Chronic bacterial prostatitis: causes, signs, diagnosis, methods of treatment

Chronic bacterial prostatitis is one of the most common diseases. This form of the disease is characterized by the frequency of its manifestations, and without timely treatment can lead to various disorders - sexual dysfunction, as well as contribute to the development of glandular hyperplasiaprostate. But what is the causative agent and what are the consequences if left untreated? Let's take a closer look at these questions.

What is bacterial prostatitis?

Chronic bacterial prostatitis occurs in 15-20% of all people with the underlying disease. This disease is specific to middle-aged men, because they still have a normal sex life and the possibility of harmful bacteria entering the body is quite high. Microorganisms harmful to this type of prostatitis fall directly into the area of the prostate gland, where they actively multiply and disrupt the functioning of an organ that is so important to men.

At the same time, inflammation can be promoted not only by the bacteria themselves, but also by their metabolic products.

Unlike other subspecies of the disease, chronic bacterial prostatitis has more obvious symptoms and the microorganism can spread not only inside the gland but also outward, disrupting the functions. bladder and other nearby organs.

Cause of disease

The main causative agent of chronic bacterial prostatitis is bacteria that can enter the body both during intercourse and from the environment. Among the pathogenic bacteria, the following should be noted:

• Chlamydia;
• Streptococcus;
• Staphylococci;
• Klebsiella;
• Pseudomonas aeruginosa;
• Trichomonas;
• gonococci;
• Family Enterobacteriaceae;
• Escherichia coli.

The most common causative agent is E. coli, as it is found in 80% of patients with prostatitis.

Individual and disease factors can also aggravate the course of the disease and stimulate its development. There is a high chance of developing chronic prostatitis in a man:

1. Leads to an inactive lifestyle;
2. Have pyelonephritis or cystitis;
3. Have weak immunity;
4. Consumption of alcoholic beverages and tobacco products;
5. Usually super-cooled;
6. Easily stressed;
7. Constipation;
8. Have an ugly sex life;
9. Frequent contact with direct sources of infection;
10. Hormonal disorders;
11. There is no ordinary intimate life.

It is worth noting that chronic prostatitis, as a rule, precedes its acute form, so the patient has some time to stop the development of the disease. The reason for the development of a permanent form is the spread of bacteria throughout the body through the circulatory, lymphatic and other systems of the body, and as soon as the immune system is weakened, for example. As with a cold, the prostate gland can become inflamed. , thereby causing discomfort and a number of other consequences.

Symptom

The main symptoms of chronic bacterial prostatitis are similar to those of other types. Patients may experience:

• Pain in the lower abdomen;
• The inflammatory process is accompanied by an increase in body temperature;
• Muscle fatigue and general weakness of the body are observed;
• Urination may be accompanied by pain;
• Pain in the anus and rectum.

It is worth noting that, in contrast to the acute form, the symptoms of chronic prostatitis are less pronounced. With an exacerbation of the disease, blood particles in the urine can be observed and the pain syndrome increases significantly.

If you do not pay attention to this symptom and do not consult a doctor in time, there is a pretty high chance that you will have complications in the form of:

1. Development of pyogenic processes of the genitourinary system;
2. Prostate tumor;
3. Problems with the outflow of urine;
4. Stone-like prostatitis;
5. Dry;
6. Sexual dysfunction.

Similar complications can also occur in the case of prescribing the wrong treatment or self-medicating without consulting the doctor first.

Diagnostic

The diagnosis of chronic bacterial prostatitis can be made based on:

• General blood test - helps to determine the shift of the leukocyte formula to the left, which indicates inflammatory processes in the body;
• Periodic urinalysis - will determine an increase in the content of white blood cells and red blood cells, which are produced to fight harmful microorganisms;
• 3-cup urine sample - this analysis is similar to conventional analysis, only changes in 3-cup urine sample are more noticeable;
• Analysis of secretions of the prostate gland - in the case of bacterial prostatitis, specific protein fragments appear in the bile;
• Urinary flow measurement - observation of the patient to determine the daily urine output is, as a rule, performed by the patient himself in a hospital setting and the results of the calculations are reported to the attending physician.

The method of diagnosis is determined directly by the specialist. Diagnosis cannot be based on classical examination and interview.

Treatments

In the treatment of bacterial prostatitis, a course of treatment is prescribed, which includes:

1. Antibacterial drugs, hospitalization time from 1, 5 to 2 weeks;
2. Non-steroidal anti-inflammatory drugs - will help reduce inflammation and relieve pain for the patient;
3. Muscle relaxants - prescribed for severe pain do not allow the patient to empty the bladder, they relax the bladder wall.

An optional symptom of bacterial prostatitis is a depressive state in which the patient is prescribed an antidepressant. This helps reduce stress levels for the entire body, reducing the production of hormones that can negatively affect the course of the disease.

In addition, with chronic bacterial prostatitis, courses of physical therapy are often prescribed, which may include one or more procedures:

• Electrophoresis - the introduction of special drugs under the influence of voltages of a special frequency;
• Ultrasound - activates tissue regeneration, eliminates inflammation, prevents scarring and normalizes metabolism;
• Magnetic therapy - aimed at normalizing blood circulation;
• Electrical stimulation of smooth muscles - allows you to get rid of congestion, improves the movement of secretions;
• Laser therapy - normalizes the activity of the prostate gland.

In some cases, prostate massage can also be used as a preventive measure, helping to eliminate pain and improve the functioning of the organs.

Chronic bacterial prostatitis has been observed in patients with increasing frequency in recent years. This is primarily due to an increase in registered cases of STDs, particularly chlamydia and candida. This type of disease can occur regardless of age, although it usually attacks weaker middle-aged organisms.