What is acute prostatitis in men

pain in a man with acute prostatitis

Acute prostatitis is an inflammatory disease, usually of an infectious nature, which is accompanied by swelling and ulceration in the tissues of the organ of the same name. It was previously thought to affect mostly older men, but studies have shown that the pathology has noticeably "rejuvenated. " Prostatitis is now found in middle-aged patients.

In the treatment is allowed to use not only drugs but also the use of folk remedies after consultation with a specialist.

Causes of pathology

Acute prostatitis is diagnosed in 30-50% of men, most often in the working age, ie 30 to 50 years. This inflammation leads to:

  • erectile dysfunction;
  • infertility;
  • depression.

The causative agents of the disease are mainly non-specific infectious agents. These are pathogenic microorganisms such as E. coli, staphylococci, streptococci and others. But sometimes acute prostatitis is caused by other pathogens that are associated with sexually transmitted diseases - chlamydia, ureaplasmosis, gonorrhea, mycoplasmosis. Often the cause is conditionally pathogenic microflora - the fungus Candida (Candida).

The main reasons for the development of prostatitis are reduced to the penetration of infection, most often by transcanalicular route. This occurs through the secretory ducts of the prostate gland. Because they open into the wall of the posterior urethra, the development of prostatitis is affected by the presence of a disease such as urethritis.

In men, acute cystitis (inflammation of the bladder caused by bacteria) is rare. But if so, then in such cases the prostate suffers, which enters the pathogenic microflora. The introduction of bacteria into the body is much faster if there are concomitant pathologies - stones in the urethra, which create increased intraurethral pressure.

Sometimes it is possible to develop an inflammatory process due to the penetration of infection with the bloodstream, as the prostate is supplied with the help of a developed arterial and venous network. This happens when there are foci of chronic inflammation in the body, but they have nothing to do with the prostate. Infections are transmitted hematogenously with sinusitis, tonsillitis, bronchitis, and even caries.

The presence of cholecystitis (a disease of the gallbladder) also causes the development of acute prostatitis. Lymphogenic transmission of intestinal infection (proctitis and colitis) is sometimes possible.

Non-infectious factors in the development of prostatitis - the presence of congestion in the vessels of the pelvis, irregular sex life and its disorders. Including prostatitis is possible in men who practice interrupted coitus.

The factors that provoke the disease are:

  • sedentary way of life;
  • digestive disorders (mainly frequent constipation);
  • hypothermia and reduced immunity;
  • phlebeurism;
  • excessive alcohol consumption.

Basic forms

There are three forms of the disease:

  1. catarrhal. The ducts of the prostate glands are mainly inflamed, but there are no changes at the macro level. Processes of dystrophy of the roof epithelium are observed in the canals themselves, there is a slight swelling in the stroma, the vessels are complete.
  2. Follicular. Both the reverse development of the process and its increase are possible when the prostatitis turns into a follicular form, and the inflammatory process already affects the tissues of the prostate gland. The body increases in size, becomes relaxed. Focal infiltrates appear around the canals.
  3. Parenchymal. The most serious stage of the disease. In it, the inflammatory process affects the entire gland, an abscess is formed. If the disease is unfavorable, pus may open and enter the intestines, bladder and urethra.

Symptoms

Common signs are urinary incontinence, pain and manifestations of intoxication - weakness, nausea, vomiting, dizziness and other unpleasant phenomena that cause discomfort.

The other symptoms of acute prostatitis correspond to the stages of development of the process:

> zxtable border = "1" cellpadding = "0" >scene Symptoms catarrhal The first signs are a feeling of heaviness and pain in the perineum. There are dysuric disorders, ie disorders of urination, its increase, the appearance of pain or pain in the process. Body temperature usually remains normal, sometimes rising slightly. Diagnosis at this stage includes examination of prostate secretion. May show an increase in the number of leukocytes, the presence of mucopurulent fibers. Urine analysis shows an increase in white blood cells. At this stage, prostate massage is not prescribed due to pain. But drug treatment allows you to get rid of the pathology in 7-10 days. Follicular The symptoms will be more pronounced. This stage is accompanied by dull pain that is localized in the perineum, but can be attributed to the anus, rectum or lumbar region. Urination becomes so painful that urinary retention is possible.

The act of defecation is difficult, also due to severe pain. Body temperature rises to 38 degrees, general health deteriorates. The patient experiences:

  • weakness;
  • headache;
  • muscle and joint pain;
  • feeling of constant weakness and fatigue
Parenchymal In acute parenchymal prostatitis, the temperature rises to 39 degrees. There is fever or chills. Urination can be quick, but it is often difficult to stop completely, as attempts to empty the bladder are accompanied by severe pain. Flatulence occurs, digestion is impaired, constipation occurs. The pain is felt in the rectum. From pain they become throbbing. One tries to find a position in which one does not feel pain (most often when lying with legs folded). In the acute form of prostatitis, enlargement and swelling of the prostate gland is observed. There may be a discharge from the urethra that is white or yellowish green

The consequences of acute prostatitis can be sepsis (general blood poisoning), cystitis or pyelonephritis. If the disease develops with such complications, then the patient needs hospitalization. But in mild cases, the pathology can be treated at home.

Treatment

Treatment of acute prostatitis should be comprehensive. Treatment involves eliminating the cause of the disease, ie pathogenic microorganisms. In such cases, antibiotics are used, their combination, as one drug rarely gives the desired effect.

With timely treatment, the symptoms disappear quickly, in just a few days. But the doctor prescribes a course of at least 4 weeks to completely cleanse the body of harmful bacteria, prevent recurrence and transition to a chronic form.

Antibiotics are prescribed only according to the results of studies that reveal the cause of the disease and its resistance to certain drugs. Other factors are also taken into account. For example, drugs from the group of aminoglycosides and beta-lactams do not penetrate well into the tissues of the prostate gland.

Fluoroquinolones and macrolides have higher penetrating power.

But not only penetrating ability is important, but also the strength of the bactericidal effect. Therefore, macrolides and other agents are sometimes prescribed. The forms of release of such drugs may be different.

Candles are rarely used. In severe cases of the disease, intravenous antibiotics are indicated (even in hospital). In mild cases, the treatment is carried out on an outpatient basis, the patient takes pills at home.

Analgesics and non-steroidal anti-inflammatory drugs are used to relieve pain. They reduce the temperature, but sometimes additional antipyretics are prescribed. In case of severe pain, short-term use of opiates is practiced.

For the treatment of acute prostatitis plays an important role drinking plenty of fluids, best - cranberry juice or rosehip broth to wash the urinary tract, reduce intoxication and prevent the development of cystitis and pyelonephritis. Light laxatives such as Vaseline oil are used.

Antispasmodics and alpha-blockers may be prescribed for urinary problems.

If there is a muscle spasm, take muscle relaxants.

Folk remedies

Treatment of the disease with folk remedies is possible only as an adjunct therapy that enhances the effect of medication.

Pumpkin seeds are a popular folk remedy. They have been shown to contain a lot of zinc, which has an anti-inflammatory effect. To get the right dose of this substance is enough to eat 30 g of peeled raw seeds once a day before meals.

You can make a mixture based on pumpkin seeds (only not fried) and honey:

  1. Turn 500 g of purified raw materials with a meat grinder or blender.
  2. Add a glass of not very liquid honey.
  3. Stir well until the consistency is such that the mixture can form into walnut-sized balls.

The product is stored in the refrigerator. You should eat 1-2 of these balls half an hour before meals. The drug should be chewed thoroughly and not swallowed immediately.