One of the most dangerous complications of acute prostatitis can be an abscess of the prostate. This is a focal purulent inflammation in which body temperature can rise to 40 degrees. Signs of the abscess are acute intensive pain and difficult urination. In the absence of medical care, swelling of the glandular tissue develops and the urethral lumen is completely blocked.
Prostatitis is the most common urological pathology for men of reproductive age. According to surveys, every third experienced symptoms at least once in his life, which can be interpreted as inflammation of the prostate gland. The main cause of the development of bacterial prostatitis is an infection. Only in acute prostatitis does the infection lead to a sharp inflammation of the prostate gland, which is explained by the anatomical characteristics of the structure of the male body.
In the chronic form of prostatitis, the infection can also be the cause, the trigger mechanism of inflammation, but the inflammation of the prostate that requires treatment can only develop against the background of other factors:
- Extended hypothermia of other nature: it can be a swimming in an ice hole and sit on cold stones, etc. ;
- Settling (sitting) lifestyle, which leads to a bloodstagnation that can also cause inflammation;
- Irregular sex life: This refers to excessive abstinence and excessive activity;
- Transferred urological (e. g. urethritis) or sexually transmitted (gonorrhea, chlamydia, etc. ) disease: there is also a hidden existence of these diseases, the result of which becomes prostatitis;
- Regular problems with chair (mostly chronic constipation);
- The use of spicy, smoked and inserted foods, alcohol and some other products can also cause inflammation of the prostate gland
- Other factors that cause immunity impairment: excessive stress, several or long stress.
Prostatitis: consequences
In the event of an early attractiveness to the urologist, acute bacterial prostatitis can lead to the formation of an abscess and an edema of the prostate gland, which can not only make urination difficult, but also makes it completely impossible.
The latter can cause serious poisoning of the body, such as inflammation, which are characterized, among other things, by a strong increase in temperature of up to 40-41 ° C (with sharp temperature fluctuations within 1 degree).
In most cases, however, complications of this kind can be avoided, since manifestations of prostatitis of this kind usually force the patient not to delay the visit of a specialist.
With a chronic form of the disease, the symptoms of which are not so pronounced, the development of complications without proper and timely treatment is quite possible. Without adequate drug and therapeutic effect, the inflammation can spread to other organs of the genitarian system, which can lead to development:
- Cystitis - inflammation of the bladder;
- Pyelonephritis - kidney inflammation;
- Vesiculitis - inflammation of the seed bubbles;
- Inflammation of the testicles and attachments of the testicles.
It must be remembered that inflammation of the eggs and testicles can be one of the most common complications and male infertility can cause, which in turn is treated for a long time, difficult and not always successful.
In some cases, the consequence of chronic prostatitis can be its transition to a calculation shape. The Calcula Prostatitis is characterized by the formation of calculation (small pebbles) in the excavation channels of the gland to get rid of.
In addition, the cause of prostatitis is a hormonal failure caused by inadequate production of hormones with the gender glands.
The development of prostatitis is facilitated by a number of certain causes. Very often there are signs of prostatitis in men who lead an irregular sex life, often hypothermia and injuries.
In addition, prostatitis can develop by decrease in immunity, the deterioration of blood flow and the lymphatic cycle in the men of the small pelvis of the man, as a result of a hormonal failure that causes a certain amount of androgyndem failure.
A factor that contributes to the manifestation of prostatitis is also regarded as a series of infections that are sexually transmitted. Therefore, prostatitis often manifests itself in men after unprotected sexual intercourse.
There are 4 main forms of prostatitis: acute bacterial prostatitis, chronic bacterial prostatitis, non -bacterial prostatitis and prostatinia.
In humans under the age of 35, the disease usually runs in the form of acute bacterial prostatitis. Bacterial prostatitis is called if the presence of an infection has a laboratory confirmation.
It is most common that it is chlamydia, trichomoniasis, curture or gonorrhea. The infection comes from the urethra, bladder, rectum through the blood and lymphatic vessels of the pelvis into the prostate.
However, recent studies prove that in most cases the infection is concluded with existing disorders in the structure of the tissue of the prostate and the blood circulation in IT. In the case of non -bacterial prostatitis, bacteria cannot be isolated, although this does not exclude their presence.
Chronic forms of the disease are more often diagnosed in older patients. Prostatodine is referred to as the existence of a clinical image of prostatitis, a seal of prostate tissue without signs of inflammation.
classification
In accordance with the criteria of the American National Institute of Health (NIH USA), four categories of prostatitis from 1995 differ:
- Acute (bacterial) prostatitis
- Chronic bacterial prostatitis
- Chronic non -bacterial prostatitis / chronic pelvic pain (CP / CPPS)
- Inflammatory chronic pelvic pain syndrome (leukocytes are determined in the secret of prostate, urine and ejaculate)
- Non -inflammatory chronic pelvic pain syndrome, in which signs of inflammation are missing
- Asymptomatic chronic prostatitis
An international classification of prostatitis was currently adopted, which covers the most complete and all types of inflammation:
- Category I. Acute prostatitis;
- Category II. Chronic prostatitis bacteria;
- Category III. Productive chronic prostatitis/chronic pelvic pain syndrome is an illness in which an infection that lasts more than 3 months is not determined.
