Prostatitis is inflammation of the prostate, which is a gland that produces the fluid part of semen. This is the most common disease of the mature male reproductive system. Acute bacterial prostatitis is a relatively rare disease that does not occur more than 3% of all inflammatory processes in the prostate.
Causes of acute prostatitis
The main cause of acute prostatitis in men is bacteria, some of which are part of the body's normal microbiota, that is, they always exist in the skin and intestines. Once in the tissues and ducts of the prostate, they can cause acute inflammation.
Infection can enter the prostate in two ways:
- Ascending tubules-urethritis, cystitis, bacteria enter the prostate after cystoscopy.
- Hematogenous-Microorganisms enter the prostate in the bloodstream from distant acute and chronic infectious lesions-boils, carbuncle, sinusitis, sick teeth and tonsils.
In addition to bacteria, prostate secretion stagnation and venous blood stagnation are also important. These phenomena occur during irregular sexual activity and rare sexual intercourse, and long-term activity is restricted, especially when sitting and wearing tight underwear.
The gland is composed of two parts-the hair follicle that produces secretions and the excretion tube. The liquid part of the semen enters the urethra through the excretion tube. According to which part of the prostate is inflamed, there are different forms of male acute prostatitis and different treatment methods.
Signs of acute prostatitis
The symptoms of acute prostatitis depend on the form and severity of the inflammatory process. Doctors distinguish three forms:
- Catarrh.The main symptom is dysuria. The excretion tube is inflamed, and the prostate is enlarged and obstructs the urethra, leading to prolonged urination time, accompanied by urethral pain and burning. There is nocturnal impulse, and the patient has insomnia.
- Of hair follicles.As the process progresses further, the hair follicle tissue begins to fester. Urinary system diseases are accompanied by pain in the perineum, which radiates to the anus, and the body temperature rises to 38 degrees.
- essential.The follicles continue to fester, forming a large number of small abscesses. Difficulty urinating, severe pain, pain during defecation. The temperature rises to forty, in the groin, perineum, sacrum-severe pain.
Diagnostic test
The urologist makes a diagnosis based on comprehensive research, which includes:
- Rectal examination.The urologist inserts a finger into the patient’s anus and feels the glands, determines the increase in volume and soreness, and concludes that there is an inflammatory process.
- General urinalysis. In urinalysis, white blood cells, blood, bacteria and proteins can be measured. These are non-specific indicators of urinary tract inflammation; they cannot be used to infer specific sites of inflammation.
- Bacteriological analysis of urine.Aseptic culture of urine allows you to isolate the microorganisms that cause inflammation, determine their type, resistance and sensitivity to antibiotics.
- Prostate ultrasound.Ultrasonography showed changes in size, indicating nodes, structures, and abscesses.
- MRI or CT scan of the pelvis.It is used to prepare for surgery or to differentiate from prostate tumors.
- PSA blood test.Prostate-specific antigen is a protein secreted by the prostate. Its content increases in prostate diseases-prostatitis, adenomas and prostate malignancies. This analysis is used for the differential diagnosis of tumors, because the PSA value in cancer is much higher than that in prostatitis.
Complications of acute prostatitis
If the correct treatment of acute prostatitis is not started in time, the following complications may occur:
- Prostate abscess.If prostatitis is not treated, sooner or later the small abscess will merge into a large abscess, called an abscess. This complication can only be treated promptly, opening the prostate and carefully removing the pus there.
- Inflammation of the paraprostatic venous plexus.Inflammation of the prostate can spread to the surrounding veins. A large number of bacteria released into the blood can cause a systemic inflammatory response-sepsis-which can be fatal.
- prostatitis.It occurs when the abscess invades the tissues surrounding the prostate. It can only be treated in time.
- Transition to chronic form.Untreated acute prostatitis will become chronic, which requires a course of treatment that lasts for several years. 50% of patients with chronic prostatitis will have mental disorders, which need to be corrected with antidepressants and sedatives.
What to do with acute prostatitis?
Patients with acute prostatitis require urgent hospitalization. The treatment of acute prostatitis should be carried out in the hospital, including the use of antibiotics, anti-inflammatory agents and repair agents.
Antibacterial therapy includes broad-spectrum drugs and requires long-term use-from fifteen to thirty days, until the bacteria are completely eliminated. For acute prostatitis, doctors usually use the following antibiotics and antibacterial drugs:
- Fluoroquinolones-Levofloxacin, Ciprofloxacin;
- Trimethoprim;
- Doxycycline;
- cephalosporins-Cefotaxime, ceftriaxone.
