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Infectious prostatitis: course of the disease and methods of its treatment

Prostatitis is a male disease. Very young and gray-haired people can get it. Is it possible to avoid prostatitis ? Yes, sure. The whole trouble is that men themselves provoke the disease.

Statistics say that one in ten men under 45 years of age suffers from infectious prostatitis of one form or another.

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Infectious prostatitis

Infectious prostatitis comes in different types, depending on the causative agent of the disease.

  • infectious prostatitis is caused by pathogenic microbes, bacteria, viruses, fungi that affect the prostate (prostate gland);
  • viral prostatitis is one of the types of infectious. Damage to the prostate gland occurs mainly due to infection with sexually transmitted viruses.

Causes

The main cause of infectious prostatitis is an infection that enters a man’s body.

What infections cause prostatitis ? Infections that cause prostatitis can be various pathogens, acute or chronic diseases, suffered “on the legs” or not treated.

  • In these cases, the immune system is weakened; a slight shock (for example, hypothermia) is enough to trigger the mechanism of active reproduction of its own pathogenic microflora .
  • Bacteria, staphylococci, and various E. coli live in the body of every person.
  • Under favorable conditions, they can be carried into the prostate gland .
  • The inflammatory process begins, the man becomes ill with prostatitis .
  • Reasons contributing to the development of infectious prostatitis:
  • Stress caused by personal problems and complications at work.
  • Bad habits: drug addiction, alcoholism, smoking.
  • Fatigue associated with heavy loads and increased activity.
  • Hormonal imbalance, weakened immune system.
  • Sedentary lifestyle, congestion in the pelvic area.
  • HIV infection, AIDS.
  • Presence of chronic diseases.

To develop viral prostatitis, add to all the above points:

  • promiscuous sexual relations with different partners;
  • unprotected sex;
  • failure to comply with hygiene rules.

Classification

Depending on the duration of the inflammatory process , according to the location of the source of the disease, prostatitis is divided into three groups:

    1. Parenchymal prostatitis is caused by an inflammatory process of most or all of the prostate gland. The most severe stage of the disease. Characterized by sharp pain and urinary retention. The entire prostate cavity is clogged with pus. The general condition is deteriorating.

The temperature rises to 39-40 degrees .

There is a constant feeling of thirst and chills.

Drawing pain in the lower abdomen and anus. Regular discharge of pus in semen and urine is observed.

  1. Follicular prostatitis , in which the inflammatory process affects individual lobes of the prostate. The temperature rises to 38-39 degrees . A nagging pain appears in the perineum. Fatigue and sweating occur. Pus appears in the urine.
  2. Catarrhal prostatitis , the initial stage of the disease. In the prostate gland there is a small lesion caused by pathogenic microbes that enter the blood as a result of influenza, pneumonia and other diseases. At this stage, the patient feels slight pain in the testicles, perineum and after defecation in the anus. Painful sensations intensify with prolonged sitting. The urge to urinate becomes more frequent.

The following symptoms of infectious prostatitis can be distinguished:

  1. Nagging pain in the lower abdomen, perineum, anus and testicles.
  2. Frequent urge to urinate.
  3. A feeling that the bladder is not completely empty.
  4. Temperature increase.
  5. The presence of mucus and pus in urine and semen.
  6. The prostate gland is enlarged and causes pain during manual examination.
  7. Deterioration of health, chills, fever, pain in muscles and joints.
  8. Problems appear in sexual life, weak erection, lack of orgasm, untimely ejaculation.
  9. There is redness and swelling of the penis, and ulcers form due to the herpes virus.

Features of the course of the disease

  1. A characteristic feature of the course of infectious (viral) prostatitis is that the initial period of the disease is similar to a viral infection of influenza, ARVI, tonsillitis and other diseases.
  2. Acute infectious (viral) prostatitis begins with severe headaches, high fever, and frequent painful urge to urinate.
  3. Treatment of acute prostatitis should take place in a hospital.
  4. If you suppress the disease yourself with antibiotics, complications and surgical intervention .

The chronic form of prostatitis develops over a long period of time. The stages of remission and exacerbation alternate with each other. During this period, observation by a doctor and systematic testing are required. The treatment process is long and takes place on an outpatient basis.

Diagnostics

For treatment to be effective, it is necessary to establish the causative agent of the disease and the severity of the disease. This can only be done in a clinical setting.

The urologist will give a referral for examination and tests:

  • blood is tested for biochemistry, hepatitis B and C, HIV, RV;
  • urine (general analysis);
  • genitourinary system (ultrasound);
  • prostate gland (ultrasound, secretion analysis, rectal examination);
  • exclusion of sexually transmitted infections;
  • exclusion of a malignant tumor (biopsy);
  • uroflowmetry (study of urination.)

Only after studying the results of all tests and studies will the doctor prescribe a comprehensive treatment .

To completely get rid of this insidious disease, you need drug treatment with antibiotics , physiotherapy , a course of restoratives and vitamins , and prostate massage.

