In most cases, men face chronic congestive prostatitis, the development of which is caused by impaired blood circulation and thickening of prostate secretion. This form of inflammation is considered a disease of older men. In approximately 20% of cases, patients in urological clinics are diagnosed with bacterial prostatitis - an acute form of inflammation of the prostate, which does not depend on age and is caused by the action of pathogenic microorganisms.
Causes of bacterial prostatitis
As is clear from the name of the diagnosis, the cause of the disease is bacteria that enter the prostate via lymphogenic or hematogenous routes.
Prostate infection with lymphatic flow occurs with the development of various inflammatory diseases of the genitourinary system.
With the bloodstream, the infection enters the prostate in the context of serious infectious diseases, such as influenza, acute tonsillitis or pneumonia.
Most of the time, pathogenic microorganisms enter the prostate through the urethra. The infection occurs in the context of diseases of Organs genitals.
In bacterial prostatitis, the causes are in the action of pathogenic microbes, but the general condition of the body is not of little importance, since the disease only develops with reduced immunity. The reasons for the weakening of the body's protective function:
- hypothermia;
- vitamin deficiency due to an unbalanced diet;
- antibacterial therapy;
- stress; hypodynamic
- ;
- chronic focus of infection;
- bad habits;
- prolonged sexual abstinence;
- promiscuous sex.
The disease is characterized by acute symptoms that increase rapidly. Unlike congestive prostatitis, bacterial inflammation is independent of age and occurs in young men.
Varieties of the disease
Bacterial prostatitis is differentiated by the type of pathogen and the degree of involvement of the prostate tissue in the inflammatory process.
Staphylococcus aureus often causes prostatitis. This form of the disease is characterized by the formation of abscesses in the prostate tissue, accompanied by an increase in temperature and release of pus through the urethra or anus. This form of the disease can be a complication of flu, pneumonia or a consequence of the presence of a chronic focus of infection in the body.
Among the conditionally pathogenic microorganisms that cause prostatitis, E. coli and Pseudomonas aeruginosa occupy the first place in prevalence. This form of the disease develops against the background of a decrease in immunity. Pathogenic microorganisms enter the prostate via the lymphogenic pathway.
Chlamydia prostatitis is a consequence of promiscuous sex. A partner's chlamydia infection is asymptomatic; however, in the context of decreased immune defense, bacteria can enter the prostate, causing inflammation.
One of the most serious forms of bacterial prostatitis is inflammation by fungi or candida. It develops with the penetration of the Candida fungi into the prostate. The disease develops slowly and for a long time it may not manifest with vivid symptoms. Often, the fungal form of inflammation turns into chronic prostatitis.
The treatment of abacterial prostatitis caused by fungal microflora requires an integrated approach, since fungi quickly develop resistance to the action of antimycotics.
Candida does not show its presence for a long time and is difficult to treat.
Acute bacterial prostatitis can be accompanied by the formation of purulent foci. There are several types of diseases, depending on the degree of involvement of the prostate tissue in the inflammatory process:
- catarrhal
- ; follicular
- ;
- parenchymatous;
- prostate abscess.
The catarrhal shape is characterized by the inflammation of the walls of the prostate ducts. 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 is manifested by high fever, but is treated quite effectively with antibiotics.
In inflammation of the parenchyma, the pathological process spreads throughout the organ. At the same time, the prostate enlarges, its contours change and the edema develops. In the absence of timely treatment, this form of the disease can progress to chronic prostatitis.
A prostate abscess is the formation of a pus-filled cavity. Because of the abscess, there is a high fever and symptoms of intoxication. When an abscess appears, immediate relief occurs, but the entry of purulent 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 body intoxication. The abscess is opened with surgery.
The listed types of the disease are also stages of development of acute bacterial prostatitis. In the absence of timely treatment, one phase 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 early stages of the disease are characterized by the following symptoms:
- pain in the bladder area;
- frequent need to use the bathroom;
- pain after urinating;
- general malaise.
As bacterial prostatitis progresses, symptoms worsen. Body temperature increases, pain syndrome increases and problems with urination are aggravated.
In severe cases, severe intoxication is possible, accompanied by nausea and vomiting, loss of strength and dizziness. Body temperature can rise to 40 ° C.
