In most cases, men experience chronic congestive prostatitis, which is caused by circulatory disorders and thickened prostate secretions. This form of inflammation is considered a disease of older men. About 20% of patients in urological clinics are diagnosed with bacterial prostatitis - an acute form of inflammation of the prostate caused by age-related and pathogenic microorganisms.
Causes of bacterial prostatitis
As the name implies, the cause of the disease is bacteria that enter the prostate gland through lymphogenic or hematogenous routes.
Infection of the prostate with lymph flow occurs with the development of various inflammatory diseases of the genitourinary system.
Infection with the bloodstream enters the prostate gland against the background of severe infectious diseases such as influenza, acute tonsillitis or pneumonia.
Often pathogenic microorganisms enter the prostate through the urethra. Infection occurs against the background of diseases of the genital organs.
The causes of bacterial prostatitis are caused by pathogenic microbes, but the general condition of the body is not insignificant, because the disease develops only with a decrease in immunity. Causes of weakening of the body's protective function:
- hypothermia;
- vitamin deficiency due to an unbalanced diet;
- antibacterial therapy;
- stress;
- hypodynamics;
- chronic focus of infection;
- bad habits;
- long-term sexual abstinence;
- perverted sex.
The disease is characterized by acute, rapidly increasing symptoms. Unlike congestive prostatitis, bacterial inflammation is age-related and occurs in young men.
Types of disease
Bacterial prostatitis is distinguished by the type of pathogen and the degree of involvement of prostate tissue in the inflammatory process.
Staphylococcus aureus causes most prostatitis. This form of the disease is characterized by the formation of abscesses in the prostate tissue, accompanied by a rise in temperature and pus from the urethra or anus. This form of the disease can be the result of influenza, pneumonia or the presence of a chronic infection focus in the body.
E. coli and Pseudomonas aeruginosa are the most common pathogens that cause prostatitis. This form of the disease develops against the background of decreased immunity. Pathogenic microorganisms enter the prostate gland through the lymphogenic route.
Chlamydial prostatitis is the result of sexual intercourse. Infection with chlamydia from one partner is asymptomatic, but against the background of decreased immunity, bacteria can enter the prostate gland and provoke inflammation.
One of the most severe forms of bacterial prostatitis is fungal or candidal inflammation. Candida develops by penetrating the prostate gland. The disease develops slowly and does not manifest itself with vivid symptoms for a long time. The fungal form of inflammation often turns into chronic prostatitis.
Treatment of abacterial prostatitis caused by fungal microflora requires an integrated approach, as the fungi rapidly resist the effects of antifungals.
Candida does not show long-term existence and is difficult to treat.
Acute bacterial prostatitis may be accompanied by the formation of purulent foci. There are several types of disease depending on the degree of involvement of 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 gland. It belongs to the mild forms of inflammation and is successfully treated with antibiotics for 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 with high fever, but is treated quite effectively with antibiotics.
In parenchymal inflammation, the pathological process spreads throughout the body. At the same time, the prostate grows, the contours change and edema develops. In the absence of timely treatment, this form of the disease can turn into chronic prostatitis.
Prostate abscess is the formation of a cavity filled with pus. Because of the abscess, there are signs of high fever and intoxication. When an abscess occurs, there is immediate relief, but the entry of purulent substances into the general circulation can cause sepsis. This form of the disease is characterized by acute pain syndrome, high body temperature and severe intoxication of the body. The cancer opens with surgery.
These types of diseases are also stages of development of acute bacterial prostatitis. In the absence of timely treatment, one stage passes to another, the symptoms worsen, the risk of complications increases.
Symptoms of the disease
The symptoms of bacterial prostatitis depend on the stage of the inflammatory process. The following symptoms are characteristic of the early stages of the disease:
- pain in the bladder area;
- frequent desire to use the toilet;
- pain after urination;
- general concern.
Symptoms worsen as bacterial prostatitis develops. Body temperature rises, pain syndrome increases and urinary problems become more severe.
