Types of prostatitis in men

Prostate disease is one of the most common and insidious diseases affecting men over 40.At first, patients don't even realize there is a problem, but over time, symptoms make themselves 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 development, different types of prostatitis are distinguished.

Types of prostatitis depending on the form of appearance:

• spicy;
• chronic;
• latent.

What type of prostatitis occurs due to:

• herpetic;
• bacterial;
• calculator;
• stagnant;
• infectious;
• purulent;
• chlamydia;
• fungal;
• gonorrhea;
• fibrous.

Classification

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

Understanding the etiology of the disease allows for an accurate diagnosis and promotes effective prevention.

According to the shape of the flow

Depending on the form of its course, 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 suffers from 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, increased body temperature, and severe urinary problems (dysuria).In a more advanced form, when the patient postpones a visit to the doctor, sharp pain occurs when urinating and urinary retention occurs.
• Parenchymal prostatitis - an abscess with purulent contents forms in the prostate body.In this case, fever appears, sharp pain appears with a 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 characterized by inflammation of the prostate, occurring over a short period of time and characterized by various symptoms.Swelling of the gland occurs, caused by the negative effects of pathogenic microflora.Pathogenic bacteria disrupt tissue integrity, causing constant discomfort in the pelvis, even at rest.

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

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

Excessive accumulation of contents in the prostate creates excellent conditions for the proliferation of bacteria, which leads to various complications:

• abscess;
• prostate adenoma;
• prostate cancer;
• loss of power;
• 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 on time, prostatitis will become chronic, which is much more difficult to cure.Antibacterial therapy combined with drugs that strengthen the immune system effectively fights the disease.

Chronic prostatitis

Symptoms of chronic prostatitis are usually detected against the background of prostate congestion, resulting from an acute untreated disease.Usually occurs in men over 50 who have not sought help and self-medicated.Many of them experienced complications due to concomitant illnesses.In addition, at this age, not everyone is sexually active enough, which leads to thickening and stagnation of secretion in the prostate, which leads to dysfunction.Interrupted sexual intercourse also causes fluid stagnation.According to modern research, about 40% of people with symptoms of chronic prostatitis have erection problems.

As a rule, chronic prostatitis has mild symptoms that appear only during an exacerbation.Patients report a dull pain in the groin, 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 noted, especially at night, the flow is intermittent and the flow is twisted.

Sexual intercourse becomes shorter, an incomplete erection is noted, and pain sometimes occurs in the head of the penis.Infertility usually occurs 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 genitals;due to poor blood circulation, they turn purple.

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

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 accidentally during laboratory analyzes associated with another disease.

Due to the appearance

Many reasons provoke the development of prostatitis of infectious and non-infectious etiology, as well as predisposing factors.Due to their occurrence, the following types of prostatitis are distinguished:

• bacterial;
• calculator;
• stagnant;
• infectious;
• purulent.

A sedentary lifestyle, frequent hypothermia, rare 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 in several forms depending on the reasons for its occurrence.

Bacterial prostatitis

Bacterial prostatitis is caused by bacteria entering the prostate in various ways.It may be a type of bacteria or a group of them.The disease can be caused by:

• mushrooms;
• gonococci;
• Koch stick;
• chlamydia;
• several types of bacteria at the same time.

The inflammatory process is most often associated with the penetration of bacteria caused by sexually transmitted diseases into the prostate.Chaotic sexual relations with frequent changes of partners and without the use of protection lead to diseases such as gonorrhea, chlamydia and fungal infections.In addition, the development of pathology is facilitated by a decrease in immunity due to disruption of work and rest.Bad habits like smoking, alcohol consumption, sedentary lifestyle, etc.also reduce immunity.

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

Calculous prostatitis

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

There are two reasons for the formation of stones in the ducts: stagnation of the contents 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 closing the ducts and a sedentary lifestyle lead to stagnation of secretions and disruption of the vascular and lymphatic systems.

Urinary reflux is caused 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 are transported there with urine, settle there and continue to grow, eventually reducing their outlet.Sphincter dysfunction can result from genital injuries and surgical procedures.

Initially, the calculous form of prostatitis is asymptomatic;As the stones grow, symptoms appear and become more severe.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 activity, defecation and urination, as well as during sexual intercourse and when walking.

Large, sharp-edged stones injure the canal as they move, leading not only to pain, but also to the release of blood in urine and ejaculate.Sores caused by stones can easily become infected, and calculous prostatitis will then become infectious.

After about a month, with calculous prostatitis, the functioning of the whole body is disrupted, the person does not feel well, suffers from insomnia, increased fatigue and irritability.

In advanced stages of the calculous form of prostatitis, after a comprehensive diagnostic examination, medications are prescribed and surgical treatment is carried out to remove conglomerates.

Congestive prostatitis

The stagnant type of prostatitis is due to the retention of secretions in the prostate.Most often, such problems are observed in men who have a sedentary job and do not play sports.Due to physical inactivity, blood circulation in the pelvic organs is impaired, the prostate suffers from a lack of oxygen and nutrients, stagnation and inflammation occur.If nothing is done, the disease becomes chronic and causes great discomfort.

Congestive prostatitis is caused by an irregular sex life or its complete absence.In this case, men need to release the gland from secretion on their own, but do not overdo it, as regular masturbation can be harmful due to incomplete ejaculation.Many spouses have found a method to avoid pregnancy, such as interrupting sexual intercourse.This also leads to incomplete ejaculation and the development of inflammation.