Massage is not very popular among men because of the pain and discomfort . But its regular use helps increase blood flow in the pelvic organs, relieves congestion and reduces the inflammatory process in the prostate gland.

Previously, it was done only with the fingers, but now many mechanical and electrical massagers .

Treatment

Let's consider methods of treating infectious prostatitis :

Prostatitis is an insidious . It seems that everything is behind us, but in fact it is only a lull; after a while the disease returns again. To prevent this from happening, it is necessary to organize drug treatment in such a way as to defeat the infection and support the body as a whole. Therefore, the urologist will prescribe the following medications:

    1. Hormonal (Flutamide, Androcur, Cyproterone acetate). Hormonal drugs are prescribed only under the supervision of a doctor to stimulate an erection and relieve the inflammatory process. Self-administration is hazardous to health.

  • For acute forms of the disease, antibiotics Ofloxacin, Lomefloxacin, Gatiloxacin, etc. are used.
  • In the chronic form, tetracycline antibiotics (Metacycline, Doxycycline) or macrolides (Erythromycin, Oleandomycin) are prescribed.
  • These antibiotics are prescribed only for infectious (viral) forms of the disease.
  • The active ingredients of these drugs quickly penetrate the prostate gland and have a broad-spectrum antimicrobial effect.
  1. Immunomodulating (Polyoxidonium) drugs in a state of immunodeficiency restore the body's immune responses and stimulate the formation of antibodies. Promote the body's resistance to various infections and viruses.
  2. Muscle relaxants (Methocarbanol, Baclofen). They relieve pain, relieve muscle tone, and improve blood circulation.
  3. Alpha adrenergic blockers (Amikacin, Prazosin, Phentolamisine, Gentamicin) help with difficulty urinating. Thanks to them, spasm of the prostate muscles is relieved. The bladder relaxes and urine flows out better.
  4. Rectal suppositories (Viferon, Prostopin, Bioprost, Prostotilen) eliminate swelling, reduce inflammation and act as pain relievers. They have a beneficial effect on the prostate and prevent the formation of blood clots in small blood vessels.

Physiotherapy

For the inflammatory process of the prostate gland, various physiotherapeutic procedures are used:

  1. Electrical stimulation of the prostate gland is performed in clinical and home settings. High frequency current promotes the outflow of venous blood and the inflow of arterial blood. This has a positive effect on potency, strengthens the pelvic diaphragm, and eliminates congestion.
  2. Laser physiotherapy has an analgesic effect. When using a laser, blood vessels dilate, blood supply improves, and tissue regeneration occurs. Patients often do not require surgical intervention after a course of laser treatment.
  3. Electrophoresis . Many drugs are administered through electrophoresis. During a session, it is possible to use several drugs simultaneously. This increases the effectiveness of treatment, providing analgesic and anti-inflammatory effects in the treatment of infectious prostatitis.
  4. Physiotherapy with a magnet. Magnetic therapy is used together with electrophoresis, improving the permeability of the drug, eliminating pain, and performing tissue massage.

Folk remedies

For infectious (viral) prostatitis, the use of folk remedies is possible only in combination with drug treatment and during the rehabilitation period.

  1. There are many recipes for infectious prostatitis: using aspen bark, hemlock, hazel, chestnut, parsley, pumpkin seeds, and bee products.
  2. They mainly have anti-inflammatory effects .
  3. Together with the main treatment, folk remedies give good results.

Diet and nutrition

Complex treatment of infectious (viral) prostatitis necessarily includes diet . You will have to adhere to it during illness and after recovery. It is necessary to include in the daily diet: fruits, vegetables, lean meats and fish, fermented milk products, honey, cereals, seafood, seeds.

Exclude during an exacerbation and limit after recovery: alcohol, carbonated drinks, fatty meats, hot spices (onions, garlic, peppers), sour fruits, beans, peas, cabbage (fresh), smoked meats, canned food.

Avoid everything fried, fatty and spicy. It is advisable to steam it .

Sports activities

For obvious reasons, active sports during an acute period of illness are not possible . With a chronic course of the disease, you can and should play sports. But you shouldn’t be too zealous; heavy physical activity can provoke an exacerbation of prostatitis .

But physical therapy is included in the mandatory list of comprehensive measures in the treatment of infectious (viral prostatitis). Exercise therapy instructors will teach you how to perform the exercises correctly during the classes; in the future, independent exercises are possible.

Consequences

What happens if prostatitis ? Nothing! You won't have anything. No children, no happy family, no wonderful sex. And the future will not be the same.

Epididymitis (inflammation of the testicles and appendages) and vesiculitis (inflammation of the seminal vesicles) are two not very clear, but very unpleasant words for every man. These are the most common complications that lead to infertility and decreased sexual function.

Constant pain, lack of orgasm, decreased sexual desire and, as a result, impotence. Scientists have also recently identified a relationship between long-term chronic prostatitis and the formation of prostate cancer.

