Types of prostatitis in men

Prostate disease is one of the most common and insidious diseases in men over 40 years old.At first, patients may not even realize there is a problem, but over time the symptoms become noticeable.If you do not see a doctor in time, prostatitis will become chronic and complications may arise.Depending on the severity, cause and type of course, different forms of prostatitis are distinguished.

Types of prostatitis according to the form of occurrence:

• sharp;
• chronic;
• latent.

What type of prostatitis occurs due to:

• herpes;
• bacterial;
• calculating;
• stagnant;
• contagious;
• purulent;
• chlamydia;
• Mushroom;
• Gonorrhea;
• fibrous.

classification

Faced with such an unpleasant disease of the genitourinary system as inflammation of the prostate, many men wonder why they have prostatitis.

Understanding the etiology of the disease helps make an accurate diagnosis and promotes effective prevention.

According to the shape of the river

Depending on the form, prostatitis is divided into acute, chronic and latent, with a distinction being made between catarrhal, follicular and parenchymal (purulent).

The following forms of the disease are distinguished:

• With catarrhal prostatitis, urination disorders and discomfort in the pubic area occur in the male body.This is the most common form of acute prostatitis.
• Follicular prostatitis is characterized by symptoms such as pain in the groin or anus, increased body temperature and severe problems with urination (dysuria).In a more advanced form, if the patient postpones the visit to the doctor, acute pain occurs during urination and urinary retention occurs.
• Parenchymal prostatitis – an abscess with purulent contents forms in the body of the prostate.In this case, fever occurs, stabbing pains occur with frequent urge to urinate.The temperature rises to 39-40°C and bowel movements become almost impossible.

Acute prostatitis

Acute prostatitis is a disease in which inflammation of the prostate occurs within a short period of time and is characterized by various symptoms.There is swelling of the gland, which is caused by the negative effects of pathogenic microflora.Pathogenic bacteria disrupt the integrity of the tissue and cause constant discomfort in the pelvic area even when at rest.

There are several preferred routes through which an infection can enter the prostate:

• with inflammation of the rectum - through the lymphogenic route;
• after infectious diseases - hematogenous;
• directly through the urethra - canalicular.

Excessive accumulation of contents in the prostate creates excellent conditions for the reproduction of bacteria, which leads to various complications:

• Abscess;
• prostate adenoma;
• prostate cancer;
• loss of potency;
• Infertility.

The symptoms of prostatitis are so painful that the patient needs to urgently seek help from a doctor.If this is not done in a timely manner, prostatitis becomes chronic, which is much more difficult to cure.Antibacterial therapy in combination with drugs that strengthen the immune system effectively fights the disease.

Chronic prostatitis

Symptoms of chronic prostatitis are usually detected against the background of prostate obstruction resulting from an untreated acute disease.Usually occurs in men over 50 years of age who have not sought help or self-medicated.Many of them experienced complications due to comorbidities.In addition, at this age, not everyone is sexually active enough, as a result of which the secretion in the prostate thickens and stagnates, leading to dysfunction.Interrupted sexual intercourse also leads to fluid stagnation.According to modern research, about 40% of people with symptoms of chronic prostatitis suffer from erection problems.

Chronic prostatitis usually presents with mild symptoms that only occur during an exacerbation.Patients report dull groin pain that increases after exercise and at the end of the day.The pain often radiates to the lower back, scrotum and perineum.Frequent urination is noted, especially at night, the flow of urine is intermittent, and the flow of urine is oblique.

Sexual intercourse lasts less time, an incomplete erection occurs and sometimes pain occurs in the head of the penis.Infertility usually occurs in people with chronic prostatitis;Impotence practically does not occur at this stage of the disease.Sometimes there is a change in color of the sexual organs;They turn purple due to insufficient blood circulation.

Any of the symptoms of prostatitis will worsen if left untreated.The condition is similar to the manifestations in the acute course of the disease.Weakened immunity, stress, neglect of diet, bad habits - all this leads to an exacerbation and deterioration of the condition.

