Nonbacterial prostatitis: why it develops and how it proceeds

Painful symptoms in the prostate area and pathological processes in it are not always of infectious origin. In such cases, signs of the disease are visible on the face, but the source of inflammation cannot be detected. This is explained by the presence of non-bacterial prostatitis, which has the symptoms of bacterial prostatitis, but it appears for other reasons.

Types of prostatitis

Depending on the causes of prostatitis, the disease is classified into the following types:

• bacterial;
• non-bacterial;
• calculous;
• stagnant;
• purulent, which in turn is divided into catarrhal, follicular, parenchymal, abscess.

In addition, the disease occurs in acute and chronic forms.

Acute prostatitis

Each form of prostatitis is characterized by its own manifestations. The acute course of the disease is characterized by pronounced symptoms that significantly worsen a man’s well-being:

• General malaise with symptoms reminiscent of the flu or a cold with weakness and fever.
• Soreness in the groin area, moving to the lower back and anus, to the lower back, legs. Pain sensations are observed in muscle tissues and during bowel movements.
• The process of urination becomes difficult, sometimes urinary retention occurs.
• Problems with erection and ejaculation appear.
• When the disease is advanced, purulent discharge is observed.

It is important to approach the diagnosis and treatment of acute prostatitis seriously, otherwise over time the symptoms will disappear and the disease will become chronic.

Chronic prostatitis

If you do not attach importance to chronic prostatitis and do not treat it, it can eventually degenerate into prostate adenoma. Other dangerous complications are possible when the inflammatory process spreads upward to the kidneys.

There are many reasons for the appearance of chronic prostatitis:

• previous infectious diseases of the reproductive system;
• weakened immune system;
• inactivity;
• stressful situations;
• poor nutrition, which results in bad stool;
• injuries;
• hypothermia;
• bad habits.

• problematic urination;
• discomfort accompanied by mild pain in the perineal area;
• burning, sharp pain in the groin area;
• feeling of weakness, neurasthenia, apathetic mood;
• decreased sex drive.

During an exacerbation of chronic prostatitis, symptoms of the acute course of the disease are observed.

Relapse leads to weak potency and the likelihood of conceiving a child decreases.

Prostatitis is a curable disease if proper attention is paid to it in the initial stage of development.

Etiology of non-bacterial inflammation

Chronic pelvic pain syndrome, which is another name for non-bacterial prostatitis, is one of the most common problems among males. From statistical data it is known that every fifth man over 30 years of age is affected by this disease.

To a greater extent, the disease is urological in nature. In rare cases, the occurrence of this form of prostatitis is associated with psychological disorders.

There are a large number of medical techniques to combat abacterial prostatitis. But despite this, it is very difficult to recover from the disease, and getting rid of its consequences is even more difficult.

The causes of non-bacterial prostatitis include the following:

• Disruption of the immune system resulting in autoimmune inflammatory processes. This means that the prostate begins to be attacked by its own antibodies, which is accompanied by painful symptoms and high fever.
• A sedentary lifestyle negatively affects blood flow in the limbs and pelvis, which can lead to a lack of oxygen and nutrients. Some of them die from cell hypoxia. Stagnant processes in the pelvic organs lead to inflammation in the prostate.
• Reduced tone of the prostate gland leads to stagnation of urine and secretions of the organ, which subsequently ends in inflammation.
• Incorrect nerve impulses can enter the prostate due to frequent stressful situations and emotional overstrain.

Symptoms of the disease

It is important to recognize non-infectious prostatitis at an early stage. Then it will be easier and faster to cure it.

• pain in the pelvic area, radiating to the perineum and lumbar area;
• pain when urinating;
• discomfort during sexual intercourse;
• problems in the gastrointestinal tract;
• general malaise.

In the late stage of the disease, the following symptoms are added to the above symptoms:

• depressed mood;
• insomnia;
• constant and nagging pain, from which only painkillers can help.

It is important to begin treatment at this moment, otherwise the disease becomes chronic, which is characterized by constant aching and nagging pain that appears regularly or with variable character.

Most often, to suppress unpleasant symptoms, therapy is accompanied by the constant use of painkillers. To prevent the inflammatory process in the prostate gland from becoming a lifelong companion, it should be noticed at the very beginning.

Treatment of chronic nonbacterial prostatitis is a labor-intensive and lengthy process.

Diagnostics

Initially, the doctor whom the patient turns to examines all his complaints and, based on this, compiles a medical history. Then he recommends taking the following tests:

• urine culture for the presence of microorganisms;
• general blood analysis;
• urethral smear;
• culture of prostate secretions to detect bacteria and infections;
• Ultrasound;
• MRI.

