In most cases, men face chronic stagnant prostatitis, which is caused by impaired blood circulation and thickening of prostate secretion. This form of inflammation is considered a disease of older men. In about 20% of cases, patients at urological clinics are diagnosed with bacterial prostatitis - an acute form of age-independent prostatitis caused by pathogenic microorganisms.
Causes of bacterial prostatitis
As the name of the diagnosis shows, the cause of the disease is bacteria that enter the prostate by lymphogenetically or hematogenously.
Infection of the prostate with lymph flow is associated with the development of various inflammatory diseases of the urogenital system.
With blood flow, the infection enters the prostate against the background of serious infectious diseases such as influenza, acute tonsillitis, or pneumonia.
Most often, pathogenic microorganisms enter the prostate through the urethra. The infection is caused by diseases of the genitals.
In the case of bacterial prostatitis, the causes lie in the function of pathogenic microbes, but the general condition of the body is of little importance, as the disease develops only with reduced immunity. Reasons for weakening of the body's protective function:
- hypothermia;
- vitamin deficiency due to unbalanced diet;
- antibacterial therapy;
- stress;
- hypodynamics;
- is the chronic focus of the infection;
- bad habits;
- prolonged sexual abstinence;
- unscrupulous sex.
The disease is characterized by acute, rapidly growing symptoms. Unlike congestive prostatitis, bacterial inflammation is age-independent and occurs in young men.
Types of disease
Bacterial prostatitis is distinguished by the type of pathogen and the degree to which prostate tissue is involved 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 tissue of the prostate, along with an increase in temperature and the release of pus from the urethra or anus. This form of the disease can be the result of the flu, a complication of pneumonia, or the presence of a chronic focal point in the body.
Among the conditionally pathogenic microorganisms that provoke prostatitis, E. coli and Pseudomonas aeruginosa are the first in the prevalence. This form of the disease develops against the background of a decrease in immunity. Pathogenic microorganisms enter the prostate via the lymphogen.
Chlamydial prostatitis is a consequence of intense sex. Chlamydia infection from a partner is asymptomatic, however, in the background of a decrease in immune protection, bacteria can enter the prostate, provoking inflammation.
One of the most severe forms of bacterial prostatitis is fungal or candidal inflammation. Candida is formed by the penetration of fungi into the prostate. The disease develops slowly and may not show vivid symptoms for a long time. Often, the fungal form of the inflammation becomes chronic prostatitis.
Treatment of bacterial prostatitis caused by the fungal microflora requires an integrated approach because fungi are rapidly resistant to the effects of antimycotics.
Candida has not shown its presence for a long time and is difficult to treat.
Acute bacterial prostatitis can lead to purulent foci. Depending on the degree of involvement of prostate tissue in the inflammatory process, there are several types of disease:
- hurut;
- follicular;
- parenchymal;
- Prostate abscess.
The catarrhal form is characterized by inflammation of the walls of the ducts of the prostate gland. It belongs to mild forms of inflammation and is successfully treated with antibiotics for a week and a half.
Follicular prostatitis is associated with abscess formation in glandular tissue. This form of the disease manifests itself in high fever, but is treated quite effectively with antibiotics.
In parenchymal inflammation, the pathological process extends to the entire organ. At the same time, the size of the prostate increases, its contours change and edema develops. In the absence of timely treatment, this form of the disease can develop into chronic prostatitis.
Prostatic abscess is the formation of a purulent cavity. The abscess causes high fever and symptoms of poisoning. There is immediate relief when an abscess breaks out, but penetration of the pus content into the general bloodstream can lead to sepsis. This form of the disease is characterized by acute pain syndrome, high body temperature, and severe intoxication of the body. The abscess is opened with surgery.
The types of diseases listed are also stages in the development of acute bacterial prostatitis. In the absence of timely treatment, one stage passes to another, 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 symptoms 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 increases, urination problems worsen.
In severe cases, severe poisoning is possible, accompanied by nausea and vomiting, loss of strength and dizziness. Body temperature can rise to 40 ° C.
The frequency of flushing to the toilet can be up to ten times per hour. In this case, the man feels the fullness of the bladder, there is no relief after urination.
In severe cases, acute urinary retention may occur. This is accompanied by a feeling of tension in the bladder, with the complete impossibility of emptying it. This complication is very dangerous and requires hospitalization with subsequent catheter placement.
