Purulent prostatitis: causes of the inflammatory process and its complications

Prostatitis is the most common male disease, which can occur in various forms. Mild degrees have a favorable prognosis and respond well to treatment. One of the most dangerous forms for health is purulent prostatitis - it is accompanied by an inflammatory process and can cause serious complications.

An advanced form can lead to prostate abscess, deep vein thrombophlebitis, infertility and loss of potency. The causes of the complex course of prostatitis are most often the lack of timely treatment. Properly selected therapy, begun when the first symptoms of the disease are identified, will help to avoid the development of severe inflammation of the prostate gland.

Causes

The main reason for the development of purulent prostatitis is infection in the prostate gland. The pathology develops against the background of injuries to the urethra, hypothermia, weakened functioning of the immune system, and chronic infection in the body.

Bacteria enter the prostate through the lymph, general bloodstream or urethra. The purulent form of prostatitis can also be a consequence of past infectious diseases: influenza, pneumonia, furunculosis or tonsillitis.

Often the causes are hemorrhoids or inflammatory processes in the rectum.

Often the disease can occur as a result of lack of personal hygiene. Cleanliness of the organ and regular water procedures are the most effective ways to prevent prostate infection.

Sometimes purulent prostatitis occurs as a result of previous or untreated fungal and sexually transmitted diseases . With stress or long-term use of medications that suppress the immune system, there is a high probability of prostatitis becoming severe.

Forms of the disease

Any form of purulent inflammation has several types or stages. The prognosis of treatment and the method of chosen therapy depend on their type.

Stages of development of purulent prostatitis:

1. Catarrhal form. One of the easiest stages to progress, has a favorable prognosis. If treatment is started in a timely manner, changes for the better will occur within 7-10 days. The causes of the catarrhal variety are most often complications from a sore throat, influenza or acute respiratory viral infection;
2. Follicular form. This stage is characterized by purulent discharge. The main symptoms are severe pain and a sharp increase in body temperature;
3. Parenchymal stage. The third stage of the disease is characterized by an even greater deterioration in the patient’s condition. Purulent discharge becomes more intense. Symptoms: lethargy, weakness, severe pain in the groin;
4. Abscess form. At this stage of the disease, an abscess of the prostate tissue begins. The inflammatory process is accompanied by severe pain and fever in the patient. Untimely treatment leads to complications such as: sepsis, inflammation of the bladder, kidney pathologies, impotence, infertility.

Symptoms

The clinical picture manifests itself to varying degrees, depending on the type and form of the disease. One of the first signs of the onset of pathology development is yellowish discharge. Sometimes the mucus from the urethra and epithelium of the inflamed prostate has a slightly greenish tint. The tests show an increased level of leukocytes.

Characteristic signs of the chronic form:

• severe pain in the groin area;
• regular discharge of light mucus;
• pain when urinating or defecating;
• increase in body temperature.

In the catarrhal form, the walls of the prostate gland are affected. Slight swelling of the organ may be observed . At this stage, symptoms may resemble those of cystitis.

In the next stage, inflammation affects not only the surface of the epithelium, but also deep tissues. At this stage, the lobes of the prostate gland are covered with a purulent mass and, as a result of pressure and swelling, can come out through the walls of the follicles.

The parenchymal variety is characterized by a decrease in pain, but the increase in body temperature remains . The pus becomes thicker and discharge occurs regularly. The main pain syndrome moves to the lumbar region. Mucous discharge also appears from the anus.

The abscess type is accompanied by a very high body temperature (+40°C and above) and purulent discharge from the urethra. In the tissues of the prostate, a massive appearance of ulcers and ulcers is observed.

Diagnostics

If the patient complains of pain in the perineum and one or more symptoms are identified, the specialist conducts an examination and prescribes laboratory and clinical tests. To determine pathology, the following diagnostic methods are used:

1. On an outpatient basis, a rectal examination (palpation) is performed. A specialist can detect enlargement of the prostate, which is observed when it is inflamed. With purulent prostatitis, an enlarged gland may not be palpable in a diffuse form. The examination is not carried out due to severe pain.
2. Lab tests. The patient is prescribed blood and urine tests, which can show the presence of an inflammatory process. Experts also pay attention to the presence of infectious agents and glucose. The diagnosis is made when the ESR is > 15-20 mm/h and the leukocyte concentration is elevated > 8.5-9 x 109. Separately, an analysis of the secreted prostate secretion is taken from the patient.
3. Ultrasound. A referral is received by a patient who is suspected of having diffuse purulent prostatitis. With the help of the study, information is obtained about the structure of the prostate, the density of its tissue and homogeneity. Residual urine in the bladder and the condition of the urethra are also detected.

Treatment

Depending on the degree and form of the disease, various treatment methods can be used.

Important! It is not recommended to self-medicate one of the most complex and severe forms of prostatitis without consulting a specialist. All medications and drugs should be prescribed only by the attending physician based on the tests obtained.

Conservative treatment

Antibacterial drugs are used for therapy: penicillins, macrolides, cephalosporins and fluoroquinolones. The main goal of drug therapy is to relieve pain and inflammation. All medications act quickly, but may have side effects.

