Acute prostatitis is the most common disease in men. It is most commonly diagnosed between the ages of 30 and 50 in nearly 60% of the male population.
With the acute form of prostatitis, an inflammatory process develops in the prostate. To treat this stage of the disease, several groups of drugs are used, prostate massage, physiotherapy. The most important thing in treatment is to prevent the pathology from passing into a chronic form.
Acute prostatitis in men and the reasons for their development
Acute prostatitis is the development of an inflammatory process in the prostate caused by the penetration of an infection.
The disease is accompanied by swelling and suppuration in the tissues of the prostate.
This is the most common disease in men, associated with disorders of sexual function and fertility, disorders of psycho-emotional state, as well as social mismatches.
Forms of acute prostatitis
The development of acute prostatitis goes through 4 stages, which are at the same time its forms:
- catarrhal;
- follicular;
- Parenchyma;
- Abscess.
The disease begins with the development of catarrhal inflammation, which leads to changes in the mucous and submucosal layers of the excretory ducts of the gland. Edema of the walls of the ducts provokes stagnation of mucopurulent secretions in the follicles of the prostate. The inflammatory process begins to progress, causing focal suppuration of the lobules of the prostate. Acute follicular prostatitis develops.
Multiple damage to the lobules of the gland, a structural change in prostate tissue and the development of a purulent-inflammatory process in them lead to the next stage of the disease - the parenchyma.
When many foci of inflammation merge into one large one, an abscess of the prostate forms. There is an option to open it into the urethra, perineum, rectum, or bladder cavity.
The reasons for the development of the disease
The following factors can cause acute prostatitis in men:
- Infectious processes in the genitourinary system. Infectious agents (gram-negative and gram-positive) can penetrate the tissue of the prostate: Escherichia coli, Proteus, staphylococci, streptococci. In many cases, the acute form of the disease can be caused by pathogens causing genitourinary infections, such as: ureoplasmosis, chlamydia, mycoplasmosis, gonorrhea, candidiasis, etc.
- Infectious processes that enter the urethra through the urethra. Microbes can enter the prostate tissue through the excretory ducts of the prostate that open into the urethra. That is why every type of cystitis is associated with acute prostatitis in men.
- Contagious processes that enter the gland through the blood. The entry of infections into the prostate through the blood supply system is due to its sophisticated system of arterial and venous fusion. Microbes in this case are transported from distant foci of purulent inflammation through the circulatory system in diseases such as tonsillitis, tooth decay, sinusitis, bronchitis, cholecystitis and others.
- Sedentary lifestyle. As a result of low motor activity, stagnation of the juice of the prostate is formed. This is facilitated by: many years of work on the computer, rare walks in the fresh air, smoking and drinking alcoholic beverages, less sex, refusal to actively rest.
- Hypothermia. Long-term cold stress on the genitourinary system leads to circulatory disorders, which also lead to stagnation in the prostate, which provokes the onset of acute prostatitis.
- Injuries to the pelvic organs and prostate. In the event of an injury, the release of prostate secretion is difficult, which leads to the development of an inflammatory process, which subsequently causes acute prostatitis.
- Medical procedures. An acute form of prostatitis can develop as a result of chemotherapy or radiation therapy, as well as after medical examinations through the urethra.
Symptoms
The clinical picture in acute prostatitis is characterized by the presence of the following signs:
- Difficulty urinating
- Feeling of incomplete emptying of the bladder;
- the appearance of frequent urination;
- Itching and burning;
- aching dull pain in the glans, radiating into the anus (as the pathology develops, the pain becomes chronic);
- Pain when defecating;
- increased body temperature (from 37 to 40 degrees - depending on the stage of development of the disease);
- decreased sex drive;
- Erection problems;
- the content of traces of pus and blood in the urine;
- Deterioration in general well-being.
treatment
In contrast to the chronic form of the disease, acute prostatitis responds well to therapy. Serious complications are very rare.
The main task of drug treatment is to rid the patient of pain syndrome and the causative agent of pathology, in order to restore the normal process of urination.
Drugs for the medical treatment of acute prostatitis:
- AntibioticsThe main group of drugs used in the treatment of acute prostatitis. To choose an antibiotic, the doctor must accurately determine the causative agent of the disease. Most often, a combination of antibiotics is prescribed when taking one drug in a course, after which it is replaced with another. This approach minimizes re-inflammation and prevents the transition from an acute to a chronic form of the disease. Antibiotic fluoroquinolones, tetracyclines, penicillins are used successfully.
- Diuretics: Diuretics are prescribed to help make urination easier and reduce stress. Diuretics promote regular and volumetric urine excretion. Medicines and herbal diuretics are used.
- Antipyretic. They are used to lower body temperature, relieve pain in the joints and head.
- Antispasmodics. Medicines that relax smooth muscles, relieve cramps. In addition, drugs in this group relieve pain and help with urination.
- Alpha blockers. Drugs that relieve convulsions well, stimulate and facilitate the urinary drainage of the patient.
After eliminating the main symptoms of the disease, prostate massages and physiotherapeutic procedures can be prescribed in addition.
After recovery, you need to lead a healthy lifestyle.
Properly chosen treatment and compliance with all medical prescriptions will eliminate acute prostatitis and prevent its chronification.