In most cases, men are confronted with chronic congestive prostatitis, the development of which is caused by impaired blood circulation and a thickening of the prostate secretion. This form of inflammation is considered a disease of older men. In about 20% of cases, patients in urological clinics are diagnosed with bacterial prostatitis - an acute form of inflammation of the prostate that does not depend on age and is caused by the action of pathogenic microorganisms.
Causes of bacterial prostatitis
As the name of the diagnosis suggests, bacteria are the cause of the disease and enter the prostate via a lymphogenic or hematogenic route.
Infection of the prostate with lymph flow occurs with the development of various inflammatory diseases of the genitourinary system.
With the bloodstream, the infection reaches the prostate against the background of serious infectious diseases such as influenza, acute tonsillitis or pneumonia.
Most of the time, pathogenic microorganisms reach the prostate via the urethra. Infection occurs against the background of diseases of the genital organs.
With bacterial prostatitis, the causes lie in the action of pathogenic microbes, but the general condition of the body is not unimportant, since the disease develops only with decreased immunity. The reasons for the weakening of the protective function of the body:
- hypothermia;
- Vitamin deficiency due to an unbalanced diet;
- antibacterial therapy;
- stress;
- hypodynamia;
- chronic focus of infection;
- bad habits;
- prolonged sexual abstinence;
- promiscuous sex.
The disease is characterized by acute, rapidly increasing symptoms. In contrast to congestive prostatitis, bacterial inflammation is age-independent and occurs in young men.
Types of disease
Bacterial prostatitis differs in the type of pathogen and the degree of involvement of the prostate tissue in the inflammatory process.
Staphylococcus aureus is the most common cause of prostatitis. This form of the disease is characterized by the formation of abscesses in the tissues of the prostate, accompanied by an increase in temperature and the release of pus from the urethra or anus. This form of the disease can be a complication of influenza, pneumonia or a consequence of the presence in the body of a chronic focus of infection.
Among the conditionally pathogenic microorganisms that cause prostatitis, E. coli and Pseudomonas aeruginosa take first place in the prevalence. This form of the disease develops against the background of a decrease in immunity. Pathogenic microorganisms enter the prostate via the lymphogenic route.
Chlamydial prostatitis is a result of promiscuous sex. Chlamydia infection from a partner is asymptomatic. However, against the background of reduced immune defense, bacteria can invade the prostate and cause inflammation.
One of the most severe forms of bacterial prostatitis is fungal or candida inflammation. It develops with the penetration of candida fungi into the prostate. The disease develops slowly and may not manifest itself with vivid symptoms for a long time. Often the fungal form of inflammation turns into chronic prostatitis.
Treatment of bacterial prostatitis caused by fungal microflora requires an integrated approach, as fungi quickly develop resistance to the effects of antifungal drugs.
Candida shows no presence for a long time and is difficult to treat.
Acute bacterial prostatitis can be accompanied by the formation of purulent foci. There are different types of diseases depending on the degree of involvement of the prostate tissue in the inflammatory process:
- catarrhal;
- follicular;
- parenchyma;
- prostate abscess.
The catarrhal form is characterized by inflammation of the walls of the ducts of the prostate. It belongs to mild forms of inflammation and is successfully treated with antibiotics in a week and a half.
Follicular prostatitis is accompanied by the formation of abscesses in the glandular tissue. This form of the disease manifests itself in a high fever, but it is treated quite effectively with antibiotics.
With parenchymal inflammation, the pathological process spreads to the entire organ. At the same time, the prostate enlarges, its contours change and edema develops. Without timely treatment, this form of the disease can develop into chronic prostatitis.
A prostate abscess is the formation of a cavity filled with pus. Because of the abscess, there is a high fever and symptoms of intoxication. When an abscess breaks out, immediate relief occurs, but the entry of purulent contents into the general bloodstream can lead to sepsis. This form of the disease is characterized by acute pain syndrome, high body temperature and severe body intoxication. The abscess is opened with surgery.
The types of disease listed are also stages in the development of acute bacterial prostatitis. Without timely treatment, one stage passes into another, symptoms worsen, the risk of complications increases.
Disease symptoms
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 area;
- frequent urge to use the toilet;
- pain after urination;
- general malaise.
As bacterial prostatitis progresses, symptoms worsen. Body temperature rises, pain syndrome rises, and urination problems worsen.
In severe cases, severe poisoning is possible, which is accompanied by nausea and vomiting, loss of strength and dizziness. Body temperature can rise to 40 ° C.