• Terazosin. The drug is prescribed by a urologist as an adjuvant. The main effect of the drug is aimed at improving blood circulation. Recommended for the treatment of non-inflammatory purulent prostatitis;
• Digital The list of essential medications for conservative treatment includes the antibacterial drug Cifran. Prescribed by a specialist for infectious diseases;
• Prostatilen (suppositories, injections). The product is intended to relieve swelling and reduce the inflammatory process.

The course of treatment for a mild condition usually takes 12-14 days. If necessary, the urologist may prescribe additional treatment methods. The comprehensive course includes: physiotherapy, laser therapy and magnetic therapy. At home, it is recommended to use plant-based products.

On a note! In alternative medicine there are many recipes for purulent prostatitis. Herbal medicine may have contraindications, so before starting treatment, consultation with a specialist is necessary!

Folk remedies

The use of herbal preparations and remedies made according to folk recipes can be part of complex therapy.

The most effective means:

• Natural juice from elderberries. The berries are passed through a juicer and drunk without pulp (strained).
• Pumpkin seeds with honey. The seeds are crushed by grinding through a meat grinder or in a blender. Add a little honey and drink 1 tsp daily before meals;
• A decoction of parsley seeds. Dry seeds are crushed and poured with boiling water. The infusion is kept for 14 days, after which it is filtered and drunk 20 drops ml daily before meals;
• Alcohol tincture of aspen bark. For 250 g of aspen bark you will need 500 ml of good vodka. The infusion is kept for two weeks in a cool place. Take 1/2 tsp. before meals, diluting with water.

Surgery

Surgical operations are prescribed to patients only in severe cases of the disease. Surgery is performed to open abscesses and remove blood clots that have formed in the pelvis. Postoperative treatment lasts 1-2 days, during which the patient undergoes regular dressings. Places of purulent cavity are washed with special disinfectant solutions.

During the first 3-4 days, the patient needs complete rest in the hospital, after which, depending on the patient’s condition, he can be discharged home. During the rehabilitation period, the patient must take immunomodulators and antibacterial agents to prevent the recurrence of ulcers.

Prevention and expert advice

Men over 40 years of age should undergo regular examinations by a urologist and take preventive measures. At the first symptoms of the disease, treatment should be started immediately to prevent the disease from developing into an acute bacterial form. Purulent prostatitis requires immediate consultation with a specialist and initiation of therapeutic therapy.

Prevention methods:

• Diet food. It is necessary to exclude alcohol, fatty, spicy and fried foods.
• Sexual life regime (at least 2 times a week). You should also abandon the practice of interrupted coitus. Complete refusal or prolonged sexual abstinence has a negative effect on the body.
• Avoid unprotected contact. For safety reasons, contraception and other preventive measures should be used.
• Be examined every 6 months. Consultation with a urologist is required at least once a quarter.

In addition, to prevent illness, you should avoid hypothermia and sitting on cold objects. Wearing loose underwear (that does not compress the genitals) is recommended.

Purulent prostatitis has a favorable prognosis and, at the first signs or suspicion of the disease, you should immediately consult a doctor.

© 2018 – 2019, MedProstatit.ru. All rights reserved.

Source: https://MedProstatit.ru/gnojnyj-prostatit.html

Purulent prostatitis in men: signs of acute prostatitis, treatment of purulent discharge

• Urologist-andrologist 1st category Denis Georgievich
• 24171
• Update date: December 2019

Prostatitis is characterized by various forms and symptoms of varying severity. One of the most severe and dangerous forms of the disease is purulent prostatitis. The disease is acute, accompanied by an increase in body temperature and severe pain.

Reasons for development

Purulent prostatitis is a consequence of infection entering the prostate gland. The disease develops against the background of:

• decreased immunity;
• hypothermia;
• chronic source of infection in the body;
• urethral injuries.

The infection enters the prostate gland through the general bloodstream, lymphogenous route or through the urethra.

In the first case, inflammation in the prostate develops in the presence of a chronic lesion in the body. The development of prostatitis can be observed against the background of severe infectious diseases - influenza, tonsillitis, furunculosis or pneumonia. This type of prostate infection is rare.

The entry of pathogenic agents into the prostate through the lymph flow is observed in inflammatory diseases of the pelvic organs. This often occurs against the background of hemorrhoids or inflammation of the rectal mucosa.

In most cases, the infection enters the gland through the urethra.

Most often, prostate infection occurs through the penetration of pathogenic agents through the urethra.

The cause of the development of acute purulent prostatitis in most cases is an anaerobic infection, Escherichia coli or Pseudomonas aeruginosa, Staphylococcus aureus.

The development of purulent prostatitis in a man can be caused by a simultaneous decrease in immunity and neglect of personal hygiene, which greatly increases the risk of prostate infection.

Inflammation can also be triggered by anaerobic microorganisms, fungal flora or chlamydia.

A synonym for purulent prostatitis is acute bacterial prostatitis. Since the disease is most often provoked by opportunistic microorganisms that are always present in the human body, the main reason for the development of prostatitis is a severe decrease in immunity. This is observed against the background of hypothermia, stress, and taking certain drugs that suppress the body’s immune function.

Forms of the disease

Forms, or stages, of purulent prostatitis:

• catarrhal;
• purulent-focal (follicular);
• parenchymal;
• abscessing.

The first two forms are mild and can be successfully treated. The second and third stages of purulent prostatitis are dangerous due to the development of complications.

