Abacterial (non-bacterial) prostatitis is a special form of inflammation of the prostate gland, the cause of which cannot always be determined even through careful diagnosis, which significantly complicates treatment.
A more precise definition of pathology is non-infectious prostatitis, since inflammation can be provoked not only by bacterial flora, but also by tuberculosis pathogens, protozoa, and viruses. Chronic abacterial prostatitis is the most commonly diagnosed pathology of the prostate gland .
In only 5% of men who consult urologists (other doctors who treat prostatitis), the cause of inflammation is infection.
Types of abacterial prostatitis, its causes
Abacterial prostatitis (according to the American classification) belongs to category 3 - chronic pelvic pain syndrome: type “a” - with pronounced signs of inflammation, type “b” - and without them (prostatodynia). Signs of category “a”: in prostatic juice the number of leukocytes is increased (more than 15 units in the field of view), but the growth of pathogenic microflora is not recorded. With type “b” there is no inflammatory process.
National Institutes of Health classification of prostatitis syndrome
The very fact of the presence of an inflammatory process without a pathogen is doubtful. Many doctors agree that the problem is due to poor diagnostics, during which pathogens were not detected: insufficient qualifications of doctors, poor laboratory equipment, inaccurate methods.
The analysis will be much more accurate if the time interval between the collection of prostatic juice and its examination is reduced to 5 minutes.
Also worthy of attention is the version that in patients who received several courses of antibiotic therapy, the microorganisms were transformed (converted into L-forms) and are not detected by standard diagnostic methods.
Another reason for the inflammatory form of abacterial prostatitis is the localization of a colony of pathogens and attenuation of symptoms . The prostate consists of 2 lobes, each of which includes about 20 glands with independent excretory ducts, which then merge together.
Due to the activation of the immune system or the course of treatment, inflammation is limited - the duct becomes clogged with purulent-necrotic secretions, pathogens stop spreading through the tissues of the gland. As a result, according to the analyses, an improvement in the condition is obvious, but it is imaginary.
Bacteria are still the source of the problem.
The cause of inflammatory abacterial prostatitis is also the waste products of pathogens . Compounds unusual for the body are built into cell walls, which leads to changes in their physicochemical properties, disruption of membrane permeability and subsequent destruction.
What is chronic pelvic pain syndrome, says general practitioner Philip Kuzmenko
Provoking factors for the development of abacterial prostatitis are:
- Blood stagnation, venous stasis (obstruction of blood outflow) in the pelvic area;
- Nerve conduction disorders;
- A large number of fusions between veins;
- Features of the structure of the glands that cause their incomplete emptying.
Doctors see feedback: some of the above factors are not the cause, but a consequence of prostate dysfunction.
Possible causes of non-inflammatory abacterial prostatitis :
- Chronic inflammation of the pelvic floor ligaments, provoked by foci located in close proximity (cystitis, intestinal infections, urethritis).
- Exhaustion of the nervous system, phantom pain.
- Autoimmune pathologies in which the body attacks its own cells.
Disturbances in the urination process in the form of urine reflux can also cause chronic abacterial prostatitis.
Symptoms
Main symptoms of chronic abacterial prostatitis (% of patients) :
No growth of pathogenic microflora is observed.
Diagnostics
The mandatory diagnostic program for a patient with suspected abacterial prostatitis includes a digital rectal examination . However, this is not recommended during the first examination, since subsequent urine tests may be unreliable. First, a study is carried out using the three-glass sample method .
The secretion released after a prostate massage is sent for culture to identify nonspecific microflora, the causative agent of tuberculosis. An important indicator for abacterial prostatitis is the number of lecithin grains - an indicator of the activity of the prostate gland. The more there are, the better . The norm is 10 million per 1 ml of juice.
Collection of prostate secretions
In abacterial prostatitis, it is important to identify intracellular pathogens. This is done by using molecular genetic methods to detect the DNA of chlamydia, ureaplasma, mycoplasma, and herpes virus. These pathogens are capable of maintaining long-term inflammation in the prostate without obvious symptoms.
Additional methods for diagnosing abacterial prostatitis:
- Light microscopy of a smear (according to Romanovsky, Gram).
- Study of ejaculate.
- Uroflowmetry (measurement of urine flow rate).
Tests during treatment are usually repeated every 10 days.
Treatment
For non-infectious forms of prostatitis, treatment begins with a short course of antibacterial therapy with broad-spectrum antibiotics (according to the recommendation of the European Association of Urology).
One of the most commonly used drugs is the fluoroquinolone Ciprofloxacin . The active substance is active against the entire spectrum of pathogens of chronic prostatitis.
