Description of the cause, symptoms, features of diagnosis and treatment of acute or chronic bacterial prostatitis. Recommendations from a urologist who will help you quickly recognize the disease and contact the clinic in a timely manner for diagnosis and prescribing 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 has prostate problems, among young people the statistics are better, but still unfortunate.
Today we will talk about bacterial prostatitis (BP), consider the causes of its occurrence, symptoms and features of diagnosis and treatment.
Causes
The complexity of PD is that it often takes place in an inconspicuous form and is not detected for a long time, which delays the start of treatment.
The main cause of bacterial-type prostate inflammation is a gland infection, but not only does it lead to disease.
Among the causes of bacterial prostatitis we note:
- Sedentary lifestyle.
- Violation of rhythm in sexual life.
- Overweight.
- Chronic constipation.
- Alcohol abuse.
To understand how these causes affect the onset and development of pathology, let us consider their specifics.
Microbes and infections enter the prostate regularly, but this does not always lead to a bacterial infection because the immune system is working.
In addition, good blood flow quickly carries away infections and stimulates local immunity in the gland area, which prevents infection.
Interesting!Sedentary lifestyle and irregular sex create congestion in the prostate, which is an additional factor at the beginning of the disease.
If you have an inactive job, then after 40 or even earlier, it is a good idea to go to the gym or do hip exercises at home.
Obesity and chronic constipation also interfere with blood flow to the glandular area. Monitor your body weight and include fiber-rich foods in your diet to prevent constipation.
As for alcohol, it weakens the immune system (with regular abuse), thus removing the body’s protective barrier, and making it easier for microbes to “lean” into the prostate.
Remember, bacteriological prostatitis does not occur 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 person with prostate inflammation is concerned about:
- Frequent urination.
- Painful sensations when going to the toilet.
- Weight in the groin area.
- Decreased sex drive, all the way to erection problems.
The most pronounced 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, because 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 make a diagnosis, because a quick start to treatment increases the chances of success.
Bacteria that cause prostatitis are microplasma, chlamydia and other microbes that can enter the prostate through urine or through the bloodstream from a primarily infected organ.
Acute prostatitis
In the acute form, the patient may even have a rise in temperature of up to 40 degrees, as well as the appearance of fever. Pain in the groin can be sharp, a purulent discharge appears from the urethra, and the need for urination is very common.
Acute bacterial prostatitis in men cannot go unnoticed, this is its advantage, because the patient goes to the urologist immediately.
In the acute form, there is a strong burning sensation when visiting the toilet and there is 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.
- Ugly changes in the prostate.
An abscess in turn can lead to a ruptured prostate and severe intoxication of the body, and in vesiculitis pus appears in the semen and a man’s reproductive function may end.
No less dangerous is coliculitis, which develops a strong pain syndrome during sex, which can lead to psychological trauma and impotence.Ugly changes lead to infertility because they reduce sperm motility and quality. In addition, narrowing of the urethra with scars makes it difficult to urinate and leads to bladder obstruction, 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 give the patient discomfort:
- Difficulty urinating.
- The urge to go to the toilet increases.
- 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), complications are possible in the form of:
- 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, then the chronic inflammatory process is often neglected, and the treatment is then long and not always effective.
Diagnosis of inflammation
When the first signs of prostatitis appear, you must go to a doctor who will prescribe a series of diagnostic measures. It 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 prostate examination.
- Analysis of prostate secretion.
- Taking smears for sexually transmitted diseases.
- Ultrasound of the gland.
Your doctor may also require a semen analysis and biopsy to rule out or confirm the presence of prostate cancer.
Digital examination of the gland is an awkward but important stage of diagnosis because the patient is simple, of uneven density, and of increased 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.
- A form of the disease.
- Patient's age.
- Individual patient characteristics.
- Presence of concomitant diseases.
Accurate diagnosis allows you to choose the optimal treatment regimen, and the therapy shows the maximum effect. The more stages a diagnosis requires, the more accurate the diagnosis will be and the easier it is to prescribe complex therapy.
Treatment of prostate inflammation
The treatment of acute and chronic bacterial prostatitis is different because it requires different doses of medication 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, after the task of the doctor is to completely get rid of the disease, regardless of its form.
Therapy of acute prostatitis
In the treatment of acute prostatitis, etiotropic therapy is necessarily prescribed; in the case of a bacterial type of disease, antibiotics and antimicrobials cannot be taken.
In addition, the following are assigned:
- Pain relievers.
- Immunostimulants.
- Vitamins with trace elements.
- Massage.
PD medications are selected individually, depending on the primary infection and the course of the disease.
Important!Antibiotics and antibacterials fight germs, while vitamins and immunostimulants help boost immunity.
Massage during the acute phase helps to accelerate the secretion of prostate secretions and normalizes blood flow in the gland.
In the 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 phase of treatment, but are not recommended in the acute phase of PD.
Therapy of chronic prostatitis
Treatment of chronic bacterial prostatitis requires longer therapy and an extended range of procedures. It is often necessary to increase the dose of medication.
Added to the above stages of treatment:
- Receiving phytopreparations.
- Complete range of physiotherapy.
- Perform special exercises.
- Consultations with a psychologist.
With a decrease in potency, increased doses of vitamins and stimulants can be prescribed, because treatment requires regular sexual activity.
As for exercises, they are chosen depending on age, course of the disease and individual characteristics of the organism. Also, the doctor takes into account the presence of secondary diseases.
You learned from the article how to determine bacterial prostatitis, all that remains is to closely monitor your health and consult a doctor when the first signs of the disease appear.
The sooner the therapy starts, the shorter the healing process will be, and the man will return to full life sooner.