The catarrhal form of the disease develops against a background of weakened general immunity. Men may experience this type of inflammatory process in the prostate after illnesses such as pneumonia or flu, severe hypothermia or vitamin deficiency. Only the ducts of the gland are involved in the inflammatory process.

There is swelling of the organ, but the contours do not change, which is clearly visible on TRUS. At this stage of purulent prostatitis, the symptoms are moderate, which often forces men to postpone a visit to the doctor. With timely diagnosis, catarrhal inflammation is successfully controlled after a ten-day course of antibacterial therapy.

Parenchymal prostatitis is characterized by the involvement of prostate tissue in the inflammatory process.

The organ increases significantly in size, and the risk of acute urinary stagnation increases due to compression of the urethra by the swollen prostate.

Purulent masses are released into the prostate gland, which is accompanied by acute pain. During defecation, discomfort increases many times over; pus and mucus may be released from the anus and urethra.

The most severe form of the disease is abscess formation. It is characterized by the formation of an abscess of prostate tissue. In most cases, the patient requires hospitalization and surgical removal of the abscess.

If an abscess has formed, it will require surgical removal

Symptoms of purulent prostatitis

Signs of purulent prostatitis in men depend on the stage and form of the inflammatory process. In the initial stages, the following symptoms are present:

• frequent urination;
• spasms in the bladder;
• feeling of fullness in the anus;
• itching and pain after urination;
• feeling of bladder fullness after visiting the restroom;
• increase in body temperature.

Moreover, the more severe the inflammation, the more the body temperature rises. At the initial stage, temperature deviations from the norm may not be noted. The symptoms of catarrhal inflammation are similar to cystitis, which is why men often do not consult a doctor.

The disease progresses rapidly and already at the follicular stage there is an increase in body temperature to 38 C. Symptoms are accompanied by signs of general malaise - fatigue, drowsiness, decreased ability to work.

The parenchymal form is characterized by a significant increase in body temperature and symptoms of intoxication of the body, which is caused by multiple foci of suppuration. In this case, pain is felt in the lower back, perineum, and bladder spasms intensify.

Pain, discomfort, high temperature - such symptoms are difficult to ignore

The danger is when a man feels the urge to go to the toilet, but cannot urinate. This is due to compression of the urethra and requires urgent medical attention. Acute urinary retention can cause kidney infection. Purulent discharge may also appear with prostatitis.

At the abscess stage, the temperature can rise above 40 C. Acute excruciating pain and severe symptoms of intoxication are observed - nausea, vomiting, dizziness and loss of strength.

Dangerous complications

In the first two stages of the disease, it is successfully treated in 99% of cases. Starting from the parenchymal stage of development of the inflammatory process, the risks to the health and life of the patient increase. In most advanced cases of purulent prostatitis, the disease, even after treatment, becomes chronic, which manifests itself as periodic exacerbations.

Other possible complications include:

• kidney infection (pyelonephritis);
• inflammation of the rectal mucosa (paraproctitis);
• erectile disfunction;
• infertility.

The abscess form requires urgent hospitalization. The abscess must be opened surgically, otherwise it may rupture on its own, leading to infection of all pelvic organs. When purulent masses enter the general bloodstream, sepsis develops, which in some cases can lead to death.

Diagnostics

If specific symptoms appear, a man should consult a urologist. The primary examination is rectal palpation of the prostate gland. If an acute purulent inflammatory process is suspected, the doctor can immediately refer the patient to an ultrasound or TRUS.

To determine the type of pathogen, an analysis of prostate secretion is performed.

In case of severe purulent inflammation, rectal palpation of the organ is not performed due to the risk of exacerbation of inflammation, so the doctor may prescribe a urine test.

Since pathogenic microorganisms remain in the urethra, based on a urine test, it is possible to determine the type of pathogen. The best way to treat purulent prostatitis depends on the type of pathogen.

If an abscess is suspected, instead of analyzing prostate secretions, they are limited to urine testing

Drug treatment

Treatment of purulent prostatitis begins with antibacterial therapy. In this case, the following groups of drugs are used:

• penicillins (Amoxiclav);
• macrolides (Azithromycin);
• fluoroquinolones (Levofloxacin);
• cephalosporins (Ceftriaxone).

In most cases, for acute inflammation, doctors prescribe macrolides or cephalosporins. These drugs act quickly, but cause side effects. The course of antibiotic treatment takes about two weeks.

The most effective antimicrobial drugs for prostatitis are fluoroquinolones. They are completely devoid of the main drawback of conventional antibiotics - when taking fluoroquinolones, pathogenic agents cannot develop resistance to the action of drugs. The disadvantage of the drugs is the need for long-term treatment - at least four weeks.

For acute inflammation, the following treatment regimen is used. In the first ten days, fluoroquinolones are administered intramuscularly. Then, for another 18 days, the patient must take the same drug, but in tablet form. This treatment regimen minimizes the risk that purulent inflammation of the prostate gland will develop into chronic prostatitis.

In cases of severe urination problems, patients are prescribed drugs from the alpha-blocker group - Omnic, Tamsulosin. These medications do not treat prostatitis, but relax the muscles of the bladder, normalizing the flow of urine. They are taken 1 tablet for 10-14 days.

To restore the functioning of the prostate gland and normalize urination, use:

• Prostatilen;
• Vitaprost;
• Tykveol;
• Propolis DN.

