Inflammation of the prostate caused by bacteria can be acute or chronic. It develops during reproduction in the tissues of this organ of opportunistic or pathogenic microflora. The disease becomes chronic in cases where insufficient attention has been paid to the treatment of acute prostatitis. Also, this problem is faced by those men who lead a sedentary lifestyle, abuse alcohol and smoke.
Symptoms of problems
Each man on the onset of pain can suspect acute bacterial prostatitis. Treatment in this case is reduced to long-term use of antibiotics, anti-inflammatory and painkillers. But diagnosing the chronic form of bacterial prostatitis is somewhat more difficult.
The disease may be accompanied by symptoms such as:
- periodic pains of varying intensity in the perineum, testicles, above the womb, in the sacrum, rectum;
- frequent urination;
- weak or intermittent jeturine;
- pain during urination;
- discomfort during ejaculation;
- erection problems.
Men suffering from chronic prostatitis may have only some of these symptoms. Signs of the disease are so subtle that many do not pay attention to them.
Diagnosis of disease
Establish an accurate diagnosis and choose which treatment regimen for bacterial prostatitis will be most appropriate, only a doctor can. He can make a differential diagnosis and exclude other diseases whose symptoms are similar. It is necessary to exclude the possibility of developing urinary tract infections, bladder cancer, prostate hyperplasia, inguinal hernia and other diseases.
Digital rectal examination is used to determine the size, shape, consistency and degree of tenderness of the prostate gland. This method also allows differential diagnosis with cancer, prostate obstruction and acute prostatitis.
To clarify the diagnosis, urine is taken for analysis. For diagnosis, it is necessary to conduct microscopy and culture of prostate secretion. Also, experts do sowing from 3 servings of urine. Based on the results of the tests, a specific form of the disease can be determined.
In some cases, ultrasound can help identify chronic bacterial prostatitis. Doctors prescribe a course of treatment, focusing on the tests and results of examinations. Ultrasound can detect stones, determine the degree of enlargement of the prostategland, see its contours.
Causes of chronic prostatitis
Bacterial damage to the prostate occurs due to the ingress of pathogenic microflora into its tissues. The disease is caused by staphylococci, streptococci, Pseudomonas aeruginosa, fecal enterococci. Also, prostatitis can begin due to the ingestion of chlamydia, Klebsiella, Trichomonas and other pathogenic microorganisms.
But chronic prostatitis occurs not only against the background of an infectious lesion. The following factors can lead to its development:
- hypothermia;
- sedentary lifestyle;
- stress, lack of sleep and other causes that weaken the immune system;
- irregular sex life (impairs blood flow in the tissues of the prostate);
- hormonal changes.
Prone to developing chronic bacterial prostatitis men:
- after pelvic surgery;
- after catheterization;
- who prefer anal sex without using barrier contraception;
- suffering from constriction of the foreskin.
Untreated acute bacterial prostatitis can become chronic.
Choosing therapy tactics
If the doctor diagnosed bacterial prostatitis, the treatment will last quite a long time. Men should be prepared for the fact that only 30% of patients manage to get rid of this problem. The rest, subject to allrecommendations may enter a period of protracted remission. But nearly half of all patients relapse.
Treatment for acute bacterial prostatitis usually lasts 2 weeks. Properly selected medicines allow for this period to destroy all pathogenic microorganisms. When the disease becomes chronic, it becomes more difficult to get rid of it. Treatment should be aimed at eliminating all factors that contribute to maintaining the disease in a protracted, sluggish form.
Antibacterial therapy becomes more effective if alpha-blockers are used simultaneously, which affect receptors in prostate tissue. Prostate massage and physiotherapy are also effective. They should be aimed at stimulating the nerve endings of the prostate tissue and activating the clogged mucous ducts that are involved in spermagenesis.
Selection of antibacterial drugs
Only a doctor should choose the means that will help the patient get rid of chronic prostatitis. Antibiotics from the group of fluorinated quinols are often prescribed for treatment. These are drugs such as Ofloxacin, Sparfloxacin, Ciprofloxacin, Lomefloxacin.
In case of individual intolerance or insensitivity to these antibiotics, the doctor selects other drugs for the treatment of bacterial prostatitis. The list of funds can be expanded with antibiotics belonging to the group of macrolides. These are drugs such as Erythromycin, Clarithromycin, Josamycin, Roxithromycin. In some cases, appoint"Doxycycline". It is an antibiotic belonging to the tetracycline group.
Comprehensive treatment approach
To get rid of prostatitis or to achieve a long-term remission, antibiotics can be prescribed for a period of 4 to 6 weeks. If a man has frequent relapses, or the disease is not treatable, then he is prescribed antibacterial drugs in minimal prophylactic doses for a long period.
In addition, treatment with alpha-1-blockers is recommended. They must be taken within 3 months. This helps to reduce discomfort in the pelvic region and increase the volumetric flow rate of urine in patients who have been diagnosed with chronic bacterial prostatitis. Treatment improves their quality of life. Doctors may prescribe Alfuzosin, Doxazosin, or Tamsulosin.
Physiotherapy treatments
Drug treatment is mandatory when chronic prostatitis is detected. But prostate massage and special physiotherapy procedures will help alleviate the condition and reduce the manifestations of the disease. These methods are aimed at improving blood circulation in the tissues.
Massage can reduce unpleasant symptoms, because it helps to eliminate stagnation of secretion in the prostate gland, reduce inflammation. After it, libido increases, potency improves even in those who have been worried about bacterial prostatitis for a long time.
Treatment becomes more effective with physiotherapy. The doctor may recommendmicroclysters from decoctions of chamomile, calendula or other herbs. Also prescribe an electromagnet, electrophoresis, ultrasonic effects on prostate tissue. Light therapy is also used for treatment. Infrared radiation improves metabolic processes and blood circulation, thereby reducing pain. Ultraviolet is able to activate the immune system. It also promotes the resorption of infiltrates.
Preventive methods
To prevent the development of chronic prostatitis is within the power of every man. To do this, you just need to follow all the doctor's recommendations and not try to get rid of the disease using alternative methods. Treatment of bacterial prostatitis with folk remedies can be carried out in agreement with the urologist in combination with the prescribed antibiotic therapy.
You can also alleviate the condition, if you do not forget what provokes the development of the disease. Men should:
- avoid hypothermia;
- have a regular sex life;
- use barrier methods of contraception with random partners;
- diet;
- avoid alcohol.
Food should be balanced. Spicy dishes, flour products, rich broths, spices are excluded from the diet. The menu should include foods that improve digestion and help soften feces.
Possible Complications
Many refuse antibiotic therapy andscheduled procedures after learning that they have chronic bacterial prostatitis. Treatment (drugs for which should be selected only by a doctor) they consider optional. But at the same time, they forget that chronic prostatitis can lead to the development of a number of serious problems. Among them:
- infertility;
- erection problems;
- inflammation of the testicles, seminal vesicles, epididymis;
- prostate sclerosis;
- prostate fistula formation;
- prostate adenoma;
- formation of cysts and stones in the tissues of the prostate.
You can prevent the development of such complications if you regularly go to the doctor and see if bacterial prostatitis has reappeared. Treatment of the chronic form does not always lead to complete recovery. But it can eliminate all the unpleasant manifestations of the disease. In this case, the patient enters a state of stable remission.
