Chronic bacterial prostatitis: causes, signs, diagnosis, treatment methods

consultation with a doctor for chronic bacterial prostatitis

Chronic bacterial prostatitis is one of the most common types of disease. This form of the disease is characterized by the frequency of its manifestation, and the lack of timely treatment can lead to various disorders - sexual dysfunction, as well as contribute to the development of prostate hyperplasia. But what is the cause of the disease and what will be the consequences if left untreated? Let's take a closer look at these issues.

What is bacterial prostatitis?

Chronic bacterial prostatitis occurs in 15-20% of all people suffering from the underlying disease. This disease is typical for middle-aged men, because they still have a normal sexual life and there is a high probability that harmful bacteria will enter their body. Harmful microorganisms with this type of prostatitis fall directly into the prostate area, where they actively multiply and interfere with the activity of an organ that is so important to a man.

At the same time, inflammation can be triggered not only by the bacteria themselves, but also by their metabolic products.

Unlike other subtypes of the disease, bacterial chronic prostatitis has more pronounced symptoms, and microorganisms can spread not only inside the gland, but also out of it, disrupting the functions of the bladder and other nearby organs.

Causes of disease

The main cause of chronic prostatitis of bacterial nature are bacteria that can enter the body both during sexual intercourse and from the environment. Of the pathogenic microbes, the following should be noted:

  • chlamydia;
  • Streptococci;
  • Staphylococci;
  • Klebsiella;
  • Pseudomonas aeruginosa;
  • Trichomonas;
  • Gonococci;
  • Enterobacteriaceae;
  • Escherichia coli.
chlamydia causes chronic bacterial prostatitis

The most common cause of the disease is E. coli, as it is found in 80% of patients with prostatitis.

Individual factors and diseases can also worsen the course of the disease and cause its development. There is a high probability of developing chronic prostatitis in men who:

  1. Leads an inactive lifestyle;
  2. Pain from pyelonephritis or cystitis;
  3. He has weak immunity;
  4. Consumes alcoholic beverages and tobacco products;
  5. Often have a cold;
  6. Prone to stress;
  7. Suffering from imprisonment;
  8. She has an ugly sex life;
  9. It often comes into contact with direct sources of infection;
  10. He has hormonal disorders;
  11. There is no normal intimate life.
physical inactivity as a cause of chronic bacterial prostatitis

It is worth noting that chronic prostatitis, as a rule, is preceded by its acute form, so the patient has time to prevent the development of the disease. The reason for the permanent form is the spread of bacteria throughout the body through the vascular, lymphatic and other systems of the body, and as soon as the immune system weakens, for example, during a cold, inflammation of the prostate can occur. , which causes discomfort and a number of other consequences.

Symptoms

The main symptoms of chronic bacterial prostatitis are similar to other types. The patient may experience:

  • Pain in the lower abdomen;
  • The inflammatory process is accompanied by an increase in body temperature;
  • Muscle fatigue and general weakening of the body are observed;
  • Urination may be accompanied by pain;
  • Pain in the anus and rectum occurs.

It is worth noting that, in contrast to the acute form, the symptoms of chronic prostatitis are less pronounced. As the disease worsens, blood particles can be seen in the urine, and the pain syndrome increases significantly.

lower abdominal pain in chronic bacterial prostatitis

If you do not pay attention to this symptomatology and do not consult a doctor in time, there is a fairly high probability of complications in the form of:

  1. Development of purulent processes of the genitourinary system;
  2. Prostate adenomas;
  3. Problems with urine outflow;
  4. Stone-like prostatitis;
  5. infertility;
  6. Sexual dysfunction.

Similar complications are possible in the case of incorrect prescribing of treatment or self-medication without prior consultation with a doctor.

Diagnosis of the disease

The diagnosis of chronic bacterial prostatitis can be made on the basis of:

  • General blood test - helps to determine the shift of the leukocyte formula to the left, which indicates the course of inflammatory processes in the body;
  • Routine analysis of urine - will determine the increase in the content of leukocytes and erythrocytes, which are produced to fight harmful microorganisms;
  • Three-cup urine sample - this analysis is similar to the usual one, only the changes in the 3-cup urine sample will be more noticeable;
  • Analysis of prostate secretion - in the presence of bacterial prostatitis, specific protein fragments will appear in secret;
  • Uroflowmetry - observation of the patient to determine the daily amount of urine, as a rule, the patient himself conducts in a hospital environment, and the results of the calculation are reported by the doctor.
blood test to diagnose chronic bacterial prostatitis

Diagnostic methods are determined directly by an expert. It is not possible to make a diagnosis based on a classic examination and interview.

Methods of treatment

In the treatment of bacterial prostatitis, a course of treatment is prescribed, which consists of:

  1. Antibacterial drugs, the duration of admission ranges from 1, 5 to 2 weeks;
  2. Nonsteroidal anti-inflammatory drugs - will help relieve inflammation and relieve the patient of pain;
  3. Muscle relaxants - are prescribed for severe pain that does not allow the patient to empty the bladder, relax the bladder walls.

An optional symptom of bacterial prostatitis is a depressed state in which the patient is prescribed antidepressants. It helps reduce stress levels for the whole body, reduces the production of hormones that can negatively affect the course of the disease.

Also, in chronic bacterial prostatitis, physiotherapy courses are often prescribed, which may include one or more procedures:

  • Electrophoresis - the introduction of special drugs under the influence of electric voltage of special frequency;
  • Ultrasound - activates the process of tissue regeneration, removes inflammation, prevents scarring and normalizes metabolism;
  • Magnetotherapy - aimed at normalizing the process of blood circulation;
  • Electrical stimulation of smooth muscles - allows you to get rid of congestion, improves the movement of secretory secretions;
  • Laser therapy - normalizes prostate function.

In some cases, prostate massage can be used as a preventive measure, which helps relieve pain and improve organ activity.

Chronic bacterial prostatitis has been observed in patients more and more frequently in the last few years. This is primarily due to an increase in cases of registration of sexually transmitted diseases, especially chlamydia and candidiasis. This type of disease can occur regardless of age, although it most often attacks weaker middle-aged organisms.