Description of the causes, symptoms, features of diagnosis and treatment of acute or chronic bacterial prostatitis. Recommendations from urologists that will help you quickly identify the disease and in a timely manner to 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 in life and can lead to sexual weakness.
According to various estimates, from a quarter to a third of the male population after the age of 40 experience prostate problems, among young people the statistics are better, but still unhappy.
Today we will talk about bacterial prostatitis (BP), we will look at the causes, symptoms and features of diagnosis and treatment.
Causes
The complexity of PD is that it often takes a fine form and is not detected for a long time, which delays the start of treatment.
The main cause of bacterial inflammation of the prostate is an infection of the gland, but not only this leads to the disease.
Among the causes of bacterial prostatitis we note:
- Sedentary lifestyle.
- Rhythm disorders in sexual life.
- Overweight.
- Chronic constipation.
- Alcohol abuse.
To understand how these causes affect the appearance and development of pathology, let's look at their specifics.
Microbes and infections regularly enter the prostate, but this does not always lead to a bacterial infection as the immune system works.
In addition, good blood flow quickly transmits infections and stimulates local immunity in the area of the gland, which prevents infection.
Interesting!With a sedentary lifestyle and irregular sex, congestion develops in the prostate, which is an additional factor in the onset of the disease.
If you have a sedentary job, after 40 and even earlier it is good to go to the gym or do thigh exercises at home.
Obesity and chronic constipation also interfere with blood flow to the gland. Monitor your 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 "attach" to the prostate.
Remember, bacteriological prostatitis does not arise from scratch, most often the disease occurs 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 depending on the stage of the disease and the characteristics of the patient's body.
Most often a man with prostatitis is worried about:
- Frequent urination.
- Painful sensations when going to the toilet.
- Weight in the groin area.
- Decreased sexual desire, to erection problems.
The most severe symptoms are when acute PD develops, if treatment is not started, the disease becomes chronic and the severity of the symptoms is smoothed out.
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 a urologist and get a 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 blood from the primary infected organ.
Acute prostatitis
In the acute form, the patient may even have a fever of up to 40 degrees, as well as the appearance of fever. Groin pain can be acute, purulent discharge appears from the urethra, and the desire to use the toilet is very common.
Acute bacterial prostatitis in men can not 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 visiting the toilet and there is a general irritability and fatigue.
If therapy is not started on time, PD can lead to complications:
- Abscess in the body of the prostate.
- Vesiculitis.
- Coliculitis.
- Scarring changes in the prostate gland.
The 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 the man's reproductive function may end.
Coliculitis is no less dangerous, during which a strong pain syndrome develops during sex, which can lead to psychological trauma and impotence.
Scar changes lead to infertility as they reduce 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 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 an advanced form of acute inflammation of the prostate.
The symptoms of the chronic phase are more blurred, but also create discomfort for the patient:
- Difficulty urinating.
- The desire to use the toilet increases.
- Erectile function is impaired.
- A burning sensation and heaviness is felt in the perineal area.
These are the main signs of chronic PD, if treatment is not started on time (complex therapy), then complications are possible in the form:
- Cystitis.
- Sepsis.
- Pyelonephritis.
- Decreased 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, the chronic inflammatory process is often ignored and then 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.
Complete diagnostics include:
- Digital examination of the prostate gland.
- Analysis of prostate secretion.
- Taking a smear for sexually transmitted diseases.
- Ultrasound of the gland.
Your doctor may also require a spermogram and biopsy to rule out or confirm the presence of prostate cancer.
Digital examination of the gland is an unpleasant but important stage of diagnosis, as the patient is simple, has an uneven density and is increased in size.
Secretion analysis will determine the infectious or non-infectious form of the disease, and ultrasound will help the doctor see the contours of the gland - if they are blurred, 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 patient characteristics.
- The presence of concomitant diseases.
Accurate diagnosis allows you to choose the optimal treatment regimen, and therapy shows maximum effect. The more stages the diagnosis requires, the more accurate the diagnosis will be and the easier it will be to prescribe complex therapy.
Treatment of prostate inflammation
The treatment for acute and chronic bacterial prostatitis is different, as it requires different doses of drugs and differs in the duration of treatment.
Interesting!In the initial stage, it is important to eliminate the unpleasant symptoms for the patient in order to improve the quality of life, since the doctor's task is to completely get rid of the disease, regardless of its form.
Therapy for acute prostatitis
In the treatment of acute prostatitis, etiotropic therapy must be prescribed; in case of bacterial type of disease antibiotics and antimicrobials cannot be taken.
In addition, the following are assigned:
- Painkillers.
- Immunostimulants.
- Vitamins with trace elements.
- Massage.
PD drugs 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 acute phase helps to accelerate the secretion of prostate secretion and normalizes blood flow to the gland.
In the case of an acute course of the disease, massage cannot be prescribed and physiotherapy procedures, such as 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.
Therapy for chronic prostatitis
The treatment of chronic bacterial prostatitis requires longer therapy and an extended set of procedures. An increase in the dose of medication is often required.Added to the above stages of treatment:
- Taking phytopreparations.
- Complete set of physiotherapy.
- Perform special exercises.
- Consultation with a psychologist.
With reduced potency, increased doses of vitamins and stimulants may be prescribed, as treatment requires regular sexual activity.
As for the exercises, they are selected depending on age, the course of the disease and the individual characteristics of the body. Also, the doctor takes into account the presence of side effects.
From the article you learned how to diagnose bacterial prostatitis, then you just need to carefully monitor your health and consult a doctor when the first signs of the disease appear.
The sooner the therapy starts, the shorter the treatment process will be and the sooner the man will return to a full life.