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 be aware of the presence of a problem, but over time, the symptoms are felt. If you don't see a doctor in time, prostatitis becomes chronic and complications can arise. Depending on the severity, causes and nature of the course, different types of prostatitis are distinguished.

Types of prostatitis according to the shape of your course:

• acute;
• chronic;
• latent.

What is prostatitis due to the occurrence of:

• herpetic;
• bacterial;
• calculating;
• stagnant;
• infectious;
• purulent;
• chlamydia;
• fungal;
• gonorrheic;
• fibrous.

Classification

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

Understanding the etiology of the disease helps in the accurate diagnosis and effective prevention.

By the form of flow

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

There are the following forms of the disease:

• In catarrhal prostatitis in the male body, there is a disturbance when urinating and discomfort in the pubic region. This is the most common type of acute prostatitis.
• Follicular prostatitis is characterized by symptoms such as pain in the groin or anus, fever and severe urinary disorders (dysuria). More advanced, when the patient postpones the consultation to the doctor, acute pain occurs when urinating and urinary retention occurs.
• Parenchymal prostatitis - an abscess with purulent content forms in the body of the prostate. In that case, fever occurs, sharp pains appear with a frequent urge to urinate. The temperature rises to 39-40 ° C, the act of defecating becomes almost impossible.

Acute prostatitis

Acute prostatitis is a condition in which an inflammation of the prostate occurs, which occurs in a short time and is characterized by several symptoms. Swelling of the gland occurs, caused by the negative effects of pathogenic microflora. Disease-causing bacteria disrupt tissue integrity, causing permanent discomfort in the pelvic area, even at rest.

There are several prevalent routes of infection to enter the prostate gland:

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

Excessive accumulation of content in the prostate creates excellent conditions for the growth of bacteria, which causes several complications:

• abscess;
• BPH;
• prostate cancer;
• loss of power;
• infertility.

The symptoms of prostatitis are so painful that the patient is forced to see a doctor urgently for help. If you don't do it in time, prostatitis will become a chronic form, which is much more difficult to cure. Antibiotic therapy in combination with drugs that strengthen the immune system effectively fights the disease.

Chronic prostatitis

Symptoms of chronic prostatitis are usually found in the context of prostate congestion, resulting from an untreated disease. It usually occurs in men over 50 who did not seek help and self-medicate. Many of them developed complications due to concomitant illnesses. Furthermore, at this age, not everyone is sexually active enough, which causes the secret to thicken and stagnate in the prostate, which leads to dysfunction. Interrupted intercourse also causes fluid stagnation. According to modern research, about 40% of people who show symptoms of chronic prostatitis have erection problems.

Chronic prostatitis, as a rule, has mild symptoms that appear only during an exacerbation. Patients notice dull pain in the groin area, which increases after physical exertion and at the end of the day. Often, the pain radiates to the lower back, scrotum and perineum. Frequent urination is observed, especially at night, the flow is intermittent, gushes crooked.

Intercourse becomes shorter, incomplete erection is observed, sometimes there is pain in the glans of the penis. Infertility is usually found in people with chronic prostatitis; impotence at this stage of the disease is practically non-existent. Sometimes there is a change in the color of Organs genitals, due to inadequate blood circulation, they turn purple.

Each of the symptoms of prostatitis gets worse if left untreated. The condition is similar to the manifestations in the acute course of the disease. Weakening of the immune system, stress, neglect of diet, bad habits - all of which leads to an exacerbation and deterioration 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 almost asymptomatic and is discovered by chance during laboratory tests associated with another disease.

Due to the occurrence

There are many reasons that cause the development of prostatitis of infectious and non-infectious etiology, in addition to the predisposing factors. Due to the occurrence, the following types of prostatitis are distinguished:

• bacterial;
• calculating;
• stagnant;
• infectious;
• purulent.

Sedentary lifestyle, frequent hypothermia, rare sexual activity, interrupted intercourse, smoking, alcohol abuse, stressful situations - all of these circumstances affect the stagnation of secretions in the prostate vessels 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 several ways. It can be a type of bacteria or a group of them. The disease can be triggered by:

• fungi;
• gonococci;
• Koch's wand;
• 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. Promiscuous sex with frequent exchange of partners and without the use of means of protection leads to diseases such as gonorrhea, chlamydia, fungal infections. In addition, the development of pathology is facilitated by a decrease in immunity due to violation of the work and rest regime. Bad habits, such as smoking, drinking alcohol, a sedentary lifestyle, etc. , also reduce immunity.

