Acute prostatitis is the most common disease in men. It is most often diagnosed between the ages of 30 and 50 in nearly 60% of the male population.
In the acute form of prostatitis, an inflammatory process develops in the prostate. For the treatment of this stage of the disease, several groups of drugs are used, prostate massage, physiotherapy. The most important thing in the treatment is to prevent the transition of the pathology to a chronic form.
Acute prostatitis in men and the reasons for its development
Acute prostatitis is the development of an inflammatory process in the prostate gland caused by the penetration of infection.
The disease is accompanied by swelling and suppuration in the tissues of the prostate.
It is the most common disease in men, which is accompanied by disturbances in sexual function and fertility, disturbances in the psycho-emotional state, as well as social maladjustment.
Forms of acute prostatitis
The development of acute prostatitis goes through 4 stages, which are simultaneously its forms:
- catarrhal;
- follicular;
- parenchymal;
- abscess.
The disease begins with the development of catarrhal inflammation, causing changes in the mucous and submucosal layer of the excretory ducts of the gland. Edema of the walls of the ducts causes stagnation of mucopurulent secretions in the follicles of the prostate. The inflammatory process begins to progress, causing focal suppuration of the prostate lobules. Acute follicular prostatitis is formed.
Multiple damage to the lobules of the gland, a structural change in the tissues of the prostate and the development of a purulent-inflammatory process in them leads to the next stage of the disease - the parenchyma.
When many foci of inflammation merge into one large, a prostate abscess is formed. It can be opened in the urethra, perineum, rectum or bladder cavity.
The reasons for the development of the disease
The following factors can cause acute prostatitis in men:
- Infectious process in the genitourinary system. Infectious agents (gram-negative and gram-positive) can enter the tissues of the prostate: Escherichia coli, Proteus, staphylococci, streptococci. In many cases, the acute form of the disease can be caused by causative agents of urogenital infections, such as: ureoplasmosis, chlamydia, mycoplasmosis, gonorrhea, candidiasis, etc.
- Infectious processes that enter the urethra through the urethra. Microbes can enter prostate tissue through the prostate's excretory ducts that open into the urethra. That is why any type of inflammation of the bladder is accompanied by acute prostatitis in men.
- Infectious processes that enter the gland through the blood. The penetration of infection into the prostate by the blood supply system is due to its widely developed system of arterial and venous fusion. In this case, microbes are transported through the circulatory system from distant foci of purulent inflammation in such diseases as: tonsillitis, caries, sinusitis, bronchitis, cholecystitis and others.
- Sedentary lifestyle. Due to weak motor activity, stagnation of prostate juice is formed. This is facilitated by: long-term work at the computer, rare walks in the fresh air, smoking and consuming alcoholic beverages, infrequent sexual relations, refusal of active rest.
- Hypothermia. Prolonged exposure to cold on the genitourinary system causes disturbances in the blood supply, which also leads to stagnation of the prostate, which provokes the appearance of acute prostatitis.
- Injury to pelvic organs and prostate. When an injury is sustained, the release of secretion from the prostate is difficult, which leads to the development of an inflammatory process, which subsequently causes acute prostatitis.
- Medical procedures. An acute form of prostatitis can develop as a result of chemotherapy or radiation therapy, as well as after medical examinations through the urethra.
Symptoms
The clinical picture of acute prostatitis is characterized by the presence of the following signs:
- Difficulty urinating
- feeling of incomplete emptying of the bladder;
- the appearance of frequent urge to urinate;
- itching and burning;
- dull, aching pain in the head of the penis, radiating to the anus (as the pathology develops, the pain will become chronic);
- pain during the act of defecation;
- increase in body temperature (from 37 to 40 degrees - depending on the stage of development of the disease);
- decreased libido;
- erection problems;
- the content of traces of pus and blood in the urine;
- deterioration of general well-being.
Processing
Acute prostatitis, unlike the chronic form of the disease, responds well to treatment. Serious complications are very rare.
The most important task of drug therapy is to rid the patient of the pain syndrome and the causative agent of the pathology, in order to restore the normal process of urination.
Drugs used in the medical treatment of acute prostatitis:
- AntibioticsThe main group of drugs in the treatment of acute prostatitis. To choose an antibiotic, the doctor must accurately determine the causative agent of the disease. Most often, a combination of antibiotics is prescribed when one drug is taken in one course, after which it is replaced with another. This approach minimizes the development of re-inflammation and prevents the transition from an acute form of the disease to a chronic form. Antibiotics-fluoroquinolones, tetracyclines, penicillins are used successfully.
- Diuretics Diuretics are prescribed to aid the urination process and reduce stress. Diuretics promote regular and volumetric diuresis. Herbal medicines and diuretics are used.
- Antipyretic. They are used to reduce body temperature, eliminate pain in the joints and head.
- Antispasmodics. Medicines that relax smooth muscles, relieve spasms. In addition, drugs in this group relieve pain and help relieve urination.
- Alpha-blockers. Drugs that well relieve spasms, stimulate and facilitate the elimination of urine from the patient.
After eliminating the main symptoms of the disease, prostate massage and physiotherapy procedures can also be prescribed.
After recovery, you need to lead a healthy lifestyle.
Correctly selected treatment and compliance with all the doctor's prescriptions will eliminate acute prostatitis and prevent it from becoming chronic.