Prostatilen suppositories contain bovine prostate extract. They normalize the trophism of the organ, facilitate urination by reducing swelling of the prostate gland and prevent the development of chronic prostatitis. The course of treatment is 10 days, one suppository before bedtime. Vitaprost is a complete analogue of this drug.

Tykveol candles contain pumpkin seed oil. They have anti-inflammatory, immunomodulatory and prostatoprotective effects. It is also used in a ten-day course.

Suppositories with propolis, for example, Propolis DN or Phytopropolis, are indicated to improve the functioning of the prostate, normalize potency after inflammation of the organ and increase local immunity. They can be used twice a day for two weeks. This drug is also prescribed to prevent exacerbations if the disease has become chronic.

Along with the listed medications, Gentos drops and the homeopathic remedy Adenoma-Gran are prescribed to restore the prostate gland after an illness.

Usually several drugs from different groups are prescribed at once

Surgery

Surgery is indicated only for prostate abscess. It is opened, gaining access to the abscess through an incision in the perineum or rectum. The puncture is carried out under the control of an ultrasound sensor, and the abscess is opened using a special hollow needle. A drainage system is installed at the puncture site, through which the contents of the abscess are removed.

The entire procedure does not last long and is performed under local anesthesia. After opening the abscess, the patient should remain in the hospital for several days for observation to avoid complications.

After opening the abscess, two weeks of antibiotic therapy is indicated.

Folk remedies

Traditional medicine cannot replace conservative drug therapy. They can only be used in addition to the main treatment and only after the approval of the attending physician.

1. Pumpkin seeds will help speed up prostate recovery. A glass of seeds should be ground in a coffee grinder or blender, and then the resulting powder should be mixed with a glass of honey. Balls approximately 20 mm in diameter are formed from the resulting mixture. The product is stored in the refrigerator, using 3 balls daily.
2. Half a glass of crushed parsley seeds is brewed in two glasses of boiling water and left for two hours. Then drink 3 large spoons of the product daily.
3. Tincture of aspen bark helps improve well-being and speeds up prostate recovery, but it takes a long time to prepare. To prepare the medicine, 200 g of bark is crushed with a knife and placed in an opaque glass container, and then 400 ml of vodka is poured. The product is placed in a dark place and infused for 10 days. The tincture needs to be shaken daily. When the medicine is ready, it should be strained and taken daily, a teaspoon diluted with a spoonful of drinking water, twice a day.

Folk remedies are used for a month. If the disease has become chronic, such medications can be used to prevent exacerbations.

Prevention and recommendations

During the treatment of prostatitis, you should adhere to proper nutrition, avoid drinking alcohol and give up bad habits.

Many men are concerned about whether it is possible to have sex with purulent prostatitis. Until acute inflammation is stopped, intimacy should be avoided. After a course of antibiotics, in case of positive recovery dynamics, regular sex life is not prohibited, but recommended.

Strong immunity and timely treatment of any infectious diseases will help to avoid the development of purulent prostatitis. It is important to always dress appropriately for the weather and prevent hypothermia of the pelvic organs.



Until August 10, the Institute of Urology together with the Ministry of Health is conducting the program “Russia without prostatitis .” Within which the drug Predstanol is available at a discounted price of 99 rubles. , to all residents of the city and region!

Source: https://ProstatitNo.ru/prostatit/gnojnyj-prostatit/

Purulent prostatitis: why it occurs and what signs are used to identify pus in the prostate gland

The real male problem, according to urologists, should be considered inflammation of the prostate gland. Many men only when faced with this disease understand how painful and dangerous it is.

Among several forms of pathology, purulent prostatitis is distinguished - which is considered one of the most severe. Only doctors can help with such a disease, so you should not hesitate to go to the hospital.

Causes and development

• The main cause of the development of purulent inflammation of the prostate gland is considered to be advanced pathologies of a urological nature that arise against the background of the development of infection.
• For example, when prostatitis develops, men often do not pay attention to the initial symptoms of the disease and do not begin timely treatment.
• As a rule, the condition quickly worsens, prostatitis passes into the acute or chronic phase, and pus accumulates.

The pathology is exclusively infectious (fungal, viral) and stagnant in nature, occurs in an acute form, chronic, and is difficult to tolerate by patients.

The formation of pustules and abscesses occurs on the tissues in the prostate gland.

Based on the severity of the disease, one large purulent formation or several small ones occur at once. Lack of medical care leads to the infection rapidly spreading throughout the body through the blood, which sometimes ends in death.

Risk factors for developing prostatitis include men who work in difficult conditions, lead an unhealthy lifestyle, and pay little attention to the general condition of the body. The following factors can provoke acute purulent prostatitis:

• Hypothermia of the pelvic organs (difficult working conditions, sitting on cold soil).
• Weakening of the immune system, which often occurs when using certain types of medications, such as antibiotics. In this case, the suppression of the vital processes of pathogenic microorganisms does not occur, and the infection through the blood penetrates many tissues of the body, including the prostate.
• The infection, most often staphylococcal and anaerobic, can spread from diseased teeth, gums, tonsillitis, sinusitis, furunculosis, the appearance of adenoids, pathologies of the urethra, and other pelvic organs.
• Often the main cause of inflammation is microtrauma of the urethral nature. They are usually obtained during diagnostic examinations of the prostate, when doctors are negligent in their actions, for example, when taking a smear, inserting a urinary catheter, or grinding calcifications.