The most obvious symptoms that accompany bacterial prostatitis include burning, pain and cloudy discharge during urination. The smell of urine is unpleasant. The general symptoms that accompany the intoxication are observed: dizziness, weakness, nausea, fever. Pain is observed during ejaculation and sometimes blood is present. With chronic bacterial prostatitis, urination becomes more frequent, yellowish or greenish discharge from the penis appears.

Calculating prostatitis

In calculous prostatitis, stones are formed in the prostate ducts. This form of the disease is very complex and is accompanied by severe pain. The clusters are of diverse origins: phosphates, oxalates, with a predominance of calcium and proteins.

There are two reasons for the occurrence of stones in the ducts: the stagnation of the gland contents and the release of urine in the prostate.

Stagnation is associated with several factors that interfere with the normal flow of secreted fluid. Prolonged sexual abstinence, hyperplasia, the presence of a tumor that closes the ducts and a sedentary lifestyle lead to stagnation of secretions and rupture of the vascular and lymphatic systems.

Throwing urine is triggered by a malfunction of the sphincter, which relaxes and urine flows both outward and inward. The presence of stones and sand in the bladder contributes to the development of stones in the prostate ducts. They get in there with the urine, settle in and continue their growth, eventually reducing the output. Injuries to the genitals and surgical interventions can lead to sphincter dysfunction.

At first, the calculated form of prostatitis is asymptomatic, as the stones grow, the symptoms appear and increase. There is pain in the lower abdomen or scrotum, radiating to the buttocks and lower back. Pain at rest is not observed and occurs only during physical efforts, the act of defecating and urinating, as well as during sexual intercourse and when walking.

Large stones with sharp points during the movement damage the canal, which causes not only pain, but also release of blood in the urine and in the ejaculation. Stone wounds can become infected easily, and then calculous prostatitis becomes infectious.

After about a month, in calculous prostatitis, the work of the whole body is interrupted, the person feels bad, has insomnia, increased fatigue and irritability.

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

Congestive prostatitis

The stagnant appearance of prostatitis occurs due to a delay in secretion in the prostate. Most of the time, these problems are seen in men with sedentary work, who do not play sports. As a result of hypodynamics, there is a violation of blood circulation in Organs pelvic organs, the prostate suffers from insufficient supply of oxygen and nutrients, stagnation and inflammation occurs. If nothing is done, the disease becomes chronic and causes great discomfort.

Congestive prostatitis causes irregular sex life or its complete absence. In this case, the man must independently release the secretion gland, but do not overdo it, as regular masturbation can harm due to incomplete ejaculation. Many spouses have discovered for themselves a way to prevent pregnancy that is the interruption of sexual intercourse. It also leads to incomplete ejaculation and inflammation.

Sometimes hypothermia or varicose vein disease becomes a provocative factor. Abnormalities in the structure of the prostate can also cause stagnation. Regular overheating of the pelvic region and constant constipation adversely affect the production of secretions. Depending on the factors that cause the disease, several types of congestive prostatitis are distinguished.

• Venous prostatitis. This happens in people with varicose veins in the lower extremities. In this disease, all organs of the small pelvis are affected due to inadequate circulation.
• Congestive. It develops with partial emptying of the prostate. The gradual burst leads to stagnation.
• Chronic. It develops when the wrong lifestyle becomes a habit. If nothing is done to change the situation, the disease becomes chronic. Most often, it occurs in single men who suffer from obesity, already in adulthood, when the anamnesis is overloaded by concomitant diseases. At this stage, the prostate is usually enlarged, which is easy to determine on examination.
• Infectious. It joins the already existing inflammation of the prostate when the infection enters the genitourinary system.

The manifested symptoms of prostatitis are caused by difficulty urinating, pain in the groin, tension during bowel movements and weakened sexual activity. As a result of these symptoms, with stagnant types of prostatitis, health problems, irritability develop, the ability to work decreases and sleep is disturbed.