The doctor recommends ultrasound and MRI if there is an increased level of leukocytes, if no pathogenic microorganisms are detected in the analysis of urine and prostate secretions. These two methods allow you to look at the size of the prostate gland or changes in its walls. Possible pinching of nerve endings is also monitored and the cause of this is determined.

Treatment

Treatment of non-bacterial prostatitis can begin only after a correctly made and confirmed diagnosis.

1. Drug treatment.
2. Non-drug treatment.
3. Folk recipes.
4. Physiotherapy.
5. Preventive procedures.

Drug therapy

The basis of drug therapy for abacterial prostatitis is the use of antibacterial drugs, alpha-blockers, painkillers, and sedatives.

Antibiotics are prescribed by the doctor as a safety precaution, because not all microorganisms are detected in laboratory tests. As a rule, this is a course of taking tablets or injections, consisting of 10 days.

With the help of alpha-blockers, prostate enlargement is prevented and urination is improved.

Treatment of non-bacterial prostatitis does not involve surgery.

Non-drug treatment

There are many non-drug measures to treat this disease. All of them are considered auxiliary. These types of therapy include:

• Following a diet that includes avoiding spicy, fried foods, coffee, and alcohol. These products have an aggressive effect on the prostate gland. It is important to pay special attention to the consumption of drinking water, with the help of which all pathogenic microorganisms are eliminated. The diet should include grains, fiber, and foods containing zinc.
• The use of water procedures, with the help of which the pain syndrome of the disease is well relieved. The water in the bathroom should be a pleasant temperature for the body.
• Therapeutic massage of the prostate gland is useful if non-bacterial prostatitis does not develop against the background of the introduction of intracellular parasites.
• Gymnastics for the pelvic floor muscles, which includes squeezing and relaxing them. There should be at least 100 such contractions over several approaches.

Phytotherapy

This method helps in the treatment of prostatitis, increasing immunity and relieving inflammatory processes. Herbal treatment is safer for the body and causes fewer side effects.

• Tinctures of chamomile, yarrow, St. John's wort, sage, which must be taken for at least 30 days.
• Suppositories with propolis.
• Parsley and dill juice.
• Infusion of lingonberry leaf with bearberry.
• Herbal baths before bed.

Physiotherapy

With the help of physiological procedures, swelling of the prostate is relieved. Through this treatment, blood circulation inside the gland improves. Of these procedures, the following are particularly noted:

• Laser therapy helps improve metabolic processes and blood circulation in the prostate gland.
• A urethral catheter helps with serious problems with urination, making it easier.
• Ozone therapy is considered an innovation in the treatment of this disease. With the help of ozone, microbes are actively combated, blood circulation is improved, and inflammatory processes are relieved.

Possible complications

Prostatitis can have serious consequences, so you should not delay its treatment. Complications include the following diseases:

• Epididymitis, characterized by inflammation in the epididymis.
• Vesiculitis, which is an inflammation of the seminal vesicles.
• Epididymo-orchitis is an inflammatory process in the testicles and their appendages.
• Male infertility that speaks for itself.
• Erectile disfunction.

All of the above diseases can be avoided if you carefully listen and take a closer look at your body and undergo the necessary examination at the first symptoms.

Prevention Tips

Preventive measures include those that prevent the primary development of pathology, as well as the occurrence of relapses of a chronic disease. The following preventive recommendations are worth noting:

• Every man should closely monitor his personal and sexual hygiene.
• It is important to refrain from casual sex.
• You need to develop stress resistance and the ability to respond correctly to factors that irritate the nervous system.
• You need to eat right.
• Injury should be avoided, especially in the pelvic area.
• It is important to lead a healthy lifestyle and periodically visit a urologist.

These measures are quite enough to prevent a problem in the form of non-bacterial prostatitis from appearing. After all, it is much easier to stop any disease at its source than to then suffer for years from unpleasant symptoms and resort to lengthy and complex therapy.

Source: https://UroMir.ru/vospalenie/vidy/nebakterialnyj-prostatit.html

How to treat non-bacterial prostatitis

Chronic nonbacterial prostatitis, otherwise known as pelvic pain syndrome, is a particularly common and common disease among males.

According to statistics, about 1 out of 5 men at least once in their lives encounter the phenomenon of non-infectious prostatitis.

The nature of the disease is urological, and the disease may also be a symptom of a separate group of genital diseases.

Symptoms

Non-bacterial prostatitis is characterized by the presence of severe and prolonged (up to six months) pain syndrome, located mainly in the pelvis. Characteristic pain in non-bacterial prostatitis, noted by most patients, can be classified according to severity and location.

