Prostatitis: many faces of a disease

Prostatitis in a man

Prostatitis is a purely male disease of the prostate gland of an inflammatory nature. Most men are aware of the presence of an organ such as the prostate gland, but not everyone understands what role it plays in their body. The prostate gland is a small but important organ of the male reproductive system. It is located under the bladder and surrounds the upper part of the urethra. The prostate gland has several functions.

Secretory functionit is essential for the prostate gland. It produces a secretion that makes up two thirds of the fluid that is ejaculated during orgasm and ensures the motor activity of the sperm. This secret is a nutritional solution for male germ cells and contains everything they need for their difficult journey to the egg: fructose for nutrition, water, sodium, potassium, zinc and magnesium minerals.

Motor functionlies in the prostate's ability to retain urine thanks to smooth muscle fibers. And during ejaculation, it prevents the mixing of semen and urine.

Barrier functionconsists in preventing pathogenic microorganisms from penetrating from the lower urethra into the bladder and kidneys.

Diseases of the prostate

The prostate gland, like any other organ, is vulnerable. Prostate disease is a medical problem found in the prostate gland.

These problems include:

  • prostatitis;
  • benign prostatic hyperplasia (BPH), also called prostate adenoma;
  • stones in the prostate;
  • prostate cancer.

Types of prostatitis

Prostatitis is inflammation of the prostate gland caused by infections or other causes. This is the most common cause of premature loss of sexual function. Treatment for prostatitis is determined by its type. There are 4 main types of this disease. Each of them has their own set of symptoms and causes.

  1. Acute bacterial prostatitis.
  2. Chronic bacterial prostatitis.
  3. Chronic non-bacterial prostatitis.
  4. Chronic asymptomatic prostatitis.

Acute bacterial prostatitis

A relatively rare type of prostatitis. This type of prostatitis is always associated with a bacterial attack on the prostate tissue. It affects men of reproductive age from 35 to 50 years. Acute prostatitis is characterized by a sudden onset, an acute course with pronounced symptoms, which entails a rapid deterioration in the patient's condition.

Acute bacterial prostatitis is easier to identify than chronic prostatitis due to its monotonous clinical presentation. The reason is the penetration of pathogenic organisms into the prostate gland. These are the same bacteria that cause urinary tract infections and sexually transmitted diseases. These include the following pathogens:

  1. E. coli (Escherichia coli), which is always present on the external genitalia and is the causative agent of infections in most cases;
  2. Chlamydia and mycoplasma, sexually transmitted diseases;
  3. Klebsiella and Pseudomonas aeruginosa;
  4. Enterococci, enterobacteria;
  5. Gonococci.

Causes of acute bacterial prostatitis

These pathogens enter the prostate gland from the urethra through the excretory ducts or from other nearby organs: the bladder, kidneys, rectum. Most of these microorganisms are conditionally pathogenic, that is, they live on the skin and mucous membranes of a person and do not pose a danger to him.

The immunity of a healthy person is strong enough to prevent the multiplication of microorganisms. An infection in the prostate gland can also go unnoticed. In order for the infection to manifest itself in the form of bacterial prostatitis, provoking factors are needed, so-called triggers. That means:

  • decreased immunity due to a sedentary lifestyle, abuse of bad habits, prolonged use of antibiotics;
  • hypothermia;
  • many hours of sedentary work;
  • promiscuous sexual intercourse, the presence of chronic inflammatory diseases in a partner (bacterial vaginosis, chronic salpingo-oophoritis);
  • prolonged sexual abstinence or excessive sexual activity;
  • chronic foci of infection;
  • transferred venereal and urological infections;
  • surgery on the urethra;
  • constant stress, overwork, lack of sleep;
  • stool disorders (constipation, diarrhea).