The chronic form often leads to the appearance of symptoms such as cystitis, kidney disease and adenoma.The risk of urolithiasis and the formation of a malignant tumor increases.Often the pathological process is practically asymptomatic and is discovered completely accidentally during laboratory tests in connection with another disease.

Because of the incident

There are many reasons provoking the development of prostatitis of infectious and non-infectious etiology, as well as predisposing factors.Based on their occurrence, the following forms of prostatitis are distinguished:

• bacterial;
• calculating;
• stagnant;
• contagious;
• purulent.

A sedentary lifestyle, frequent hypothermia, infrequent sexual activity, interrupted sexual intercourse, smoking, alcohol abuse, stressful situations - all these circumstances affect the stagnation of secretions in the vessels of the prostate and in the vessels adjacent to it.Depending on the causes of its occurrence, prostatitis is divided into different forms.

Bacterial prostatitis

Bacterial prostatitis is caused by bacteria invading the prostate in various ways.This can be either a type of bacteria or a group of them.The disease can be caused by:

• Mushrooms;
• gonococci;
• cooking stick;
• chlamydia;
• several types of bacteria at the same time.

The inflammatory process is most often associated with the penetration of bacteria into the prostate caused by sexually transmitted diseases.Chaotic sex with frequent partner changes and no protective measures leads to diseases such as gonorrhea, chlamydia and fungal infections.In addition, the development of pathology is facilitated by a decrease in immunity due to disruptions in work and rest.Bad habits like smoking, drinking alcohol, lack of exercise, etc. also reduce immunity.

The most obvious symptoms of bacterial prostatitis are burning, pain, and cloudy discharge during urination.The smell of urine is unpleasant.General symptoms of intoxication are observed: dizziness, weakness, nausea, fever.There is pain during ejaculation and sometimes blood is present.Chronic bacterial prostatitis causes increased frequency of urination and yellowish or greenish discharge from the genitals.

Calcareous prostatitis

In calcific prostatitis, stones form in the ducts of the prostate.This form of the disease is very complex and is accompanied by severe pain.Conglomerates come in different origins: phosphates, oxalates, with calcium and protein predominating.

There are two reasons for the formation of stones in the ducts: stagnation of the contents of the gland and backflow of urine into the prostate.

Stagnation is associated with various factors that interfere with the normal outflow of secreted fluid.Long-term sexual abstinence, hyperplasia, the presence of a tumor closing the milk ducts and a sedentary lifestyle lead to stagnation of secretions and disruption of the vascular and lymphatic systems.

Urinary reflux is caused by a malfunction of the sphincter muscle, which relaxes and allows urine to flow out as well as in.The presence of stones and sand in the bladder contributes to the formation of stones in the prostatic ducts.They are transported there in the urine, settle and continue to grow, eventually reducing the discharge.Sphincter dysfunction can be caused by genital injuries and surgical procedures.

The calcareous form of prostatitis is initially asymptomatic;As the stones grow, symptoms appear and increase.Pain occurs in the lower abdomen or scrotum, radiating to the buttocks and lower back.Pain at rest is not observed and only occurs during physical activity, bowel movements and urination, as well as during sexual intercourse and walking.

Large stones with sharp edges injure the canal as they move, leading not only to pain but also to the release of blood in the urine and ejaculate.Wounds caused by stones can easily become infected, and then calcareous prostatitis becomes infectious.

After about a month, with calcareous prostatitis, the functioning of the entire body is disrupted, the person feels unwell, suffers from insomnia, increased fatigue and irritability.

In advanced stages of the calcareous form of prostatitis, after a complete diagnostic examination, medications are prescribed and surgical treatment is carried out to remove conglomerates.

Congestive prostatitis

The stagnant form of prostatitis occurs due to retention of secretions in the prostate gland.Most often, such problems are observed in sedentary men who do not play sports.Due to physical inactivity, blood circulation in the pelvic organs is impaired, the prostate suffers from a lack of oxygen and nutrients, and stagnation and inflammation occur.If nothing is done, the disease becomes chronic and causes great discomfort.

