In most cases, men are faced with chronic congestive prostatitis, the development of which is caused by impaired blood circulation and a thickening of the 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.
The causes of bacterial prostatitis
As the name of the diagnosis makes clear, the cause of the disease is bacteria that enter the prostate gland via lymphogenic or hematogenous routes.
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 against the background of serious infectious diseases such as flu, acute tonsillitis or pneumonia.
Most 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 protective function of the body:
- hypothermia;
- vitamin deficiency due to an unbalanced diet;
- antibiotic therapy;
- stress;
- hypodynamia;
- chronic focus of infection;
- bad habits;
- prolonged sexual abstinence;
- promiscuous sex.
The disease is characterized by acute and rapidly increasing symptoms. Unlike congestive prostatitis, bacterial inflammation is independent of age and occurs in young men.
Variety of the disease
Bacterial prostatitis is distinguished by the type of pathogen and the degree of involvement of the prostate tissue in the inflammatory process.
Staphylococcus aureus very 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 the 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 gland via the lymphogenous route.
Chlamydial prostatitis is a consequence of promiscuous sex. Chlamydial infection from a partner is asymptomatic, however, against the background of a decrease in immune defense, bacteria can enter the prostate gland, causing inflammation.
One of the most serious forms of bacterial prostatitis is fungal or candida 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 bacterial prostatitis caused by fungal microflora requires an integrated approach, as fungi rapidly develop resistance to the action of antifungals.
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 different types of disease, 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 ducts of the prostate gland. 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 with high fever, but is treated quite effectively with antibiotics.
In parenchymal inflammation, the pathological process spreads 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 disease types are also stages in the development of acute bacterial prostatitis. In the absence of timely treatment, one phase passes into another, the symptoms worsen, the risks of complications increase.
Symptoms of the disease
Symptoms of bacterial prostatitis depend on the stage of the inflammatory process. The following symptoms are characteristic of the early stages of the disease:
- pain in the bladder area;
- frequent need to use the toilet;
- pain after urination;
- general malaise.
As bacterial prostatitis progresses, symptoms worsen. The body temperature rises, the pain syndrome rises, 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 up to 40 ° C.
The frequency of stress in the bathroom 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 sensation of distension of the bladder with a complete impossibility of its emptying. This complication is very dangerous and requires hospitalization with subsequent installation of a catheter.
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 the pelvic organs. If urination is impaired, urinary backflush 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 mucous membrane of the urinary bladder and is accompanied by frequent need to use the toilet, spasms and pain in the bladder, hematuria.
Inappropriate or inadequate treatment of bacterial prostatitis can lead to 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 against the background of a decrease in immunity.
Acute bacterial prostatitis can cause infertility and impotence.
The most dangerous complication is the rupture of an abscess in the prostate cavity. 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, an abscess that bursts can lead to sepsis.
Diagnosis of the disease
The primary examination of the prostate is a digital examination (rectal palpation). If bacterial prostatitis is suspected, prostate massage is not performed when the patient has symptoms of intoxication and high fever, to avoid the risk of worsening symptoms.
Diagnosis is based on ultrasound or TRUS. Treatment for bacterial prostatitis depends on the type of inflammatory agent. To this end, it is necessary to analyze the secretion of the prostate. Since in case of 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 urinalysis, the doctor selects antibiotics and bactericidal drugs for the treatment of prostatitis.
Treatment of bacterial prostatitis
Treatment of bacterial prostatitis depends on the type of pathogen. The choice of antibiotic therapy for prostatitis is carried out based 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.
Non-steroidal anti-inflammatory drugs, antipyretic drugs 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 ease the course of the disease.
Folk remedies
Having understood how to cure the prostate with bacterial prostatitis with the help of drugs, 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 water bath and add 40 g of chopped propolis. The products are boiled until the propolis dissolves and the mass acquires a uniform color and texture. Then the medicine is cooled in the refrigerator, having previously formed a cone from the mass, using a transparent film. After cooling, the cone is cut into small torpedoes, approximately 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 lasts two weeks.
Nuts and pumpkin seeds can help speed up healing. To prepare the medicine, grind 100 g of raw peeled 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 need to eat 3 of these balls per day.
Men are also encouraged to eat walnut kernels 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 spoons per 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 insured against a repeated episode of prostatitis. To prevent the development of bacterial prostatitis, you must:
- dressing for the weather;
- avoids hypothermia;
- promptly cures any infectious diseases;
- protect yourself during intercourse.
For long-term antibiotic or corticosteroid therapy, consult your physician on how to prevent deterioration of the immune system.
You should pay attention to your 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 a course of vitamins designed specifically for men every year, monitor the diet and avoid stress.