So, we can highlight:

• Pelvic pain;
• Pain in the genitourinary organs;
• Pain in the bladder area.
• In some cases, patients reported pain during ejaculation.

Non-bacterial prostatitis can be accompanied by sexual dysfunction and causes a variety of sexual disorders. In general, the symptomatic picture may vary significantly depending on each specific case.

In order to better understand what non-infectious prostatitis is, let’s consider the medical interpretation of chronic pelvic pain syndrome. Abacterial prostatitis is an ailment that manifests itself with a certain periodicity, may be evidence of the presence of chronic prostatitis or is characterized by constant pain in the pelvic area.

Non-infectious prostatitis is often accompanied by:

• Dysfunction of the intestines and digestive system;
• Dysfunction of the genitourinary tract and organs.

Most patients experience the following symptoms during the active phase of the disease:

• Decreased activity and vital signs of the body;
• Decreased libido and other difficulties with the functioning of the reproductive system.

Stages of the disease

Modern medicine and qualified specialists traditionally identify several main stages of development of the disease in question:

• The first stage, characterized by the formation of pain localized in a specific area discussed earlier. During this stage, patients experience sleep disturbances and a gradual “spreading” of pain to neighboring organs. According to the severity and frequency of pain, classification for the first stage of development is not given due to the connection with the degree of disturbance of blood circulation in the vessels;
• The second stage is most often characterized by the formation of pain in the abdominal area. Also, the nerve endings located near the vertebra are involved in the pathology. At this stage, men experience pronounced pain in the pelvic area and sexual dysfunction (complete or partial);
• At the third stage, pathological processes actively spread and begin to cover more and more areas of the man’s body. The longer the disease “dominates” in the body, the greater the likelihood that sexual disorders and disorders of the digestive tract will not keep you waiting.

Causes

Among the main causes of the disorder, experts highlight:

• Inflammatory processes occurring in the tendons and ligaments of the pelvic floor area. This phenomenon may be a consequence of a special kind of reaction to inflammation located near the area caused by infectious bacteria (for example, cystitis, intestinal disorders). The result of excessive and unusual tension in the muscle fibers and ligaments of the pelvic area is pronounced pain in the abdomen, groin and lower back. Often there are unpleasant sensations in the anus;
• Also, the cause of the formation and development of the disease may be pinching of the pelvic nerves. In this case, the type of prostatitis in question may be a reaction to inflammatory processes occurring in the ligaments located directly near the nerves extending from the abdominal area to the genitourinary organs. This is due to the development of swelling and increase in size, and, as a result, compression of nearby nerve endings, which leads to pain transmitted to the scrotum, penis, legs and other adjacent areas;
• If there is depletion of the nervous system, then a phenomenon such as increased perception of pain may occur. The formation of heightened perception may be a consequence of a long-term struggle of brain cells with pain impulses, as a result of which they cease to respond and block new urges. With this combination of circumstances, patients note a decrease in the effect of painkillers and the occurrence of night pain.

Diagnostics

In order for the doctor to make a correct and accurate diagnosis, which has an important impact on the success of subsequent measures aimed at combating the disease, he will need:

• Collect anamnesis and ask a series of questions to the patient;
• Examine the prostate rectally without the use of instruments (with your fingers) for the object and nature of inflammation;
• Collect a general analysis of urine and blood, and, if necessary, conduct microbiological studies;
• Diagnose the presence of inflammation or refute it;
• Conduct a more thorough examination using ultrasound equipment (ultrasound).

If the measures taken are not enough or an accurate diagnosis has not been made by the doctor, they may need to be repeated. This is due to the fact that the disease in certain forms is difficult to diagnose. If the diagnosis is confirmed, it's time to take action.

Treatment

Treatment of non-bacterial prostatitis after an accurate diagnosis is made by the attending physician should be carried out through a set of measures. The most common methods of influencing the disease are:

• Drug intervention;
• Massages;
• Physiotherapy.

Modern medical practice widely uses a variety of medications for treatment - all kinds of drugs from antibiotics to analgesics, etc. Medications are aimed at suppressing the symptoms of the disease, as well as eliminating the causes of inflammation. The main groups of drugs against chronic pelvic pain syndrome are as follows:

• Non-steroidal;
• Anti-inflammatory drugs;
• Cytomedins;
• Antispasmodics;
• Herbal preparations;
• Relaxers, etc.

The doctor treating you can prescribe this or that drug or complex, having studied in detail the stage and degree of development of the disease, he will help you choose the best possible drug complex.