Prostatitis today is treated quickly and effectively. There is no need to rely on the Russian “Maybe”. Highly qualified specialists will provide all the necessary assistance. You only need to turn to them for this help.

Read also:  Symptoms of vesiculitis and methods of treating inflammatory disease

Source: https://samec.guru/zabolevaniya/andrologiya/prostatit/vidy-p/infektsionnyy.html

Infectious prostatitis: detailed description of the disease, symptoms, treatment methods

Infectious prostatitis is observed in men aged 20 to 40 years. This disease affects the condition of the genital organs.

What are the causes of this disease? How to treat it?

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What is infectious prostatitis?

Infectious prostatitis is a viral disease that occurs in an acute form and affects the prostate gland. It occurs infrequently, in only 2-3% of cases, but is dangerous because it develops in men of childbearing age (20-45 years).

This disease affects not only the prostate, but also the bladder, seminal ducts and rectum. Complications can only be avoided if the disease is identified in time and treatment is started.

Causes

What infections cause prostatitis? The disease develops due to the entry of pathogenic microorganisms into the prostate gland, which include fungi, viruses (influenza, papilloma, herpes, rubella, etc.), bacteria (Escherichiacoli), as well as pathogens of sexually transmitted diseases (Chlamydia, Ureaplasma, Neisseria).

Microorganisms enter the prostate in three ways :

  • hematogenous (with blood) – the cause is any infectious disease developing in the body;
  • urinogenic (with urine) – pathogens penetrate the prostate gland from the urethra;
  • lymphogenous (with lymph) – viruses or bacteria enter the prostate from adjacent organs.

Predisposing factors for the development of infectious prostatitis include:

  • diseases that reduce immunity (HIV, AIDS, diabetes, hypothyroidism);
  • taking narcotic drugs;
  • bad habits (smoking, alcohol);
  • hypothermia;
  • nervous shock and stress;
  • heavy physical activity.

Classification

Based on the focus of the inflammatory process, catarrhal, follicular and parenchymal prostatitis are distinguished In the first case, the inflammation occurs superficially, in the second it is focal (individual tissues are affected), and in the third it is diffuse (the entire organ is affected).

Reference! According to the nature of the inflammatory process, acute and subacute infectious prostatitis are distinguished. According to the symptoms, the disease can be with or without pelvic pain. There are also three degrees of severity of the disease: mild, moderate and severe.

Symptoms

Infectious prostatitis occurs in acute or chronic form; in the first case, the disease develops quickly, its symptoms are pronounced:

  • high body temperature;
  • depression of general condition;
  • pain appears during urination and ejaculation;
  • there is an admixture of blood in the urine;
  • pain in the groin;
  • the prostate swells and increases in size;
  • If left untreated, abscesses may form.

Chronic prostatitis is not so pronounced. There are two stages of this form of the disease: infectious (at this time the pathogen is most active, lasting up to 2 months) and post-infectious (in this case, inflammation is observed, but the pathogen may no longer exist). Here are the symptoms of this disease:

  • discharge on mucous membranes;
  • discomfort during urination, which becomes more frequent;
  • pain during ejaculation;
  • pain in the lower abdomen and groin.

Features of the course of the disease

However, with each subsequent exacerbation, the inflammation will intensify, which will lead to the development of other diseases of the genitourinary system (pyelonephritis and cystitis).

Diagnostics

Diagnosis of the disease consists of a clinical examination and laboratory tests of blood, urine, and seminal fluid. The urologist examines the patient and examines the prostate gland, after which he prescribes a number of studies :

  • general blood test - the number of leukocytes and erythrocyte sedimentation rate (ESR) will increase, the leukocyte formula shifts to the left;
  • general urinalysis - the presence of protein, red blood cells and leukocytes indicates the development of the disease;
  • analysis of prostate secretions - an increase in leukocytes, amyloid bodies and red blood cells is observed only if the patient has pain;
  • spermogram – with prostatitis, the number of motile sperm decreases, blood impurities are visible;
  • ultrasound examination of the pelvic area;
  • in severe cases, an MRI or CT scan of the pelvis is prescribed.

Treatment: medications and traditional methods, physiotherapy

Infectious prostatitis is treated with medications; taking folk remedies and performing special physical exercises have a good effect.

Antibiotics are used to destroy pathogens and reduce inflammation . fluoroquinolones are prescribed for this disease ; they do not cause a decrease in immunity and effectively fight pathogenic microorganisms.

If the development of the disease is caused by viruses, the doctor will prescribe antiviral drugs in the form of suppositories or tablets (Diclofenac, Amiksin, etc.). For difficulty urinating, alpha blockers (Terazosin, Alfuzosin, Silodosin, etc.), and anti-inflammatory drugs (Ibuprofen, etc.) are used to reduce pain.

, specific medications are prescribed : Prostamol Uno, Prostan, Prostatilen, Vitaprost, etc.