To avoid causing an inflammatory process, treatment should be started immediately. Every day the condition will only worsen, causing incredible pain and disruption of other internal organs.

Important! Lack of treatment will provoke the development of sepsis, problems with the kidneys, bladder, urine flow, and lead to infertility.

Types of purulent prostatitis

Studying the course of the disease and the factors that provoke its development, urologists divide purulent prostatitis into several types:

• Catarrhal - the causes are determined by the development of cold-related infectious pathologies, weakening of the immune system. It occurs with a slight modification of the prostate gland, slight swelling of the organ, the inflammatory process covers the walls of the ducts of the gland. Doctors often confuse this type of prostatitis with cystitis, since these pathologies are characterized by frequent urination and pain. Usually such a course attracts little attention from men and they think that everything will go away on its own. Although, with good help, the treatment will be effective after a week.
• Purulent-focal (follicular) - the form into which the catarrhal type of pathology flows in the absence of treatment. Against the background of inflammation of the glandular tissue, an increase and flabbiness of the gland occurs. The lobules may become covered with small pustules. Swelling of the mucous membrane of the excretory ducts occurs, which makes it difficult to remove purulent accumulations from the organ. The patient no longer just feels pain and discomfort when urinating - he begins to feel feverish, the inner thighs are tight, the sacrum and perineum hurt. The prostate fills with purulent accumulations.
• Diffuse (parenchymatous) - the connective base of the prostate gland and organ tissue swell, and there is an excess of leukocytes in them. The gland becomes inflamed completely, or along its length, in zones. The patient feels unbearable pain, body temperature rises, urine retention occurs, and a large amount of pus accumulates. It seems that there is always something foreign in the anus, so there is often a desire to evacuate, but this cannot be done. The pain is felt even in the kidney area, and it is difficult to sit and stand. The urine becomes cloudy, mucus appears from the anus, and constipation begins.
• Abscess - the prostate tissue becomes covered with numerous ulcers, and an abscess begins to develop. This form is considered the most dangerous, characterized by severe pain, high fever, and copious discharge of purulent masses. Against the background of the vital processes of pathogenic microorganisms, intoxication of the body begins. The condition of the men is critical; in the absence of medical care, death is possible.

Often, a developing abscess “subsides” for a while, the patient feels a sharp relief, hoping that everything has passed. However, this is a false alarm; after a lull, a real storm comes - the spontaneous opening of an abscess inside the body!

Pus enters the urethra, bladder, rectum, abdominal cavity, and perineum. With this course of prostatitis, doctors often diagnose the development of another equally dangerous disease - paraprostatitis, acute paraproctitis.

The catarrhal, follicular form of purulent prostatitis can be quickly treated and is tolerated by patients more easily than the parenchymal and abscess forms.

Symptoms of purulent prostatitis

Based on how long the disease has dragged on, what provoked this phenomenon, the symptoms of purulent prostatitis differ:

• general weakness of the body, increased body temperature;
• urge to have frequent bowel movements and bladder movements;
• a feeling of pain of varying intensity, which can appear not only in the area of ​​the diseased organ, but also in the muscles of the inner thighs, radiating to the back, sacrum;
• inflammation, swelling of the organ, which is characterized by an increase in size;
• short sexual intercourse, decreased potency, complete absence of potency;
• there is the appearance of purulent mucus in the prostate secretion, urinary canal, anus;
• in the most severe forms of pathology, emptying the bladder becomes almost impossible;
• the rectum is filled with “something”, as if something foreign had been introduced into it, you constantly want to go to the toilet “in a big way”, which you cannot do;
• sitting becomes almost impossible;
• urine contains impurities of blood, pus, changes color to cloudy, acquires a specific odor;
• the tissues of the prostate gland become covered with ulcers, and severe poisoning of the body begins with all the ensuing symptoms.

Considering the painful symptoms of purulent prostatitis, even at the slightest suspicion of inflammation of the prostate gland, if signs of pathology are present, you should immediately seek professional help.

Diagnostics

Many men believe that having their prostate examined is humiliating and not very pleasant, but diagnosis is necessary and should not be ignored.

Today, the following methods are distinguished to diagnose acute purulent prostatitis:

• rectally - performed by a doctor by inserting a finger through the anus into the rectum area;
• examination of prostate secretions, blood, urine - in the presence of pathology, an increase in the number of leukocytes, ESR, and the appearance of purulent threads are observed;
• Ultrasound diagnostics is used instead of a digital examination when the sensitivity is too high and the patient experiences unbearable pain.

These diagnostic methods are usually sufficient to confirm acute or chronic purulent prostatitis. However, in some cases, additional tomography (magnetic nuclear or computer), urography, cystoscopy, and examination of gland enzymes are performed.

A great help in diagnosing prostatitis is keeping a urination diary by the patient.

Treatment methods

Purulent inflammation of the prostate will never go away on its own; the pathology requires prompt professional intervention from doctors. Purulent prostatitis in men is treated only in a hospital setting.

The patient is prescribed a medicinal course of treatment, consisting of painkillers, anti-inflammatory, decongestants, antispasmodics, antibiotics, and antibacterial agents.

Additionally, physiotherapeutic procedures are prescribed: magnetic therapy, electrical stimulation, laser therapy, microenemas, warm baths.