Treatment of non-infectious prostatitis can also be carried out using a special type of stimulation - prostate massage. Such a therapeutic event will help reduce the main pain symptoms, also improve the general condition of the patient and help restore normal blood circulation in the prostate and adjacent organs, eliminating disruptions in the outflow of secretion.

With the help of massage it is possible to significantly improve the effect of measures to combat the disease.

As for physiotherapeutic techniques, they represent one of the most promising and effective ways to combat pain accompanying the disease. The undeniable advantages of physiotherapy are:

• Excellent tolerability;
• Absolute absence of allergic reactions;
• No side effects.

Physiotherapy is characterized by an anti-inflammatory effect and relieves pain well, minimizing the development of microorganisms and increasing resistance to inflammation. Physiotherapeutic methods also increase the body's resistance to inflammatory processes, relieving the patient of edema and improving blood circulation.

Physiotherapeutic measures carried out by a specialist will also have a beneficial effect on lymphatic and venous outflow, activate metabolic processes and increase the rate of healing of damaged tissues and the patient’s recovery.

Recently, some doctors have been using a special technique - laser therapy. The process involves a special kind of impact on the prostate with a laser beam in the infrared range.

The penetrating ability of such a device is quite high, which, if used correctly, promotes the activation of metabolic processes and increases the energy production of mitochondria. As a result of exposure of the affected areas to a laser beam, the healing and recovery processes of the body will be significantly accelerated.

Source: https://stojak.ru/prostatit/nebakterialnyj-prostatit.html

Congestive nonbacterial prostatitis

Today, chronic non-bacterial prostatitis is a pathology that, as its name suggests, can be non-infectious in nature. Unfortunately, as statistical data show, it is this type of prostatitis that is most widespread, since it occurs in almost 80, or even 90% of all existing cases.

But the reasons for the development of this non-bacterial form of prostatitis can be very diverse. Doctors usually identify the following most obvious reasons:

• infectious processes, although they are important only as an initiating factor against which the disease can develop, but in the future the real infection is still not detected.
• All kinds of dysfunction of the prostate gland, a sharp decrease in the level of substances important for the body - lysozyme and zinc.
• Severe immunity disorders, represented by a decrease in immune strength and activation of autoimmune processes, which can be directed against the tissues of the gland itself.
• Stagnation occurs when there is no outflow of contents from the prostate gland, say, due to excessively long sexual abstinence.
• Serious circulatory disorders directly in the pelvis of a man, which often occurs as a result of an extremely sedentary, constantly sedentary, inactive lifestyle, as a result of heart or vascular diseases.
• Certain disturbances in the innervation of the gland itself, which arise as a result of a variety of neurological or degenerative diseases.

The second name for this disease is considered to be chronic pelvic pain syndrome.

Today, when an examination of a man does not reveal an infection as the real cause, which could be prostatitis, and the basic symptoms of the development of prostatitis have been observed for quite a long time, in such cases a diagnosis can be made - a chronic form of non-bacterial prostatitis or chronic pelvic pain syndrome.

In addition, depending on the absence/presence of inflammation noticed directly in the prostate gland, the chronic form of non-bacterial prostatitis can be classified into two separate groups. Namely:

• Chronic pelvic pain syndrome of an inflammatory nature (a situation where doctors detect a significantly elevated level of leukocytes in the secretion secreted by the prostate gland).
• As well as a non-inflammatory syndrome of a chronic form of pelvic pain or prostatodynia (a situation in which the secretion secreted by the prostate has an absolutely normal (physiologically correct) level of leukocytes).

But I would like to talk in more detail about theories regarding the causes of the chronic non-bacterial form of prostatitis. As previously stated, the first cause of the development of chronic pelvic pain can be considered infection.

Believing this theory, we note that the chronic form of pelvic pain can occur due to the impact of some infection on the prostate.

Moreover, these may well be sexually transmitted infections, as well as other fungal or viral infections.

The real proof of the correctness of this theory can be considered traces of bacteria found in prostate tissue during careful laboratory tests.

The second cause of the disease may be chemical inflammation. Based on this theory, we note that damage to the prostate can occur due to accidental contact of urine directly into the prostate tissue. As a rule, this happens due to diseases of the genitourinary system - due to intraprostatic urinary reflux.

Another real reason for the development of this pathology may be a violation of the body’s immunity. This theory of the development of the disease suggests that such damage to the prostate occurs as a consequence of severe autoimmune inflammation.

Another reason for the development of this problem is neurogenic inflammation. Moreover, according to this theory, such inflammation in the tissues of the described gland occurs due to the substance that is secreted by the nerve endings. As a rule, the development of peripheral pelvic neuropathy contributes to this release of a substance (this is a certain substance P).