Frequent urge to urinate

The acute type of prostatitis is identified by the following features:

  • chills, fever, general malaise;
  • pain in the lower back, in the genital area, in the rectum, sometimes throughout the body;
  • frequent need to urinate, especially at night;
  • painful urination, weak flow, burning sensation, strong urine odor;
  • blood in the urine or semen;
  • painful ejaculation;

Treatment of acute bacterial prostatitis

Urinary tract infection is confirmed by the presence of white blood cells and bacteria in the urine.
The course of therapy for acute bacterial prostatitis involves:

  1. Stationary mode;
  2. Diet;
  3. Complete refusal of alcohol and tobacco;
  4. Broad spectrum antibiotics (ampicillins, cephalosporins, macrolides);
  5. Pain relievers and anti-inflammatory drugs (intravenously or intramuscularly);
  6. If necessary, detoxification with saline solutions.

The duration of therapy is from two to four weeks.


The acute form lasts no more than 1-2 months. If no treatment was carried out during this period, the disease will become chronic. The most common complication of acute prostatitis is chronic overflow.
The development of an abscess of the prostate gland - focal purulent inflammation with an increase in temperature up to 40 ° C is not excluded.

Chronic bacterial prostatitis

Chronic prostatitis, as a rule, proceeds without pronounced characteristic signs. In contrast to the acute form, which is characterized by general weakness, malaise, fever and pain in the groin area, with chronic bacterial prostatitis, the clinical picture is blurred, poorly expressed. If, in the acute form, poor health literally forces the patient to consult a urologist, then with the chronic form, everything is different.

The exacerbation of prostatitis is replaced by periods of remission, sometimes very long, and the visit to the doctor is postponed indefinitely. Most often, the signs of prostatitis are perceived by a man as an age-related inevitability and not a reason to see a doctor. Without encountering obstacles in its path, the disease "flourishes".

Symptoms of Chronic Bacterial Prostatitis

  • Frequent urination, which is painful. A weak jet appears only after several attempts.
  • Pulling pain in the perineum
  • There is a feeling of incomplete emptying of the bladder.
  • Drawing pains in the lower abdomen, back, perineum.
  • Sexual desire weakens.
  • Sleep and attention are disturbed, apathy develops, headaches and ringing in the ears may appear.
  • Excessive sweating is one of the atypical symptoms of this disease that you need to pay attention to.


If you don't fight chronic prostatitis, you will have to face its much more serious and difficult to treat consequences. Chronic prostatitis can have the following complications:

  • cystitis;
  • pyelonephritis;
  • orchiepididymitis (inflammation of the testicles and their appendages);
  • vesiculitis (inflammation of the seminal vesicles);
  • erectile dysfunction, infertility.

Diagnosis and treatment

Treatment of chronic prostatitis is prescribed on the basis of laboratory tests. These include:

  • general blood test;
  • three-glass urine sample;
  • microbiological examination of urine;
  • transrectal ultrasound of the prostate gland;
  • digital rectal examination;
  • microscopy and microbiological examination of the secretion of the prostate gland;
  • microscopy of smears from the urethra to detect gonococci.

Prostatitis drugs inhibit pathogenic flora and act on gram-negative and gram-positive bacteria. The complex of therapy includes not only drug treatment, but also physiotherapy. Treatment of prostatitis includes:

  • antibiotic therapy;
  • anti-inflammatory therapy;
  • immunomodulatory therapy;
  • Physiotherapy;
  • laser therapy;
  • physiotherapy exercises;
  • ozone therapy.

The duration of treatment is from 8 to 12 weeks.

Chronic non-bacterial prostatitis

This type is also called pelvic pain syndrome. It is characterized by spasms of the pelvic floor muscles. There is a version about its neurological origin.

Symptoms of non-bacterial prostatitis

  1. Pain in the pelvic region and lower back, including when urinating
  2. Pain in the joints and throughout the body;
  3. Discomfort and itching during sex
  4. Gastrointestinal disorders.

Types of non-bacterial prostatitis

Chronic non-bacterial prostatitis has 2 forms: inflammatory and non-inflammatory.

An increased concentration of leukocytes and an increase in erythrocyte sedimentation indicate the inflammatory nature of the disease.

The non-inflammatory form is more difficult to diagnose. It is found after the patient complains of pain in the pelvis during intercourse.

