Prostatitis is an inflammation of the prostate, the gland that produces the liquid portion of semen. This is the most common disease of the reproductive system in mature men. Acute bacterial prostatitis is a relatively rare disease, its frequency does not exceed three percent 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 normal microbiota of the body, that is, they constantly live on the skin, in the intestines. Once in the tissues and ducts of the prostate, they cause acute inflammation.
The infection can enter the prostate in two ways:
- ascending canalicular - bacteria with urethritis, cystitis, after cystoscopy enters the prostate.
- hematogenous - microbes enter the prostate gland with blood flow from distant foci of acute and chronic infection - boils, carbuncles, sinusitis, diseased teeth, and tonsils.
In addition to bacteria, stagnation of the secretion of the prostate gland and stagnation of venous blood, which develop during irregular sexual activity with rare sexual intercourse, with prolonged restrictions of mobility, especially in a sitting position and wearing clothes tight interior, they are important.
The gland consists of two sections: the follicles, in which the secretion occurs, and the excretory ducts, through which the liquid part of the semen enters the urethra. Depending on which part of the prostate is inflamed, there are different forms of acute prostatitis in men, which are treated with different methods.
Signs of acute prostatitis
The symptoms of acute prostatitis depend on the form and severity of the inflammatory process. Doctors distinguish between three ways:
- catarrhal.The main symptoms are urination disorder. The excretory ducts become inflamed, the prostate enlarges and blocks the urethra, as a result of which urination is prolonged, accompanied by pain and a burning sensation in the urethra. There are night urges, the patient suffers from insomnia.
- follicular.With further progression of the process, the follicle tissues begin to ooze. Urinary disorders are accompanied by pain in the perineum, radiating to the anus, the temperature rises to 38 degrees.
- parenchymal.The follicles continue to fester, a large number of small abscesses form. Difficulty urinating, it becomes very painful, pain appears during the act of defecation. The temperature rises to forty, in the groin, perineum, sacrum: sharp pains.
Diagnostic tests
The urologist makes a diagnosis based on a comprehensive study, which includes:
- Rectal exam.The urologist inserts a finger into the patient's anus and palpates the gland, determines the increase in volume and pain, and concludes that there is an inflammatory process.
- General urinalysis.In the urinalysis, leukocytes, blood, bacteria and proteins are determined. These are nonspecific indicators of urinary tract inflammation; they cannot be used to conclude on a specific site of inflammation.
- Bacteriological analysis of urine.Sterility urine culture allows you to isolate the microbes that caused the inflammation, determine their type, resistance, and sensitivity to antibiotics.
- Prostate ultrasound.Ultrasound examination shows a change in size, indicates nodes, formations, abscesses.
- MRI or CT scan of the pelvis.It is done in preparation for surgery or for differentiation with prostate tumors.
- Blood test for PSA.Prostate specific antigen is a protein secreted by the prostate. Its content increases in diseases of the prostate gland: prostatitis, adenoma and malignant tumors of the prostate. The analysis is carried out for the differential diagnosis with tumors, since the PSA values in cancer are much higher than in prostatitis.
Complications of acute prostatitis
If the correct treatment of acute prostatitis is not started in time, this can lead to the development of the following complications:
- Prostate abscess.If prostatitis is not treated, sooner or later small abscesses merge into a large one, which is called an abscess. This complication is treated only promptly, by opening the prostate and carefully cleaning the pus from there.
- Inflammation of the paraprostatic venous plexus.The inflammation of the prostate can spread to the surrounding veins. The large number of bacteria that are released into the bloodstream will lead to a systemic inflammatory response, sepsis, which can be fatal.
- Paraprostatitis.It occurs when an abscess bursts into the surrounding tissue of the prostate. Treat only promptly.
- Transition to a chronic form.Untreated acute prostatitis becomes chronic, requiring a course of treatment that lasts for several years. Fifty percent of patients with chronic prostatitis develop mental disorders that require correction with antidepressants and tranquilizers.
What to do with acute prostatitis
A patient with an attack of acute prostatitis needs urgent hospitalization. Treatment of acute prostatitis should be done in a hospital and includes antibiotics, anti-inflammatory agents, and restorative agents.