In combination with drug treatment, traditional methods :

  • parsley infusion (crush the seeds, pour a liter of hot water and leave for 3 hours, drink the infusion half a glass twice a day for 3 weeks);
  • microenemas with calendula or chamomile (for local use);
  • for removal from the prostate, diuretics are used, as well as infusions of St. John's wort, goldenrod and echinacea;
  • food includes supplements with royal jelly, propolis, juniper, sage, geranium;
  • to reduce pain, take warm baths with yarrow or sage;
  • Bearberry has diuretic properties, and hydrastis, fennel, pine and echinacea are good at relieving inflammation.

Reference! After complete recovery, the patient is recommended to undergo physiotherapeutic treatment, which includes procedures such as: prostate massage, electrophoresis, magnetic therapy, hirudotherapy, UHF therapy. Special gymnastics will help restore blood supply to the prostate gland and prevent stagnation.

Which treatment is the most effective?

Infectious prostatitis cannot be cured only at home and using folk methods alone, so the most effective treatment is taking medications . Infusions and decoctions are considered auxiliary means, and physiotherapy will help avoid recurrence of the disease.

Diet

Men suffering from prostatitis are recommended to include in their diet seafood, nuts and foods that contain fatty acids, vitamins C and E, as well as zinc and beta-carotene. With this disease, it is recommended to drink a lot and eat fresh vegetables and fruits.

You should reduce the amount of dairy products, caffeine and carbohydrates. Soybeans protect against disease development. Cereals, lentils and nuts contain amino acids that reduce the risk of prostate enlargement.

Sport

Important! Men who have suffered from infectious prostatitis are strictly not recommended to engage in weightlifting and exhausting exercises in the gym, as this impairs blood circulation in the pelvic area. Cycling should also be avoided, as it causes stagnation of blood in the prostate.

Sports for prostatitis are necessary , it promotes better blood flow to the organs of the genitourinary system, strengthens the pelvic muscles and blood vessels. The best physical exercises for this disease are:

  • swimming in a pond or pool;
  • running and walking;
  • “birch” and squats.

Consequences

Infectious prostatitis leaves behind complications that include:

  • prostate abscess – accumulation of pus in the prostate, causing severe pain and high fever;
  • difficulty urinating;
  • sepsis – the release of bacteria and other pathogenic microorganisms from the prostate into the blood;
  • bacteremia – blood infection by bacteria;
  • infertility - it is often caused by a chronic form of infectious prostatitis;
  • erectile dysfunction and impotence;
  • BPH.

Infectious prostatitis must be diagnosed and treated promptly, as this disease can lead to serious complications. When the first signs appear, immediately contact a urologist, undergo all the necessary examinations and follow the doctor’s prescriptions.

Source: https://LechenieBolezney.com/urology/prostatitis/vidy/infektsionnyj.html

Infectious prostatitis: find out how to treat

Among diseases of the genitourinary system in men, prostatitis comes first. The most common type is the infectious one; abacterial prostatitis is diagnosed much less frequently. How to treat infectious inflammation of the prostate gland, what symptoms you need to pay attention to - answers to questions in the article.

Causes and mechanism of development

The cause of infectious prostatitis is pathogenic and conditionally pathogenic microorganisms. Entering the prostate gland up the urethra, they multiply in the prostate secretion and cause acute prostatitis. If you do not pay attention to the symptoms in time and do not start treatment, the disease becomes chronic.

Other ways of infection of the body are hematogenous (with blood flow from foci of infection) and lymphogenous (through lymph from neighboring organs).

Often the development of infectious prostatitis in men is provoked by additional factors:

  • weakening of the body after illness;
  • casual sex;
  • smoking and alcoholism;
  • hypothermia;
  • stress.

In other words, the penetration of a pathogenic pathogen into the prostate may not cause the disease, but in the presence of one of the above factors, an outbreak of acute infectious prostatitis is inevitable.

Diagnosis and symptoms of infectious prostatitis

It is impossible to independently understand the presence of infectious prostatitis. Some symptoms indirectly indicate problems with the prostate gland; a more accurate diagnosis can only be made after a series of studies.

Main symptoms:

  • difficulty urinating, initially with pain;
  • pain in the perineum, radiating (radiating) to the sacrum and head of the penis;
  • decreased potency;
  • pain during ejaculation;
  • temperature rise to 38C.

The symptoms are most pronounced in the acute course of infectious prostatitis. With a chronic disease, the symptoms are less pronounced and there may be no increase in body temperature. The appearance of symptoms is wave-like: during the period of remission, the signs are not noticed by the man. The only cause for concern is the feeling of an incompletely emptied bladder.

How does a doctor make a diagnosis?

After interviewing the sick man and identifying the main symptoms, the doctor will send you for tests:

  • general blood and urine;
  • PSA blood test;
  • donation of prostate secretions;
  • spermogram.
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The test results will help establish a preliminary diagnosis. To more accurately identify infectious prostatitis in a man, you need to undergo an instrumental examination.

