Almost everyone will face prostatitis at different ages. This disease is related to the inflammatory process of the prostate, which may be caused by stagnant processes in the pelvic area and various infections. When the analysis showed that there was a pathogen in the secret of the prostate, the doctor diagnosed bacterial prostatitis. Why does this disease happen and how to treat it?
reason
According to the name, it is clear that the main reason for the development of the disease is the entry of bacteria into the prostate. The pathogen can be:
- Intestines and Pseudomonas aeruginosa.
- Staphylococcus aureus.
- Enterococcus.
- Klebsiella.
- Enterobacter.
- Proteus.
- Sexually transmitted infections.
Many pathogenic microorganisms always exist in the human body without harming them. However, when favorable conditions arise, the infection begins to develop actively, leading to disease. These favorable conditions for bacteria include:
- Urinary system diseases.
- Bacterial infections that develop in the body can enter the prostate through blood or lymph.
- Phimosis of the prostate.
- Acute epididymitis.
- Urinary catheter.
- Reflux (in the prostate or urethra of the prostate), when disease-causing organisms enter the prostate.
- Transurethral surgery without prior antibiotic treatment.
- Difficulty in urination due to abnormal bladder structure.
- Diseases related to reduced immune defenses (AIDS, diabetes, hemodialysis procedures).
When bacteria enter the prostate area, the pathogenic flora begins to actively develop and an inflammatory process occurs in the organ.
Risk factors that increase the likelihood of prostatitis include:
- Contagious common diseases of the genitourinary system.
- Worm infection and the presence of other parasites.
- Genetic susceptibility.
- Incomplete or delayed bladder emptying.
- Low temperature.
- Chemicals irritate the urethra.
- Promiscuity, lack of contraceptive measures.
The main reason for the development of prostate inflammation
- Long-term abstinence.
- The existence of bad habits.
- Weakened immunity.
- Improper nutrition.
- Dehydrated body.
- A sedentary lifestyle leads to stagnation in the pelvic area.
- There are often stressful situations.
symptom
It is impossible not to pay attention to the symptoms of bacterial prostatitis, because the disease is acute. The patient is worried:
- Increased body temperature, accompanied by chills.
- Pain in the perineum, lower abdomen and lower back.
- Painful urination. The patient noticed pain and burning in the urethra, especially at night.
- Difficulty urinating, feeling of incomplete bladder emptying.
- The inflamed prostate squeezes the anus and may cause constipation.
- Signs of body poisoning (headache, general weakness, body pain).
- Excreted from the urethra.
The symptoms of the disease also vary according to the stage of bacterial prostatitis:
- At the beginning of the disease, the inflammation does not spread beyond the prostate. A man is worried about pain in the perineum, which will radiate to the sacrum area. Urination is quick and painful.
- In the second stage, inflammation transfers to the prostate lobules. In this case, the pain will increase and can be given to the anus. Urination is obviously impaired until it is completely retained.
- In advanced bacterial prostatitis, the inflammation spreads to all lobules of the prostate. The patient complained of signs of systemic poisoning. Body temperature rose to 40 degrees. Delayed urination becomes severe. There is a throbbing sensation in the perineum. Constipation often occurs.
Possible complications
If the treatment is not timely or of poor quality, acute bacterial prostatitis will seriously endanger the health and life of men. The most dangerous of these is sepsis.
In addition, the infection may rise above the prostate and cause pyelonephritis or cystitis.
Bacterial prostatitis can become chronic, and its treatment is usually difficult and causes complications, such as adenoma, infertility, impotence, etc.
diagnosis
Because bacterial prostatitis has characteristic symptoms, it is usually easy to diagnose. If the disease is not acute, the doctor will perform a rectal examination by exploring the gland area and taking a sample of the secretion for analysis. The following studies can help make a diagnosis:
- Perform clinical and bacterial analysis of the patient's blood and urine.
- Prostate ultrasound.
- Blood PSA.