The frequency of going to the toilet can be up to 10 times an hour. In this case, the man feels the fullness of the bladder, after urination there is no relief.
In severe cases, acute urinary retention can develop. This is accompanied by a feeling of flatulence in the bladder with the complete impossibility of emptying it. This complication is very dangerous and requires hospitalization followed by the installation of a catheter.
Frequent urination is caused by compression of the bladder by an inflamed prostate.
Why is prostatitis dangerous?
The risk of bacterial prostatitis is the risk of infection of the pelvic organs. If urination is impaired, urinary backwashing is possible, which leads to a kidney infection. This condition is known as pyelonephritis and is difficult to treat.
One of the most common complications of bacterial prostatitis is chronic bladder infection. The disease is characterized by inflammation of the lining of the bladder and is associated with frequent urges to use the toilet, cramps and pain in the bladder, and hematuria.
Premature or inadequate treatment of bacterial prostatitis can lead to chronic diseases. If acute bacterial prostatitis is successfully treated with antibiotics, then the treatment of the chronic disease is aggravated by periodic exacerbations of symptoms that occur on the background of a decrease in immunity.
Acute bacterial prostatitis can cause infertility and impotence.
The most dangerous complication is an abscess eruption in the prostate cavity. Purulent masses with a blood and lymph flow are transported through the pelvic organs and cause inflammation of the rectum, bladder and kidneys. In severe cases, a burst abscess can lead to sepsis.
Disease diagnostics
The primary examination of the prostate is a digital examination (rectal palpation). If bacterial prostatitis is suspected, if the patient has symptoms of intoxication and a high fever, prostate massage will not be performed to avoid the risk of worsening symptoms.
The diagnosis is based on ultrasound or TRUS. Treatment for bacterial prostatitis depends on the type of inflammatory agent. To do this, it is necessary to analyze the secretion of the prostate. Since a rectal examination of the prostate is prohibited in acute inflammation, urine is taken for bacteriological analysis of the pathogen causing the prostatitis. It is also necessary to pass a general and biochemical blood test.
Based on the results of the urinalysis, the doctor selects antibiotics and bactericidal drugs to treat prostatitis.
Treatment of bacterial prostatitis
How bacterial prostatitis is treated depends on the type of pathogen. The choice of antibiotic therapy for prostatitis is made depending on the sensitivity of the pathogen to the action of certain drugs.
Antibiotic treatment can be supplemented with rectal suppositories - these are antibacterial and anti-inflammatory suppositories that are used for prostatitis.
Nonsteroidal anti-inflammatory drugs, antipyretics with anti-inflammatory effects, and anticonvulsants help reduce the signs and symptoms of bacterial prostatitis. These drugs do not cure prostatitis, but they can relieve pain and ease the course of the disease.
Folk Remedies
After many have figured out how to cure the prostate with the help of drugs with bacterial prostatitis, they will be interested in the possibility of alternative treatment.
Among the effective methods of treating prostatitis with folk remedies, rectal suppositories with propolis are the most effective. You can cook them yourself. To do this, melt 200 g of cocoa butter in a water bath and add 40 g of crushed propolis. The means are boiled until the propolis dissolves and the mass takes on a uniform color and consistency. The medicament is then cooled in the refrigerator after a cone had previously been formed from the mass using cling film. After cooling, the cone is cut into small torpedoes about 2 cm in diameter and 4 cm in length. Suppositories are stored in the refrigerator and used twice a day - morning and evening. The treatment lasts two weeks.
Walnuts and pumpkin seeds can speed your recovery. To prepare the medicine, grind 100 g of nuts and peeled raw seeds in a coffee grinder, then mix them with a jar of honey. From the resulting mass, balls with a diameter of about 2-3 cm are made. You need to eat 3 of these balls every day.
Men are also encouraged to eat walnuts with honey. To prepare the drug, a jar of chopped nuts is mixed with honey and kept in the refrigerator for three days. Then the remedy is taken daily with three large spoons.
Prevention
Bacterial prostatitis is a dangerous disease that can become chronic. In most cases, timely treatment can successfully eliminate the disease, but not a single man is insured against a repeated episode of prostatitis. To prevent bacterial prostatitis from developing you must:
- dress for the weather;
- avoid hypothermia;
- treats infectious diseases in a timely manner;
- protect themselves during sexual intercourse.
For long-term therapy with antibiotics or corticosteroids, ask your doctor how you can prevent the deterioration of the immune system.
You should take care of your own immunity, since 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 drink a vitamin regimen specially designed for men annually, monitor diet and avoid stress.