Types of prostate examination:

  • Ultrasound - allows you to identify changes in organ size;
  • TRUS is a more accurate diagnosis compared to ultrasound;
  • boeothesiometry – to identify the causes of poor erection;
  • Dopplerography - to identify the causes of blood stagnation near the prostate;
  • uroflowmetry - determination of urination rate.

  Prostate diseases and their symptoms

Having all the data in hand, an experienced doctor can easily establish a diagnosis.

How to treat infectious prostatitis

Treatment methods for the disease are the same as for other forms of inflammation of the prostate gland. To cure a prostate infection, a set of measures is required, including antibiotic therapy and physiotherapeutic methods.

Based on laboratory tests of blood and prostate secretions, the doctor selects the necessary medications. Remember that each type of antibiotic is effective against a specific pathogen.

The dosage and duration of taking the drugs is selected by the doctor, taking into account the intensity of the infection and the general health of the man. An overdose or the wrong antibiotic can cause many problems.

A man may experience an allergic reaction, intoxication due to deterioration of kidney function, or immunity of the pathogen to the active substance.

What antibiotics are prescribed for infectious prostatitis - see the table.

Name Description Possible problems
Josamycin A modern drug that works two hours after administration. Inhibits most bacteria. Improvement in health status - 2-4 days after the start of treatment. May cause side effects. These include disruption of the gastrointestinal tract and an allergic reaction.
Roxithromycin A semi-synthetic antibiotic that has the ability to accumulate in the prostate gland. In high concentrations it has a bactericidal effect. Prohibited in cases of impaired liver function and individual intolerance to the active substance of the drug.
Doxycycline Semi-synthetic drug of the tetracycline group. Effective against chlamydia and microplasma. Rapidly absorbed from the gastrointestinal tract. Contraindicated for liver disease. Improper use will provoke an exacerbation of gastritis and other diseases of the digestive system.
Cefotaxime A broad-spectrum drug that is destructive to most bacteria and viruses. Angioedema may develop. It is prohibited to take it with some diuretics. In case of overdose, a change in blood composition is observed.
Ceftriaxone 3rd generation antibiotic that disrupts the synthesis of cell membranes of most bacteria. It has a number of contraindications and side effects. Uncontrolled use increases the risk of liver and kidney dysfunction. Incompatible with alcohol. There is a possibility of anaphylactic shock.
Amoxiclav It is highly effective against pathogenic microorganisms; the patient’s condition improves within a few days. Prescribed with caution for liver and kidney diseases. In case of an overdose, severe pain in the stomach, dizziness, nausea, and vomiting appear. Affects reaction; use is prohibited when driving a vehicle or working with complex mechanisms.
Amoxicillin Semi-synthetic drug with a wide spectrum of action. May cause allergic reactions.
Lomefloxacin A drug from the fluoroquinolone group. Has antimicrobial and bactericidal effects. Take with caution in case of diseases of the liver, kidneys and central nervous system. Reduces psychomotor reactions; treatment with the drug is not recommended when driving or other activities that require concentration.
Levofloxacin Broad spectrum antibiotic In elderly men, liver dysfunction may occur when taken. May cause seizures in men who have had a stroke or brain injury.
Ofloxacin Having a wide spectrum of action, it penetrates into the tissue of the prostate gland and destroys bacteria of various types. It is prohibited for people suffering from epilepsy. Prescribe with caution to patients suffering from pathologies of the blood vessels of the brain, liver and kidneys. Incompatible with alcohol.

Each antibiotic has many disadvantages. Therefore, the question of how to treat infectious prostatitis should be discussed with your doctor. Self-administration of the drug can cause dire consequences. Be careful.

Treatment with candles

To treat infectious prostatitis, your doctor may prescribe rectal suppositories and suppositories. These drugs have various actions, including antimicrobial ones. The need for use is determined by the urologist based on the general clinical picture and taking into account the prescribed antibiotic.

What suppositories are prescribed for infectious prostatitis:

  1. Voltaren and Diclofenac are anti-inflammatory drugs with low toxicity. Prescribed for acute and chronic conditions.
  2. Proctosan is an anesthetic suppository that relieves pain in the perineum and anus.
  3. Propolis DN – have an anti-inflammatory effect, relieve unpleasant symptoms of infectious prostatitis.

Candles consisting exclusively of plant components or bee products can be used independently. In all other cases, approval of the drug by a urologist is required.

Symptomatic therapy

To eliminate unpleasant symptoms, normalize urination, improve blood microcirculation, auxiliary agents are prescribed. The need for administration, dosage and duration of treatment are determined by the attending physician.

What medications can be used:

  1. Alpha blockers - to improve the process of urination.
  2. Immunocorrective agents – improve the restoration of damaged tissue in the prostate gland.
  3. Probiotics are agents that normalize intestinal microflora after completing a course of antibiotic treatment.