Its optimal concentration is ensured by oral administration of “ Cifran OD ” (once a day in the morning for 10 days). The drug is well tolerated by patients.
Doxycycline is also prescribed as an antibacterial agent . On the first day the dosage is 300 g, in the next 2 weeks 100 mg 2 times a day. When a herpes infection is detected, Famciclovir (Familar) is used . For pain relief, anti-inflammatory drugs are prescribed: Nurofen, Nise.
Price in Russian pharmacies from 14 rubles
Additional drugs:
- Herbal medicine: “Eskuzan”, “Prostanorm”;
- "Urovax" (to strengthen the immunity of the genitourinary system);
- Antiviral immunomodulator "Panavir" (on plant extracts) intravenously;
- Alpha-1 adrenergic blockers (the drug “Omnik for prostatitis”);
- "Benziclone" to relieve spasms of smooth muscles;
- 5-alpha reductase inhibitors;
- Peptides: “Vitaprost”, “Prostatilen”;
- Local laser therapy.
Positive dynamics are achieved in about 2 weeks.
Physiotherapy
According to doctors, the only appropriate methods of treating abacterial prostatitis are antibiotics and prostate massage . You can perform the latter either independently or on an outpatient basis (there are special massagers).
When massaged, prostatic juice is released, blood flow accelerates, which helps relieve inflammation and remove pathogens. Massage promotes the penetration of antibacterial drugs into the gland tissue, enhancing their effectiveness.
Contraindications to duct drainage procedures:
- Acute inflammation of the prostate;
- The presence of stones, cysts and other formations in the gland;
- Tuberculosis;
- Injuries to the rectum.
A good addition to prostate massage are exercises that increase blood flow in the pelvic area: squats, leg extensions with force (according to Bubnovsky), Kegel training.
Patients with abacterial chronic prostatitis are also prescribed mud and radon baths, electrophoresis, and pulsed electrotherapy. The procedures contribute to better emptying of the prostate ducts.
Diet
You can reduce the symptoms of abacterial prostatitis by adjusting your diet. The amount of smoked, fatty, too spicy and salty foods should . Discomfort increases with excessive consumption of red meat, coffee, and alcohol.
For abacterial prostatitis, it is recommended to eat more seafood, vegetables and herbs . Parsley and celery are especially useful (read about the benefits of celery for male potency). Daily consumption of pumpkin seeds also has a beneficial effect on the functioning of the prostate and other organs of the male reproductive system.
Folk remedies
Parsley is considered the most effective remedy against the symptoms of prostatitis . To prepare a decoction, add 250 ml of boiling water to 3-5 tablespoons of dry herb and leave for 2 hours. Take a tablespoon half an hour before meals for 2-3 weeks.
chestnut tincture is used as a blood-thinning and anti-inflammatory agent : 250 g of the peel is poured into 250 ml of boiling water, infused for 2 hours. Drink a tablespoon three times a day.
Garlic infusion has anti-inflammatory and antiseptic properties : pour 6 crushed cloves into 0.5 liters of water (room temperature), leave for 12 hours. Drink a tablespoon before meals (more recipes with garlic for prostatitis).
For prostatitis of any origin, beekeeping products are useful :
- Honey;
- Bee bread (pollen);
- Royal jelly;
- Propolis.
A decoction or tincture of dead bees has a pronounced antiseptic effect. Recipe: 200 g of dead meat, pour 200 g of alcohol, leave for a month. Take 20 drops twice a day for 2 months.
Conclusion
According to doctors, long-term abacterial prostatitis cannot be completely cured. Since in most cases the causative agent is one’s own natural microflora, therapy should focus on strengthening the immune system.
Improvements include a decrease in the number of leukocytes in smears (which indicates the attenuation of the inflammatory process) and an increase in the number of lecithin grains.
Experts believe that chronic abacterial prostatitis is a condition in which it is not the gland itself that needs to be treated, but the whole person, including correction of his psychological state.
Source: https://muzhchina.info/prostata/prostatit/abakterialnyj
Features of the treatment of abacterial prostatitis in men
Prostatic inflammation in various forms occurs today in every second man, and for elderly patients they are considered a normal and completely natural condition. The inflammatory process can have a varied course and origin. One of its variants is abacterial prostatitis, which has a non-bacterial etiology.
Specifics of the pathology
The specificity of prostatitis of non-bacterial origin, which experts call chronic pelvic pain syndrome, assumes the absence of bacterial infections and is characterized by pronounced prostatic hemorrhage.
