In most cases, men are faced with chronic congestive prostatitis, the development of which is caused by impaired blood circulation and thickened prostatic 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, 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 through the lymphogenous or hematogenous route.
Infection of the prostate gland with lymphatic flow occurs with the development of various inflammatory diseases of the genitourinary system.
Along with the bloodstream, 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 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 of small importance, since the disease develops only with reduced 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 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 distinguished by the type of pathogen and the degree of involvement of prostatic tissue in the inflammatory process.
Staphylococcus aureus most commonly causes 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 of a chronic focus of infection in the body.
Among the conditional pathogenic microorganisms that cause prostatitis, E. coli and Pseudomonas aeruginosa occupy the first place in the prevalence. This form of the disease develops against the background of a decrease in immunity. Pathogenic microorganisms enter the prostate through the lymphogenous route.
Chlamydial prostatitis is a consequence of short-lived sex. Chlamydia infection from a partner is asymptomatic, but against the background of a decrease in immune defense, bacteria can enter the prostate, causing inflammation.
One of the most serious forms of bacterial prostatitis is fungal inflammation or candidiasis. It develops with the penetration of Candida fungi into the prostate. The disease develops slowly, and for a long time it may not manifest itself with vivid symptoms. Often the fungal form of inflammation turns into chronic prostatitis.
Treatment of abacterial prostatitis caused by fungal microflora requires an integrated approach, as fungi quickly develop resistance to the action of antimycotics.
Candida has not shown its presence for a long time and is difficult to treat.
Acute bacterial prostatitis may be accompanied by the formation of purulent foci. There are several types of diseases, 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 prostate ducts. It belongs to mild forms of inflammation and is successfully treated with antibiotics within 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 a high fever, but it is quite effectively treated with antibiotics.
With parenchymal inflammation, the pathological process spreads to the whole organ. At the same time, the size of the prostate increases, its contours change, and edema develops. Without prompt treatment, this form of the disease can progress to chronic prostatitis.
A prostate abscess is the formation of a cavity filled with pus. Due to the abscess, there is a high fever and symptoms of intoxication. When an abscess bursts, immediate relief occurs, but the penetration 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 intoxication of the body. The abscess is opened by surgery.
The types of diseases listed are also stages of development of acute bacterial prostatitis. In the absence of prompt treatment, one stage passes to another, the symptoms worsen, the risk of complications increases.
Symptoms of the disease
Symptoms of bacterial prostatitis depend on the stage of the inflammatory process. The following symptoms are characteristic of the initial stages of the disease:
- pain in the area of the bladder;
- frequent urge to go to the bathroom;
- pain after urination;
- general unease.
As the bacterial prostatitis progresses, the symptoms get worse. The body temperature rises, the pain syndrome rises, and urination problems are aggravated.
In severe cases, severe intoxication is possible, accompanied by nausea and vomiting, loss of strength and dizziness. Body temperature can reach 40 ° C.
The frequency of urging to go to the toilet can be up to 10 times per hour. In this case, the man feels the fullness of the bladder, after urination there is no relief.
In severe cases, acute urinary retention may develop. This is accompanied by a feeling of distension of the bladder with a total impossibility of its emptying. This complication is very dangerous and requires hospitalization with the subsequent installation of a catheter.
Frequent urination is caused by compressing 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 urination is impaired, urinary flushing is possible, resulting in 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 lining of the bladder and is accompanied by a frequent urge to go to the toilet, spasms and pain in the bladder, hematuria.
Inadvertent or inadequate treatment of bacterial prostatitis can lead to chronic disease. If acute bacterial prostatitis is successfully treated with antibiotics, the treatment of chronic disease is aggravated by periodic exacerbations of symptoms, which occur against the background of decreased immunity.
Acute bacterial prostatitis can cause infertility and impotence.
The most dangerous complication is an abscess rash in the prostate cavity. Purulent masses with the outflow of blood and lymph are transported through the pelvic organs, causing inflammation of the rectum, bladder and kidneys. In severe cases, an abscess explosion can lead to sepsis.
Diagnosis of diseases
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 high fever, prostate massage is not performed, in order to avoid the risk of worsening symptoms.
The diagnosis is made on the basis of ultrasound or TRUS results. Treatment for bacterial prostatitis depends on the type of inflammatory agent. For this it is necessary to analyze the secretion of the prostate. Since in acute inflammation, rectal examination of the prostate is prohibited, urine is taken for bacteriological analysis of the causative agent of 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 for the treatment of prostatitis.
Treatment of bacterial prostatitis
The way to treat bacterial prostatitis depends on the type of pathogen. The choice of antibiotic therapy for prostatitis is made depending on the sensitivity of pathogens to the action of certain drugs.
Antibiotic treatment can be supplemented with rectal suppositories - these are antibacterial and anti-inflammatory suppositories used for prostatitis.
Nonsteroidal anti-inflammatory drugs, antipyretics with anti-inflammatory action, antispasmodics help reduce the signs and symptoms of bacterial prostatitis. These drugs do not cure prostatitis, but they can relieve pain and help the disease progress.
Folk remedies
Having understood how to cure prostate with bacterial prostatitis with the help of medication, many will be interested in the possibility of 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 to it. The funds are boiled until the propolis dissolves and the mass acquires a uniform color and consistency. Then the drug is cooled in the refrigerator, having previously formed a cone from the mass, with the help of 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, 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 medicine, grind 100 g of peeled raw nuts and seeds in a coffee grinder, then mix with a glass of honey. From the resulting mass, balls are made, about 2-3 cm in diameter. You must eat 3 of these scoops per day.
Men are also encouraged to eat walnut kernels with honey. To prepare the drug, a glass of chopped walnuts is mixed with honey and insisted for three days in the refrigerator. Then the remedy is taken three large spoons a day.
Prevention
Bacterial prostatitis is a dangerous disease that can become chronic. In most cases, prompt treatment can successfully get rid of the disease, but not a single man is insured against a repeated episode of prostatitis. To prevent the development of bacterial prostatitis, you should:
- dress for the weather;
- avoid hypothermia;
- treat all infectious diseases on time;
- protect yourself during sex.
With long-term antibiotic therapy or corticosteroid therapy, you should consult your doctor to find out how to prevent a deterioration of the immune system.
You should pay attention to 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. To this end, it is recommended to drink an annual course of vitamins specially designed for men, to monitor the diet and to avoid stress.