Physiotherapy helps relieve symptoms. Modern medicine has different methods of influence. For example, laser therapy improves the health of 89% of men with infectious prostatitis. Warming, therapeutic baths, and electrophoresis are effective.

Is surgery necessary?

For infectious prostatitis, regardless of the course of the disease, surgical treatment is not performed. An exception is concomitant pathologies that interfere with the full functioning of the body or threaten the patient’s life. To prevent this outcome, consult a doctor in a timely manner. Do not expect that difficulties with urination or pain in the perineum will go away on their own.

Watch a video on the topic of prostatitis.

Source: https://oprostatite.info/urologiya/prostatit/vidy/infekcionnyj-prostatit-i-sposoby-lecheniya

Treatment of various types of infectious prostatitis

Infectious prostatitis is an inflammation of the prostate gland caused by the penetration and reproduction in its tissues of pathogenic as well as conditionally pathogenic microorganisms (fungi, viruses, bacteria, protozoa).

Routes of penetration: through the urethra, with blood washing the prostate, from the bladder. Men of any age are susceptible to the disease.

Therapy includes the mandatory use of antibiotics prescribed by a doctor based on tests.

Classification by pathogen type

Depending on the type of infection, there are several types of prostatitis :

  1. Viral.
  2. Bacterial.
  3. Fungal (mycotic).

A mixed type of inflammation, provoked simultaneously by viruses and bacteria, is often diagnosed.

Viral

Viral is the rarest type . Develops against the background of herpetic skin lesions in the presence of HPV (human papillomavirus).

In the early stages, diagnosis is impossible, because of this, in 80% of cases, viral prostatitis becomes chronic. It is not completely cured. During remission, the pathogen is in a dormant state.

Activated by hypothermia, overheating, prolonged exposure to ultraviolet rays, ARVI.

At a late stage, viral prostatitis manifests itself as itchy blisters on the penis in the urethral area. With herpetic inflammation of the prostate, the structural organization of its tissues is disrupted, the composition of the secretion changes (the level of phosphatase, citric acid, fructose decreases), which can lead to infertility .

Dermatovenereologist, urologist Lenkin Sergey Gennadievich on the causes of infectious prostatitis

Bacterial

Infection found with bacterial inflammation of the gland may be significant or concomitant. Depending on this factor, prostatitis is divided into three types :

  • Infectious nonspecific caused by Escherichia coli, staphylococci, streptococci. Such bacterial microflora in most cases is a secondary pathogenetic factor - it does not cause prostatitis, once it enters a healthy gland, protected by tissue immunity and the antibacterial properties of the secretion (contains lysozyme). The pathogen attaches and develops in already damaged prostate tissues with stagnation of juice and gaping mouths of the ducts;
  • Infectious specific (when infection is the primary provoking factor). The causes of development are chlamydia, trichomonas, ureaplasma, mycoplasma, gonococci (gonorrheal prostatitis), tuberculosis bacillus (tuberculous prostatitis), syphilis;
  • Polymicrobial , in which specific and nonspecific pathogens are combined. For example: mycoplasma, chlamydia and cocci.

Causative agents of bacterial prostatitis

Of the sexually transmitted infections, chlamydia is considered the most insidious . Adaptation in the body and penetration into prostate cells occurs within 30 days. The first signs of chlamydial prostatitis appear no earlier than after 2 years.

Symptoms include not only discomfort in the perineal area and difficulty urinating. Joints begin to ache, conjunctivitis often appears, heart defects, inflammation of the lungs and kidneys develop. Mycoplasma gives an acute clinical picture of prostatitis only 6 years after infection.

Chronic trichomonas prostatitis also occurs latently for a long time.

Fungal

Fungal prostatitis is most often caused by yeast-like fungi of the genus Candida, but in some cases others are also found:

  • Aspergillus (aspirgillus prostatitis);
  • Blastomycetes (blastomycosis);
  • Histoplasma capsulatum (histoplasmosis).

Fungal prostatitis develops against a background of weakened immunity (with diabetes, HIV, taking corticosteroids and antibiotics). External signs are redness, itching and peeling of the skin in the groin folds, as well as on the inner thigh. Characterized by periodic, sluggish inflammation of the urethra.

Classification by flow form

Acute infectious prostatitis can occur suddenly with rapid development and obvious clinical signs. Chronic develops asymptomatically for years, causing irreparable damage to the structure of the gland.

Chronic

Chronic infectious prostatitis can be diagnosed in men of any age, but the peak incidence is recorded in people 20-40 years old. In older people, in 60% of cases it develops simultaneously with hyperplasia. Parenchymal (functional cells) and interstitial (intercellular) tissues are affected.

Main symptoms:

  1. Aching pain in the groin.
  2. Difficulty urinating frequently.
  3. Deterioration of potency.
  4. Difficulty conceiving (impaired fertility due to decreased sperm quality).

Symptoms periodically appear and subside, sometimes exacerbations occur with signs of an acute form of prostatitis.