And that is why the patient in this case may be given diagnoses such as lumbosacral form of radiculitis or proctitis (recall inflammation of the rectum). The main reason for this situation lies in the rather complex innervation of the prostate itself.

As a rule, the clinical picture depends to a large extent on the duration of the disease itself, on the activity of the existing inflammation, and of course on the nearby organs involved in this process.

And besides, the clinic directly depends on the complications associated with prostatitis.

In any case, congestive non-bacterial prostatitis, as well as all its other forms, has several extremely important (basic) clinical symptoms common to all its forms.

So, as a rule, a man always goes to the urology department with the most unpleasant symptom for him - a problem associated with erection, which is often manifested by too rapid premature ejaculation, sometimes a deterioration in the quality of orgasm, severe pain during ejaculation, and a rather long recovery after sexual intercourse .

Other symptoms of congestive non-bacterial prostatitis are:

• Urination is quite painful, which can also become more frequent.
• pain felt in the lower abdomen, directly in the anus, or directly in the urethra, often in the perineum or testicles.
• There is a burning sensation in the bladder or urethra, both at rest and during urination.
• Nonspecific symptoms of this inflammation may also be observed, such as weakness, irritability, sleep disturbances, a sharp decrease in performance, absence or decrease in sexual desire.

Diagnosis of congestive non-bacterial prostatitis involves several stages of research.

First, this is a digital examination (rectal type) of the prostate gland. Note that this research method is extremely effective, since 80% of prostate cancer tumors are detected through such a simple rectal examination.

Secondly, a special microscopic examination of the secretion secreted by the prostate is carried out. Let us note that a sharp increase in the number of active leukocytes directly in the secretion will not always indicate prostatitis, since the method of obtaining such a secretion assumes that the contents of the urethra or seminal vesicles may enter the sample.

Thirdly, it is necessary to conduct bacteriological studies of certain portions of urine and the same secretion of the prostate gland.

Fourthly, it is customary to perform an ultrasound of the prostate, since it can reveal inhomogeneous, often moderate, echo-positive neoplasms in the so-called infiltrative stage of this disease, or pronounced ones during an active sclerosing process. But there are no stones in the prostate with this form of prostatitis, although protein-type formations observed in the acini can often be mistaken for them.

Fifthly, the immunological as well as hormonal profile of the patient is examined (although this can be done for strictly defined indications).

And sixthly, they conduct other specialized examination methods (including X-ray examinations, computed tomography, the same computed tomography nuclear magnetic resonance, possibly studies of prostate enzymes, some endoscopic examinations, etc.).

Moreover, such techniques are widely used by urologists in extremely complex non-standard diagnostic cases.

It is extremely important to have a preventive examination of the patient by a urologist at least once a year. It is important to ensure timely and complete treatment of infectious diseases occurring in the body. Equally important for preventing the development of congestive non-bacterial prostatitis is regular, measured sex life.

It is always advisable to use a condom to protect against possible sexually transmitted diseases, which can ultimately lead to the development of prostatitis. An active lifestyle is extremely important. So, in the case of exclusively sedentary mental work, a man needs at least periodic rest, presented in the form of walking or exercise.

Care should be taken to avoid excessive hypothermia. It is important to ensure regular, complete bowel movements and timely treatment of constipation. It is desirable to completely give up bad habits such as smoking, banal drinking of alcohol or certain drugs. It is also advisable to limit the intake of overly spicy fried and fatty foods.

Of course, the method of preventing congestive non-bacterial prostatitis for each specific patient should be strictly different, and the main goal of such prevention should be aimed at eliminating the previously described predisposing factors.

Among the basic rules for the prevention of congestive non-bacterial prostatitis are:

• Daily walks, which must be completed at least 4 km. This is useful not only for the prostate, but also for proper digestion, and in general for the health of the body.
• Daily exercise. This may include literally several squats, short jumps, etc. Even a banal climb up the stairs several times a day will be extremely useful in this situation.
• Daily muscle training of the entire perineum. To do this, it is quite enough to diligently strain the muscles of the buttocks and, accordingly, the perineum ten times, which perfectly helps restore blood circulation in the prostate.
• Daily contrast shower. This is important for increasing the overall immunity of the body.
• Regular massage. Massage of the lower back and the entire sacral spine is incredibly useful.

