In most cases, men experience chronic congestive prostatitis, the development of which is caused by the weakening and thickening of prostate secretion.This form of inflammation is considered a disease of old men.In about 20% of cases, patients in urological clinics are diagnosed with bacterial prostatitis - an acute form of inflammation of the prostate caused by pathogenic microorganisms, independent of age.
Causes of the development of bacterial prostatitis
As the name of the diagnosis makes clear, the cause of the disease is bacteria that penetrate the prostate gland by lymphogenous or hematogenous means.
Infection of the prostate with lymph flow occurs with the development of various inflammatory diseases of the genitourinary system.
Infection through the blood enters the prostate gland against the background of severe infectious diseases such as influenza, acute tonsillitis or pneumonia.
Pathogenic microorganisms often enter the prostate through the urethra.Infection occurs against the background of diseases of the genital organs.
In bacterial prostatitis, the causes are in the activity of pathogenic microbes, but since the disease develops only with a decrease in immunity, the general condition of the body is of great importance.Reasons for the weakening of the protective function of the body:
- hypothermia;
- vitamin deficiency due to an unbalanced diet;
- antibacterial therapy;
- stress;
- physical inactivity;
- focus of chronic infection;
- bad habits;
- abstinence from sexual intercourse for a long time;
- debauchery
The disease is characterized by acute, rapidly increasing symptoms.Unlike congestive prostatitis, bacterial inflammation does not depend on age and occurs in young men.
Types of disease
Bacterial prostatitis differs by the type of pathogen and the degree of involvement of the prostate tissue in the inflammatory process.
Most often, prostatitis is caused by staphylococci.This form of the disease is characterized by the formation of ulcers in the tissue of the prostate gland, accompanied by an increase in temperature and discharge of pus from the urethra or anus.This form of the disease can be the result of a complication of influenza, pneumonia, or the presence of a source of chronic infection in the body.
Escherichia coli and Pseudomonas aeruginosa are the most common opportunistic microorganisms that cause prostatitis.This form of the disease develops against the background of reduced immunity.Pathogenic microorganisms enter the prostate gland through the lymphatic route.
Chlamydia prostatitis is the result of promiscuity.Infection with chlamydia from a partner is asymptomatic, but due to a decrease in immune defense, bacteria can enter the prostate gland and cause inflammation.
One of the most severe forms of bacterial prostatitis is fungal or candida inflammation.Fungi of the genus Candida develop when they penetrate the prostate gland.The disease develops slowly and may not show significant symptoms for a long time.Often, the fungal form of inflammation turns into chronic prostatitis.
Treatment of abacterial prostatitis caused by fungal microflora requires an integrated approach, as fungi quickly resist the effects of antifungals.
Candida does not show its presence for a long time and is difficult to treat.
Acute bacterial prostatitis may be accompanied by the formation of purulent foci.Depending on the degree of involvement in the inflammatory process of the prostate gland, there are several types of the disease:
- catarrh;
- follicular;
- parenchymal;
- prostate abscess.
The catarrhal form is characterized by inflammation of the walls of the prostate ducts.This is a mild form of inflammation and can be successfully treated with antibiotics within a week and a half.
Follicular prostatitis is accompanied by the formation of ulcers in the tissue of the gland.This form of the disease is manifested by high fever, but it is treated effectively with antibiotics.
With parenchymal inflammation, the pathological process spreads to all organs.At the same time, the size of the prostate gland increases, its contours change and swelling occurs.If there is no timely treatment, this form of the disease can turn into chronic prostatitis.
Prostate abscess is the formation of a cavity filled with pus.There is a high temperature and signs of intoxication due to the abscess.When an abscess ruptures, immediate relief occurs, but the entry of purulent contents into the general circulation can lead to sepsis.This form of the disease is characterized by acute pain, high body temperature and severe intoxication of the body.The abscess is opened surgically.
The listed types of diseases also act as stages of development of acute bacterial prostatitis.If there is no timely treatment, one stage passes to another, the symptoms worsen and the risk of complications increases.
Symptoms of the disease
Symptoms of bacterial prostatitis depend on the stage of the inflammatory process.The initial stages of the disease are characterized by the following symptoms:
- pain in the bladder;
- frequent urge to go to the toilet;
- pain after urination;
- general disorder.
As bacterial prostatitis progresses, symptoms intensify.Body temperature rises, pain increases, problems with urination worsen.
In severe cases, severe intoxication accompanied by nausea and vomiting, loss of strength and dizziness is possible.Body temperature can rise up to 40 ° C.
The frequency of the urge to go to the toilet can reach 10 times an hour.At this time, the man feels that his bladder is full and there is no relief after urination.
