One of the most dangerous complications of acute prostatitis can be an abscess of the prostate gland. This is a purulent focal inflammation, to which body temperature can increase to 40 degrees. The signs of abscess are acute intensive pain and difficult urine. In the absence of medical care, the swelling of glandular tissues is developed and the light of the urethra is completely blocked.
Prostatitis is the most common urological pathology in men of reproductive age. According to surveys, every third of them, at least once in their life, experienced symptoms that can be interpreted as inflammation of the prostate gland. The main cause of the development of bacterial prostatitis is an infection, however, only in the case of acute prostatitis, the infection leads to acute 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, infection can also be the cause, the triggering mechanism of inflammation, but the inflammation of the prostate gland, which requires treatment, can only be developed in the context of other factors:
- Prolonged hypothermia of a different nature: it can be a bath in an ice hole or sit on cold stones, etc. ;
- Sedentary lifestyle (sedentary), which leads to the stagnation of blood, which can also cause inflammation;
- Irregular sex life: this refers to both excessive abstinence and excessive activity;
- Urological disease (urethritis, for example) transferred or sexually transmitted (gonorrhea, clamidia, etc. ): There is also a hidden presence of these diseases, whose result becomes prostatitis;
- regular problems with feces (most often chronic constipation);
- The use of spicy food, smoked and in pickle, alcohol and some other products can also cause inflammation of the prostate gland
- Other factors that cause deteriorated immunity: excessive loads, multiple or long stress.
Prostatitis: consequences
In case of inappropriate appeal to the urologist, acute bacterial prostatitis can lead to the formation of an abscess and edema of the prostate gland, which can not only complicate urine, but to make it completely impossible.
The latter, such as inflammation, can cause severe body poisoning, characterized, among other things, by a strong temperature increase of up to 40-41 ° C (with acute temperature fluctuations in 1 grade).
However, more often complications of this type can be avoided, since the manifestations of prostatitis of this species generally force the patient not to delay the visit to a specialist.
In the case of a chronic form of the disease, whose symptoms are not so pronounced, the development of complications without adequate and timely treatment is quite possible. Without an appropriate effect of drug and therapeutic, inflammation can be extended to other organs of the genitourinary system, which can lead to development:
- Cystitis: inflammation of the bladder;
- Pyelonephritis - renal inflammation;
- Vesiculitis - inflammation of seed bubbles;
- Inflammation of the testicles and appendices of the testicles.
It should be remembered that the inflammation of eggs and testicles is one of the most common complications and can cause male infertility, which, in turn, is a long time, difficult and not always successful, so the faster to treat prostatitis, the more possibilities of avoiding complications of this type.
In some cases, the consequence of chronic prostatitis may be its transition to a form of calculation. Calculation prostatitis is characterized by the formation of calculations (small pebbles) in the excavating ducts of the gland, to get rid of which is a drug.
In addition, the cause of prostatitis is a hormonal insufficiency caused by insufficient hormone production with sexual glands.
The development of prostatitis is facilitated by several causes. Very often, prostatitis signs are manifested in those men who carry out an irregular sex life, often suffer hypothermia and injuries.
In addition, prostatitis can be developed as a result of a decrease in immunity, worsening blood flow and lymphatic circulation in the men of man's small pelvis, as a result of a hormonal failure, which causes a certain level of androgynous insufficiency.
A factor that contributes to the manifestation of prostatitis is also considered a series of infections that are transmitted sexually. Therefore, prostatitis is often manifested in men after unprotected sex.
There are 4 main forms of prostatitis: acute bacterial prostatitis, chronic bacterial prostatitis, non -bacterial prostatitis and prostatinia.
In people under 35, the disease usually proceeds in the form of acute bacterial prostatitis. Bacterial prostatitis is called when there is laboratory confirmation of the presence of infection.
Most of the time, it turns out to be chlamydia, trichomoniasis, gardening or gonorrhea. The infection enters the prostate gland from the urethra, the bladder, the rectum, through the blood and lymphatic vessels of the pelvis.
However, recent studies show that in most cases, infection is placed in the alterations in the structure of the prostate fabric and blood circulation in it. With non -bacterial prostatitis, bacteria cannot be isolated, although this does not exclude their presence.
In older patients, chronic forms of the disease are diagnosed more frequently. Prostatodynia is called a clinical image of prostatitis, a prostate tissue seal without signs of inflammation.
Classification
According to the criteria of the National Institute of Health (Nih USA. ), Four Prostatitis categories of 1995 are distinguished:
- Acute prostatitis (bacterial)
- Chronic bacterial prostatitis
- Chronic non -bacterial prostatitis / chronic pelvic pain (CP / CPP)
- Inflammatory chronic pelvic pain syndrome (leukocytes are determined in the secret of the prostate, urine and ejaculation)
- Non -inflammatory chronic pelvic pain syndrome, in which signs of inflammation are absent
- Asymptomatic chronic prostatitis
Currently, an international classification of prostatitis has been adopted, which is the most complete and that covers all kinds of inflammation:
- Category I. Acute prostatitis;
- Category II. Chronic bacterial prostatitis;
- Category III. Chronic nebacterial prostatitis/chronic pelvic pain syndrome is a disease in which an infection that lasts more than 3 months is not detected;
Subcategory III A. Chronic inflammatory pelvic pain syndrome (leukocytes are determined in the secret of the prostate);
Subcategory III B. Chronic non -inflammatory pelvic pain syndrome (there are no leukocytes in the secret of the prostate); - Category IV. Chronic prostatitis of specific procedure (leukocytes are present in the secret of the prostate, the patient does not present complaints, the disease is detected by chance).