Treatment of any form of prostatitis should be comprehensive. So, the standard treatment for congestive non-bacterial prostatitis includes:

• Full antibacterial therapy (for at least fourteen days and then for a maximum of twelve weeks). It should be understood that for congestive non-bacterial prostatitis, the prescription of powerful antibiotics is also advisable. First of all, because such abacterial prostatitis may well be initially caused by some microorganisms that are difficult to diagnose, although sensitive to broad-spectrum antibiotics. And, of course, in this case, the reaction of the patient’s body obtained at the beginning of taking such drugs will make it possible to draw conclusions about the advisability and importance of continuing such antibacterial therapy.
• Of course, taking medications designed to normalize blood circulation in the prostate itself.
• By the way, restorative therapy will also be helpful.
• Physiotherapy aimed at getting rid of congestion and increasing blood flow in the prostate is extremely important.
• Prostate massage is extremely important.
• You will also have to adjust your lifestyle (an active lifestyle is extremely important, a complete cessation of smoking, alcohol consumption, as well as excessively spicy food, regular sexual activity is no less important, etc.).
• But surgical treatment can be indicated only in cases of complications of prostatitis by the development of a prostate abscess. In this case, the so-called transurethal or transrectal drainage of the formed abscess is usually performed. And in cases of acute urinary retention, puncture epicystostomy can be performed.

Source: https://nebolet.com/bolezni/zastoiniy-prostatit-nebakterialniy.html

What is non-bacterial prostatitis?

11.02.2019

In recent years, the proportion of men suffering from prostatitis has been steadily increasing around the world. In addition, the trend of “rejuvenation” of the disease is disappointing.

More and more young people aged 20 to 30 are turning to doctors with characteristic symptoms. It is worth noting that experts distinguish several types of this disease.

If no causative microorganisms were found during the examination, the patient is diagnosed with “non-bacterial prostatitis”.

The main symptoms of non-bacterial prostatitis

First of all, in a patient suffering from non-bacterial prostatitis, the pathology is manifested by the following symptoms:

• pain in the pelvis or lumbar spine;
• pain when urinating;
• discomfort during sexual intercourse;
• problems with the normal functioning of the gastrointestinal tract;
• feeling of general weakness.

After the disease has developed, such symptoms may appear. They are characteristic of more serious stages and may indicate a serious deterioration of the condition:

• depression;
• severe sleep problems;
• constant nagging pain of unknown origin, which can only be eliminated for a while by taking a strong painkiller.

If left untreated for a long time, chronic non-bacterial prostatitis may also occur. It is characterized by constant pain with short periods of calm.

One of the types of prostatitis is chronic non-bacterial prostatitis

Causes of non-bacterial prostatitis

Today, experts identify many reasons due to which the disease can develop with a much higher probability.

These include:

• problems with the immune system. As a result of inflammation, the body may begin to reject healthy prostate cells, as it mistakes them for foreign;
• the presence in the human body of microorganisms that cannot currently be identified using a microscope. In this case, in fact, prostatitis will not be non-bacterial, but at the moment it is still classified by scientists in this category;
• chronic exposure to stressful situations;
• problems with prostate muscle contractions;
• high pressure in the urinary tract;
• the presence of intracellular parasitic microorganisms;
• traumatic physical impacts;
• regular unhealthy eating.

The disease itself is a consequence of nerve and muscle changes in the prostate.

Frequent psychological stress that leads to stressful conditions

Diagnosis of the disease

It is worth noting that this form of prostatitis is one of the most difficult to diagnose. In most cases, the appropriate diagnosis is made to a person when all other types of pathology have already been excluded. In addition, quite often non-bacterial prostatitis is discovered incidentally, for example, when checking the prostate gland for cancer.

In any case, to confirm the diagnosis, it is necessary to carefully study the medical history, as well as the results of the following tests:

• urine analysis for the presence of microflora;
• complete blood count;
• bacterial smear;
• analysis of prostate secretion fluids;
• Ultrasound;
• MRI.

The last two studies are prescribed when a general blood test reveals an increased level of white blood cells, but no microorganisms were found in the urine. An ultrasound can clearly see the size of the prostate gland and check its walls. MRI, in turn, makes it possible to look at it in three dimensions and determine where the pinching occurred.

Diagnosing this form of prostatitis is quite difficult.

Treatment of non-bacterial prostatitis with medications

This process is based on the use of the following drugs:

• antibiotics;
• alpha blockers;
• drugs that relieve pain;
• sedatives.

Antibiotics are usually prescribed just in case. The thing is that some microorganisms cannot be identified even in the best laboratories, and therefore every patient undergoes a standard course of antibiotics.

Alpha blockers provide a solution to the problem of normal urination.

Sedatives eliminate the psychological consequences of the disease.