Medications

When prescribing medications for prostatitis, urologists can choose one of the following medications:

• Ketotifen;
• Viferon-4;
• Tsifran OD;
• Vitaprost;
• Terazolin;
• Metronidazole;
• Polyoxidonium;
• Bioprost;
• Tamsulosin;
• Prostakor.

None of these drugs should be taken without first consulting a urologist. Only after fully studying the course of prostatitis and understanding its nature can a doctor prescribe such treatment.

Surgical intervention

Under no circumstances should purulent inflammation of the prostate in men be treated independently. The disease can be severely advanced and then the only treatment option will be surgery.

The procedure is prescribed only when there is a risk to life.

Important! Indicators for surgery include blood clots appearing in the pelvic vessels and the threat of opening abscesses.

Surgery for purulent prostatitis can be performed in two ways: through the rectum or perineum.

The purulent cavity is washed with antiseptics, drainage is installed so that the pus in the organ no longer stagnate, but comes out. After the operation, a course of antibacterial drugs and immunomodulators is prescribed.

Prevention

Purulent inflammation of the prostate gland is a dangerous, painful condition. Those who have never encountered anything like this can look at photos on the Internet to understand what it all looks like in reality.

Prostatitis, like any other ailment, is easier to prevent than to cure, so urologists offer the following preventive measures:

• exclude hypothermia of the body and pelvis;
• promptly treat infectious diseases of any nature;
• never self-medicate;
• systematically undergo specialist consultations;
• at the slightest sign of prostatitis, seek medical help.

It is important to lead a full-fledged healthy lifestyle, a rich sex life, eat right, perform intimate hygiene, wear the right underwear, do not tolerate the desire to go to the toilet in a small way, and avoid casual sexual intercourse.

Source: https://prostatu.guru/zabolevaniya/po-kakim-prichinam-voznikaet-gnojnyj-prostatit-i-kak-ego-lechit.html

Purulent prostatitis in men, signs, causes, symptoms, treatment

• Almost every adult knows about the prevalence of prostatitis in the male population of all regions of the planet.
• An increasing proportion of young people are becoming affected by prostatitis: men aged 30 to 40 years account for approximately a third of patients affected by the inflammatory process of the prostate gland.
• Medical specialists generally believe that purulent prostatitis is the result of the neglect of the inflammatory process and the psychological complexes of men about seeing a doctor.

Types of purulent prostatitis

1. The most common patients with a purulent inflammatory process in the prostate are middle-aged men with frequent sexual intercourse, although elderly and young representatives of the stronger sex are not uncommon among patients with this type of pathology.

2. According to the form of manifestation, purulent prostatitis is divided into acute and chronic.
3. Varieties of purulent inflammation are infectious and congestive prostatitis (congestive).

4. The infectious form combines bacterial and non-bacterial (viral, fungal) prostatitis.

Symptoms

• The clinical picture of a patient with purulent prostatitis manifests itself to varying degrees, depending on the stage of development and the type of disease present.
• In the catarrhal form, inflammation affects the walls of the prostate, and swelling of the prostate tissue can be noticeable or subtle.
• Since the symptoms of the catarrhal form begin to manifest themselves with frequent emptying of the bladder and the occurrence of pain, the sick man suspects that he has cystitis.
• Treatment with insufficient examination can be carried out against inflammation of the bladder mucosa, which can lead to the transition of purulent prostatitis to a more dangerous form.
• With the development of the follicular variety, not only the surface of the prostate becomes inflamed, but also its deep tissues.
• The prostate gland increases in volume, its functionality and tone decreases.
• The prostate lobes become covered with a purulent mass; high osmotic pressure allows the pus to break through the walls of the follicles.

After treatment, scar tissue forms in the follicular walls. The sick man experiences 3 points out of 4 on the pain scale.

The pain is reflected in the hips, sacral spine, and perineal area. A sick patient feels a high temperature (over 38.5 degrees).

Emptying the bladder becomes rare and painful. From the opening of the urethra, purulent masses with gland secretions may be discharged.

Due to damage to the prostate by a parenchymal type of inflammation, body temperature also rises, pain does not decrease below 3 points, purulent discharge from the urethra becomes abundant, and bladder emptying may be absent for a long time.

Pain sensations are transmitted to the lumbar region. The pain threshold increases to 4 points out of a possible 4, as a result of which the patient cannot remain in a sitting position for a long time.

With prolonged absence of treatment, the urine becomes cloudy, bowel movements become extremely rare, and mucous discharge often appears from the anus.

The course of the abscess type of purulent prostatitis is accompanied by the massive appearance of ulcers in the prostate tissue.

With this form of prostatitis, the highest body temperature is noted (up to 40 degrees and above), pain in the region of 3-4 points. Pus is discharged profusely from the urethral opening.

The toxic effects of pus and inflammatory products pose a threat to the patient's life. The danger of an abscess is its possible opening inside the body.

If pus gets into the internal organs of the pelvis and abdominal cavity, sepsis and other dangerous complications for the patient’s life can develop.

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What does purulent prostatitis mean for men?

It is better for the patient not to encounter complications after the course of purulent prostatitis in order to avoid a threat to life. Dangerous consequences of purulent phenomena in the prostate are sepsis, kidney pathologies, impaired urine outflow, infertility, and inflammation of the bladder.