Such a disease is a chronic inflammatory process and requires mandatory therapeutic intervention, otherwise the man risks remaining impotent and will suffer from periodic exacerbations of the pathology all his life.
If abacterial prostatitis remains for a long time without appropriate treatment, then the risk of developing sclerotic processes in prostatic tissues and complicated radiculitis of the lumbosacral localization increases.
The WHO has certain statistics regarding this disease, according to which a non-infectious inflammatory process in the prostate is diagnosed in every fifth male.
Inflammation usually has a urological origin and occurs against the background of pathologies not related to the genital structures.
Reasons for appearance
Non-bacterial inflammation of the prostate glandular tissue develops in patients under the influence of quite a variety of factors:
- Pathologies of an extragenital nature that have no connection with disorders in the genital organs;
- Inflammatory intestinal lesions;
- Frequent lifting of heavy objects with a full bladder, which provokes the reflux of urine into the prostatic structures, provoking inflammatory processes;
- Professional horse riding or cycling;
- Deviations in the structure of the genitourinary tract of an anatomical nature, for example, an extremely narrow lumen of the urethra, etc.;
- Pathological lesions of urinary organic structures;
- Psychological disorders;
- Hidden infectious processes that cannot be diagnosed;
- Chronic inflammation of the bladder tissue;
- Frequent bowel movements with spasmodic contraction of the pelvic muscle tissues, etc.
Abacterial prostatitis can develop against the background of one pathological factor, but in practice, urologists more often identify a whole range of causes that provoke the pathology.
Stages of abacterial inflammation of the prostate
Any pathological condition develops in several successive stages. If inflammation is detected at the earliest stages, then treatment of abacterial prostatitis will be as effective and simple as possible. Urologists note three successive degrees of development of prostatic non-bacterial inflammation: original, supraorgan and multisystem.
The original stage is accompanied by periodic pain attacks in the pelvic area. The intensity and nature of pain symptoms is determined by the characteristics of the course and the presence of blood stasis.
The supraorgan degree of prostatic inflammation occurs with severe pain symptoms of the wandering type, when the pain is localized in the prostate, radiating to the upper areas of the abdomen. There is a pronounced violation of erectile functions, the patient almost constantly experiences hip pain attacks.
When the pathology reaches the multisystem stage of development, a massive disruption of most metabolic processes occurs, not only in the prostate, but also in other organic structures, especially those located in the pelvic area. Pathological disorders also affect the surface of the patient’s genital organs.
If a man stubbornly ignores the developing pathology, then over time the disorders will spread to intestinal activity, sexual and erectile functions, metabolic processes, etc.
Clinical signs of the disease
The clinical manifestations accompanying abacterial prostatitis are practically no different from those with inflammation of an infectious nature.
The man notes the appearance of discomfort and pain in the penis and scrotum, in the groin area and lower abdomen.
Inside the urethra, the patient experiences a burning sensation, he is bothered by false or frequent urges, and the stream is released with weak pressure.
When defecating, the patient also experiences pronounced discomfort; he has to push in fits and starts, because strong straining causes severe pain. Moreover, during the process of bowel movement, a man releases stringy mucus from the urethra.
It is also found in the urine in the form of thin threads.
In addition, the patient notes a decrease in sexual desire, erectile dysfunction, dull sensations during orgasm, and the general condition is characterized by depressive disorders, weakness, and increased fatigue.
Pain syndrome, as a symptom of abacterial prostatitis, is caused by hypertonicity of the pelvic muscle tissues, leading to the formation of myofascial pain. The pain becomes intense during vigorous physical activity and during sedentary monotonous work.
If a man undergoes a rectal digital examination, he complains of pain in the rectal area, although the prostate itself does not cause any pain.
Such features of the pain syndrome are considered characteristic and are of great importance in differentiating non-bacterial pathology from other types of prostatic inflammation.
Diagnostic procedures
First, the urologist collects anamnestic data and prescribes laboratory and hardware tests. The specialist must have many years of experience and high qualifications, then it will not be difficult for him to identify the abacterial type of inflammation. To obtain the necessary data and make an accurate diagnosis, the patient is prescribed:
- General laboratory examination of blood, seminal material, urine, and analysis of prostatic secretions is also carried out;
- Rectal digital examination of the prostate;
- Uroflowmetric study, which allows you to evaluate the characteristics of the stream during urination;
- Ultrasound examination of the pelvic area, prostate tissue, etc.;
- Examination of the urinary system.