Causes

The disease is diverse, but most often the causative agents are gram-negative microbes:

  • 60-80% - Escherichia coli;
  • Proteus;
  • Enterobacter;
  • Klebsiella.
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The entire lumen of the human intestine is, in fact, filled with microflora alien to the body, which, without the constant control of immune cells, would destroy living tissue instead of undigested food. That is why any exit of representatives of this class of microorganisms beyond the intestinal tract is perceived by the immune system extremely aggressively.

The path of their penetration into the prostate is often quite short - through anatomical defects (microfistulas formed from pathologically altered vessels and capillaries) of the rectal wall, which is practically in contact with the gland. This is a layer several millimeters wide that shares a common bloodstream with the prostate.

The degeneration of blood vessels into microfistulas can be provoked by chlamydia.

Much less often, the cause of chronic infectious prostatitis is gram-positive microorganisms: staphylococci, streptococci, enterococci.

Gram-negative and gram-positive bacteria

Recently, special importance in the diagnosis of chronic prostatitis has been given to latent urogenital infections: chlamydia, ureaplasma, anaerobes, trichomonas, fungi.

In many clinics, overdiagnosis of such forms of prostatitis is rampant - doctors overestimate the role of these pathogens in the development of chronic prostatitis, prescribing often useless courses of antibiotics.

The reason is that there are no completely reliable tests to detect hidden infections in the prostate . Doctors are unsure of treatment options when some tests show the presence of these pathogens and others do not.

Long-term antibiotic therapy leads to the fact that even low-pathogenic microorganisms present in the urogenital tract (Gram-negative cocbacillus) become aggressive and can cause chronic infectious prostatitis.

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Source: https://muzhchina.info/prostata/prostatit/infekcionnyj

Infectious prostatitis: causes, types, treatment

An infectious disease in the prostate gland caused by harmful microorganisms (bacteria, viruses, fungi) is infectious prostatitis. This disease is typical only for men.

Glad to see you again on the blog, dear readers. Today we have a difficult and important topic on our agenda - infectious prostatitis. In this article we will analyze the disease in detail: you will learn not only the symptoms of the disease, but also the most effective ways to treat it.

Due to the entry of infectious elements into the tissues of the prostate glandular system, the disease begins, which proceeds:

  • accompanied by severe pain in the lower abdomen;
  • with a violation of the drainage functionality of urea from the bladder, leading to acute urinary retention;
  • with the emergence of problems in sexual relationships.

Based on statistics, signs of infectious prostatitis are less common than signs of some other types of prostatitis. The pain occurs in both acute and chronic forms.

Therefore, the most important thing is to quickly identify signs of illness and take appropriate measures. Which are represented by carrying out precise diagnostic measures and prescribing suitable recovery methods.

Symptoms of infectious prostatitis

This type of prostatitis exhibits the same symptoms as others.

It appears to be a common viral infection that occurs with:

  • general malaise;
  • weakness;
  • aches in the muscles and bones;
  • pain in the head;
  • an increase in the temperature regime of the human body;
  • dysfunction of the reproductive system organs;
  • urethral or rectal soreness;
  • sluggish erectile function;
  • premature ejaculation;
  • loss of orgasmic abilities, etc.

Soon, the signs of infectious prostatitis are already fully manifested and are characterized by:

  • painful discomfort (sometimes severe) or a burning sensation in the lower abdomen, which greatly intensifies during the urination process or during sexual intercourse;
  • in problems with urinary function, expressed in difficulty passing urine;
  • violation of sexual functionality, expressed in a decrease in attraction to representatives of the other sex with deterioration of erection.

What leads to the development of the disease?

Many men are interested in how harmful elements get inside. They can enter the body due to:

  • unprotected sexual relations;
  • neglect of hygiene rules;
  • alcohol and tobacco addiction;
  • untreated type with congestive prostatitis.

Ways of microorganisms entering the human body

There are three ways microorganisms can enter:

  1. When urine passes through the urethra.
  2. Together with the lymphatic substance formed in another diseased organ.
  3. Together with blood cells obtained from the inflamed system of a nearby organ.

Classifications of infectious forms of prostatitis in men

Infectious disease prostatitis, depending on the nature of the pathogen, is:

  • bacterial caused by staphylococci, streptococci, pneumococci;
  • mixed , obtained by exposure to bacteria and viruses;
  • special infectious diseases obtained after diseases of tuberculosis, ureaplasmosis, mycoplasmosis.

Each form of the disease has its own characteristic feature, presented in complaints and diagnostic criteria. Therefore, the treatment of infectious prostatitis differs significantly for each type of disease.

An acute type of infectious form of prostatitis in men

Acute infectious prostatitis occurs in a small number of men with prostatitis (about 5-10% of the total).

Symptoms of infectious prostatitis in acute form are presented:

  • soreness in the perineum;
  • a sharp rise in body temperature;
  • state of chills;
  • painful sensations in muscle tissue.

During the examination, measures are taken to detect pus in the urine and prostate.