Treatment of non-bacterial prostatitis with non-drug means

The range of activities includes:

• diet. Foods that can aggravate the situation (spicy, fried foods, coffee and alcohol) are completely excluded;
• water procedures. A hot bath perfectly relieves pain (no more than 37–38 degrees);
• massage. Relevant only if intracellular parasites have not been identified;
• training the muscles of the anus using simple contraction and relaxation methods.

Prevention of nonbacterial prostatitis

To prevent the occurrence of this disease, you must adhere to the following rules:

• do not forget about sexual hygiene;
• have a safe sex life;
• Healthy food;
• to live an active lifestyle;
• Avoid injury in this area.

In addition, you need to regularly check your health with a specialist.

Source: https://prostatoff.ru/prostatit/nebakterialnyj

How to treat bacterial prostatitis: symptoms and diagnosis

Inflammation of the prostate gland, or prostatitis, is one of the most common urological diseases in men. Depending on the etiological factors, several types of inflammatory process are distinguished. The most dangerous form of pathology is considered to be infectious prostatitis, caused by the penetration of pathogenic microorganisms into the prostate.

What causes bacterial prostatitis, why is it dangerous and can it be cured?

Etiology of the disease

The main cause of inflammation in the bacterial form of prostatitis is the active proliferation of pathogenic microflora in the tissues of the prostate gland. Most often, bacteria enter the organ through the urethra during unprotected sex. The disease is also provoked by other chronic inflammatory processes in the body. In this case, infections that cause prostatitis are transferred from the source of inflammation through the bloodstream.

Sometimes the disease does not develop immediately after infection. The causative agents of prostatitis in small quantities can remain in the gland for a long time without causing characteristic symptoms. However, as soon as favorable conditions for reproduction appear, the bacteria begin to actively divide, and the disease enters the acute stage.

What bacteria cause prostatitis?

The main infections that cause prostatitis:

• gonococcus;
• herpes;
• chlamydia;
• ureaplasma.

In addition, microorganisms that are classified as conditionally pathogenic can provoke pathology: staphylococcus, enterococcus, Pseudomonas aeruginosa and Escherichia coli. These pathogens can remain in the prostate gland for a long time without causing exacerbation.

Risk factors

There are a number of secondary factors that can cause inflammation. The following additional causes of bacterial prostatitis are identified:

• decreased immunity after infectious diseases or surgery, as well as due to regular hypothermia;
• congestion in the pelvis caused by a sedentary lifestyle or wearing too tight clothes and underwear;
• the presence of chronic diseases that cause hormonal imbalance or metabolic processes;
• diseases of the urinary system (urethritis, cystitis, pyelonephritis);
• poor diet with large amounts of fatty and spicy foods;
• bad habits;
• frequent stressful situations.

The combination of two or more factors leads to the fact that the pathogenic microflora of the prostate gland enters the stage of intensive growth, causing a response from the body.

Symptoms of bacterial prostatitis

Inflammation can be acute or chronic. Acute bacterial prostatitis is characterized by rapid development. As a result of a rapid increase in the number of pathogenic microorganisms, a focus of inflammation is formed, spreading to nearby secretory and connective tissues. Pain appears in the genital area, increasing during urination and ejaculation.

The waste products of microorganisms enter the blood, causing general intoxication, which is manifested by fever, weakness, and muscle soreness. Minor impurities of blood or pus may appear in urine and seminal fluid. With further development of inflammation, the iron increases in size, preventing normal emptying of the bladder and intestines.

If left untreated, an infection in the prostate gland can cause chronic inflammation. In this case, the disease has less pronounced symptoms, which appear at the acute stage. Remission is practically asymptomatic.

Stages of the inflammatory process

The spread of infection in the gland occurs in stages. In medical practice, three stages of pathology development are distinguished.

Stage	Characteristics
Catarrhal	The initial stage in which bacteria enter the gland ducts and actively multiply there. A man experiences discomfort in the genital area. At times the pain may radiate to the perineum.
Follicular	The infection penetrates the glandular tissue, forming one or more foci of inflammation. The pain intensifies, symptoms of body poisoning with toxins appear, and minor disturbances in urination and bowel movements are observed.
Parenchymatous	The inflammatory process covers the entire organ, causing tissue swelling and a change in its size. At the last stage, there may be a significant increase in body temperature, the appearance of bloody and purulent discharge from the urethra, and impaired erectile function. Advanced infectious prostatitis enters the chronic stage.

Why is prostatitis dangerous?

What is prostatitis and what consequences can it have? The main danger of inflammation of the gland is that the lack of adequate and timely treatment leads to multiple complications: from problems with conceiving children to the formation of abscesses with possible blood poisoning.

Unfortunately, many men do not consult a specialist when the first symptoms of the disease appear. This is a serious mistake, since advanced prostatitis is much more difficult to cure, and the prognosis is not always favorable.

