Types of prostatitis in men

Prostate disease is one of the most common and insidious diseases affecting men over 40 years of age.Patients may not realize that there is a problem at first, but over time the symptoms become felt.If you do not consult a doctor in time, prostatitis becomes chronic and complications may arise.Depending on the severity, cause and nature of the flow, there are different types of prostatitis.

Types of prostatitis according to the form of occurrence:

• spicy;
• chronic;
• latent.

What type of prostatitis is caused by:

• herpetic;
• bacterial;
• calculous;
• stagnant;
• contagious;
• purulent;
• chlamydial;
• fungal;
• gonorrhea;
• fibrous.

Classification

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

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

According to the shape of the flow

According to the form of flow, prostatitis is divided into acute, chronic and latent, among which catarrhal, follicular and parenchymal (purulent) are distinguished.

The following forms of the disease are distinguished:

• With catarrhal prostatitis, the male body experiences urination disorders and discomfort in the pubic area.This is the most common type of acute prostatitis.
• Follicular prostatitis is characterized by symptoms such as pain in the groin or anus, high body temperature and severe problems with urination (dysuria).In a more advanced form, when the patient postpones a visit to the doctor, acute pain occurs during urination and urinary retention.
• Parenchymal prostatitis - an abscess with purulent contents occurs in the body of the prostate.In this case, fever appears, sharp pain appears with frequent urge to urinate.The temperature rises to 39-40 °C, the act of defecation becomes almost impossible.

Acute prostatitis

Acute prostatitis is a condition in which inflammation of the prostate occurs, which occurs in a short time and is characterized by various symptoms.Swelling of the gland occurs, caused by the negative action of pathogenic microflora.Pathogenic bacteria disrupt tissue integrity, causing constant discomfort in the pelvic area even at rest.

There are several preferential ways for infection to enter the prostate:

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

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

• abscess;
• prostate adenoma;
• prostate cancer;
• loss of potency;
• infertility.

The symptoms of prostatitis are so painful that the patient is forced to urgently consult a doctor for help.If this is not done in time, prostatitis will become 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 revealed against the background of congestion in the prostate, which is a consequence of an untreated acute disease.It usually occurs in men over 50 who have not sought help and are self-medicating.Many of them had complications due to accompanying diseases.In addition, at this age, not everyone is sexually active enough, as a result of which the secretion thickens and stagnates in the prostate, which leads to dysfunction.Interrupted sexual intercourse also causes fluid stagnation.According to modern research, about 40% of people who have symptoms of chronic prostatitis have problems with erection.

Chronic prostatitis, as a rule, has mild symptoms that occur only during exacerbations.Patients report a dull pain in the groin area, which intensifies after exercise and at the end of the day.Often the pain radiates to the lower back, scrotum and perineum.Frequent urination is noticed, especially at night, the stream is intermittent, and the stream is crooked.

Sexual intercourse becomes less prolonged, an incomplete erection is noticed, and sometimes there is pain in the head of the penis.Infertility is usually found in people with chronic prostatitis;impotence practically does not occur at this stage of the disease.Sometimes there is a change in the color of the genital organs;due to improper blood circulation, they become purple.

Each of the symptoms of prostatitis worsens if left untreated.The condition is similar to the manifestations during the acute course of the disease.Weakened immunity, stress, neglect of diet, bad habits - all this leads to worsening and worsening of the condition.

Often the chronic form leads to the appearance of symptoms of diseases 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 by chance during laboratory tests associated with another disease.

Because of the appearance

There are many reasons that cause the development of prostatitis of infectious and non-infectious etiology, as well as predisposing factors.Due to their appearance, the following types of prostatitis are distinguished:

• bacterial;
• calculous;
• 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 located next to it.Prostatitis is classified into several forms depending on the reasons for its occurrence.

Bacterial prostatitis

Bacterial prostatitis is caused by bacteria that penetrate the prostate in different ways.It can be one type of bacteria or a group of them.The disease can be caused by:

• mushrooms;
• gonococci;
• Koch stick;
• chlamydia;
• several types of bacteria at once.

The inflammatory process is most often associated with the penetration of bacteria caused by sexually transmitted diseases into the prostate.Chaotic sex with frequent changes of partners and without using protection 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 work and rest disorders.Bad habits such as smoking, drinking alcohol, sedentary lifestyle, etc.they also reduce immunity.

