Prostatitis

Prostatitis: causes, symptoms and treatment

Prostatitis is a nonspecific inflammation of the prostate gland in men. It is often combined with inflammatory damage to the posterior part of the urethra, seminal tubercle and seminal vesicles. Most often, prostatitis is observed between the ages of 30 and 50 years, during the period of the most active sexual life.

According to the course, acute and chronic prostatitis are distinguished. The most common microflora that causes prostatitis is coccal, especially staphylococcus. There are three ways that infectious agents enter the gland: hematogenous, lymphogenous and canalicular (from the back of the urethra).

Factors contributing to the development of prostatitis may include urethral catheterization, prolonged exposure of the catheter, endoscopic manipulation, hypothermia, and sexual dysfunction.

There are catarrhal, follicular and parenchymal prostatitis, which are stages of a single pathological process. Catarrhal prostatitis is characterized by pollakiuria, nocturia, pain in the perineum and bladder area, as well as pain in the rectum and at the end of urination. With follicular prostatitis, pain in the perineum is more intense, intensifies with defecation and can radiate to the anus. An increase in body temperature - from subfebrile to 38 ° C and intoxication phenomena can also be characteristic of both forms of prostatitis.

There is terminal hematuria (three-glass test), pyuria, and there may be urinary retention. On digital examination, the gland is enlarged and painful; with abscess formation, there is fluctuation. With parenchymal prostatitis, the clinical picture is much brighter, and with abscess formation there are signs of purulent intoxication.

Complications of prostatitis may include an abscess breaking into the rectum, bladder, perineum, and sepsis.

Treatment of prostatitis includes bed rest, broad-spectrum antibiotics, analgesics and warm sitz baths. If abscess formation occurs, it may be necessary to open the abscess under general anesthesia.

The prognosis for acute catarrhal and follicular prostatitis is usually favorable. Parenchymal prostatitis most often becomes chronic, which often becomes recurrent. Chronic prostatitis may be accompanied by longer treatment with antibiotics and physiotherapy.

To prevent prostatitis, it is recommended to properly organize sexual life, avoid hypothermia, monitor genital hygiene, and regularly undergo preventive medical examinations.

It is important to note that if symptoms of prostatitis appear, you must seek medical help and not self-medicate in order to avoid possible complications and consequences.

Do you think we can say no to prostatitis? No matter how it is. Every man has probably heard an unpleasant diagnosis. Prostatitis is a disease that affects all representatives of the stronger sex over 40 years of age at least once in their lives, and even more often. The prevalence of this disease is evidenced by data from studies published at the beginning of the twentieth century: in a country where 80% of men were diagnosed with prostatitis, 90% had it. In Sweden, 57% of adult men suffer from prostatitis, and among patients with pneumonia this percentage reaches 70. Today the statistics are no better.