In most cases, men face chronic congestive prostatitis, the development of which is caused by impaired blood circulation and a thickening of the secretion of the prostate. 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 is not dependent on age and is caused by the action of pathogenic microorganisms.
Causes of bacterial prostatitis
As can be seen from the name of the diagnosis, the cause of the disease is bacteria that enter the prostate gland via the lymphogenic or hematogenous route.
Infection of the prostate with lymphatic flow occurs with the development of various inflammatory diseases of the genitourinary system.
With the bloodstream, the infection enters the prostate gland in the context of serious infectious diseases such as influenza, acute tonsillitis or pneumonia.
Very often, pathogenic microorganisms enter the prostate through the urethra. 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 little importance, since the disease develops only with reduced immunity. The reasons for the weakening of the body's protective function:
- hypothermia;
- vitamin deficiency due to an unbalanced diet;
- antibiotic therapy;
- stress;
- hypodynamics;
- 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.
Disease varieties
Bacterial prostatitis is distinguished by the type of pathogen and the degree of involvement of the prostate tissue in the inflammatory process.
Staphylococcus aureus most 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 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 conditionally pathogenic microorganisms that cause prostatitis, E. coli and Pseudomonas aeruginosa rank first in prevalence. This form of the disease develops against the background of a decrease in immunity. The pathogenic microorganisms enter the prostate gland by the lymphatic route.
Chlamydial prostatitis is a consequence of promiscuous sex. Chlamydia infection of a couple is asymptomatic, however, against the background of a decrease in immune defenses, bacteria can enter the prostate gland and cause inflammation.
One of the most serious forms of bacterial prostatitis is yeast or yeast inflammation. It develops with the penetration of Candida fungi into the prostate gland. The disease develops slowly and for a long time 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 rapidly develop resistance to the action of antifungal agents.
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;
- parenchymal;
- prostate abscess.
The catarrhal form is characterized by inflammation of the walls of the prostate gland 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 manifests itself as a high fever, but it is treated quite effectively with antibiotics.
In parenchymal inflammation, the pathological process extends to the entire organ. At the same time, the prostate increases in size, its contours change, and edema develops. In the absence of timely treatment, this form of the disease can develop into chronic prostatitis.
A prostate abscess is the formation of a pus-filled cavity. Due to the abscess, there is a high fever and symptoms of intoxication. When an abscess bursts, immediate relief occurs, but the entry 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 with surgery.
The listed types of the disease 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 risks of complications increase.
Symptoms of the disease
The 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 bladder area;
- frequent need to use the bathroom;
- pain after urination;
- general malaise.
As bacterial prostatitis progresses, the symptoms get worse. Body temperature rises, pain syndrome rises, and urination problems worsen.
In severe cases, severe intoxication is possible, accompanied by nausea and vomiting, loss of strength, and dizziness. Body temperature can rise up to 40 ° C.
The frequency of urgency to go to the bathroom can be up to 10 times per hour. In this case, the man feels the fullness of the bladder, after urinating 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 emptying it. This complication is very dangerous and requires hospitalization with the subsequent installation of a catheter.
Frequent urination is caused by compression of the bladder by an enlarged prostate.
Why is prostatitis dangerous?
The danger of bacterial prostatitis is the risk of infection of the pelvic organs. If urination is impaired, urine may recede, leading to a kidney infection. This condition is called pyelonephritis and it 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 urinary bladder and is accompanied by a frequent need to use the toilet, spasms and pain in the bladder, hematuria.
Inappropriate or inappropriate 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 aggravated by periodic exacerbations of symptoms, which occur against the background of a decrease in immunity.
Acute bacterial prostatitis can cause infertility and impotence.
The most dangerous complication is the outbreak of an abscess in the prostate cavity. The purulent masses with the flow of blood and lymph are transported through the pelvic organs, causing inflammation of the rectum, bladder and kidneys. In severe cases, a burst abscess can lead to sepsis.
Disease diagnosis
The primary exam of the prostate is a digital exam (rectal palpation). If bacterial prostatitis is suspected, when the patient presents symptoms of intoxication and high fever, prostate massage is not performed, in order 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. To do 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.
Bacterial prostatitis treatment
How to treat bacterial prostatitis depends on the type of pathogen. The choice of antibiotic therapy for prostatitis is carried out depending on the sensitivity of pathogens to the action of certain drugs.
Antibiotic treatment can be supplemented with rectal suppositories, which are antibacterial and anti-inflammatory suppositories used for prostatitis.
Non-steroidal anti-inflammatory drugs, antipyretic drugs 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 make the disease easier.
Folk remedies
Having figured out how to cure the prostate gland 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 water bath and add 40 g of crushed propolis. The media 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, using an adhesive 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, in the morning and in the evening. The course of treatment lasts two weeks.
Walnuts 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 and then mix with a glass of honey. From the resulting mass, balls of about 2-3 cm in diameter are made. You need to eat 3 of these balls a day.
Men are also encouraged to eat walnuts with honey. To prepare the medicine, a glass of chopped walnuts is mixed with honey and insisted for three days in the refrigerator. Then the remedy is taken three large tablespoons a day.
Prevention
Bacterial prostatitis is a dangerous disease that can become chronic. In most cases, prompt treatment can successfully eliminate the disease, but not a single man is immune from a repeat episode of prostatitis. To prevent the development of bacterial prostatitis, you should:
- dress for the weather;
- avoid hypothermia;
- treat any infectious disease early;
- protect yourself during intercourse.
For long-term antibiotic or corticosteroid therapy, consult your physician on how to prevent immune system impairment.
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 do this, it is recommended to annually drink a course of vitamins designed specifically for men, monitor the diet and avoid stress.