Causes, symptoms, diagnosis and treatment of acute or chronic bacterial prostatitis. Recommendations of urologists who will help you to quickly diagnose the disease and timely visit the clinic for the appointment and appointment of complex therapy.
Prostatitis is one of the most common urological diseases in men, inflammation of the prostate is a life-threatening condition and can lead to impotence.
According to various estimates, between the ages of 40 and one-third of the male population has prostate problems, and the statistics are better among young people, but still unhappy.
Today we will talk about bacterial prostatitis (BP), its causes, symptoms and features of diagnosis and treatment.
Causes
The complication of PD is that it often develops in a subtle form and goes undetected for a long time, which delays the start of treatment.
The main cause of bacterial inflammation of the prostate is a glandular infection, but it does not only lead to disease.
Among the causes of bacterial prostatitis are:
- Sedentary lifestyle.
- Rhythm disorders in sexual life.
- Overweight.
- Chronic constipation.
- Alcohol abuse.
To understand how these causes affect the onset and development of pathology, let's look at their characteristics.
Germs and infections regularly enter the prostate, but this does not always lead to a bacterial infection because the immune system is working.
In addition, good blood flow speeds up infections and stimulates local immunity in the glandular region, which prevents infection.
Interesting!With a sedentary lifestyle and irregular sex, the prostate becomes dense, which is an additional factor in the onset of the disease.
If you have a sedentary job, it is better to go to the gym or do hip exercises at home after the age of 40 and even earlier.
Obesity and chronic constipation also block blood flow to the gland. Monitor your weight and include foods high in fiber in your diet to prevent constipation.
When it comes to alcohol, it weakens the immune system (with regular abuse), removes the body's protective barrier, and makes it easier for germs to "take up" in the prostate.
Remember, bacteriological prostatitis does not start from scratch, most often it occurs in people who do not control their health.
Symptoms of the disease
Like any 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.
Often a person with prostatitis is worried:
- Frequent urination.
- Painful feelings when going to the toilet.
- Weight in the groin area.
- Decreased sexual intercourse before erection problems.
Symptoms most often manifest themselves when acute PD develops, if treatment is not started, the disease becomes chronic and the severity of symptoms is corrected.
There is no need to rejoice here, because chronic inflammation is more difficult to treat and therapy takes longer.
Bacteria that cause prostatitis include microplasma, chlamydia, and other germs that can enter the prostate through urine or blood from the original infected organ.Important!If you have the first signs of prostatitis, this is a good reason to see a urologist and make a diagnosis, because starting treatment quickly increases your chances of success.
Acute prostatitis
In the acute form, the patient may have a fever of up to 40 degrees or the appearance of fever. Abdominal pain can be severe, there is a purulent discharge from the urethra, and the urge to use the toilet is very frequent.
In men, acute bacterial prostatitis cannot be ignored, which is its advantage because the patient immediately consults a urologist.
When coming to the toilet in an acute form, there is a strong burning sensation and general irritability and fatigue.
If therapy is not started on time, PD can cause complications:
- An abscess in the prostate.
- Vesiculitis.
- Colliculitis.
- Sciatic changes in the prostate gland.
An abscess, in turn, can lead to prostate rupture and severe intoxication of the body, and vesiculitis can lead to the formation of pus in the semen and the loss of male reproductive function.
Colliculitis is less dangerous, as it develops a severe pain syndrome during sex, which can lead to psychological trauma and impotence.
Cicatricial changes cause infertility as sperm motility and sperm quality decrease. In addition, narrowing of the urethra with scarring complicates urination and leads to obstruction of the bladder, which can lead to surgical intervention.
Chronic form
Chronic bacterial prostatitis is either primary or secondary. In the first case, it develops immediately without an acute stage, and in the second, it appears as an advanced form of acute inflammation of the prostate.
Symptoms of the chronic phase are more confusing, but also disturbing the patient:
- Difficulty urinating.
- The desire to use the toilet is growing.
- Erectile function is impaired.
- Burning and heaviness are felt in the perineal region.
These are the main symptoms of chronic PD, if treatment is not started on time (complex therapy), complications are possible in the following form:
- Cystitis.
- Sepsis.
- Pyelonephritis.
- Reduction of immunity.
The danger of the disease lies in the less pronounced symptoms that men sometimes simply do not pay attention to.
If it is impossible not to see the acute phase, the chronic inflammatory process is often overlooked, and treatment is long and not always effective.
Diagnosis of inflammation
When the first signs of prostatitis appear, you should consult a doctor who will prescribe a number of diagnostic measures. They will allow you to determine the presence and type of inflammation, which will help in the effective treatment of the disease.
A complete diagnostic includes:
- Digital examination of the prostate gland.
- Analysis of prostate secretion.
- Take a stain for STDs.
- ultrasound examination of the gland.
Your doctor may require a sperm test and biopsy to rule out or confirm the presence of prostate cancer.
Digital examination of the pancreas is unpleasant, but an important stage of diagnosis, because the patient is simple, has an uneven density and is enlarged.
Analysis of the secretion will determine the infectious or non-infectious form of the disease, and ultrasound will help the doctor to see the contours of the gland - if it is cloudy, it is a clear confirmation of prostatitis.
After diagnosis, the urologist decides to treat the patient, taking into account:
- type of prostatitis.
- Form of the disease.
- Age of the patient.
- individual characteristics of the patient. Presence of co-morbidities
- .
Correct diagnosis allows you to choose the optimal treatment regimen, and therapy shows the maximum effect. The more stages the diagnosis requires, the more accurate the diagnosis will be and the easier it will be to prescribe a complex therapy.
Treatment of prostatitis
Treatment for acute and chronic bacterial prostatitis is different because different doses of medication are required and the duration of treatment is different.
Interesting!At the initial stage, it is important to eliminate the unpleasant symptoms for the patient in order to improve the quality of life after complete recovery from the disease, regardless of the form, after the doctor's instructions.
Acute Prostatitis Therapy
Etiotropic therapy should be prescribed in the treatment of acute prostatitis; In case of a bacterial disease, antibiotics and antimicrobials should not be taken.
Additionally, the following is specified:
- Painkillers.
- Immunostimulants.
- Vitamins with trace elements.
- Massage.
Medications for PD are selected individually according to the initial infection and the course of the disease.
Important!Antibiotics and antibacterial agents fight germs, vitamins and immunostimulants help boost immunity.
In the pre-acute period, massage helps to accelerate the expulsion of prostate secretions and normalizes blood flow in the gland.
Massage cannot be prescribed during the acute course of the disease, and physiotherapy procedures such as laser and electrophoresis are not recommended at this stage.
These are mandatory stages of treatment, but are not recommended in the acute phase of PD.
Treatment of Chronic Prostatitis
Treatment of chronic bacterial prostatitis requires longer therapy and more extensive procedures. An increase in the dose of medication is often required.
Added to the above treatment steps:
- Acceptance of phytopreparations.
- A full range of physiotherapy.
- Do special exercises.
- Consult a psychologist.
As potency decreases, increasing doses of vitamins and stimulants may be prescribed as treatment requires regular sexual activity.
When it comes to exercise, they are selected depending on age, the course of the disease and the individual characteristics of the organism. The doctor also takes into account the presence of side effects.
If you learned how to diagnose bacterial prostatitis from the article, then you just need to carefully monitor your health and consult a doctor at the first signs of the disease.
The sooner therapy is started, the shorter the treatment process and the faster the man will start a life.