- Analysis of the epithelium scraped from the urethra.
treatment
The danger of bacterial prostatitis is that it can become a chronic disease in the shortest possible time. Therefore, it is very important to start treatment when the first signs of disease are discovered. After all, the chronic form of this disease causes the inflammatory process to spread to surrounding tissues and organs. If you neglect treatment and do not take certain medications, your prostate will shrink completely.
Antibiotics are used to treat bacterial prostatitis. Only the doctor can recommend this or that drug after the examination and the results of the microbiological test are obtained.
Antimicrobial treatment is considered to be the most suitable for the bacterial nature of the disease. Because antibiotics can make organs and tissues permeable, the drugs can penetrate freely to the site of inflammation.
In the treatment of bacterial prostatitis, the following antibiotics are prescribed:
- Ampicillin.
- Macrolide preparations are very effective in combating many pathogens of the disease.
- The cephalosporin group of drugs is effective in the acute phase of the disease.
- Fluoroquinolones are highly sensitive to many bacteria. Because these drugs have a large number of side effects, caution should be used when prescribing them.
- Tetracycline may be difficult to tolerate, so it is rarely prescribed recently.
The course of antibiotics should not be less than 10 days.
In addition, non-steroidal anti-inflammatory drugs are used for treatment. They effectively relieve the pain and inflammation of the prostate.
If urinary problems are observed, the patient will be shown the use of alpha blockers, which can cause a decrease in the tone of the smooth muscles of the urethra and bladder.
Usually, bacterial prostatitis is accompanied by frequent changes in the state of depression and the patient's mood. In this case, the doctor recommends the use of sedative drugs.
If the condition is severe, the patient needs detoxification treatment, including intravenous glucose, trace element saline solution and vitamin complex. Men must follow the drinking regime and drink at least 2 liters of clean water every day.
The medication regimen for prostatitis should aim to normalize the blood circulation in the pelvic area and enhance the body's defenses. To do this, use:
- Vitamin and mineral complex.
- Antispasmodic.
- Immunomodulator.
- Biological product.
In addition to taking medicines, doctors will also recommend decoctions of medicinal materials (chamomile, calendula) to make microcapsules. The use of topical preparations in the case of bacterial prostatitis should be strictly restricted because of the high risk of various complications.
After the inflammatory process is eliminated, the patient receives physical therapy (electrical prostate stimulation, magnetic therapy, etc. ). They help speed up recovery and are performed in outpatient clinics.
In extreme cases, when the medication does not achieve the desired effect, the doctor may decide to perform surgery. This intervention involves removal of the prostate, which is usually done in elderly men. Young people do not receive this treatment due to possible complications (enuresis, impotence, infertility).
If bacterial prostatitis becomes chronic, it is quite difficult to treat. It must be remembered that this is no longer possible at home.
Precaution
The best way to prevent bacterial prostatitis is to live an active lifestyle. This is due to insufficient blood supply from the gland itself. Therefore, people who work for a long time need to take regular breaks to move around a little bit or do some special exercises (pull the anal muscles).
Contrast showers will produce good results. In this case, the water flow is directed directly to the perineal area. The use time for warm (hot) water is 30 seconds, and for cold water-it should not exceed 15 seconds. The average duration of this process should be 5 minutes.
Preventive measures also include:
- Avoid hypothermia.
- Fight against constipation. If you can't get rid of them by yourself, you need to see a doctor, who will advise you to use mild laxatives.
- Normalization of sexual activity (choose a permanent partner, use condoms in case of suspicious contact, avoid prolonged absences or excessively active sex).
- A urologist performs regular preventive examinations on all men over the age of 40-45.
forecast
What are the consequences of male bacterial prostatitis? The success of treatment depends on the timeliness and ability of prescribed treatment. In addition, this is also affected by the patient's age, lifestyle, disease stage, and whether there are other physical diseases.
In the acute phase, he responded well to the medication. A few days later, the man's condition improved significantly. However, if treatment is improper or interrupted, prostatitis may recur and turn into a chronic form, which turns out that the disease is more difficult to cure.
In order to avoid the adverse consequences of bacterial prostatitis, men must monitor their health, follow preventive measures, and consult a doctor if the perineum is uncomfortable.