If microbiological laboratory diagnostics give negative results, then the non-bacterial nature of prostatic inflammation is confirmed. After receiving all the research data, the urologist can make a diagnosis and select the most effective therapy for each individual patient.
How to eliminate an attack yourself?
Sometimes an attack of abacterial prostatitis takes a man by surprise, for example, at night. You won’t be able to see a specialist at this time, so there is a need to stop the attack on your own.
Don’t immediately grab the first aid kit and swallow handfuls of antibiotics and anti-inflammatory drugs.
If the patient knows that the cause of the pain attack is non-bacterial inflammation of the prostate, then you can take some kind of painkiller.
Prostatic massage will also help alleviate the condition; it will help clear prostatic duct channels that are clogged due to stagnant processes in the gland.
A warm bath (but not hot!) will help relieve pain. Warm water will relax the pelvic muscles and reduce pain.
Such methods will help cope with severe prostatic pain, but at the first opportunity a man should visit a urologist.
Professional approach to treatment
Men, when faced with a similar problem for the first time, often do not know which specialist they need to contact. For abacterial prostatitis, treatment is carried out by a urologist, as well as other prostatic pathologies. If there is no specialist of a similar profile in the clinic, then a therapist or surgeon can help.
In general, therapy for chronic pelvic pain syndrome requires an integrated approach and is aimed at identifying and eliminating the provoking factors of the pathology. The complex includes the prescription of medications and physiotherapeutic procedures, gland massage sessions and laser therapy, diet therapy and physical therapy.
Medicines
Treatment of non-bacterial prostatitis with drugs requires a specialist to take the most serious approach than in the treatment of acute inflammation. Antispasmodic and anti-inflammatory drugs, muscle relaxants and α-blockers, antidepressants, etc. are usually prescribed.
Drugs from the group of adrenergic blockers help ease urination, and NSAIDs relieve pain and relieve inflammation.
Antidepressants are necessary for patients who have mental disorders due to erectile dysfunction and sexual problems caused by prostatitis.
Homeopathic remedies that require long-term use are quite helpful for various prostatitis.
Physiotherapy
Physiotherapy also has a beneficial effect on the treatment process, accelerating the recovery of patients. Among the particularly effective procedures are:
- Ultrasound wave therapy;
- Magnetotherapy;
- Contrast shower procedures for the groin area, making sure that the coldest water is at room temperature;
- Galvanization, when prostatic tissue is exposed to direct current of low voltage and strength;
- Heat wave therapy;
- Prostatic massage procedures;
- Treatment with infrared laser beams;
- Hypoxytherapy, which involves the patient inhaling air with a reduced oxygen concentration. This effect helps accelerate blood circulation and eliminate prostatic congestion.
Each case has its own individual contraindications to certain types of physiotherapeutic treatment, so the necessary procedures are prescribed only by the treating urologist leading the patient.
Prostatic massage
Prostate massage should only be performed by a qualified andrologist/urologist. Sometimes it is possible to carry out such procedures at home using special massage devices. This technique is excellent for treating chronic prostatic inflammation and is also indispensable for preventive purposes.
Prostatic massage relieves muscle tension and eliminates stagnation of secretions and blood in prostatic tissues, accelerates blood circulation and restores erectile functions, relieves rather unpleasant prostatic symptoms, etc.
But in case of exacerbation of non-bacterial prostatitis, treatment with massage procedures is contraindicated.
It is necessary to first carry out certain therapeutic measures with medications, and when the pathological symptoms subside, you can begin massage procedures.
Laser treatment
Laser therapy for prostatic inflammation is used quite often, because it has a fairly high therapeutic effect, because it has a deep penetrating ability. Treatment of prostatitis with a laser involves exposing glandular tissue to an infrared laser beam.
As a result of such an effect, metabolic processes are activated, and energy production in cellular mitochondria increases. This action accelerates the regeneration processes, significantly increases the effect of the drugs, as a result, their dosage can be reduced.
Diet correction
Salty, fried, fatty or spicy foods have an extremely negative effect on the prostate. Moreover, they have an aggressive effect on the therapeutic processes, so during treatment such foods and dishes must be categorically abandoned. If urine has a high concentration, then the pathology picture can seriously worsen.
If the patient takes a large amount of liquid per day, then his urine will be very dilute, he will often run to the toilet, which will lead to the rapid leaching of pathogenic microorganisms from the bladder structures.
Physiotherapy
Regular performance of therapeutic gymnastic elements for abacterial inflammation of the prostate provides a tonic and strengthening effect.
- It is useful for patients to perform elements that train the articular hip muscles and spinal flexibility.
- Bends, turns, and stretching are recommended as basic exercises.
