In most cases, men face chronic congestive prostatitis, the development of which is caused by poor circulation and thickening of prostate secretions.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 gland, which does not depend on age and is caused by the action of pathogenic microorganisms.
Causes of the development of bacterial prostatitis
As the name of the diagnosis makes clear, the cause of the disease is bacteria that penetrate the prostate 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.
Through the bloodstream, the infection enters the prostate gland against the background of serious infectious diseases such as flu, acute tonsillitis or pneumonia.
Most often, pathogenic microorganisms enter the prostate gland through the urethra.Infection occurs against the background of diseases of the genital organs.
In bacterial prostatitis, the causes lie in the action of pathogenic microbes, but important importance is attached to the general condition of the body, since the disease develops only with reduced immunity.Reasons for weakening the body's protective function:
- hypothermia;
- vitamin deficiency due to an unbalanced diet;
- antibacterial therapy;
- stress;
- physical inactivity;
- chronic focus of infection;
- bad habits;
- prolonged sexual abstinence;
- promiscuity.
The disease is characterized by acute and rapidly increasing symptoms.Unlike congestive prostatitis, bacterial inflammation is not age-dependent and occurs in young men.
Types of disease
Bacterial prostatitis is differentiated by the type of pathogen and the degree of involvement of prostate tissue in the inflammatory process.
Most often, prostatitis is caused by staphylococci.This form of the disease is characterized by the formation of ulcers 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 flu, pneumonia or a consequence of the presence of a chronic source of infection in the body.
Among the opportunistic microorganisms that cause prostatitis, Escherichia coli and Pseudomonas aeruginosa rank first in prevalence.This form of the disease develops against a background of decreased immunity.Pathogenic microorganisms enter the prostate via the lymphogenic route.
Chlamydial prostatitis is a consequence of promiscuity.Chlamydia infection from a partner is asymptomatic, but due to decreased immune defense, bacteria can enter the prostate, causing inflammation.
One of the most serious forms of bacterial prostatitis is fungal or Candida inflammation.It develops when fungi of the genus Candida penetrate the prostate.The disease develops slowly and may not show significant symptoms for a long time.Often the fungal form of inflammation develops into chronic prostatitis.
Treatment of abacterial prostatitis caused by fungal microflora requires an integrated approach, since fungi quickly develop resistance to the action of antifungal drugs.
Candida does not appear 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 prostate tissue in the inflammatory process:
- catarrhal;
- follicular;
- parenchymal;
- prostate abscess.
The catarrhal form is characterized by inflammation of the walls of the prostate ducts.It is a mild form of inflammation and can be successfully treated with antibiotics within a week and a half.
Follicular prostatitis is accompanied by the formation of ulcers in the glandular tissue.This form of the disease is manifested by a high fever, but is treated quite effectively with antibiotics.
With inflammation of the parenchyma, the pathological process spreads throughout the entire organ.At the same time, the prostate gland increases in size, its contours change and swelling occurs.In the absence of timely treatment, this form of the disease can develop into chronic prostatitis.
A prostate abscess is the formation of a cavity filled with pus.Due to the abscess, a high temperature and symptoms of intoxication occur.When an abscess ruptures, immediate relief occurs, but entry of purulent contents into the general bloodstream can lead to sepsis.This form of the disease is characterized by acute pain, high body temperature and severe body intoxication.The abscess is opened surgically.
The listed types of diseases also act as stages of development of acute bacterial prostatitis.In the absence of timely treatment, one stage passes into another, symptoms worsen and the risk of complications increases.
Symptoms of the disease
Symptoms of bacterial prostatitis depend on the stage of the inflammatory process.The initial stages of the disease are characterized by the following symptoms:
- pain in the bladder region;
- frequent urge to go to the bathroom;
- pain after urinating;
- general malaise.
As bacterial prostatitis progresses, symptoms intensify.Body temperature rises, pain increases, and urination problems worsen.
