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

Chronic bacterial prostatitis is one of the most common types of diseases. This form of the disease is characterized by the frequency of its manifestation, and lack of timely treatment can lead to various disorders - sexual dysfunction, as well as contribute to the development of prostate hyperplasia. But what is the cause of the disease and what will be 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 suffering from the underlying disease. This disease is typical for middle-aged men, as they still have a normal sex life and there is a fairly high probability that harmful bacteria will enter their body. Harmful microorganisms with this type of prostatitis fall directly into the area of the prostate gland, where they actively multiply and disrupt the activity of such an important organ for a male.

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

Unlike other subgroups of the disease, chronic bacterial prostatitis has more pronounced symptoms and the microorganisms can spread not only within the gland but also go beyond it, disrupting the functions of the bladder and other nearby organs.

Causes of the disease

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

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

The most common cause of the disease is E. coli, as it is found in 80% of patients with prostate.

Individual factors and diseases can also worsen the course of the disease and provoke its development. There is a high probability of developing chronic prostatitis in a man who:

1. leads an inactive lifestyle;
2. Suffer from pyelonephritis or cystitis;
3. Has weak immunity;
4. Consumes alcoholic beverages and tobacco products;
5. Often super-chilled;
6. Stress prone;
7. Suffer from constipation;
8. Has an ugly sex life;
9. Often comes in contact with direct sources of infection;
10. There are hormonal disorders;
11. There is no normal intimate life.

It is worth noting that chronic prostatitis, as a rule, is preceded by its acute form, so the patient has little time to prevent 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 system, lymphatic and other systems of the body, and once the immune system is weakened, for example, during cooling, the prostate gland can become inflamed. , thus causing embarrassment and a host of other consequences.

Symptoms

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

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

It is worth noting that, unlike the acute form, the symptoms of chronic prostatitis are less pronounced. With a worsening of the disease, blood particles can be noticed in the urine, and the pain syndrome increases significantly.

If you do not pay attention to this symptomatology and do not consult a doctor in time, there is a fairly high probability of a complication in the form of:

1. Development of purulent processes of the genitourinary system;
2. Prostate adenomas;
3. Problems with urine flow;
4. Stone-like prostatitis;
5. Sterility;
6. Sexual dysfunction.

Similar complications are possible even in the case of prescribing the wrong treatment or self-medication without first consulting a doctor.

Diagnosis of the disease

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

• General blood test - helps determine the displacement of the leukocyte count to the left, which indicates the course of inflammatory processes in the body;
• Routine urine analysis - will determine the increase in the content of leukocytes and erythrocytes, which are produced to fight harmful microorganisms;
• A three-cup urine sample - this analysis is similar to the usual one, only the changes in a 3-cup urine sample will be more noticeable;
• Prostate secretion analysis - in the presence of bacterial prostatitis, specific protein fragments will appear in the secretion;
• Uroflowmetry - the observation of a patient to determine the daily amount of urine, as a rule, is performed by the patient himself in a hospital setting, and the results of calculations are reported to the attending physician.

Diagnostic methods are determined directly by a specialist. It is not possible to make a diagnosis based on the classic examination and interview.

Treatment methods

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

1. Antibacterial drugs, the duration of reception varies from 1. 5 to 2 weeks;
2. Non-steroidal anti-inflammatory drugs - will help relieve inflammation and relieve the patient from pain;
3. Muscle relaxants - are prescribed for severe pain that does not allow the patient to empty the bladder, they relax the bladder walls.

An optional symptom of bacterial prostatitis is a depressive condition in which the patient is prescribed antidepressants. This helps reduce stress levels for the whole body, reduces the production of hormones that can negatively affect the course of the disease.

Also, with chronic bacterial prostatitis, physiotherapy courses are often prescribed, which may include one or more procedures:

• Electrophoresis - the introduction of special drugs under the influence of an electrical voltage of a particular frequency;
• Ultrasound - activates the process of tissue regeneration, eliminates inflammation, prevents scarring and normalizes metabolism;
• Magnetotherapy - aimed at normalizing the process of blood circulation;
• Electrical stimulation of smooth muscle - allows you to get rid of congestion, improves the movement of secretory secretions;
• Laser therapy - normalizes the performance of the prostate gland.

In some cases, prostate massage can also be used as a preventative measure, which helps eliminate pain and improve organ activity.

Chronic bacterial prostatitis in recent years has been observed in patients with increasing frequency. This is mainly due to the increasing cases of registering sexually transmitted diseases, especially chlamydia and candidiasis. This type of disease can appear regardless of age, although it most often attacks the weaker middle-aged organisms.