- During the training process, you need to ensure that all elements are performed with the maximum possible amplitude.
- The Kegel complex, aimed at training the muscle tissue of the pelvic floor, is considered especially effective for patients with non-bacterial prostatitis.
- If your doctor approves, you can include pull-ups and abdominal exercises in your workout.
The effectiveness of therapeutic exercises will be achieved only with regular training.
Forecasts and possible consequences
In advanced cases, abacterial prostatic inflammation is very difficult to treat, so you can’t expect quick results from therapy. The prognosis is further complicated by the fact that sometimes it is not possible to accurately determine the cause of such prostatitis.
Typically, the course of therapy lasts about one and a half months, it is possible to change the duration shorter or longer. After a few days, the doctor will be able to evaluate the correctness of the selected therapy and, if necessary, change it.
If the pathology is not treated properly, then many complications may develop, such as benign hyperplasia and sexual problems, decreased libido or infertility, inflammation in the testes or impaired renal function. Chronic inflammation is always more difficult to treat than the early stages, so you should promptly contact a urologist at the first suspicious signs.
Source: https://DlyaMuzhikov.ru/prostate/prostatitis/abakterialnyj-simptomy.html
Abacterial chronic prostatitis: symptoms and treatment with drugs
- Urologist-andrologist 1st category Petr Viktorovich
- 33068
- Update date: December 2019
There are several forms of prostatitis, differing in symptoms and course of the inflammatory process.
Despite the fact that in general this disease has been quite well studied, there is one form about which little is still known - abacterial prostatitis. This disease is also called chronic pelvic pain syndrome and, according to recent reports, affects every fifth man on the planet.
Despite such widespread distribution, the disease is still a mystery to doctors and is very difficult to treat.
Abacterial and non-infectious prostatitis: what is the difference?
Abacterial or non-bacterial prostatitis is often mistaken for non-infectious prostatitis. In fact, these are two different diseases with different manifestations and causes of development.
Chronic abacterial prostatitis is a disease without clear symptoms of inflammation in the prostate gland. Moreover, in the vast majority of cases, a detailed examination does not make it possible to establish the presence of an inflammatory process in the organ.
At the same time, non-infectious prostatitis is an inflammatory disease that has well-defined and well-studied causes. Non-infectious prostatitis is caused by a violation of the trophism of the prostate gland, as a result of which stagnation of prostate secretion occurs and an inflammatory process develops.
Non-infectious prostatitis is most often diagnosed in older patients, while non-bacterial prostatitis can occur in men of all age groups.
To avoid confusion, non-bacterial prostatitis is also called chronic pelvic pain syndrome, which perfectly characterizes the main symptoms of this complex disease.
Typical symptoms
When there is little need, pain is felt
The signs of abacterial prostatitis are not similar to the symptoms of inflammation of the prostate gland, so many doctors assume the neurological nature of the development of this disease.
With abacterial prostatitis, the symptoms are as follows:
- constant aching pain in the pelvic area;
- increased pain during urination;
- severe discomfort during ejaculation;
- general physical malaise;
- nervous tension.
As a rule, pelvic pain is observed for a long time, from three months to six months. The pain syndrome is aching, monotonous, can go away on its own without the use of analgesics, and then return spontaneously. The pain radiates to the testicles, perineum, anus. Sometimes short-term episodes of shooting “nerve” pain occur in the lower back, lower abdomen, and groin.
Patients complain of worsening erection. During ejaculation, he feels strong tension, ejaculation is accompanied by sharp pain. During urination, attacks of severe pain are also possible.
Along with these symptoms, there is severe emotional depression. The man is tense, susceptible to stress, and some patients experience insomnia and neurosis-like conditions.
Causes of abacterial prostatitis
A fall, and as a result, a back injury, can cause illness
Non-bacterial prostatitis has not been well studied, so doctors give probable causes for the development of this disease.
The exact mechanism of development and pathogenesis of chronic abacterial prostatitis has not yet been established.
Presumably, the disease may have the following causes:
- inflammation of the ligaments and tendons of the pelvic floor;
- autoimmune process;
- enlargement of the pelvic floor ligaments;
- back injuries and chronic spinal diseases;
- disturbance of blood microcirculation in the prostate gland;
- psychoneurological reasons;
- intracellular parasites and pathogenic microorganisms in the prostate.
Inflammation of the ligaments and tendons of the pelvic floor can develop as a result of infectious diseases of the genitourinary system organs located in close proximity.
As a result, the infection spreads to the ligaments, they become inflamed and increase in size, squeezing and irritating nearby nerve endings.