Congestive prostatitis is caused by irregular sex life or its complete absence.In this case, men must independently clear the gland of secretions, but should not overdo it, as regular masturbation can cause damage due to incomplete ejaculation.Many spouses have found a way to prevent pregnancy, for example by aborting sexual intercourse.This also leads to incomplete ejaculation and the development of inflammation.

Sometimes hypothermia or varicose veins are the triggering factor.Abnormalities in the structure of the prostate can also lead to stagnation.Regular overheating of the pelvic area and constant constipation impair secretion production.Depending on the factors that trigger the disease, there are different types of congestive prostatitis.

• Venous prostatitis.It occurs in people who suffer from varicose veins of the lower extremities.This disease affects all organs in the pelvis due to insufficient blood flow.
• Stand.Develops with partial emptying of the prostate.A gradual overflow leads to stagnation.
• Chronic.It arises when an incorrect lifestyle has become a habit.If nothing is done to change the situation, the disease becomes chronic.It occurs more often in single men who already suffer from obesity in adulthood if the medical history is complicated by comorbidities.At this stage, the prostate often becomes enlarged, which is easy to detect on examination.
• Contagious.Existing inflammation of the prostate occurs when an infection enters the urogenital system.

The symptoms of prostatitis that occur are caused by difficulty urinating, pain in the groin, straining during bowel movements and weakened sexual activity.As a result of these symptoms, congestive prostatitis causes poor health, irritability, reduced performance and sleep disorders.

Infectious prostatitis

The microorganisms that can provoke the appearance of signs of acute prostatitis include Escherichia coli, Staphylococcus aureus, Proteus, Eltirococcus and Klebsiella.There are bacteria that are constantly present in the body, but do not lead to inflammatory processes when at rest.Penetrating through the urethra onto the mucous membrane of the prostate, the process of development and reproduction of microorganisms begins, which leads to inflammation.Harmful bacteria also enter the body through indiscriminate and unprotected sex.

Characteristic symptoms include pain in the scrotum, perineum, lower abdomen, lower back, pain and burning in the pelvis.Difficulty urinating occurs and acute urinary retention occurs.In addition to the listed symptoms associated with infectious prostatitis, constipation, urethral discharge, hematospermia, and pain during ejaculation may occur.

This is a dangerous disease that, even in the early stages, can cause infection in a sexual partner, lead to general blood poisoning or the development of pyelonephritis and cystitis.

Purulent prostatitis

Purulent prostatitis usually occurs when a bacterial infection gets into the prostate.The disease progresses in four stages.

• Catarrhal.Develops after an acute respiratory viral infection, sore throat or flu.There is purulent content in the urine.A burning sensation occurs when the bladder is empty.Patients notice a weakening of potency.The process that accompanies this type of prostatitis affects the superficial tissue of the prostate.
• At the center.The process extends to glandular tissue.The canals swell and the drainage is disrupted.The gland enlarges due to the accumulation of pus, which is excreted in the urine.The body temperature rises.
• Parenchymatous.The connective tissue is involved, the swelling becomes even greater and the temperature can reach up to 40 °C.The bursting pain in the anus leaves no peace and a false urge to defecate arises.
• Abscess.The most insidious form of prostatitis.The temperature drops sharply, there is abundant pus and unbearable pain.This stage can be complicated by peritonitis and can be fatal.

Purulent prostatitis can be complicated by symptoms and diseases such as paraproctitis, paracystitis, abscess and sepsis.Typically, these pathologies are treated surgically and involve the removal of purulent bags.

diagnosis

Diagnosing the types of prostatitis is not particularly difficult and begins with taking an anamnesis, which helps to understand the clinical picture in more detail.A rectal examination is then performed, during which the size of the gland is determined, the nature of the pain is determined, and the presence of swelling and induration is determined.