In severe cases, severe poisoning is possible, accompanied by nausea and vomiting, loss of strength and dizziness.Body temperature can rise up to 40°C.
The frequency of the urge to go to the bathroom can reach up to 10 times per hour.In this case, the man feels that the bladder is full and after urinating there is no relief.
In particularly severe cases, acute urinary retention may occur.This is accompanied by a feeling of fullness of the bladder with complete 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 the inflamed prostate.
Why is prostatitis dangerous?
The danger of bacterial prostatitis lies in the risk of infection of the pelvic organs.If urination is impaired, urine may backflow, which leads to kidney infection.This disease 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 bladder mucosa and is accompanied by frequent urges to use the bathroom, bladder spasms and pain, and hematuria.
Delayed or inadequate treatment of bacterial prostatitis can lead to chronicity of the disease.If acute bacterial prostatitis is successfully treated with antibiotics, the treatment of a chronic disease is aggravated by periodic exacerbations of symptoms, which occur against a background of decreased immunity.
Acute bacterial prostatitis can cause infertility and impotence.
The most dangerous complication is the appearance of an abscess in the prostate cavity.Purulent masses are carried by blood and lymph through the pelvic organs, causing inflammation of the rectum, bladder and kidneys.In particularly severe cases, a ruptured abscess can cause sepsis.
Diagnosis of the disease
The primary prostate exam is a digital exam (rectal palpation).If bacterial prostatitis is suspected, when the patient has symptoms of intoxication and a high temperature, prostate massage is not performed to avoid the risk of worsening symptoms.
The diagnosis is made based on the results of ultrasound or TRUS.The treatment of bacterial prostatitis depends on the type of inflammatory agent.To do this, an analysis of prostate secretion is necessary.Since rectal examination of the prostate is prohibited in case of acute inflammation, urine is collected for bacteriological analysis of the causative agent of prostatitis.It is also necessary to do a general and biochemical blood test.
Based on the results of a urinalysis, 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 made depending on the sensitivity of pathogenic agents to the action of certain medications.
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 and antispasmodic effects help reduce the signs and symptoms of bacterial prostatitis.These medications do not cure prostatitis, but they reduce pain and alleviate the course of the disease.
Folk remedies
Having discovered how to cure the prostate with bacterial prostatitis with the help of medications, 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 prepare them yourself.To do this, melt 200 g of cocoa butter in a water bath and add 40 g of crushed propolis.The mixture is boiled until the propolis dissolves and the mass acquires a uniform color and consistency.Then the medicine is cooled in the refrigerator, having previously formed a cone from the mass using plastic wrap.After cooling, the cone is cut into small torpedoes, approximately 2 cm in diameter and 4 cm long.Suppositories are stored in the refrigerator and used twice a day - in the morning and in the evening.The course of treatment takes two weeks.
Nuts and pumpkin seeds help speed up recovery.To prepare the medicine, grind 100 g of raw peeled nuts and seeds in a coffee grinder and mix with a glass of honey.Balls measuring approximately 2 to 3 cm in diameter are made from the resulting dough.You need to eat 3 of these balls every day.
Men are also recommended to eat walnut kernels with honey.To prepare the medicine, a glass of chopped walnuts is mixed with honey and left in the refrigerator for three days.Then the medicine is taken three large spoons daily.
Prevention
Bacterial prostatitis is a dangerous disease that can become chronic.In most cases, timely treatment allows you to successfully get rid of the disease, but no man is immune from repeated episodes of prostatitis.To prevent the development of bacterial prostatitis, it is necessary:
- dress according to the weather;
- avoid hypothermia;
- treat any infectious diseases in a timely manner;
- protect yourself during sexual intercourse.
If you are on long-term antibiotic or corticosteroid therapy, consult your doctor about how to prevent immune system deterioration.
You should pay attention to your own immunity, since a weakening of the body's protective function leads to the development of an acute inflammatory process in the prostate gland.To do this, it is recommended to take an annual course of vitamins designed specifically for men, monitor your diet and avoid stress.