Causes of chronic non-bacterial prostatitis

  • unbalanced and monotonous diet;
  • sedentary lifestyle;
  • irregular sex life;
  • genetic predisposition;
  • trauma to the genital organ;
  • diffuse changes in the prostate gland.

With this type of prostatitis, a large number of inflammatory cells are found in the secretion of the prostate gland, but there is no urinary tract infection in the history of the disease.

Diagnosis and treatment

To diagnose the bacterial type, the following indications are required:

  • Urine analysis;
  • general blood test;
  • urine culture to identify microorganisms;
  • Ultrasound of the prostate gland;
  • CT and MRI;
  • bacterial smear.

Treatment of bacterial prostatitis

Antibiotics are sometimes effective even when tests show no signs of bacteria. For this reason, they are also often prescribed as the first stage in the treatment of chronic non-bacterial prostatitis. Alpha blockers help relax smooth muscle tissue in the prostate and bladder neck.

Non-steroidal anti-inflammatory drugs help relieve pain and fever. They can be suppositories for prostatitis.

Regular prostate massage performed by a doctor can help drain fluid from inflamed prostate ducts and relieve pressure.

Chronic asymptomatic prostatitis

Little studied species, asymptomatic and therefore more dangerous. As a rule, it is discovered by chance, during the examination.

Symptoms based on research findings

  • an increase in the level of PSA (prostate specific antigen);
  • leukocytes in the urine.

Complications of asymptomatic prostatitis are adenoma and prostate cancer.

Prostate Cancer Cells

The medicine for asymptomatic prostatitis is selected based on the etiology of the disease. When infected, the disease is treated with antibiotics or antiviral agents. And if the cause of the disease is not in bacteria, the doctor can limit himself to the appointment of ultrasound therapy or massage.

Treatment of prostatitis with folk remedies

Treatment of prostatitis should be approached individually and necessarily comprehensively.

  1. Healing blend.
    To prepare a wonderful blend you will need:
    • fresh cucumber;
    • table beets (red);
    • carrot.

    The juice must be squeezed from these vegetables and mixed in equal parts. Drink 3 times a day, 100 ml half an hour before meals. It is recommended, in parallel with the intake of the mixture, to use propolis candles. Enter the rectum at night.

  2. Spirulina.
    Buy spirulina powder in pharmacy and add to cranberry juice, mix well. For 100 ml. juice 2 g of powder. Drink the resulting mixture throughout the day.
    The course of treatment is 7 days, then a break for 3 days and repeat again. For a positive effect, you need to take 3-4 of these courses.
  3. A blend of lobster and honey.
    Grind raw meadow tubers with honey. Take the resulting mixture 2 times a day (morning and evening) for 1 tsp.
  4. A mixture of parsley and honey.
    It is necessary to squeeze the juice of parsley and mix in equal proportions with honey. The resulting mixture is taken 3 times a day, 2 tbsp.

Prevention of prostatitis

The good old truth that prevention is the best treatment has proven to be the best when it comes to prostatitis. After all, prostatitis is promoted by the violation of the basic rules of a healthy lifestyle. Lack of sleep, unbalanced diet, poor hygiene, refusal of sports, physical activity, smoking, alcohol - this is the safest way for inflammation of the prostate gland. To never experience all the troubles that prostatitis "rewards" men, it is enough to take the following preventive measures:

  1. Don't abuse alcohol and quit smoking. According to doctors, smoking is the main cause of blood stagnation in the small pelvis;
  2. Gymnastics and physical exercises are useful, especially for strengthening the muscles of the small pelvis. Wellness jogging works great on prostate health and maintains potency until maturity;
  3. Food should consist of foods rich in vitamins, minerals and fiber. Zinc is particularly beneficial for the prostate. It is abundant in pine nuts and sunflower seeds. It is better to give up fried and fatty foods;
  4. Drink plenty of clean water (2L);
  5. In the cold season, use warm linen;
  6. Check with a doctor once a year.

All of these points are quite simple and are directed against prostatitis - an insidious ailment that masquerades as old age, impotence and can lead to life-threatening consequences.