In addition to antibiotics for acute prostatitis, the following drugs are also used:
- Non-steroidal anti-inflammatory drugs (diclofenac)-help relieve pain;
- Biological regulatory peptides (prostate extract, vitamin prost, prostaglandin)-used in the form of suppositories. The prostate not only produces the liquid part of semen, but also performs regulatory functions by releasing hormones. Suppositories help to make up for the lack of hormones and avoid complications related to it.
Don't self-medicate-it's dangerous! Do not use folk remedies such as prostate massage-secretions and pus. Once in the blood, it will cause blood poisoning, which may be fatal. If you see signs of acute prostatitis, call an ambulance or see a doctor immediately.
Sex with acute prostatitis is contraindicated. First of all, severe pain in the perineum and sacrum, high temperature, never have sex. Second, the partner is at risk of contracting sexually transmitted diseases.
Prevent acute prostatitis
Prevention of acute prostatitis is much easier than treatment. It is enough to observe a few key points:
- Do personal hygiene and treat cystitis and urethritis in time;
- Have sex regularly to avoid stagnation of prostate secretion;
- Avoid sexually transmitted diseases;
- Treat boils and carbuncle in time and monitor dental health;
- Wear loose cotton underwear;
- Provide yourself with enough physical activity to avoid prostate venous stasis.
The treatment of prostatitis should be carried out under the strict supervision of a doctor. Experts make inspection plans and make personal diagnosis plans.
It is important to consult a doctor when pathology is suspected for the first time. Failure to pay attention to symptoms or self-medication can significantly complicate the situation. Timely and professional medical assistance will help cope with diseases and prevent complications.
Symptoms and causes of prostatitis
Usually, when it comes to the treatment of prostatitis, they mean the chronic stage of the pathology. This is because the acute phase lasts only a few days and usually does not cause serious concern for men. As a result, the inflammatory process becomes chronic, and the treatment of prostatitis is significantly delayed.
Acute prostatitis can be recognized by the following signs:
- Pain in the perineum and scrotum,
- Lower abdominal cramps
- A weakened erection,
- Lack of voluntary erection in the morning.
These symptoms can occur at the same time or one at a time. After a few days, they will disappear or decrease significantly. This is where the danger of disease lies. Without qualified help, prostatitis will become chronic. The characteristics of this stage are:
- Increased urge to urinate,
- The amount of urine excreted is reduced,
- Water flow weakens when urinating,
- Erectile dysfunction,
- Pain in the small pelvis and perineum.
Any of these symptoms are reasons to see a doctor. In our clinic, Leninsky's urologist will accurately determine the cause of the disease and prescribe effective treatments.
Determining the cause of prostatitis is one of the most important tasks when choosing a treatment course. There are several main reasons for this disease:
- Sexually transmitted infections-chlamydia, trichomoniasis, ureaplasmosis, etc. ,
- Bacteria-along with the flow of blood or lymph, enter the prostate through the urethra,
- Hypothermia-causing inflammation of the prostate, in other cases, inflammation of the prostate can quickly become chronic.
All necessary examinations to determine the cause and treatment of prostatitis can be done in our clinic. The examination plan is individually formulated by the urologist.
Disease diagnosis
The mandatory methods of diagnosing prostatitis include:
- General urinalysis,
- Microscopic examination of prostate secretions,
- Prostate ultrasound.
Depending on the individual's clinical situation, the urologist may prescribe additional examinations. If you suspect the sexually transmitted nature of prostatitis, it is recommended to perform STD testing on Leninsky Prospekt. Based on the results of the comprehensive diagnosis, experts formulate a treatment plan for prostatitis.
Comprehensive Therapy
The treatment of prostatitis is usually carried out by conservative methods. Antibiotic treatment is the foundation. With the help of antibiotics, pathogens are eliminated and prostate inflammation is eliminated. Modern drugs penetrate well into the prostate tissue, eliminating the main cause of pathology. In addition, the doctor may prescribe alpha-blockers, hormones, and muscle relaxants.
Another effective technique is prostate massage. It restores the patency of the catheter, improves the blood circulation of the prostate, and increases its tension. It is most commonly used to treat bacterial prostatitis, the presence of pelvic pain syndrome.
The duration of treatment depends on the individual condition of the disease. Importantly, the purpose of clinical treatment of prostatitis is not to relieve symptoms, but to eliminate the main cause of pathology. This method allows you to get rid of chronic diseases and prevent recurrence.