Acute prostatitis is an inflammatory process in the prostate gland from which no man is protected. According to expert reviews, this disease is found in half of men of reproductive age. Acute prostatitis is an infectious lesion of the prostate gland, accompanied by swelling and the formation of purulent foci in the body. Some symptoms appear immediately, while others are detected only at the time of diagnosis. What are the causes of the disease, how does it manifest itself and what treatment measures are carried out?
Why does it occur?
The causes of the acute form of the disease in men lie in the infection of organs with gram-negative (E. coli, Proteus, Klebsiela and others) and gram-positive (streptococci, staphylococci) bacteria.
Acute bacterial prostatitis often develops as a result of urogenital infections that are transmitted through unprotected sexual intercourse, such as:
- Chlamydia.
- Candidiasis.
- Gonorrhea.
- Trichomoniasis and some others.
In addition, urethritis is often the cause of acute prostatitis: pathogenic bacteria enter through the prostate ducts, which open into the wall of the urethra. Much less often, the infection occurs when men develop acute cystitis and bacteria from the bladder enter the prostate. There is also a hematogenous method of infection in which pathogens spread through the body through the bloodstream.
In addition to these reasons, there are others:
- Disorders of intimate life (interruption and short duration of sexual intercourse, erectile dysfunction).
- Hypothermia of the body.
- Inaction caused by a sedentary job or lifestyle.
- Pathology of the rectum.
- Effects of surgery on the genitourinary system.
- Respiratory viral infections.
- Stagnant phenomena that form in the vessels of the pelvis and often lead to impaired drainage of the prostate ducts.
- Difficulty defecating, varicose veins.
The causes are different, but they all contribute to acute prostatitis.
How does the pathology manifest itself?
Symptoms usually depend on the stage of inflammation.
The following symptoms of acute prostatitis are observed in the catarrhal stage:
- Severity and painful symptoms in the genital area.
- Painful and frequent emptying of the bladder, which is especially disturbing for men at night.
- Possible slight increase in temperature.
- No signs of intoxication.
Palpation may show no changes or a slight enlargement of the prostate. In men, this test causes minor pain. Symptoms of acute prostatitis are also detected by tests. In the secretion of the gland is found an increased level of leukocytes, the presence of threads of mucus and pus, and leukocytes also appear in the urine. Timely treatment of catarrhal type of prostatitis will allow a person to recover in a week and a half.
Acute follicular prostatitis has more intense symptoms. Men are concerned about the pain in the perineal area, which is given to the sacral area, the anus. At this stage, the patient feels painful urination. The pain also leads to difficulty in defecation. The temperature rises to 37, 5-38 ° C.
Some symptoms are detected and diagnosed. When probing, the doctor determines that the gland has enlarged and thickened, while it becomes asymmetrical, causing sharp pain when pressed. The number of purulent fibers and leukocytes in the urine increases, they are deposited in the urine as sediment. If adequate treatment is prescribed, the prognosis is favorable.
If the disease is not treated, the next stage develops - parenchymal acute prostatitis. The symptoms of this form of the disease in men are as follows:
- Temperatures rise to 39-40 ° C.
- The patient is trembling.
- There are signs of general weakness.
- Loss of appetite but constant thirst.
- At first, urination becomes much more frequent, difficult and after a while it stops.
- The patient suffers from constipation and flatulence.
The symptoms of acute prostatitis are more pronounced, for example, the pain radiates to the rectal area, becomes throbbing. Sometimes the symptoms are complemented by swelling of the pararectal tissues, in which case the rectal examination method cannot be used. An impurity of pus is observed in the urine. Acute disease must be treated urgently, otherwise an abscess will develop. In case a weakly virulent pathogen enters the body, the symptoms practically do not appear, then they say that the patient has a subacute type of prostatitis.
How to treat yourself?
Men are interested in the question how to treat acute prostatitis? According to experts, the treatment of acute prostatitis is based primarily on eliminating the causes of the disease. As a rule, drugs with antimicrobial action are used. Antibiotics are selected individually in each case based on the diagnosis. Antibiotics continue until complete recovery. Such treatment, according to the reviews of doctors, will allow to stop the acute processes leading to the active reproduction of pathogenic microorganisms in the tissues of the infected organ of the man. Treatment of acute prostatitis should be comprehensive.
Not only antibiotics but also other drugs are used:
- Immunostimulating drugs.
- Means that improve blood circulation.
- Non-steroidal inflammatory drugs.
- Vitamin complexes.
- Herbal medicines.
- Sedatives and antidepressants.
Preparations with analgesic and antispasmodic effects can relieve men from unpleasant painful sensations. Suppositories for injection into the anus with an anesthetic in the composition have a similar effect. Suppositories, as a rule, have antibacterial properties, acting carefully directly on the cause of the disease - the pathogenic agent. At home, rectal suppositories with sea buckthorn oil, propolis, honey, and enemas with a warm decoction of herbs will help deal with the pain.
In order to normalize the metabolic processes in the prostate gland in men and to accelerate the regeneration of damaged tissues, a course of bioregulatory peptides is prescribed. Treatment also includes immunostimulants and modulators, non-steroidal anti-inflammatory drugs (tablets or injections), injectable solutions and vitamin complexes.
If antibiotics or NSAIDs do not deal with the infection, hormones are included in the treatment.
After eliminating the main symptoms of acute prostatitis, treatment is supplemented by physiotherapy:
- Electrophoresis.
- Prostate massage.
- microwave and some others.
A good effect, as can be seen from the examinations of the patients, is the treatment of prostatitis with phytopreparations.
These drugs are recommended for home use for preventive purposes. Herbal tablets can replace decoctions and infusions of medicinal herbs that are prepared at home.
Symptoms of acute prostatitis perfectly eliminate decoctions of tansy flowers, hop cones, celandine. Horsetail, calamus root, chamomile are effective.
No catheter is inserted if urine is significantly delayed in acute prostatitis; treatment is performed by excision of the bladder wall - cystotomy.
If a prostate abscess is diagnosed, treatment is performed surgically until the abscess is opened and the cavity is drained. In the acute form is shown bed rest, as well as abstinence from sexual intercourse, diet food.
As can be seen from the examinations of doctors, the timely identification of the causes of the acute form of the disease and a competently conducted treatment process can cure the disease in a very short time.