The most obvious symptoms accompanying bacterial prostatitis are burning, pain and cloudy discharge during urination.The smell of urine is unpleasant.General symptoms accompanying intoxication are observed: dizziness, weakness, nausea, fever.There is pain during ejaculation and sometimes blood is present.In chronic bacterial prostatitis, urination becomes more frequent and yellowish or greenish discharge from the genitals appears.

Calculous prostatitis

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

There are two reasons for the formation of stones in the ducts: stagnation of the content of the gland and reflux 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 that closes the channels and a sedentary lifestyle lead to stagnation of secretions and disorders of the vascular and lymphatic system.

Urine reflux is caused by a malfunction of the sphincter, which relaxes, and urine flows both out and in.The presence of stones and sand in the bladder contributes to the formation of stones in the prostate ducts.They are carried there with the urine, deposited and continue to grow, eventually reducing the output.Dysfunction of the sphincter can be a consequence of genital injuries and surgical interventions.

Initially, the calculous form of prostatitis is asymptomatic;as the stones grow, the 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 occurs only during physical activity, defecation and urination, as well as during sexual intercourse and walking.

Large stones with sharp edges when moving injure the channel, which leads not only to pain, but also to the release of blood in the urine and ejaculate.Wounds from stones can easily become infected, and then calculous prostatitis will develop into an infectious one.

After about a month, with calculous prostatitis, the functioning of the entire organism is disturbed, the person feels bad, experiences insomnia, increased fatigue and irritability.

In the advanced stages of the calculous form of prostatitis, after a complete diagnostic examination, medication is prescribed and surgical treatment is performed to remove the conglomerate.

Congestive prostatitis

The stagnant type of prostatitis is caused by retention of secretions in the prostate.Most often, such problems are observed in men with sedentary work who do not play sports.As a result of physical inactivity, blood circulation in the pelvic organs is disturbed, the prostate suffers from an insufficient amount of oxygen and nutrients, stagnation and inflammation occur.If nothing is done, the disease becomes chronic and causes great discomfort.

Congestive prostatitis is provoked by irregular sex life or its complete absence.In this case, men have to free the gland from secretions themselves, but do not overdo it, because regular masturbation can cause damage due to incomplete ejaculation.Many spouses have found a method to prevent pregnancy for themselves, such as interrupted sexual intercourse.It also leads to incomplete ejaculation and the development of inflammation.

Sometimes the provoking factor is hypothermia or varicose veins.Anomalies in the structure of the prostate can also cause stagnation.Regular overheating of the pelvic area and constant constipation adversely affect secretion production.Depending on the factors that cause the disease, there are several types of congestive prostatitis.

• Venous prostatitis.It occurs in people suffering from varicose veins of the lower extremities.This disease affects all organs in the pelvis due to improper blood circulation.
• Congestive.It develops with partial emptying of the prostate.Gradual overflow leads to stagnation.
• Chronic.It develops when an improper lifestyle becomes a habit.If nothing is done to change the situation, the disease becomes chronic.It occurs more often in single people who suffer from obesity already in adulthood, when the history is complicated by accompanying diseases.At this stage, the prostate often increases in size, which is easy to determine by examination.
• Contagious.It joins the existing inflammation of the prostate when the infection enters the genitourinary system.

The symptoms of prostatitis that appear are caused by difficulty urinating, pain in the groin, straining during bowel movements and impaired sexual activity.As a result of these symptoms, congestive types of prostatitis lead to poor health, irritability, decreased performance, and sleep disturbances.

Infectious prostatitis

Microorganisms that can cause signs of acute prostatitis include Escherichia coli, Staphylococcus aureus, Proteus, Eltirococcus, Klebsiella.There are bacteria that are constantly in the body, but in a state of rest they do not lead to inflammatory processes.During penetration through the urethra to the mucous membrane of the prostate, the process of development and reproduction of microorganisms begins, which results in inflammation.Indiscriminate and unprotected sex also allows harmful bacteria to enter the body.

Characteristic symptoms are pain in the scrotum, perineum, lower abdomen, lower back, pain and burning in the pelvis.Difficulty urinating, acute retention of urine occurs.In addition to the above symptoms accompanying the infectious type of prostatitis, constipation, discharge from the urethra, hemospermia and pain during ejaculation may occur.

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

Purulent prostatitis

Purulent prostatitis usually develops when a bacterial infection enters the prostate.The disease occurs in four stages.

