
- The need to go to the bathroom is increasing.
- Erectile function is impaired.
- Burning and heaviness is felt in the perineal region.
These are the main signs of chronic PD, if treatment is not started on time (complex therapy), complications are possible in the form:
- Cystitis.
- Sepsis.
- Pyelonephritis.
- Reduced immunity.
The danger of the disease is precisely in the less pronounced symptoms, to which men sometimes simply do not pay attention.
If it is impossible not to notice the acute phase, then the chronic inflammatory process is often ignored and the treatment is long and not always effective.
Diagnosis of inflammation
When the first signs of prostatitis appear, you should see a doctor who will prescribe a set of diagnostic measures. They will make it possible to determine the presence of inflammation and its type, which will help in the effective treatment of the disease.
Full diagnostics include:
- Digital exam of the prostate gland.
- Analysis of prostate secretion.
- Taking a smear for sexually transmitted diseases.
- Ultrasound of the gland.
The doctor may also require a semen analysis and biopsy to rule out or confirm the presence of prostate cancer.
The digital examination of the gland is an unpleasant but important diagnostic stage, as the patient is simple, uneven in density, and enlarged.
Analysis of the discharge will determine the infectious or non-infectious form of the disease, and the ultrasound will help the doctor to see the contours of the gland; if they are blurry, this 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 characteristics of the patient.
- The presence of concomitant diseases.
An accurate diagnosis allows you to choose the optimal 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
The therapy for acute and chronic bacterial prostatitis is different, as it requires different doses of drugs and differs in the duration of treatment.
Interesting!At the initial stage, it is important to eliminate unpleasant symptoms for the patient in order to improve the quality of life, after which the task of the doctor is to completely get rid of the disease, regardless of its form.
Acute prostatitis therapy
In the treatment of acute prostatitis, an etiotropic therapy is necessarily prescribed; In the case of a type of bacterial disease, you cannot take antibiotics or antimicrobial agents.
Additionally, the following are assigned:
- Painkillers.
- Immunostimulants.
- Vitamins with trace elements.
- Massage.
Drugs for PD are selected individually, based on the primary infection and the course of the disease.
Important!Antibiotics and antibacterial agents fight germs, while vitamins and immunostimulants help boost immunity.
Massage in the pre-acute phase helps to accelerate the excretion of prostate secretions and normalizes blood flow in the gland.
In case of an acute course of the disease, massage cannot be prescribed and physiotherapeutic procedures are not recommended, for example laser and electrophoresis at this stage.
They are a mandatory stage of treatment, but they are not recommended in the acute phase of PD.
Chronic prostatitis therapy
Treatment of chronic bacterial prostatitis requires longer therapy and a broader range of procedures. An increase in the dose of drugs is often required.
Added to the previous treatment stages:
- Taking herbal remedies.
- A complete range of physiotherapy.
- Do special exercises.
- Consult with a psychologist.
With a decrease in potency, higher doses of vitamins and stimulants may be prescribed, as treatment requires regular sexual activity.
As for the exercises, they are selected according to age, the course of the disease and the individual characteristics of the organism. Also, the doctor takes into account the presence of secondary diseases.
From the article you learned how to determine bacterial prostatitis, then you just have to carefully monitor your health and consult a doctor when the first signs of the disease appear.
The sooner therapy begins, the shorter the treatment process and the sooner the man will return to a full life.