Acute prostatitis is an inflammatory process in the prostate from which no one is protected. According to experts, this disease is diagnosed in half of men of childbearing age. Acute prostatitis is an infectious lesion of the prostate, which is accompanied by edema and the formation of purulent foci in the organ. Some symptoms appear immediately, while others are not recognized until the diagnosis is made. What are the causes of the disease, how does it manifest itself and what treatment measures are taken?
Why is it created?
The causes of the acute form of the disease in men lie in the infection of organs with gram-negative (E. coli, Proteus, Klebsiela and others) and gram-positive (streptococci, staphylococci) bacteria.
Acute bacterial prostatitis often occurs as a result of urogenital infections that are transmitted through unprotected sexual intercourse, such as: B. :
- Chlamydia.
- candidiasis.
- gonorrhea.
- trichomoniasis and some others.
In addition, urethritis is often the cause of acute prostatitis: pathogenic bacteria invade through the prostate canals that open in the wall of the urethra. Infection is much less common when men develop acute cystitis and bacteria enter the prostate from the bladder. There is also a method of hematogenous infection, in which pathogens are distributed throughout the body via the bloodstream.
In addition to these reasons, there are other reasons:
- Disturbances in intimate life (interruption and short duration of sexual intercourse, erectile dysfunction).
- body hypothermia.
- Inactivity due to sedentary work or lifestyle.
- pathology of the rectum.
- Consequences of surgical intervention on the urogenital organs.
- Viral infections of the respiratory tract.
- Stagnant phenomena that form in the pelvic vessels and often lead to impaired drainage of the prostate canals.
- Difficulty defecating, varicose veins.
The causes are varied, but all contribute to the occurrence of acute prostatitis.
How is the pathology manifested?
Symptoms generally depend on the stage of inflammation.
In the catarrhal stage, the following symptoms of acute prostatitis are observed:
- Severity and painful symptoms in the genital area.
- Painful and frequent emptying of the bladder, which is particularly problematic for men at night.
- Slight temperature increase possible.
- No symptoms of intoxication.
Palpation may not see any changes or a slight enlargement of the prostate may be seen. In men, this test causes mild pain. The symptoms of acute prostatitis are also determined through tests. In the secret of the gland, an increased level of leukocytes is found, the presence of threads of mucus and pus, and leukocytes also appear in the urine. Timely treatment for catarrhal prostatitis allows a person to recover in a week and a half.
Acute follicular prostatitis has more intense symptoms. Men are concerned about pain in the perineal region, which is given to the sacral region called the anus. At this stage, the patient experiences painful urination. The pain also leads to difficulty in defecating. The temperature rises to 37. 5-38 ° C.
Certain symptoms are recognized and diagnosed. Upon examination, the doctor notes that the gland has increased and thickened while becoming asymmetrical. When pressed, it causes sharp pain. The number of purulent filaments and leukocytes in the urine increases, they are deposited as sediment in the urine. With appropriate treatment, the prognosis is favorable.
If the disease is left untreated, the next stage will develop - parenchymal acute prostatitis. The symptoms of this form of the disease in men are as follows:
- The temperatures rise to 39-40 ° C.
- The patient is trembling.
- There are signs of general weakness.
- Loss of appetite, but constant thirst.
- Urination is very frequent, difficult at first and stops after a while.
- The patient suffers from constipation and gas.
The symptoms of the acute type of prostatitis are more pronounced, e. g. B. radiate pain to the rectal area and pulse. Sometimes symptoms are complemented by swelling of the pararectal tissue, in which case the rectal research method cannot be used. An admixture of pus is observed in the urine. Acute illnesses should be treated urgently, otherwise an abscess will develop. If a weakly virulent pathogen enters the body, then the symptoms practically do not appear, and they say that the patient has a subacute type of prostatitis.
How is it treated?
Men are interested in the question of how to treat acute prostatitis? According to experts, the treatment of acute prostatitis is based primarily on eliminating the causes of the disease. As a rule, drugs with an antimicrobial effect are used. Antibiotics are selected individually based on the diagnosis made. Taking antibiotics lasts until full recovery. Such treatment, after medical examinations, will make it possible to stop acute processes that lead to the active reproduction of pathogenic microorganisms in the tissues of the infected organ of a man. Treatment of acute prostatitis should be comprehensive.
Not only antibiotics are used, but also other drugs:
- Immunostimulating drugs.
- Means that improve blood circulation.
- Nonsteroidal anti-inflammatory drugs.
- vitamin complexes.
- herbal medicine.
- Sedatives and antidepressants.
Preparations with analgesic and antispasmodic effects can relieve men from unpleasant painful sensations. A similar effect is exerted by suppositories for introduction into the anus with an anesthetic in the composition. Suppositories usually have antibacterial properties and gently act directly on the cause of the disease - the pathogen. At home, rectal suppositories with sea buckthorn oil, propolis, honey, as well as enemas with a warm brew made of herbs help to cope with pain.
In order to normalize metabolic processes in the prostate in men and accelerate the regeneration of damaged tissues, treatment with bioregulatory peptides is prescribed. Treatment also includes immunostimulants and modulators, nonsteroidal anti-inflammatory drugs (tablets or injections), solutions for injection, and vitamin complexes.
When antibiotics or NSAIDs fail to cope with the infection, hormones are included in treatment.
After the main symptoms of acute prostatitis have been eliminated, the treatment is supplemented by physiotherapy:
- electrophoresis.
- prostate massage.
- microwave and some others.
A good effect, as can be seen from patient reviews, is treatment of prostatitis with phytopreparations.
These drugs are recommended for home preventative use. Herbal tablets can replace decoctions and infusions of medicinal herbs prepared at home.
Symptoms of the acute type of prostatitis perfectly remove decoctions of tansy flowers, hop cones and celandine. Field horsetail, kalamus root, chamomile are effective.
With a significant delay in the outflow of urine in acute prostatitis, no catheter is inserted, treatment is carried out by removing the bladder wall - cystotomy.
If a prostate abscess is diagnosed, treatment is performed surgically, while the abscess is opened, the cavity is drained. In the acute form, bed rest is shown, as well as denial of sexual relations, diet food.
As can be seen from the reviews of doctors, timely identification of the causes of the acute form of the disease and a competently carried out process of treatment can cure the disease in a relatively short time.