• Catarrhal.It develops after an acute respiratory viral infection, sore throat or flu.There is purulent content in the urine.When the bladder is empty, a burning sensation is felt.Patients notice a decrease in potency.The process that accompanies this type of prostatitis involves the surface tissues of the prostate.
• Focal.The process extends to glandular tissue.Channels swell, outflow is disturbed.The gland increases in size due to the accumulation of pus in it, which is released in the urine.Body temperature rises.
• Parenchymatous.Connective tissue is involved in the process, the swelling becomes even bigger, and the temperature can reach 40 °C.Bursting pain in the anus does not give peace, and a false urge to defecate is felt.
• Abscessing.The most insidious form of prostatitis.The temperature drops sharply, there is an abundant presence of 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.Usually, these pathologies are treated surgically and include the removal of pus bags.

Diagnostics

Diagnosis of types of prostatitis is not particularly difficult and begins with the collection of anamnesis, which helps to more precisely understand the picture of the disease.Then a rectal examination is 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 detected.

In order to make a correct diagnosis, laboratory tests are prescribed:

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

Additional diagnostics include instrumental research methods.First of all, an ultrasound is done;if necessary, MRI and TRUS are additionally prescribed.Relatively recently, a new method of PET examination has appeared;is considered the most informative.

Treatment of inflammation

Urologists treat all types of prostatitis.Traditional methods are good, but only with a doctor's prescription and with the doctor's permission.

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 in the treatment of prostatitis.Parenteral administration of antibiotics is the most effective.
• Painkillers and diuretics are indicated for severe pain.
• In prisons, laxatives are prescribed.
• Novocaine blockades are used for severe pain and difficulty urinating.
• A course of vitamin therapy and immunocorrectors is indicated.
• It is worth following a special diet that excludes spicy, salty and smoked foods.
• Bed rest is prescribed.

Local procedures include sitz baths with water two degrees above body temperature.An enema is made with a herbal decoction of anti-inflammatory plants with the addition of 1% anesthetic, and the contents are slowly introduced into the intestines and left there as long as the patient can endure.

Physiotherapy treatment also has a beneficial effect on restoring prostate function.Prostate massage is prohibited for acute prostatitis, but recommended for chronic prostatitis.UHF and microwave oven are prescribed to restore metabolism, normal blood circulation and reduce swelling.

If urination is delayed for a long time, a catheter is placed.In some stages of the disease, surgical treatment is indicated, which opens the pus bags and installs drainage.

Treatment of acute prostatitis lasts from several weeks to a month.A favorable outcome is usually observed.If the disease has become complicated or entered a chronic phase, the process will be complex, long and may last several months.

During treatment, restriction of sexual activity and use of personal protective equipment is indicated.

The medical physiotherapy device helps in the treatment of prostatitis.Effectively removes symptoms of prostatitis, can restore reduced sexual activity, removes pain, relieves swelling and inflammation.The device can be used at home both for the treatment and prevention of diseases of the pelvic organs.

The device will relieve muscle tension, improve sperm production, strengthen blood vessels and prevent the development of other possible diseases in the pelvis.The device, which is used for the treatment of prostatitis in men, is easy to use, equipped with a heating and vibration regulator, and runs on electricity from the mains.Compact dimensions allow the device to be used in all conditions.

How to prevent the development of the disease?

Prevention of various types of prostatitis, like any other disease, is to maintain a healthy lifestyle, avoid bad habits and eat a balanced diet.If you have been diagnosed with prostatitis, you should not neglect exercise.If any outbreak of inflammation occurs, consult a doctor immediately to eliminate the cause and prevent the spread of infection to other organs.

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

Let's summarize

Depending on the causes and characteristics of the course, acute and chronic types of prostatitis are diagnosed.A special 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 at all or have a vague picture: difficulty urinating, pain in the pelvic area, which, with the development of complications, can lead to impotence and loss of fertility.

Acute prostatitis develops suddenly and is easily diagnosed.In contrast, chronic prostatitis occurs in waves, alternating periods of remission and exacerbation.In chronic cases, identifying pathogenic microbes can cause certain difficulties.Foci of infection that occur in the genitourinary system cause complications in the form of diseases of organs that are anatomically adjacent to the prostate.Depending on the type of prostatitis diagnosed, the urologist prescribes a differentiated treatment regimen.