Sometimes the provoking factor is hypothermia or varicose veins.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, there are several types of congestive prostatitis.

• Venous prostatitis.This occurs in people with varicose veins of the lower extremities.This disease affects all organs in the pelvis due to poor blood circulation.
• Congestive.Develops with partial emptying of the prostate.Gradual overflow leads to stagnation.
• Chronic.It develops when an incorrect lifestyle has become a habit.If nothing is done to change the situation, the disease becomes chronic.It occurs more often in single men suffering from obesity already in adulthood, when the anamnesis is complicated by concomitant diseases.At this stage, the prostate often increases in size, which is easy to determine during the examination.
• Infectious.It adds to existing inflammation of the prostate when an 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 weakened sexual activity.Due to these symptoms, with congestive types of prostatitis, poor health, irritability develops, performance decreases, and sleep is disturbed.

Infectious prostatitis

Microorganisms that can provoke the appearance of signs of acute prostatitis include Escherichia coli, Staphylococcus aureus, Proteus, Eltirococcus, Klebsiella.Some bacteria are constantly present in the body, but in a dormant state they do not lead to inflammatory processes.Penetrating through the urethra to the mucous membrane of the prostate, the process of development and reproduction of microorganisms begins, leading to 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 urinary retention occurs.In addition to the listed symptoms that accompany 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 early stages, can cause infection of a 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.Develops after suffering from an acute respiratory viral infection, sore throat or flu.There is purulent content in the urine.There is a burning sensation when the bladder is empty.Patients note a weakening of potency.The process that accompanies this type of prostatitis involves the superficial tissues of the prostate.
• Focal.The process extends to glandular tissue.The ducts swell, the flow is disturbed.The size of the gland increases due to the accumulation of pus, which is released in urine.Body temperature increases.
• Parenchymal.Connective tissue is involved in the process, the swelling becomes even greater and the temperature can reach 40°C.The bursting pain in the anus does not give rest and a false urge to defecate is felt.
• Abscess.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 be fatal.

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

Diagnosis

Diagnosis of types of prostatitis is not particularly difficult and begins with collecting anamnesis, which allows you to better understand the picture of the disease.Then a rectal examination is carried out, 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;
• analysis of prostate secretion;
• biochemical blood test;
• rectal examination.

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

Treatment of inflammation

Urologists treat all types of prostatitis.Traditional methods are good, but only with a medical prescription and with the permission of the attending physician.

First you need to find out the cause of the disease, and only after that symptomatic treatment can be carried out.

• Active antibacterial treatment helps cure prostatitis.Parenteral administration of antibiotics is most effective.
• In case of severe pain, analgesics and diuretics are indicated.
• For constipation, laxatives are prescribed.
• If there is severe pain and difficulty urinating, novocaine blocks are placed.
• A course of vitamins and immunocorrectors is indicated.
• It is worth adhering to a special diet that excludes spicy, salty and smoked foods.
• Bed rest is prescribed.

Local procedures include sitz baths with water at a temperature two degrees higher than body temperature.Enemas are prepared with a decoction of anti-inflammatory herbs with the addition of 1% anesthetic, while the contents are slowly introduced into the intestines and left there as long as the patient can stand it.

Physiotherapeutic treatment also has a beneficial effect on the restoration of prostate function.Prostate massage is prohibited in cases of acute prostatitis, but is recommended in cases of chronic prostatitis.To restore metabolism, normal blood circulation and relieve swelling, UHF and microwave are prescribed.

If urination is delayed for a long time, a catheter is installed.At certain stages of the disease, surgical treatment is indicated to open purulent bags and install drainage.

Treatment for acute prostatitis lasts from several weeks to a month.A favorable outcome is generally observed.If the disease has become complicated or has reached a chronic stage, the process will be complex, long and can take several months.

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

Physiotherapy medical device helps cure prostatitis.It effectively eliminates the symptoms of prostatitis, is able to restore reduced sexual activity, eliminates pain, relieves swelling and inflammation.The device can be used at home both for the treatment and for the 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 pelvic diseases.The device, used to treat prostatitis in men, is easy to use, equipped with a regulator for heating and vibration modes and works from the mains.Compact dimensions allow the device to be used in any conditions.

How to prevent the development of the disease?

Prevention of various types of prostatitis, like any other disease, consists of maintaining a healthy lifestyle, avoiding bad habits and eating a balanced diet.If you have been diagnosed with prostatitis, you should not neglect exercise.If inflammation occurs, you should immediately consult a doctor to eliminate the cause and prevent the infection from spreading to other organs.

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

Let's summarize it

Depending on the causes and features of the course, acute and chronic types of prostatitis are diagnosed.A separate 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 itself in any way or have a vague picture: urination disorders, aching pain in the pelvic region, which, as complications develop, can lead to impotence and loss of fertility.

Acute prostatitis develops suddenly and is easily diagnosed.On the other hand, chronic prostatitis occurs in waves, alternating periods of remission and exacerbation.In chronic cases, the identification of pathogenic microbes may pose certain difficulties.Foci of infection occurring in the genitourinary system cause complications in the form of diseases of the organs anatomically adjacent to the prostate.Depending on the type of prostatitis diagnosed, the urologist prescribes a differentiated treatment regimen.