If the disease is of bacterial origin, microscopic examinations reveal bacteria in the urine and prostatic secretions.

Chronic form of the disease

Chronic infectious prostatitis is expressed by:

  • increased body temperature;
  • periodic occurrence of pain in the prostate;
  • non-manifestation of inflammatory processes;
  • detection of bacteria (in bacterial form).

Chronic infectious prostatitis is confirmed by direct immunofluorescence. A positive reaction is possible both in cases of acute and exacerbation of chronic prostatitis.

Stages of the chronic nature of the disease

Chronic infectious prostatitis is divided into two stages :

  1. An infectious period lasting 2-3 months and associated with the active nature of pathogens of infectious manifestations, expressed by chlamydia and mycoplasmas.
  2. Post-infectious , lasting a large amount of time and depending on the anatomical disorder of the prostate gland and autoimmunity of inflammatory reactions. The causes of the disease do not appear at this stage, but inflammation will develop.

Treatment methods for infectious prostatitis

When curing this disease, the role of antibacterial measures in the general nature of therapy is important. They are possible taking into account the sensitivity of the negative impact.

During the course of treatment for infectious prostatitis, medications are taken that help improve the microcirculatory properties of the body. In addition to basic therapy measures, you can undergo herbal medicine during your wellness activities.

It is possible to take anti-inflammatory drugs, drugs that enhance diuretic and immunomodulatory functions.

Chronic infectious prostatitis can be cured by taking a number of medications.

Medicinal method of recovery

Treatment of prostatitis with antibiotics gives a good effect, facilitating complete relief from the manifestations of these phenomena.

Antibiotics for infectious diseases are:

  1. Immunomodulatory means that help increase the activity of various types of immunity in combination with nonspecific resistance of the organ system.

    You can take: splenin, decaris, sodium necleinate, interferon and interferonogen, prodigiosan, pnrogenal, dimephosphone, vilosen, T-activin, thymalin, vilosen, timunox, imunox, reaferon, laferon, methyluracil.

  2. Immunotropic drugs:
  • medications of the thymic variety in the form of timapin, tactivin, timoptin, timaktide, thymostimulin, vilozene and thymogen;
  • drugs that help improve hematopoietic function: myelopid (beta-activin), splenin;
  • cytokines with their similarities: alpha-interferons (alfaferon, human interferon, viferon, intron A, realdiron, wellferon) and beta-interferons (rebifa, fron, beta-feron);
  • inducer-interferon substances: cycloferon, amiksin, ridostin, megostin, poludan;
  • drugs with a microbial form of origin: BCG, pyrogenal, prodigiosan, ribomunil;
  • a synthetic form of immunostimulants: leakadine, levamisole, diucifon, dibazole, amizone.

In addition to eliminating the very manifestation of the disease, it is necessary to restore the microcirculation of the prostate vessels with the elimination of stagnant processes in the circulatory and prostate systems. Medicines trental or halidor lead to an improvement in the permeability of the vascular-wall system. Aescusan is prescribed in combination with histamine, leading to the normalization of spasmodic reactions in the vessels.

Due to the presence of side effects, these drugs should be used carefully, after consulting with a medical specialist. The treatment regimen he prescribed helps to completely get rid of various manifestations of the disease.

Suppositories for inflammation in the prostate gland have a wide range of therapeutic effects, promoting:

  • elimination of inflammatory processes;
  • relieving pain;
  • removal of tumor elements;
  • immunomodeling of inflamed tissues;
  • implementation of regeneration processes;
  • eliminating harmful microorganisms of a bacterial nature.

Suppositories for prostatitis can be used as preventive measures to avoid the occurrence and development of pain and relapses. Prostate suppositories are positively characterized as a quick cure.

The greatest importance is the possibility of insertion into the rectal region, ensuring maximum accumulation of the medical drug in the prostate.

Suppositories for inflammation in the prostate should be used only as prescribed by a doctor to prevent negative consequences.

Herbs for prostatitis

A person’s recovery from inflammation in the prostate gland is possible with the help of herbal infusions. Goldenrod herbs for prostatitis have a good effect in combination with infusions of St. John's wort and echinacea .

Folk remedies in combination with external treatment methods in the form of massage to facilitate the discharge of the secret substance contribute to a complete cure. All methods should be used only after consultation with a doctor in order to prevent negative consequences for the patient’s health.

ATTENTION:

If you want to be guaranteed to cure chronic prostatitis and its complications in a short time, get rid of vascular erectile dysfunction and prevent adenoma from developing, be sure to check out our comprehensive effective health improvement program at home.

20 minutes a day to complete , and you will see the first noticeable results within a few weeks. This program is the first program of its kind in the CIS , which has fully proven its effectiveness in the treatment of chronic prostatitis and vascular erectile dysfunction.

Best regards, Alexander Burusov

Source: http://viva-man.ru/prostatit/infektsionnyiy-prostatit-prichinyi-vidyi-lechenie/

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