Kinds

In any form, purulent inflammation is diverse in several types:

• catarrhal accompanies the course of an acute cold infectious process (flu, sore throat, acute respiratory infections, etc.) against the background of a decrease in the body’s immune forces;
• the follicular type is diagnosed in patients after the catarrhal type has not been treated;
• parenchymal causes pathological changes in the tissues of many organs of a man;
• the extreme degree of neglect of purulent prostatitis is the abscess form.

Severe stages

With the development of purulent prostatitis, the parenchymal and abscessive stages are considered the most dangerous.

The reasons for placing these stages in the category of “life-threatening” are as follows:

• extreme swelling of the prostate gland;
• extensive and deep damage to prostate tissue by the inflammatory process;
• high temperature accompanying inflammation (up to 40 degrees and above);
• the pain intensity threshold becomes maximum (3-4 points on the pain scale);
• Vital functions are disrupted (urine outflow, bowel movements);
• violation of the consistency and color of excreted waste products by the digestive and urinary systems (urine becomes cloudy, in the absence of feces, mucus is released and a false urge to empty the bowel is formed);
• irradiation of pain from the perineal area to the sacral spine, renal region, hips;
• a complication in the form of paraprostatitis (paraproctitis), which occurs as a result of the independent opening of an abscess into the organs or cavities of the male body;
• general poisoning of the body with decay products of infection and leukocytes, waste products of pathogenic organisms;
• copious discharge of pus from the urethral opening.

Causes of the disease

It is not easy to immediately determine the cause of the disease, because... there are several of them.

When prostatitis develops, it is necessary to exclude or identify the following risk factors for the disease and then eliminate them:

1. Pathogenic bacteria with an anerobic type of respiration from the urethral opening into the prostate tissue.
2. General hypothermia of the body or hypothermia of the gland as a result of sitting on a cold object.
3. Activation of the activity of pathogenic microorganisms, previously suppressed by the immune system of the man’s body (weakening of the man’s immune forces).
4. Urethral injuries occurring during inaccurate diagnostic examinations (cytoscopy, urinary catheter, smear collection from the urethra or urinary organs, crushing calcifications).
5. Penetration of pathogenic microflora through the bloodstream from infected organs (teeth - caries, gums - periodontitis, maxillary sinuses - sinusitis, tonsils - tonsillitis).

There are 3 guiding routes for the penetration of pathogenic infections from affected organs:

1. The infection penetrates through the circulatory system less frequently than by other means. Typically, the infection thus penetrates through the bloodstream from organs affected by a cold infection: throat, tonsils, larynx, adenoids. There are known cases of infection due to furunculosis.
2. The pelvic organs have a single lymph flow with the prostate gland: rectum, colon, etc. Damage to the organ causes infection of the prostate gland by penetration of lymph with infection into the prostate.
3. Canalicular type of infection penetration - infectious agents migrate from the back of the urethra into the excretory ducts of the prostate due to reverse flow. The most common way of developing purulent prostatitis.

Complications

Among all the dangerous consequences of the development of prostatitis in purulent form, it can be divided into 2 groups.

Direct complications.

• inflammation of the bladder walls, which becomes chronic;
• erectile dysfunction and weakened potency;
• inability of sperm to fertilize an egg;
• renal failure;
• narrowing of the urethra and replacement of some areas of the mucous epithelium with scar connective tissue;
• initiation and development of benign prostate tumors;
• repeated relapses of purulent prostatitis;
• an abscess in the prostate that can only be removed surgically;
• prolonged absence of urination, which threatens intoxication of the body.

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1. Impaired functioning of the prostate gland.
2. Initiates problems with the secretory activity of the testes to release male sex hormones - androgens - into the bloodstream.
3. Violation of hormonal regulation leads to indirect disruption of the circulatory system and digestive system (ulcerative conditions of the mucous membrane, heart attacks, atherosclerosis).
4. Delaying a visit to the doctor, associated with shame and complexes, can develop after one of the forms of purulent prostatitis occurs.
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Diagnosis of the disease

With the help of a diagnostic examination, a patient complaining of pain in the perineum and experiencing other symptoms of purulent prostatitis has the opportunity to quickly and competently get rid of the disease.

Methods of diagnostic examination at the present stage are the following:

1. Rectal examination of the prostate gland using digital examination. Allows you to detect an increase in the size of the prostate lobes due to inflammation. Usually the entire gland feels increased in size with the fingers. Not every form of prostatitis allows for a digital examination: diffuse prostatitis is accompanied by pain of severe intensity, so the invasion of the urologist’s fingers through the rectal ampulla becomes unbearable.
2. Laboratory tests of blood and urine indicate an inflammatory process in the prostate gland if clots of pus, traces of blood, and white blood cells are found in the urine. Detection of glucose and infectious agents cannot be ruled out. Prostatitis is detected in a blood test by an increase in ESR of more than 15-20 mm/h and an increase in the concentration of leukocytes of more than 8.5-9x109. Laboratory analysis also includes analysis of secreted prostate secretions.
3. The patient is referred for an ultrasound examination of the prostate gland in case of diffuse prostatitis, when unbearable pain does not allow a rectal examination of the prostate with the doctor’s fingers. The device monitor displays the structure of the gland, its density, homogeneity (heterogeneity) of individual areas. Ultrasound can detect residual urine in the bladder and the condition of the urethra. An alternative to the above method is TRUS of the prostate.
4. The doctor may require the patient to undergo additional diagnostic methods (biochemical analysis of prostate secretions, MRI and CT, kidney radiography, cystoscopy). An effective technique is to keep a patient diary describing each act of urination and indicating the time. The condition of the gland and the degree of inflammation in it change dynamically, affecting the process of emptying the bladder. Keeping a diary helps the doctor more accurately determine the diagnosis and monitor the effectiveness of the treatment process.