Antibacterial therapy includes broad-spectrum agents and is prescribed for long periods, fifteen to thirty days, until the bacteria are completely destroyed. For acute prostatitis, doctors often 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 used:
- nonsteroidal anti-inflammatory drugs (diclofenac) - help relieve pain;
- Bioregulatory peptides (prostate extract, vitaprost, prostatilen) - are used in the form of suppositories. The prostate not only produces the liquid part of semen, but also performs a regulatory function by releasing hormones. Suppositories help compensate for the lack of hormones and prevent associated complications.
Don't self-medicate, it's dangerous! Do not use home remedies such as prostate massage: secretions and pus, once in the blood, cause blood poisoning, which can be fatal. If you find signs of acute prostatitis, immediately call an ambulance or consult a doctor.
Sex with acute prostatitis is contraindicated. First of all, severe pain in the perineum and sacrum, high temperature, is not at all available to sexual intercourse. Second, the couple is at risk of contracting a sexually transmitted infection.
Prevention of acute prostatitis
Acute prostatitis is much easier to prevent than to cure. Just look at a few important points:
- carry out thorough personal hygiene, treat cystitis and urethritis in time;
- have sex regularly to avoid stagnation of prostate secretion;
- avoid sexually transmitted diseases;
- treat boils, carbuncles in time, monitor the health of your teeth;
- wear loose cotton underwear;
- get enough physical activity to avoid stasis in the prostate veins.
Treatment of prostatitis should be carried out under the strict supervision of a doctor. The specialist develops an examination program, draws up an individual diagnostic scheme.
It is important to consult a doctor at the first suspicion of pathology. Inattention to symptoms or self-medication can significantly complicate the situation. Timely and professional medical assistance will help to cope with the disease and prevent complications.
Symptoms and causes of prostatitis.
As a rule, speaking about the treatment of prostatitis, they refer to the chronic stage of the pathology. This is due to the fact that the acute phase lasts only a few days and often does not cause great concern for a man. 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
- cramps in the lower abdomen
- weakening of the erection,
- lack of voluntary erection in the morning.
These symptoms can appear all at once or one at a time. After a few days, they disappear or decrease significantly. This is precisely the danger of the disease. In the absence of qualified assistance, prostatitis becomes chronic. This stage is characterized by:
- increased need to urinate
- a decrease in the amount of urine excreted,
- weakening of the stream when urinating,
- erectile dysfunction,
- pain in the small pelvis, perineum.
Any of these symptoms is reason to consult a doctor. In our clinic, a urologist in Leninsky will accurately determine the cause of the disease and prescribe effective treatment.
Identifying the etiology of prostatitis is one of the most important tasks when choosing a therapeutic course. There are several main causes of the disease:
- sexually transmitted infections: chlamydia, trichomoniasis, ureaplasmosis and others,
- bacteria - enter the prostate gland through the urethra, with the flow of blood or lymph,
- hypothermia - causes inflammation of the prostate which, as in other cases, quickly becomes chronic.
All the tests necessary to identify the causes and treatment of prostatitis can be performed in our clinic. The examination program is carried out by the urologist on an individual basis.
Diagnosis of the disease
Among the mandatory methods for diagnosing prostatitis are:
- general urinalysis,
- microscopic examination of the discharge from the prostate,
- Ultrasound of the prostate gland.
According to the individual clinical picture, the urologist may prescribe additional examinations. If you suspect the sexually transmitted nature of prostatitis, it is recommended to get tested on Leninsky Prospekt for sexually transmitted diseases. Based on the results of a comprehensive diagnosis, the specialist draws up a treatment regimen for prostatitis.
Complex therapy
Treatment of prostatitis is often carried out using conservative methods. Antibiotic therapy is the foundation. With the help of antibiotics, pathogens are eliminated, inflammation of the prostate is eliminated. Modern drugs penetrate well into the tissue of the prostate gland and eliminate the main cause of the pathology. Also, the doctor may prescribe alpha-blockers, hormones, muscle relaxants.
Another effective technique is prostate massage. Restores the permeability of the ducts, improves blood circulation in the prostate and increases its tone. It is most often used in the treatment of bacterial prostatitis, the presence of pelvic pain syndrome.
The duration of the course depends on the individual picture of the disease. It is important that the treatment of prostatitis in the clinic is not aimed at alleviating the symptoms, but at eliminating the main cause of the pathology. This approach allows you to get rid of a chronic illness and prevent relapses.