Frequent urination occurs due to compression of the bladder by an inflamed prostate.
Why is prostatitis dangerous?
Risk of bacterial prostatitis risk of infection of pelvic organs. If urination is impaired, it is possible to flush urine back, leading to kidney infection. This condition is called pyelonephritis and is difficult to treat.
One of the most common complications of bacterial prostatitis is cystitis, which becomes chronic. The disease is characterized by inflammation of the mucous membranes of the bladder and frequent use of toilets, cramps and pain in the bladder, hematuria.
Early or inadequate treatment of bacterial prostatitis can lead to chronic disease. If acute bacterial prostatitis is successfully treated with antibiotics, the treatment of the chronic disease is exacerbated by the intermittent worsening of symptoms that underlies the decline in immunity.
Acute bacterial prostatitis can cause infertility and impotence.
The most dangerous complication is an outbreak of an abscess in the prostate cavity. The purulent masses associated with blood and lymph flow are carried by the pelvic organs, causing inflammation of the rectum, bladder, and kidneys. In severe cases, a ruptured abscess can lead to sepsis.
Disease Diagnostics
The primary examination of the prostate is a digital examination (rectal palpation). If bacterial prostatitis is suspected when the patient has symptoms of intoxication and the temperature is high, prostate massage will not be performed to avoid aggravation of the symptoms.
Diagnosis is based on ultrasound or TRUS. The treatment of bacterial prostatitis depends on the type of inflammatory material. For this purpose, prostate secretion should be analyzed. Because rectal examination of the prostate is prohibited in acute inflammation, urine is taken for bacteriological analysis of the pathogen of prostatitis. A general and biochemical blood test is also required.
Based on the results of the urine test, your doctor will prescribe antibiotics and bactericidal drugs to treat your prostatitis.
Treatment of bacterial prostatitis
The treatment of bacterial prostatitis depends on the type of pathogen. The choice of antibiotic therapy for prostatitis is made depending on the susceptibility of pathogens to certain drugs.
Antibiotic treatment can be supplemented with rectal suppositories - these are antibacterial and anti-inflammatory suppositories used for prostatitis.
Non-steroidal anti-inflammatory drugs, anti-inflammatory antipyretics, antispasmodics help reduce the signs and symptoms of bacterial prostatitis. These drugs do not cure prostatitis, but they can relieve pain and make the disease easier.
Folk remedies
Once they have figured out how to treat the prostate gland with bacterial prostatitis with drugs, many will be interested in the possibility of alternative treatments.
Propolis rectal suppositories are the most effective methods of treating prostatitis with folk remedies. You can also cook them. To do this, melt 200 g of cocoa butter in a water bath and add 40 g of crushed propolis. The bases are boiled until the propolis dissolves and the mass acquires a uniform color and texture. The drug is then cooled in a refrigerator, previously forming a suppository of the mass with foil. After cooling, the cone is cut into small torpedoes about 2 cm in diameter and 4 cm long. The suppositories are stored in the refrigerator and used twice a day - morning and evening. The treatment lasts for two weeks.
Walnuts and pumpkin seeds can help heal. To prepare the medicine, grind 100 g of nuts and peeled raw seeds in a coffee grinder, then mix with a glass of honey. The resulting mass is made into spheres, about 2-3 cm in diameter. You have to eat 3 such balls a day.
Men also encourage them to eat walnut seeds with honey. To make the medicine, mix a glass of chopped walnuts with honey and stick in the fridge for three days. The medicine is then taken daily with three large spoons.
Prevention
Bacterial prostatitis is a dangerous disease that can become chronic. In most cases, timely treatment can successfully get rid of the disease, but no person is free of recurrent episodes of prostatitis. To prevent the development of bacterial prostatitis:
- dress according to the weather;
- avoid hypothermia;
- treat infectious diseases in a timely manner;
- defend themselves during intercourse.
In case of long-term antibiotic or corticosteroid therapy, you should consult your doctor on how to prevent the immune system from deteriorating.
You need to pay attention to your own immunity, as the weakening of the body's protective function leads to the development of an acute inflammatory process in the prostate. To do this, it is recommended to drink a vitamin regimen designed specifically for men every year, monitor your diet and avoid stress.