To make a correct diagnosis, laboratory tests are prescribed:

• urine test;
• urine culture with AB sensitivity test;
• general blood test;
• analysis of prostate secretion;
• biochemical blood test;
• rectal examination.

Further diagnostics include instrumental research methods.First, an ultrasound is performed;If necessary, MRI and TRUS are also prescribed.Relatively recently, a new PET scanning method has emerged;it is considered the most informative.

Treatment of inflammation

Urologists treat all types of prostatitis.Traditional methods are good, but only when prescribed by a doctor and with the approval of the treating doctor.

First you need to find out the cause that caused the disease, and only after that symptomatic treatment can be carried out.

• Active antibacterial therapy helps cure prostatitis.Parenteral administration of antibiotics is most effective.
• If the pain is severe, painkillers and diuretics are indicated.
• Laxatives are prescribed for constipation.
• If there is severe pain and difficulty urinating, novocaine blocks are placed.
• Vitamin therapy and immune correctors are indicated.
• It is worth following a special diet that excludes spicy, salty and smoked foods.
• Bed rest is mandatory.

Local procedures include sitz baths with water at a temperature two degrees higher than body temperature.Enemas are prepared with a herbal decoction of anti-inflammatory herbs with the addition of 1% anesthetic, the contents being slowly introduced into the intestines and left there for as long as the patient can tolerate it.

Physiotherapeutic treatment also has a positive effect on restoring prostate function.Prostate massage is prohibited for acute prostatitis, but it is recommended for chronic prostatitis.To restore metabolism, normalize blood circulation and relieve swelling, UHF and microwave are prescribed.

If urination is delayed for a long time, a catheter is inserted.In some stages of the disease, surgical treatment is indicated to open the purulent sacs and install a drainage.

Treatment of acute prostatitis takes several weeks to a month.As a rule, a favorable result is observed.If the disease is complicated or has reached a chronic stage, the process is complex, lengthy and can take several months.

Restriction of sexual activity and use of personal protective equipment are indicated during treatment.

A medical physiotherapy device helps cure prostatitis.It effectively eliminates the symptoms of prostatitis, can restore reduced sexual activity, eliminate pain, relieve swelling and inflammation.The device can be used at home for both the treatment and prevention of diseases of the pelvic organs.

The device relieves muscle tension, improves sperm production, strengthens blood vessels and prevents the development of other possible diseases in the pelvis.The device for the treatment of prostatitis in men is easy to use, equipped with a controller for heating and vibration modes and runs on mains power.Thanks to its compact dimensions, the device can be used in any conditions.

How can the development of the disease be prevented?

Prevention of various types of prostatitis, like any other disease, consists in maintaining a healthy lifestyle, avoiding bad habits and eating a balanced diet.If you have been diagnosed with prostatitis, you should not neglect training.If an inflammatory outbreak occurs, you should immediately see a doctor to eliminate the cause and prevent the infection from spreading to other organs.

You should lead a decent lifestyle and have sex regularly with a steady partner.It is important not to forget about personal hygiene of the genital organs and not to neglect regular preventive examinations by a urologist.If a man knows what prostatitis can be and at the same time leads a passive lifestyle, he needs to do exercises that prevent the occurrence of congestion in the pelvis.

Let's summarize it

Depending on the causes and characteristics of the course, acute and chronic forms of prostatitis are diagnosed.A separate group includes chronic pelvic pain syndrome.Acute prostatitis is characterized by clinical manifestations such as chills, fever and pain.The chronic form may not manifest itself at all or have a vague picture: impaired urination, aching pain in the pelvic area, which, if complications occur, can lead to impotence and loss of fertility.

Acute prostatitis develops suddenly and is easy to diagnose.In contrast, chronic prostatitis progresses in waves, alternating phases of remission and exacerbation.In chronic cases, the identification of pathogenic microbes may present certain difficulties.Foci of infection that occur in the genitourinary system cause complications in the form of diseases of the organs anatomically adjacent to the prostate.Depending on what type of prostatitis was diagnosed, the urologist prescribes a differentiated treatment regimen.