Acute prostatitis is an inflammatory disease, usually of an infectious nature, which is accompanied by swelling and ulceration in the tissues of the homonymous organ. It used to be thought that they affected older men more, but studies show that the pathology has been significantly "revitalized". And now prostatitis occurs in middle-aged patients.
In therapy, the use of not only drugs is allowed, but also the use of folk remedies in consultation with a specialist.
Causes of pathology
Acute prostatitis is diagnosed in 30-50% of men, most often of the most capable age for the body, ie from 30 to 50 years. This inflammation leads to:
- erectile dysfunction?
- infertility;
- depression.
The causative agent of the disease is mainly non-specific infectious agents. These are pathogenic microorganisms such as E. coli, staphylococci, streptococci, etc. But sometimes acute prostatitis is caused by other pathogens associated with sexually transmitted diseases - chlamydia, ureaplasmosis, gonorrhea, mycoplasmosis. Often the cause is a conditionally pathogenic microflora - the fungus Candida (Candida).
The main reasons for the development of prostatitis are limited to the penetration of the infection, most often through the canal. This happens through the excretory ducts of the prostate gland. As they open into the wall of the posterior urethra, the development of prostatitis is affected by the presence of a disease such as urethritis.
In men, acute cystitis (inflammation of the bladder caused by bacteria) is rare. But if it is, then in such cases the prostate suffers, into which the pathogenic microflora enters. Bacteria enter the organ much faster if there are concomitant pathologies - stones in the urethra, which create increased intraurethral pressure.
Sometimes it is possible to develop an inflammatory process due to the penetration of the infection into the bloodstream, since the prostate is supplied with the help of a developed arterial and venous network. This happens when there are foci of chronic inflammation in the body but they have nothing to do with the prostate. Infections are transmitted by the hematogenous route with sinusitis, tonsillitis, bronchitis, and even caries.
The presence of cholecystitis (gallbladder disease) also causes the development of acute prostatitis. Sometimes lymphogenic transmission of the infection from the intestine (with proctitis and colitis) is also possible.
Non-infectious factors in the development of prostatitis - the presence of congestion in the vessels of the pelvis, irregular sex life and its violations. The inclusion of prostatitis is possible in men who practice abortion.
The factors that cause the disease are:
- sedentary life?
- digestive disorders (mainly frequent constipation).
- hypothermia and reduced immunity.
- Vein;
- excessive alcohol consumption.
Basic forms
There are three forms of the disease:
- catarrhal. The pores of the prostate glands are mostly inflamed, but there are no macro changes. In the ducts themselves, dystrophic processes of the epithelial sheath are observed, there is a slight swelling in the layer, the vessels are abundant.
- Pericarp. Both the reverse development of the process and its increase are possible, when prostatitis turns into a follicular form and the inflammatory process already affects the tissues of the prostate gland. The body increases in size, becomes flabby. Focal filtrates appear around the pores.
- Parenchymal. The most serious stage of the disease. With this, the inflammatory process affects the entire gland, forming an abscess. With an unfavorable course of the disease, it can open and pus enters the intestines, bladder and urethra.
Symptoms
Common signs are urinary disorders, pain and intoxication - weakness, nausea, vomiting, dizziness and other unpleasant phenomena that cause discomfort.
The other symptoms of acute prostatitis correspond to the developmental stages of the process:
| Stage | Symptoms |
|---|---|
| catarrhal | The first signs are a feeling of heaviness and pain in the perineum. There are dysuric disorders, ie disorders of urination, its increase, the appearance of pain or soreness in the process. Body temperature most of the time remains normal, sometimes rising slightly. Diagnosis at this stage involves the study of prostate secretion. May show an increase in the number of leukocytes, in the presence of mucous fibers. Urine analysis shows an increase in white blood cells. At this stage, no prostate massage is prescribed due to pain. But drug treatment allows you to get rid of the pathology in 7-10 days. |
| Pericarp | The symptoms will be more intense. This stage is accompanied by dull pain that is located in the perineum, but can be administered to the anus, rectum or lumbar region. Urination becomes so painful that it is possible to retain urine. The act of defecation is difficult, also due to severe pain. The body temperature rises to 38 degrees, the general state of health deteriorates. The patient experiences:
|
| Parenchymal | In acute parenchymal prostatitis, the temperature rises to 39 degrees. There is a fever or chills. Urination can be rapid, but most of the time it is difficult, until complete cessation, as attempts to empty the bladder are accompanied by severe pain. Flatulence occurs, digestion is disturbed, constipation occurs. The pain is felt in the rectum. From pain they turn into throbbing. A person tries to find a position in which he will not feel pain (most of the time when he lies down with his legs tight). In the acute form of prostatitis there is an enlargement and swelling of the prostate gland. There may be white or yellowish green discharge from the urethra |
The consequences of acute prostatitis can be sepsis (general blood poisoning), cystitis or pyelonephritis. If the disease progresses with such complications, then the patient needs hospitalization. But in mild cases, the pathology can be treated at home.
Treatment
Treatment of acute prostatitis must be complete. Treatment involves eliminating the cause of the disease, ie the pathogenic microorganisms. In such cases, antibiotics are used, their combination, since a drug rarely gives the desired result.
With timely treatment, the symptoms subside quickly, in just a few days. But the doctor prescribes a course for at least 4 weeks to completely cleanse the body of harmful bacteria, to prevent relapses and the transition of the procedure to a chronic form.
Antibiotics are prescribed only according to the results of tests that revealed the causative agent of the disease and its resistance to certain drugs. Other factors are also taken into account. For example, drugs from the group of aminoglycosides and β-lactams do not penetrate well into prostate tissues.
Antibiotics from the group of fluoroquinolones and macrolides have a higher penetrating power.
But not only the ability to penetrate is important, but also the potency of the bactericidal effect. Therefore, macrolides and other agents are sometimes prescribed. The release forms of such drugs may be different.
Candles are rarely used. In severe cases of the disease, intravenous administration of antibiotics (and in a hospital setting) is indicated. In mild cases, the treatment is carried out on an external basis, the patient takes pills at home.
Analgesics and non-steroidal anti-inflammatory drugs are used to relieve the pain. They lower the temperature, but sometimes extra antipyretics are prescribed. For more severe pain, short-term opiate use is applied.
For the treatment of acute prostatitis, consuming plenty of fluids plays an important role, best of all - cranberry juice or rose broth to flush the urinary system, reduce poisoning and prevent the development of cystitis and pyelonephritis. Light laxatives such as Vaseline oil are used.
For problems with urination, anticonvulsants and alpha-blockers may be prescribed.
If there is a muscle spasm, take muscle relaxants.
Folk remedies
Treatment of the disease with folk remedies is possible only as an adjunct therapy, which enhances the effect of taking medication.
A popular folk remedy is pumpkin seeds. They have been shown to contain a lot of zinc, which has anti-inflammatory action. To get the right dose of this substance, it is enough to eat 30 grams of peeled raw seeds once a day before meals.
You can make a mixture based on pumpkin seeds (only not fried) and honey:
- Rotate 500 grams of clean raw materials with a grinder or blender.
- Add a glass of not too liquid honey.
- Mix well until such a composition is made that the mixture can be molded into walnut-sized balls.
The product is stored in the refrigerator. On the day you should eat 1-2 of these balls half an hour before meals. The medicine should be chewed well and not swallowed immediately.