In severe cases, severe intoxication with nausea and vomiting, loss of strength and dizziness is possible. Body temperature can rise to 40 ° C.
The frequency of calls to the toilet can be up to 10 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 develop. This is accompanied by a feeling of complete impossibility of emptying the bladder. This complication is very dangerous and requires hospitalization with the installation of a catheter.
Frequent urination is caused by compression of the bladder by an inflamed prostate.
Why is prostatitis dangerous?
The danger of bacterial prostatitis is the risk of infection of the pelvic organs. If urinary excretion is impaired, it is possible to return urine and cause a kidney infection. This condition 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 accompanied by the desire to use the toilet more often, spasms and pain in the bladder, hematuria.
Timely or inadequate treatment of bacterial prostatitis can lead to chronic diseases. If acute bacterial prostatitis is successfully treated with antibiotics, the treatment of chronic disease is aggravated by the periodic exacerbation of symptoms that occur against the background of decreased immunity.
Acute bacterial prostatitis can lead to infertility and impotence.
The most dangerous complication is the rupture of an abscess in the prostate cavity. Purulent masses in the blood and lymph flow through the pelvic organs cause inflammation of the rectum, bladder and kidneys. In severe cases, an exploding abscess can cause sepsis.
Diagnostics
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 fever, prostate massage is not performed to avoid the risk of worsening symptoms.
Diagnosis is based on ultrasound or TRUS. Treatment of bacterial prostatitis depends on the type of inflammatory agent. For this purpose, it is necessary to analyze the secretion of the prostate. Since rectal examination of the prostate is prohibited in cases of acute inflammation, urine is taken for bacteriological analysis of the causative agent of prostatitis. Both general and biochemical blood tests are required.
Based on the results of the urine test, the doctor selects antibiotics and bactericidal drugs for the treatment of prostatitis.
Bacterial Prostatitis Treatment
Treatment of bacterial prostatitis depends on the type of pathogen. The choice of antibiotic therapy for prostatitis depends on the sensitivity 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, antipyretic drugs with anti-inflammatory effects, antispasmodics help reduce the signs and symptoms of bacterial prostatitis. These drugs do not cure prostatitis, but relieve pain and ease the disease.
Folk remedies
After thinking about how to treat bacterial prostatitis with the help of drugs, many will be interested in the possibility of alternative treatments.
Among the most effective folk remedies for the treatment of prostatitis are rectal suppositories with propolis. 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. Means, propolis is dissolved and the mass is boiled until a uniform color and consistency. The drug is then cooled in the refrigerator using a food film, forming a cone from the mass. After cooling, the cone is cut into small torpedoes 2 cm in diameter and 4 cm long. Dinner tables are stored twice a day - in the morning and in the evening in the refrigerator. The course of treatment lasts two weeks.Walnut and pumpkin seeds can help speed healing. To prepare the drug, grind 100 g of nuts and peeled raw seeds in a coffee grinder and then mix with a glass of honey. As a result, balls with a diameter of about 2-3 cm are made from the mass. You should eat 3 of these balls every day.
Men are also advised to eat walnut kernels with honey. To prepare the drug, mix a glass of chopped nuts with honey and insist three days in the refrigerator. Then the tool is taken three tablespoons a day.
Prevention
Bacterial prostatitis is a dangerous disease that can become chronic. In most cases, timely treatment can successfully cure the disease, but no man is immune to a single episode of prostatitis. To prevent the development of bacterial prostatitis:
- weather-appropriate clothing;
- Avoid hypothermia;
- Treat any infectious disease in time;
- Protect themselves during contact.
Consult your doctor for long-term antibiotic or corticosteroid treatment to prevent your immune system from deteriorating.
Weakening of the body's protective function can lead to acute inflammation of the prostate, so you need to pay attention to your immunity. For this purpose, it is recommended to take a vitamin course specially designed for men every year, to control the diet and to avoid stress.