The pain that a man feels can radiate along the nerves, radiating to the lower back, groin, lower abdomen or anus.
Another suspected cause of chronic abacterial prostatitis or CAPP is autoimmune processes occurring in the body. As a result of such a failure, the immune system begins to perceive prostate cells as a foreign element and attack them with immune cells, which leads to the appearance of typical symptoms of abacterial prostatitis.
Another suspected cause is viral prostatitis suffered by the patient in childhood. Since the prostate in boys is not yet sufficiently developed, viral inflammation of this organ may not have clear symptoms and become chronic, which in an adult man manifests itself as pelvic pain syndrome.
The disease can also be associated with various back pathologies, injuries or osteochondrosis, which result in compression of the spinal nerve roots, which causes pain and disruption of the prostate gland.
Some doctors suggest that this disease may be caused by congenital circulatory failure of the prostate gland, due to which the organ cannot cope with its function. Over time, this leads to the appearance of chronic pain, characteristic of abacterial prostatitis.
In addition, there is a theory that CALD may be caused by psychoneurological disorders, for example, severe stress, neuroses, and vegetative-vascular dystonia. In this case, the pathology must be considered as a psychosomatic disease.
Another theory states that the disease may be associated with intracellular parasites or microorganisms whose size is so small that they cannot be detected by standard methods.
Risk factors
Smoking may contribute to prostate problems
Presumably, risk factors for the development of chronic pelvic pain syndrome in men are:
- previous prostate diseases;
- chronic stress;
- back injuries;
- hypothermia of the pelvic organs;
- urogenital infections;
- chronic testicular diseases;
- bad habits;
- circulatory disorders of the pelvic organs;
- physical inactivity;
- pelvic injuries.
The risk of developing the disease increases if a man does not eat properly. A deficiency of vitamins and essential microelements can affect not only general well-being, but also the functioning of the prostate gland.
Differential diagnosis
To make a diagnosis of chronic pelvic pain syndrome, the following conditions are necessary:
- long-lasting pain, for a period of three months;
- absence of pathogenic microorganisms in prostatic secretions;
- absence of chronic foci of infection in the body;
- discomfort during ejaculation.
To make a diagnosis, differential diagnosis is carried out with prostate cancer, neurological syndromes, and spinal pathologies that lead to irritation of the spinal nerve roots.
A general urological examination is required - palpation of the prostate, transrectal ultrasound of the organ, study of the composition of the prostatic secretion. Inflammatory diseases of the testicles, bladder and kidney pathologies, which can manifest as pain in different localizations, should also be excluded.
It is imperative to undergo examination by a neurologist and therapist. You should also consult a proctologist to rule out rectal pathologies.
Treatment methods
An integrated approach is practiced in the treatment of abacterial prostatitis. The therapy is selected by the urologist taking into account the characteristics of the patient’s disease. This takes into account the general health and psycho-emotional state of the man.
Therapy includes the following methods:
- symptomatic treatment;
- prostate massage;
- physiotherapeutic methods.
As necessary, treatment can be supplemented with sedatives, homeopathy and herbal remedies.
Drug therapy
Before starting drug therapy, you should consult your doctor.
For the symptomatic treatment of abacterial prostatitis, the following groups of drugs are prescribed:
- broad-spectrum antimicrobial antibiotics;
- non-steroidal anti-inflammatory drugs;
- antispasmodics and analgesics;
- alpha-blockers;
- sedatives and antidepressants.
In the treatment of non-bacterial prostatitis, antibacterial agents are used, no matter how paradoxical this may sound.
The fact is that the theory about microorganisms that cannot be seen through a microscope remains open, so antibacterial agents are prescribed for prevention.
Urologists claim that these drugs help to quickly eliminate the symptoms of the disease, so their use is fully justified.
Antispasmodics and analgesics are used to reduce pain. Nonsteroidal anti-inflammatory drugs can also be used as symptomatic therapy.
To facilitate the process of urination, alpha-blockers are indicated.
It should be noted that the optimal treatment regimen is selected individually for each man. You should not self-medicate by thoughtlessly taking drugs from the listed groups; it is better to trust an experienced specialist.
Prostate massage and physiotherapy
In general, treatment of abacterial prostatitis with drugs shows good results. To consolidate the therapeutic effect, other methods are needed.
Prostate massage improves the functionality of the organ, prevents stagnation of prostatic secretions, normalizes blood circulation and metabolic processes. It is prescribed in a course of 10 procedures.