The frequency of urinating in the bathroom can be up to 10 times an hour. In this case, the man feels a full bladder, after urinating there is no relief.
In severe cases, acute urinary retention may occur. This is accompanied by a feeling of distention of the bladder with the total impossibility of emptying it. This complication is very dangerous and requires hospitalization with subsequent catheter installation.
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 Organs pelvic organs. If urination is impaired, reflux of urine is possible, which leads 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 membrane of the bladder and is accompanied by frequent need to go to the bathroom, cramps and pain in the bladder, hematuria.
Early or inadequate treatment of bacterial prostatitis can cause chronic diseases. If acute bacterial prostatitis is successfully treated with antibiotics, the treatment of chronic disease is aggravated by periodic exacerbations of symptoms, which occur in the context of decreased immunity.
Acute bacterial prostatitis can cause infertility and impotence.
The most dangerous complication is the rash of an abscess in the prostate cavity. Purulent masses with blood and lymph flow are carried by Organs pelvic organs, causing inflammation of the rectum, bladder and kidneys. In severe cases, an explosive abscess can lead to sepsis.
Diagnosis of diseases
The primary prostate exam is a digital exam (rectal palpation). If bacterial prostatitis is suspected, when the patient has symptoms of intoxication and high temperature, prostate massage is not performed to avoid the risk of worsening symptoms.
The diagnosis is based on ultrasound or TRUS. The treatment of bacterial prostatitis depends on the type of inflammatory agent. Therefore, it is necessary to analyze the secretion of the prostate. As in acute inflammation, rectal examination of the prostate is prohibited, urine is removed for bacteriological analysis of the causative agent of prostatitis. It is also necessary to undergo a general and biochemical blood test.
Based on the results of the urine analysis, the doctor selects antibiotics and bactericidal drugs for the treatment of prostatitis.
Treatment of bacterial prostatitis
How to treat bacterial prostatitis depends on the type of pathogen. The choice of antibiotic therapy for prostatitis is based on the sensitivity of pathogens to the action of certain medications.
Antibiotic treatment can be supplemented with rectal suppositories - antibacterial and anti-inflammatory suppositories used for prostatitis.
Non-steroidal anti-inflammatories, antipyretics with anti-inflammatory action, antispasmodics help to reduce the signs and symptoms of bacterial prostatitis. These drugs do not cure prostatitis, but they can relieve pain and facilitate the course of the disease.
Folk remedies
After figuring out how to cure the prostate with bacterial prostatitis with the help of drugs, many will be interested in the possibility of an alternative treatment.
Among the effective methods of treating prostatitis with folk remedies, the most effective are rectal suppositories with propolis. You can cook them yourself. To do this, melt 200 g of cocoa butter in a double boiler and add 40 g of crushed propolis. The bottoms are boiled until the propolis dissolves and the dough acquires uniform color and consistency. Then, the medicine is cooled in the refrigerator, having previously formed a cone from the dough, using plastic wrap. After cooling, the cone is cut into small torpedoes, about 2 cm in diameter and 4 cm long. Suppositories are stored in the refrigerator, used twice a day - morning and evening. The course of treatment takes two weeks.
Nuts and pumpkin seeds can help speed your recovery. To prepare the remedy, grind 100 g of peeled raw nuts and seeds in a coffee grinder and mix with a cup of honey. From the resulting mass, balls are made, about 2-3 cm in diameter. You need to eat 3 of these balls daily.
Men are also encouraged to eat nuts with honey. To prepare the medicine, a glass of chopped nuts is mixed with honey and left in the refrigerator for three days. Then, the medicine is taken three large spoons a day.
Prevention
Bacterial prostatitis is a dangerous disease that can become chronic. In most cases, timely treatment can successfully get rid of the disease, but not a single man is immune to repeated episodes of prostatitis. To prevent the development of bacterial prostatitis, you must:
- dressed for the weather;
- avoid hypothermia;
- treat any infectious diseases in time;
- protect yourself during sexual intercourse.
With long-term antibiotic or corticosteroid therapy, you should consult your doctor about how to prevent the deterioration of the immune system.
You must pay attention to your own immunity, as weakening of the body's protective function leads to the development of an acute inflammatory process in the prostate. Therefore, it is recommended to take an annual vitamin course designed specifically for men, to monitor diet and avoid stress.