In particularly severe cases, acute urinary retention may develop.It is accompanied by a feeling of fullness with the complete impossibility of emptying the bladder.This complication is very dangerous and requires hospitalization with subsequent catheter installation.
Frequent urination is caused by an inflamed prostate gland compressing the bladder.
Why is prostatitis dangerous?
The danger of bacterial prostatitis is the risk of pelvic infection.If urination is impaired, urine begins to flow backwards, which leads to a kidney infection.This disease is called pyelonephritis and is difficult to treat.
One of the most common complications of bacterial prostatitis is chronic cystitis.The disease is characterized by inflammation of the mucous membrane of the bladder and is often accompanied by the urge to go to the toilet, spasms and pains in the bladder, and hematuria.
Timely or inadequate treatment of bacterial prostatitis can lead to the chronicity of the disease.If acute bacterial prostatitis is successfully treated with antibiotics, the treatment of chronic disease is complicated by periodic exacerbation of symptoms, which occurs against the background of decreased immunity.
Acute bacterial prostatitis can cause infertility and impotence.
The most dangerous complication is the breakthrough of an abscess in the prostate cavity.Purulent masses pass through the pelvic organs through the blood and lymph, causing inflammation of the rectum, bladder and kidneys.In particularly severe cases, the rupture of an abscess can lead to sepsis.
Diagnosis of the disease
The initial examination of the prostate is a digital examination (rectal palpation).If bacterial prostatitis is suspected, if the patient has signs of intoxication and a high temperature, prostate massage is not performed to avoid the risk of worsening symptoms.
Diagnosis is based on ultrasound or TRUS results.Treatment of bacterial prostatitis depends on the type of inflammatory agent.For this, it is necessary to analyze prostate secretion.Since rectal examination of the prostate is prohibited during acute inflammation, urine is taken for bacteriological analysis of the causative agent of prostatitis.It is also necessary to pass a general and biochemical blood test.
Based on the results of a urine test, the doctor chooses antibiotics and bactericidal drugs for the treatment of prostatitis.
Treatment of bacterial prostatitis
Treatment of bacterial prostatitis depends on the type of pathogen.The choice of antibacterial therapy for prostatitis is carried out depending on the sensitivity of pathogenic agents to the effect of certain drugs.
Treatment with antibiotics can be supplemented with the help of rectal suppositories - these are antibacterial and anti-inflammatory suppositories used for prostatitis.
Nonsteroidal anti-inflammatory drugs, antipyretic drugs with anti-inflammatory effects, and antispasmodics help reduce the signs and symptoms of bacterial prostatitis.These drugs do not cure prostatitis, but reduce pain and ease the course of the disease.
Folk treatment
Many who understand how to treat the prostate gland with bacterial prostatitis with the help of drugs will be interested in the possibility of alternative treatment.
Rectal suppositories with propolis are the most effective methods of treating prostatitis with folk remedies.You can make them yourself.For this, melt 200 g of cocoa butter in a water bath and add 40 g of crushed propolis to it.The mixture is boiled until the propolis dissolves and the mass acquires a uniform color and consistency.Then the drug is cooled in the refrigerator, previously forming a cone from the mass using cling film.After cooling, the cone is cut into small torpedoes with a diameter of about 2 cm and a length of 4 cm.Suppositories are stored in the refrigerator and used twice a day - morning and evening.The course of treatment takes two weeks.
Walnuts and pumpkin seeds will help speed up healing.To prepare the medicine, grind 100 g of nuts and peeled raw seeds in a coffee grinder and then mix with a glass of honey.Balls are made from the resulting mass with a diameter of about 2-3 cm.You need to eat 3 of these balls every day.
Men are also recommended to eat walnut kernels with honey.To prepare the medicine, a glass of chopped nuts is mixed with honey and kept in the refrigerator for three days.Then the remedy is taken three large spoons a day.
Prevention
Bacterial prostatitis is a dangerous disease that can become chronic.In most cases, timely treatment allows you to successfully get rid of the disease, but no man is immune to a repeated episode of prostatitis.To prevent the development of bacterial prostatitis, the following is necessary:
- dress for the weather;
- avoid hypothermia;
- timely treatment of any infectious diseases;
- protect yourself during sex.
If you are on long-term antibiotic or corticosteroid therapy, you should consult your doctor to prevent immune system deterioration.
You should take care of your immunity, because the weakening of the protective function of the body leads to the development of an acute inflammatory process in the prostate.For this purpose, it is recommended to take an annual course of vitamins specially designed for men, monitor your diet and avoid stress.