Physiotherapy includes magnetic stimulation, ultrasound therapy, electrophoresis with vasodilators and other methods. Patients are also indicated for sanatorium-resort treatment, for example, mud therapy.
Folk remedies
Tinctures from motherwort herb help well with illness
Non-bacterial prostatitis can be treated with folk remedies only after consultation with a doctor, otherwise such treatment will not help, but will only make you feel worse.
To treat non-bacterial prostatitis with folk remedies, you can use:
- decoctions of sedative herbs to improve general well-being - chamomile, lemon balm, motherwort, valerian;
- microenemas with anti-inflammatory decoctions of St. John's wort, calamus, yarrow;
- warm sitz baths with calamus, soda or nettle decoction;
- suppositories with pumpkin oil;
- tampons with honey and propolis.
The use of any of the listed remedies must be agreed with your doctor.
Suppositories are prepared as follows: melt five parts of cocoa butter in a water bath, then add one part of honey and one part of propolis (or two parts of pumpkin seed oil).
Then the mass is cooled, suppositories 4 cm long and 1 cm in diameter are formed and cooled in the refrigerator. Such suppositories should be inserted into the rectum after a cleansing enema at night for two weeks.
Possible complications and prevention
Abacterial prostatitis requires timely diagnosis and treatment. Otherwise, pelvic pain syndrome can lead to infertility, impotence, vesiculitis and other problems of the male genitourinary system.
To prevent the development of the disease, it is necessary to lead an active lifestyle and eat right. It is important to maintain immunity and prevent hypothermia of the pelvic organs. Men need regular sex life with a regular partner to prevent the development of congestion in the prostate gland. It is also necessary to undergo regular preventive examinations with a urologist.
Source: https://muzhik.guru/prostatit/klassifikatsiya/abakterialnyy-prostatit/
Abacterial prostatitis: symptoms and treatment
Abacterial prostatitis, also known as non-bacterial prostatitis, is one of the forms of a common male disease, which recently has not spared the younger generation. The abacterial type of prostatitis develops due to deformation of the muscle tissue in the prostate. Most often, the abacterial form of the disease occurs due to inactivity, a sedentary lifestyle and constant stress.
How does this form of the disease differ from a standard prostate infection and what treatment is required?
How does the disease manifest itself?
The modern rhythm of life, excessive demands at work, and frequent stress provoke psychological disorders in men, which lead to the development of abacterial prostatitis.
Having sought medical help, the man undergoes a full examination, but despite the characteristic symptoms, the infection is not detected. In this case, an abacterial type of prostatitis is diagnosed.
This form is sometimes called chronic pelvic pain syndrome. The primary symptoms by which the disease is detected appear in the form of frequent pain in the lumbar, pelvic region and perineum.
The patient may feel discomfort when emptying the bladder and almost always during sexual intercourse. A person will definitely feel general weakness and, in most cases, lethargy and mood swings. In later stages of abacterial prostatitis, symptoms become more intense:
- Patients often become depressed and lose sleep.
- They are bothered by constant pain, aching and lingering in nature, which is eliminated only temporarily with the help of painkillers.
If the disease is not treated, the man will develop chronic abacterial prostatitis, in which pain will be a constant companion.
This form of the disease is very difficult to treat; often all therapy consists of eliminating the symptoms. This means that a non-bacterial disease will remain for life and regular use of medications will become mandatory.
To prevent this from happening, timely diagnosis and treatment of the prostate gland is necessary.
Ask a urologist a question!
Kolokolov V.N.
How is the disease eliminated?
After the doctor makes a diagnosis of “abacterial type of prostatitis” based on the examination data, this condition will be treated. Disorders on a psychological basis are the main culprits of the abacterial type of prostatitis. At a physiological level, a man experiences:
- Hormonal imbalance and autonomic imbalance.
- Physiological disruptions in the functioning of the male gland.
- Hemodynamic disturbances cause symptoms of sexual dysfunction.
Further aggravation of the process leads to additional deviations:
The result of the development of abacterial prostatitis is prostate atrophy.
- Immune disorders in the body.
- Development of prostate dystrophy.
- Sclerosis of the gland.
The abacterial species is not indicated for treatment with surgical methods, even if the disease is accompanied by severe symptoms and the therapy becomes lengthy. In this case, adjustments are made and treatment continues.
When a secondary infection occurs, drug therapy is prescribed, since it is impossible to get rid of the infection without the use of antibiotics.
The priority methods in the treatment of abacterial type are:
- General strengthening therapy.
- Physiotherapy.
- Immunocorrection.
- Massage.
A diet is also required, in which men have to give up junk food, alcoholic and caffeinated drinks.