Establishing diagnosis

If during the initial examination of the patient there is a suspicion of prostatitis, the urologist prescribes a number of additional studies aimed at making a more accurate diagnosis. First of all, laboratory tests of blood, urine and seminal fluid are carried out. Decoding the analyzes allows you to determine the following:

• The number of leukocytes in the blood makes it possible to establish the stage of the disease.
• Bacteria in prostate secretions and urine indicate the type of disease (nonbacterial or infectious prostatitis). If necessary, an analysis is carried out to determine the sensitivity of microflora to various types of antibiotics. Based on the test results, the doctor determines how to treat a particular patient.

Before starting complex treatment, the patient may be advised to donate blood for a specific antigen to exclude oncology, undergo an ultrasound scan or examination by other specialists. A complete diagnosis will allow you to determine what caused the inflammatory process and choose the most effective treatment method.

Prostatic hyperplasia

Treatment options

Bacterial prostatitis is an infectious disease, so the therapeutic course necessarily includes antibiotics. To relieve symptoms, antipyretic and anti-inflammatory tablets and suppositories are prescribed.

Treatment of bacterial prostatitis with bee products, herbs and other traditional medicine is ineffective and can only be used in addition to the main therapy and only in consultation with the attending physician.

There is an opinion that prostatitis is not sexually transmitted and is completely safe for women. This statement is true only for the non-bacterial form of the disease. If the pathology was caused by an infection, the sexual partner or husband can become a source of infection. In this regard, it is recommended that two sexual partners undergo treatment at once.

Treatment of bacterial prostatitis with antibiotics

How to cure prostate inflammation? Since the disease is caused by different types of bacteria, there is no one universal drug. The selection of medications and the duration of their use is carried out individually based on the results of the examination. Typically, the patient is prescribed one or two antibacterial drugs from the following groups:

• fluoroquinolones (Cifran, Ofloxacin);
• cephalosporins (Ceftriaxone);
• tetracyclines (Doxycycline).

The treatment regimen for bacterial prostatitis is designed for an average of 1-2 months, while the selection of drugs can be adjusted every 2 weeks in the absence of positive dynamics. Antibiotics are administered intramuscularly, however, in acute conditions, intravenous administration of the drug may be required for several days until the patient's condition stabilizes.

It is very important to take all prescribed medications for the treatment of bacterial prostatitis within the period specified by your doctor.

Refusal of medications after improvement of the condition leads to the development of resistance in pathogenic microflora.

In the future, the use of stronger antibiotics will be required, which can cause dysbiosis and other digestive disorders. Prostatitis requires long-term and consistent treatment.

Physiotherapeutic procedures

After acute symptoms are relieved, physiotherapy is introduced into the course. To restore the functioning of the prostate gland, the following is used:

• Electrophoresis. Under the influence of current, the active components of the drug enter directly into the inflamed tissue, which increases the effectiveness of treatment.
• Laser therapy. A course of procedures has a positive effect on the restoration of organ functions and improves erection.
• Indirect massage. Massaging the gland ensures improved blood flow and timely cleansing of tissues from dead cells, which are a breeding ground for pathogens.

The most effective folk remedies against bacterial prostatitis

• Pumpkin seeds . Eating pumpkin seeds daily will provide the body with zinc, which is necessary for the production of androgens.
• Chestnut . Chestnut tincture restores the elasticity of blood vessels, stimulates blood circulation and ensures the flow of nutrients to inflamed tissues.
• Propolis . Tinctures and suppositories with propolis have antibacterial and anti-inflammatory effects.
• Parsley seeds . A decoction of the seeds is recommended to be taken to restore potency after stopping medication.

During the entire therapeutic course, the patient must follow a diet: exclude spices, sauces, pickled vegetables, avoid fatty foods if possible, do not drink alcohol, drink enough fluids. Zinc-rich foods, fresh vegetables and fruits should be included in your diet.

Dietary nutrition is necessary both during treatment and during the recovery period of the body for 3-4 weeks after completion of the course.

How to prevent prostatitis

Prevention of the disease will preserve men's health and ability to conceive. The main recommendations include the following:

• smoking cessation and moderate consumption of alcoholic beverages;
• performing exercises to improve blood flow in the pelvis;
• balanced diet;
• regular sex with a regular sexual partner.

Men should also visit a urologist once a year or when planning pregnancy.

Prostatitis is curable, but only if you immediately contact a urologist. Do not delay visiting your doctor at the first signs of illness.

Source: https://men-zdrav.ru/bolezni-prostaty/chto-takoe-bakterialnyj-prostatit.html