Sub -category III A. Syndrome of Chronic inflammatory pelvic pain (leukocytes are determined in the secret of the prostate);
Sub -category III B. Syndrom of Chronic non -inflammatory pelvic pain (there are no leukocytes in the secret of the prostate); - Category IV. Spepomically processed chronic prostatitis (leukocytes are present in the secret of the prostate, the patient does not complain, the disease is determined by chance).
The treatment of prostatitis varies depending on the form of the disease in a man. In this way, bacterial prostatitis can occur in both acute form and as a chronic disease.
Very often not bacterial prostatitis is diagnosed as a chronic disease. Such a variety of prostatitis is also called syndrome of chronic pelvic pain.
In such patients, all symptoms characteristic of prostatitis are observed, but there are no bacteria in the secret of the prostate.
Acute bacterial prostatitis is characterized by quick development. At the same time, a person suffers from severe pain, there is signs of general poisoning. The symptoms of the chronic form of the disease are much less evident. In this case, the disease gradually manifests itself.
And if the course of prostatitis of acute form usually ends with the complete healing of the disease, chronic prostatitis will come back quite often. This should be taken into account in the treatment of prostatitis at home. In addition, the therapy of the disease in the presence of inflamed stones in the prostate gland is a more complex process.
In non -bacterial prostatitis (chronic pelvic pain), a person develops severe pain that are located in the pelvic area, in the genitals and in the perineum. There are no signs of inflammation in the prostate.
This disease is common in modern men of different age groups, but mostly the disease affects people from 35 to 45 years. To date, experts have expressed several assumptions about what the causes of this form of prostatitis are.
So there is a theory that this syndrome damages the tissue of a bacterial prostate. There is also an opinion that the disease manifests itself due to the collapse into the prostate gland.
As we have already said, the acute and chronic course of the disease is possible. In this case, the occurrence of acute prostatitis is most often provoked by gram -negative bacteria.
This form of the disease is relatively easy to diagnose and treat antibiotics. At the same time, cases of chronic non -bacterial prostatitis are very common in men, which is more difficult to diagnose and has no connection to a certain infectious lesion.
Therefore, treatment with antibiotics in chronic prostatitis cannot be able to achieve the right effect. According to statistics, around 35% of men over fifty years old, chronic prostatitis.
Treatment of chronic and acute prostatitis
In the event of signs of acute and chronic prostatitis, you should consult a urologist who determines what type of diagnosis takes place, and also help to heal the disease and strengthen the body as a whole. It should be noted that this applies equally to both types of prostatitis, each of which can lead to its complications.
Primary reception
The primary reception of a specialist includes a survey and examination of the patient (including rectal, with which you can determine the degree and the type of increase in the prostate gland) as well as the appointment of the necessary tests and other diagnostic measures.
The first and important sign of prostatitis is an impaired urination that causes symptoms. Another sign of the disease is the quick urination in which urina comes out in small parts.
Symptoms of an acute form of disease
The disease is suddenly formed and characterized by pronounced manifestations.
- frequent painful urination;
- Pain during defecation;
- Impaired effectiveness;
- Pain in the groin area, in the sacrum zone and in the anus;
- High sweating;
- Fatigue.
Every male body is individual and symptoms can separate or manifest it at once.
Signs of a chronic form of the disease
Chronic prostatitis is usually characterized by the same signs, but is carried out with less pronounced symptoms.
In addition, the following manifestations can be observed:
- increased irritability;
- A feeling of overcrowded bladder;
- Worsening of the quality or lack of orgasm;
- Selection during the defecation in front of the urethra.
The very first signs of prostatitis to which a man should definitely be careful and contact the urologist:
- Severe pain during urination. At the end of the process you can feel an unpleasant burning feeling.
- Improve body temperature.
- The feeling of not completely emptying the bladder.
- Discomfort in the area of step and groin area.
- Inadequate pressure of the beam when visiting the toilet.
The treatment of prostatitis is carried out depending on the form of the disease. Acute inflammation is an indication of the patient's hospital stays in the urological hospital, with chronic patients being subjected to the course of therapy at home. If the cause of the disease was a sexually transmitted infection, both partners should take antibiotics.
When treating acute prostatitis, it is important that systemic antibacterial treatment is important.
The main groups of drugs include:
- Antibiotics. Is used in the form of tablets, capsules, candles, syrups and other types.
- Anti -inflammatory medication.
- Restrial salgotics and analgesics.
- Preparations to increase immunity.
- Vitamins.
- Anti -stress medication.
massage
This procedure is one of the most effective methods for the treatment of prostatitis. Thanks to her, the secret that was accumulated in the prostate is pushed out of it and then removed independently through the urethra. In addition, the prostate massage contributes to improving blood supply to the glandular tissue, which increases the effectiveness of antibacterial and local therapy.
Physiotherapy
The physiotherapeutic treatment helps to improve the trophism of the tissue of the prostate gland and accelerate the recovery process. The following physiotherapy methods are possible:
- Transrectal Microwave hyperthermia,
- Diadinamophoresis,
- Laser therapy,
- Ultrasound phonophoresis.
Exercise
The main signs of the disease
A disease like prostatitis in most men suddenly develops. In the patient, the temperature increases strongly, a feeling of weakness, a fever. The main signs of inflammation of the prostate is intense pain in the perineum, which gives the pubic area, the anal opening, the sacrum. The pain increases during urination, defecation and a different tension of the pelvic muscles.