Description of the causes, symptoms, features of diagnosis and treatment of acute or chronic bacterial prostatitis. Recommendations from urologists who will help you quickly identify the disease and timely contact the clinic 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, from a quarter to a third of the male population after 40 years of age experience problems with the prostate, among young people the statistics are better, but still unhappy.
Today we will talk about bacterial prostatitis (BP), consider the causes of its occurrence, symptoms and features of diagnosis and treatment.
Causes of occurrence
The complexity of PD is that it often proceeds in a subtle form and is not detected for a long time, which delays the start of treatment.
The main cause of bacterial-type inflammation of the prostate is infection of the gland, but not only this leads to the disease.
Among the causes of bacterial prostatitis, we note:
- Sedentary lifestyle.
- Violation of the rhythm in sex life.
- 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, since the immune system is working.
In addition, good blood flow quickly carries away infections and stimulates local immunity in the area of the gland, which prevents infection.
Interesting!With a sedentary lifestyle and irregular sex, congestion is formed in the prostate, which is an additional factor in the onset of the disease.
If you have a sedentary job, then after 40, and even earlier, it is a good idea to go to the gym or do exercises for the hip at home.
Also obesity and chronic constipation interferes with blood flow in the gland area. Keep track of your body weight and include foods high in fiber 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 it is easier for microbes to "gain a foothold" in the prostate.
Remember, bacteriological prostatitis does not arise from scratch, most often the disease appears in those who do not monitor their health.
Symptoms of the disease
Like any other disease, PD has its own symptoms, the severity of which varies with the stage of the disease and the characteristics of the patient's body.
Most often a person with prostate inflammation is worried about:
- Frequent urination.
- Painful sensations when going to the toilet.
- Heaviness in the groin area.
- Decreased sex drive, up to erection problems.
The most pronounced symptoms are when acute PD develops, if treatment is not started, then the disease becomes chronic and the severity of symptoms is smoothed out.
There is no need to rejoice here, since chronic inflammation is more difficult to treat, and therapy requires more time.
Important!If you have the first symptoms of prostatitis, then this is a reason to go to the urologist and get diagnosed, 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 through the bloodstream from the primary infected organ.
In acute form, the patient may even have a temperature rise of up to 40 degrees, as well as the appearance of fever. Groin pain can be sharp, purulent discharge appears from the urethra, and the urge to use the toilet is very frequent.
Acute bacterial prostatitis in men cannot go unnoticed, this is its advantage, as the patient immediately goes to the urologist.
In acute form, there is a strong burning sensation when visiting the toilet and general irritability and fatigue occurs.
If therapy is not started on time, PD can lead to complications:
- An abscess in the body of the prostate.
- Cicatricial changes in the prostate gland.
An abscess, in turn, can lead to rupture of the prostate and severe intoxication of the body, and with vesiculitis, pus appears in the semen, and a man's reproductive function may end.
Colliculitis is no less dangerous, in which a severe pain syndrome develops during sex, which can lead to psychological trauma and impotence.
Cicatricial changes lead to infertility as it reduces sperm motility and sperm quality. In addition, the narrowing of the urethra with scars makes it difficult to urinate and leads to obstruction of the bladder, which may be the reason for the intervention of the surgeon.
Chronic bacterial prostatitis is either 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 give the patient discomfort:
- Difficulty urinating.
- The urge to use the toilet is increasing.
- Erectile function is impaired.
- A burning sensation 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), then complications are possible in the form:
- Reduced immunity.
The danger of the disease is 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 the treatment is then 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 make it possible to determine the presence of inflammation and its type, which will help in the effective treatment of the disease.
Complete diagnostics include:
- Digital examination of the prostate gland.
- Prostate secretion analysis.
- Taking a smear for STDs.
- Ultrasound of the gland.
The doctor may also require a semen analysis and biopsy to rule out or confirm the presence of cancer in the prostate.
Digital examination of the gland is an unpleasant, but important stage of diagnosis, since the patient is simple, has an uneven density and is enlarged.
Analysis of the secretion will determine the infectious or non-infectious form of the disease, and the ultrasound will help the doctor see the contours of the gland - if they are blurred, then this is an obvious confirmation of prostatitis.
After the diagnosis, the urologist decides on the patient's treatment, taking into account:
- Type of prostatitis.
- The form of the disease.
- Patient's age.
- Individual characteristics of the patient.
- The presence of concomitant diseases.
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 will be and the easier it is to prescribe a complex therapy.
Treatment of prostate inflammation
Therapy for acute and chronic bacterial prostatitis is different, as it requires different dosages of drugs and differs in the duration of treatment.
Interesting!At the initial stage, it is important to eliminate the unpleasant symptoms for the patient in order to improve the quality of life, after the doctor's task is to completely get rid of the disease, regardless of its form.
Acute Prostatitis Therapy
In the treatment of acute prostatitis, etiotropic therapy must be prescribed; in the case of a bacterial type of disease, one cannot do without taking antibiotics and antimicrobial agents.
In addition, the following are assigned:
- Pain relievers.
- Vitamins with trace elements.
Drugs for PD are selected individually, 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.
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, 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 an expanded range of procedures. An increase in the dosage of drugs is often required.
Added to the above stages of treatment:
- Taking herbal remedies.
- A complete range of physiotherapy.
- Perform special exercises.
- Consulting with a psychologist.
With a decrease in potency, increased doses of vitamins and stimulants may be prescribed, since the treatment requires regular sexual activity.
As for the exercises, they are selected depending on the age, the course of the disease and the individual characteristics of the organism. Also, the doctor takes into account the presence of side 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 the therapy begins, the shorter the treatment process will be, and the man will sooner return to a full life.