Inflammation of the prostate gland may not always be caused by the bacterial flora. The source of the development of the disease is often fungi, infections and other types of pathogens. Bacterial prostatitis is one of the forms of the inflammatory process in the prostate gland, in which destructive changes in the muscle tissue of the organ are observed.
What is bacterial prostatitis?
According to statistics, this pathology is the most common, and both elderly and young men suffer from the disease. The danger of the disease lies in a long incubation period, often asymptomatic. Therefore, the risk of complications and the transformation of the disease into a chronic form is quite high.
Bacterial prostatitis differs from other types of this pathology. It can be permanent or recurrent, have a bright or fuzzy clinical picture. According to the American classification, there are 4 types of prostate inflammation. Non-bacterial prostatitis belongs to the third group. This category is divided into 2 subtypes:
- Type "A" - pronounced signs of inflammation. The increase in the number of leukocytes in the ejaculate - more than 15 in the visual field. In chronic inflammatory bacterial prostatitis, the growth of pathogens is not observed. Pain syndrome is present.
- Type "B" - in the secretion of the prostate gland and ejaculate, the number of leukocytes is normal. Pathogenic organisms are not registered. Pain is noted. There is no inflammation.
With prostatitis of the non-bacterial type, the entire genitourinary system often suffers and disturbances in the work of the gastrointestinal tract occur.
Causes of occurrence
In the absence of a bacterial factor, the source of prostate disease is:
- stagnant processes in the pelvic area - impaired blood flow and lymphatic flow;
- sedentary lifestyle;
- nerve conduction problems;
- proliferation of connective tissue - fibrosis, which can act both as a cause and as a consequence of the pathology;
- anomaly in the development of the structure of the glands, due to their insufficient emptying;
- Autoimmune diseases;
- chronic cystitis;
- frequent hypothermia;
- excessive physical activity - weight lifting and more;
- frequent stress.
In the inflammatory type of the disease, the pathogen, one way or another, is the main cause. As a result of the treatment, pathogens can stop activating, which gives an apparent improvement in the condition. But the waste products of pathogenic microorganisms over time worsen the permeability of cell membranes and cause their further decay.
There are a number of common symptoms of the disease. Symptoms of antibacterial prostatitis:
- painful sensations of varying intensity in the groin, in the pelvic region;
- pain that radiates to the lower back;
- violation of urination - frequent trips to the toilet with a feeling of incomplete emptying of the bladder;
- decreased libido and worsening of erection;
- violation of ejaculation, pain;
- loss of strength, increased fatigue;
- psychological problems - depression, irritability.
Since a man suffering from pathology often experiences pain at night, another problem arises - sleep disturbances. This adversely affects the patient's mental state.
Features of the course of the disease
The non-inflammatory type of bacterial prostatitis takes longer and harder to develop. This form of pathology has three stages of the clinical picture:
- Original: No symptoms or occasional mild discomfort in the groin. Rare nocturnal pain attacks.
- Nadorgannaya - pain in the abdominal cavity and sacrum. The ejaculation process is accompanied by painful sensations.
- Polysystemic: disruption of the genitourinary system. Sharp pain when urinating. Pain during bowel movements may be added.
If left untreated, the mild discomfort of the original stage will turn into chronic pelvic pain syndrome.
Examination of a patient suffering from characteristic signs of bacterial prostatitis is complex. Diagnostics include:
- interview and examination of the urologist - collection of anamnesis;
- digital rectal examination of the prostate gland;
- general urine and blood tests;
- bacterial culture for the presence / absence of bacteria;
- collection of semen and prostatic secretions for the examination of pathogens (three-glass sample method)
Rectal examination is carried out not at the first examination by the urologist, but only after receiving the results of the analysis for the pathogen. The indicator of lecithin grains is taken into account (the norm is 10 million per 1 ml of secretion).
Additional diagnostic methods include:
- examination of the urinary ducts;
- light microscopy of a smear;
- ejaculate analysis;
- measurement of urine output - uroflowmetry;
- Ultrasound of the bladder.
The patient is tested every 10 days during the therapy period. Bacterial prostatitis is diagnosed only in the absence of pathogenic bacteria during laboratory tests.
When the process becomes chronic, consultations of additional specialists will be required - an immunologist, a gastroenterologist, and so on.
Treatment of the disease
Prostate therapy includes a comprehensive program, from drug treatment to diet and exercise. After a complete examination and diagnosis, the urologist prescribes the optimal drug regimen and gives recommendations on nutrition.
Antibiotic therapy is used in the inflammatory process. In addition, antibiotics are recommended for chronic forms of the disease of any etiology. In addition, bacteriological research does not always allow to detect absolutely all pathogenic microorganisms.
Drug treatment involves the appointment of the following drugs:
- broad-spectrum antibiotics in the form of injections;
- drugs from the group of alpha-blockers to reduce the tone of the smooth muscles of the urethral canals (in order to reduce pain when urinating);
- non-steroidal anti-inflammatory drugs;
- pain relievers;
- immunomodulatory drugs;
- herbal and natural products based on peptides.
The positive dynamics of drug use is observed for 5-7 days of use. Any drug should be used only as directed by a doctor and according to the recommended schedule.
Additional techniques are included in the bacterial prostatitis treatment program:
- mud and radon baths;
- pulse electrotherapy;
Laser treatment gives very high results. This type of effect on the prostate gland is considered one of the most effective, as it reduces the number of relapses in chronic forms of pathology.
The procedure aims to remove excess fluid accumulated in the ducts of the prostate gland. This technique allows:
- get rid of painful sensations during ejaculation;
- relieve swelling;
- restore erectile function;
- clean the ducts with stagnant secretion.
The massage normalizes blood circulation and saturates the cells with oxygen, which promotes accelerated tissue regeneration. In addition, the procedure helps to increase the effectiveness of the drugs used, as it improves permeability.
Prostate massage has a number of contraindications, so it is not prescribed to all patients.
Correction of the diet also helps to quickly eliminate the symptoms of the disease. You should refuse spicy, salty and smoked foods for the treatment period. In the future, such dishes will have to be limited to avoid relapse.
It is recommended to eat more seafood, boiled lean meat, vegetables, herbs. Particularly effective is the addition of parsley and celery to dishes. Pumpkin seeds also have a beneficial effect on normalizing the condition of the prostate.
Important! The consumption of alcoholic beverages is strictly prohibited!
Physical activity should be moderate. The exercises aim to strengthen the muscle tissues of the press and pelvic floor. This helps to eliminate congestion, normalize male sexual functions.
In case of problems with erection and ejaculation, regular Kegel exercises are recommended. This complex is aimed at correcting urination, controlling the moment of the onset of orgasm, preventing hemorrhoids and so on.
Clinic specialists carry out diagnostics and treatment of bacterial prostatitis, guided by international standards. Doctors-urologists of the medical center prescribe only the necessary drugs and procedures that show a high result of therapy.
Make an appointment with your urologist on the clinic's official website or by calling the numbers indicated at the first symptoms. Remember that it is always easier to prevent disease than to cure, so specialist scheduled exams are the best health care!