The treatment of prostatitis varies according to the form of the disease in a man. Then, bacterial prostatitis can occur both acute and chronic disease.
Very often, non -bacterial prostatitis is also diagnosed as a chronic ailment. Such a variety of prostatitis is also called chronic pelvic pain syndrome.
In such patients, all the characteristic symptoms of prostatitis are observed, but there are no bacteria in the secret of the prostate.
Acute bacterial prostatitis is characterized by rapid development. At the same time, a person suffers from severe pain, there are signs of general intoxication. Symptoms in the chronic form of the disease manifest much less clearly. In this case, the disease gradually manifests.
And if the course of prostatitis in the acute form, as a rule, ends with the complete healing of the disease, then with chronic prostatitis, relapses appear quite frequently. This should be taken into account in the treatment of prostatitis at home. In addition, in the presence of inflamed calculations in the prostate gland, disease therapy is a more complex process.
With non -bacterial prostatitis (chronic pelvic pain), a person develops severe pains that are located in the pelvic area, genitals and perineum. There are no signs of inflammation in the prostate.
This disease is common among modern men from different age groups, but most ailments affect people from 35 to 45 years. Until today, experts express several assumptions about what are the causes of prostatitis.
So, there is a theory that this syndrome causes damage to the tissues of a bacterial prostate. In addition, there is an opinion that the disease manifests itself because the urine falls into the prostate gland.
As we have said, the acute and chronic course of the disease is possible. In this case, the appearance of acute prostatitis is more frequently caused by gram -negative bacteria.
This form of disease is relatively easy to diagnose and treat antibiotics. At the same time, cases of chronic non -bacterial prostatitis are often among men, which is more difficult to diagnose and has no connection with a certain infectious injury.
Therefore, in the case of chronic prostatitis, antibiotic treatment will not be able to give the proper effect. According to statistics, about 35% of men over fifty, chronic prostatitis.
Treatment of chronic and acute prostatitis
In the case of prostatitis signs, both acute and chronic, you must consult a urologist, who will establish what type of diagnosis takes place and will also help cure the disease and strengthen the body as a whole. It should be remembered that this also applies to both types of prostatitis, each of which can lead to their complications.
Main reception
The main reception of a specialist implies a survey and an examination of the patient (including the rectal, which allows it to determine the degree and nature of the 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 the deteriorated urine that causes discomfort. Another sign of the disease is fast urination, but in which Urina comes out in small portions.
Symptoms of the acute form of the disease
The disease is suddenly formed and characterized by pronounced manifestations.
- frequent painful urine;
- pain during defecation;
- deteriorated power;
- pain in the groin, in the Sacrum area and in the anus;
- high sweating;
- fatigue.
Each male body is individual, and the symptoms can manifest separately, or all at the same time.
Signs of a chronic form of the disease
Chronic prostatitis is generally characterized by the same signs, however, it proceeds with less pronounced symptoms.
In addition, you can see the following manifestations:
- greater irritability;
- a sensation of overflowing bladder;
- deterioration in quality, or lack of orgasm;
- Selection during urethra defecation.
The first signs of prostatitis, which a man must definitely pay attention and contact the urologist:
- Severe pain during urination. At the end of the process, you feel a feeling of unpleasant burning.
- Improvement of body temperature.
- The feeling of not emptying the bladder completely.
- Ring in the area of the crotch and groin.
- Insufficient plane pressure while visiting the bathroom.
The treatment of prostatitis is carried out depending on the form of the disease. Acute inflammation is an indication for the hospitalization of the patient at the Urological Hospital, and chronic patients undergo the course of home therapy. If the cause of the disease was a sexually transmitted infection, both couples must take antibiotics.
In the treatment of acute prostatitis, it is important that systemic antibacterial treatment is important.
The main drug groups include:
- AntibioticsUsed in the form of tablets, capsules, candles, syrups and other types.
- Anti -inflammatory drugs.
- Spasmalgotics and analgesics.
- Preparations to increase immunity.
- Vitamins
- Antistress medications.
Massage
This procedure is one of the most effective methods to treat prostatitis. Thanks to her, accumulated in the prostate gland, the secret is squeezed and then eliminated independently through the urethra. In addition, prostate massage helps improve blood supply to the tissue of the gland, which increases the effectiveness of antibacterial and local therapy.
Physiotherapy
Physiotherapeutic treatment helps improve the tissue trophism of the prostate gland and accelerate the recovery process. The following physiotherapy methods are possible:
- transrectal microwave hyperthermia,
- Diadinamoforesis,
- laser therapy,
- Ultrasonic phonoforesis.
Exercise
The main signs of the disease
A disease like prostatitis in most men suddenly develops. In the patient, the temperature increases sharply, a feeling of weakness, fever appears. The main sign of inflammation of the prostate is the intense pain in the perineum, which gives the pubic area, anal opening, sacrum. During urine, defecation and with any other tension of the pelvic muscles, pain increases.