Drug treatment

It is not safe to fight purulent prostatitis on your own with the help of medications. Any pharmaceutical drug should only be prescribed by a doctor.

• Prostatilen.
• Urologists usually prescribe rectal suppositories or intravenous Prostatilen preparations.
• The main active ingredients of Prostatilen are protein compounds obtained from the tissues of the testes of bulls.
• The intramuscular preparation also contains glycine; rectal suppositories contain zinc sulfate, α-tocopherol, and dimethyl sulfoxide derivative.

After using Prostatilen in the prostate tissue, swelling and penetration of leukocytes decreases. The consequences of these processes are the attenuation of the inflammatory process.

1. When purulent processes and congestion occur in the prostate, Prostatilen is able to improve blood flow in the circulatory bed of the prostate gland and other organs and glands of the pelvic area.
2. The positive effects of using Prostatilen include an increase in cellular and humoral immunity, easier urination due to the restoration of muscle tone of the bladder walls, and eliminates the penetration of exogenous inflammatory agents.
3. The zinc content in the preparation increases the life expectancy of sperm.

Other effects of zinc in the functioning of the male body are also known: increasing libido, preventing the development of benign and malignant neoplasms, etc.

• Vitamin E, which is part of the pharmaceutical preparation, prevents the formation of cholesterol plaques in blood vessels, reduces the concentration of free radicals in tissues, reduces blood viscosity and coagulability, and creates an active environment for sperm chemotaxis.
• Terazosin.
• The drug is not an analogue of Prostatilen and is prescribed by a urologist as an adjuvant in the treatment of purulent prostatitis.
• The main effect of Terazosin is associated with improved blood circulation and hemodynamic parameters.
• The list of pharmacological effects of the drug does not include an anti-inflammatory property, which allows the drug to be used only in the treatment of non-inflammatory prostate diseases (adenoma).
• Rectal suppositories Pantopon or Promedol.
• Like Terazosin, they complement the main treatment of purulent prostatitis, but, unlike the latter, they have a pronounced analgesic effect, enhancing the effect of the main drug.
• Digital
• Among the drugs with the main treatment include Tsifran, which has an antibacterial effect for purulent prostatitis of the infectious type.
• Metronidazole.
• Prescribed for infections in the prostate of a bacterial nature or protozoan agents.
• Ketotifen.
• A urologist can be appointed in case of pain of at least 3 points on the pain scale.
• Vitaprost.
• Vitaprost anti-inflammatory suppositories and tablets, to which natural raw materials are added - prostate secretion, can improve several insufficient functions of the gland.
• Bioprost.
• Unlike Vitaprost, Bioprost contains herbal components, but in terms of pharmacological action it exhibits similarities.
• Viferon (rectal suppositories).
• It is similar in composition to Bioprost (herbal components), but its pharmacological action specializes in improving immunity and antiviral action.
• Polyoxidonium.
• Prescribed for all types of purulent prostatitis of unclear or multiple infectious nature.

Surgery

In order to save the patient's life, surgical treatment is performed when there is a high probability of opening abscesses due to purulent prostatitis and high thrombus formation in the pelvic vessels.

Surgical intervention is performed through the perineum or rectum.

After surgery, the patient must take a course of immunomodulators and antibacterial agents in order to prevent recurrence of abscess formation.

Treatment with traditional methods

The use of folk remedies in the treatment of purulent prostatitis has the purpose of additional effects on prostate tissue and should not be carried out in conflict with drug treatment, therefore a consultation with a urologist will be necessary for the patient.

Well proven in eliminating the symptoms of purulent prostatitis:

• juice from fresh elderberries;
• crushed pumpkin seed kernels with honey;
• parsley seeds, brewed and infused for an hour;
• aspen bark infused with alcohol.

Prevention

Normal functioning of the prostate gland provides the patient with not only physical, but also mental health.

A set of rules recommended by the Association of Urologists allows you to prevent purulent prostatitis:

• exclude spicy, fatty, fried foods from the diet;
• stop frequent consumption of alcoholic beverages and completely stop smoking;
• maintain a sexual life regime with the exception of interrupted sexual intercourse and a frequency of less than 1-2 times a week;
• try to avoid long-term sexual abstinence;
• refuse masturbation (if it is impossible to fulfill the requirement, do it rarely);
• strive for a sexual culture with discrimination in sexual partners;
• have your genitourinary organs examined by a urologist twice a year;
• in winter, use a heated seat or a wooden massager in the car;
• avoid systematic urinary retention;
• prefer underwear that does not compress the genitals;
• exclude general hypothermia and sitting on cold objects;
• In order to prevent relapses of purulent prostatitis, it is advisable to undergo sanatorium treatment once a year.

Source: https://ProstatitMedic.ru/gnojnyj.html