Infectious prostatitis

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

Typical symptoms are pain in the scrotum, perineum, lower abdomen, lower back, pain and a burning sensation in the small pelvis. Difficulty urinating, acute urinary retention occurs. In addition to the listed symptoms that accompany an 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 early stages, can cause an infection in 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 suffering from acute respiratory viral infections, tonsillitis, flu. Purulent content is present in the urine. There is a burning sensation when the bladder is empty. Patients notice a weakening of potency. The process that accompanies this type of prostatitis involves the tissues on the surface of the prostate.
• Focal. The process extends to the glandular tissue. The ducts swell, the flow is disturbed. The gland increases in size due to the accumulation of pus in it, which is excreted in the urine. Body temperature increases.
• Parenchymal. The connective tissue is involved in the process, the edema gets even bigger, the temperature can reach 40 ° C. An intense pain in the anus haunts, you feel a false need to defecate.
• Abscessive. The most insidious form of prostatitis. The temperature is very confused, there is an abundance of pus and unbearable pain. This stage can be complicated by peritonitis and can lead to death.

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

Diagnosis

The diagnosis of types of prostatitis is not particularly difficult and begins with the collection of anamnesis, which helps to understand the condition more accurately. Then, a rectal examination is performed, during which the size of the gland is determined, the nature of the pain is established, the presence of edema and seals is revealed.

To make a correct diagnosis, laboratory tests are prescribed:

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

Additional diagnoses include instrumental research methods. Firstly, ultrasound is performed, if necessary, additional MRI and TRUS are prescribed. Recently, a new method of PET examination has emerged, considered the most informative.

Inflammation treatment

Urologists treat all types of prostatitis. Traditional methods are good, but only in conjunction with medical prescriptions and the authorization of the attending physician.

First you need to find out the cause of the disease, and then you can do post-symptomatic treatment.

• Active antibiotic therapy helps to cure prostatitis. Parenteral antibiotics are most effective.
• With a pronounced pain syndrome, analgesics and diuretics are indicated.
• For constipation, laxatives are prescribed.
• With severe pain and difficulty urinating, novocaine blockade is performed.
• The course of vitamin therapy and immunocorrectants is shown.
• It is worth following a special diet that excludes spicy, salty and smoked dishes.
• Bed rest is prescribed.

Based on local procedures, sitz baths are shown with water, the temperature of which is two degrees higher than the body temperature. The enemas are made with herbal decoction of anti-inflammatory herbs with the addition of 1% anesthetic, while the contents are injected slowly into the intestine and left there for as long as the patient can take it.

Physical therapy treatment also has a beneficial effect on restoring prostate function. Prostate massage with acute prostatitis is prohibited, but in chronic form it is recommended. To restore metabolism, normal blood circulation and relieve edema, UHF and microwaves are prescribed.

With prolonged urinary retention, a catheter is inserted. In some stages of the development of the disease, surgical treatment is indicated for opening the purulent bags with drainage installation.

The treatment of acute prostatitis takes from several weeks to a month. A favorable result is usually observed. If the disease has become more complicated or has passed to a chronic stage, the process will be difficult, long and can take several months.

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

A medical physiotherapy device helps to cure prostatitis. It effectively eliminates the symptoms of prostatitis, is able to restore reduced sexual activity, relieve pain, relieve swelling and inflammation. The device can be used at home to treat and prevent diseases of Organs pelvic organs.

The device will relieve muscle tension, improve sperm production, strengthen blood vessels and prevent the development of other possible diseases in the small pelvis. The device, with which male prostatitis is treated, is easy to use, equipped with a regulator of heating and vibration modes and is powered by a network. The compact size allows the device to be used in any conditions.

How to prevent the development of the disease?

The prevention of various types of prostatitis, like any other disease, is a healthy lifestyle, without bad habits and a balanced diet. If you have been diagnosed with prostatitis, exercise should not be overlooked. For any nidus of inflammation that has arisen, you should see a doctor immediately to eliminate the cause and prevent the infection from entering other organs.

You must lead a decent lifestyle, have sex regularly with a normal partner. It is important not to forget the personal hygiene of Organs genitals and not to neglect the regular preventive exams of the urologist. If a man knows what prostatitis can be and, at the same time, leads a passive lifestyle, exercises should be done to prevent the appearance of congestion in the small pelvis.

Let's summarize

Depending on the causes and characteristics of the course, acute and chronic types of prostatitis are diagnosed. Chronic pelvic pain syndrome belongs to a separate group. Acute prostatitis is characterized by clinical manifestations such as chills, fever and pain. The chronic form may not manifest at all or have a mild condition: violation of urination, acute pain in the pelvic area that, as complications develop, 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 a chronic course, the identification of pathogenic microbes can cause certain difficulties. The foci of infection that arise in the genitourinary system cause complications in the form of diseases of organs anatomically adjacent to the prostate. Depending on which prostatitis was diagnosed, the urologist prescribes a different treatment regimen.