It is necessary to normalize the water balance and introduce a sufficient amount of fiber into the diet. Warm baths help reduce pain symptoms, so water procedures become mandatory.
You can add herbal extracts and decoctions to the water, which have an anti-inflammatory effect.
The non-bacterial type can be treated through massage, but only after acute symptoms have subsided. This effect has a beneficial effect on blood flow and improves nutrition of the prostate. Experts also recommend training the pelvic floor muscles. To do this, you can contract the pelvic muscles daily - squeeze and relax, this should be done at least 100 times a day.
The following alternative methods show good results:
- Aromatherapy.
- Hirudotherapy.
- Phytotherapy.
- Homeopathy.
- Reflexology.
Doxazosin is used for both ordinary and abacterial prostatitis.
What other therapies are used?
When the disease is aggravated by the addition of an infection, then therapy is carried out using powerful antibacterial drugs. The main treatment for the symptoms of this non-bacterial type of prostatitis includes taking the following medications:
- Antibiotics. They are used to be on the safe side, since not all pathogenic pathogens can be identified during the process of diagnosing the abacterial type. In most cases, the course is 7-10 days, broad-spectrum drugs are prescribed, for example Levofloxacin.
- Alpha adrenergic blockers. Drugs that can relieve the symptoms of abacterial prostatitis. Their use allows you to normalize the outflow of urine, reduce pain, and eliminate congestion. The products also have a positive effect on men's libido. Treatment lasts 2-3 months. Drugs such as Tamsulosin, Doxazosin, Alfuzosin are often prescribed.
- Medicines with analgesic effects. If the symptoms of abacterial prostatitis are minor, then Analgin is prescribed; it eliminates pain, fever, and inflammation. Treatment may also include drugs such as Novocaine and Diphenhydramine. Rectal suppositories with belladonna are highly effective.
- NSAIDs and antipsychotic drugs. To make the treatment of non-bacterial prostatitis more effective, these drugs are taken together. They restore the nervous system and optimize the processes of nutrition of nerve fibers. Really good results are obtained by drugs from the group of NSAIDs, the active substance in which is the substance meloxicam - Meloxicam, M-Cam, Mataren, Mesipol and some others. With their help, inflammatory processes of any organs, including the prostate, can be treated.
Herbs and decoctions from them
As an additional therapy, the abacterial form of pathology can be treated using traditional medicine. However, first of all, you should consult your doctor. Some herbal components can relieve unpleasant symptoms of the disease - pain, inflammation, discomfort.
The red root can relieve the symptoms of abacterial prostatitis with long-term use.
- Non-bacterial prostatitis can be treated with a decoction of red root. You should drink it before meals, you can add milk and honey. Therapy can last from 1 to 3 months, the interval between courses should be at least 30 days.
- Vegetable juices also contribute to rapid recovery from this pathology. Freshly squeezed juices of asparagus, beets, carrots, and cucumber help remove uric acid from the body.
- Parsley seeds allow you to treat abacterial prostatitis during an exacerbation. The raw material is infused cold or hot, taken 1/3 cup 4-5 times a day.
- For the treatment of non-bacterial prostatitis, it is recommended to take an alcohol tincture of aspen bark. Treatment lasts 2 months, a single dose of the product is 20 drops.
Significant differences from other forms
The abacterial type of prostatitis can be permanent or manifest as relapses. Exacerbations of the symptoms of the disease occur in waves with alternating remissions of varying durations.
As a result, various forms of disorders are observed in the gastrointestinal tract or urinary tract, as well as in the genitals.
Using diagnostics, only pathological processes can be determined; the tumor itself is extremely difficult to detect.
In addition, chronic nonbacterial prostatitis is difficult to treat, unlike other types. Requires treatment from several specialists at once - a urologist, neurologist, immunologist and surgeon. Most often, the disease is cured. This is accompanied by physical discomfort. A man develops sexual dysfunction, which causes a depressed psychological state.
It is difficult for a urologist to assess the psycho-emotional status of a patient, therefore, to remove a man from a serious mental state, a qualified psychologist or psychotherapist must be involved. The urologist needs to treat not only the diseased organ, but focus on the general condition of the patient.
To avoid the development of an abacterial type of disease, a man must observe personal and sexual hygiene. It is important to take care of the safety of intimate relationships. It is recommended to avoid promiscuity. It is in the interests of a man to lead an active lifestyle, eat right and not neglect preventive visits to a urologist-andrologist.
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Source: https://mprostata.com/oslozhneniya/abakterialnyj-prostatit
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