Chronic bacterial prostatitis: causes, signs, diagnosis, methods of treatment

medical consultation for chronic bacterial prostatitis

Chronic bacterial prostatitis is one of the most common types of disease. This form of the disease is characterized by the frequency of its manifestations, and the lack of timely treatment can lead to various disorders - sexual dysfunction, as well as contribute to the development of prostatic hyperplasia. But what is the causative agent of the disease and what will be the consequences if it is not treated? Let's take a closer look at these questions.

What is bacterial prostatitis?

Chronic bacterial prostatitis occurs in 15-20% of all people with the underlying disease. This disease is typical of middle-aged men, because they still have a normal sex life, and there is a fairly high probability that harmful bacteria will enter their body. Harmful microorganisms with this type of prostatitis fall directly into the prostate area, where they actively multiply and disrupt the activity of an organ so important for a man.

At the same time, inflammation can be promoted not only by the bacteria themselves, but also by their metabolic products.

Unlike other subspecies of the disease, chronic bacterial prostatitis has more pronounced symptoms, and microorganisms can spread not only inside the gland, but also overtake it, disrupting the functions of the bladder. and other neighboring bodies.

Causes of the disease

The main causative agent of chronic prostatitis of a bacterial nature is bacteria that can enter the body both during sex and from the environment. Among the pathogenic microbes it is worth noting:

  • Chlamydia;
  • Streptococci;
  • Staphylococci;
  • Klebsiella;
  • Pseudomonas aeruginosa;
  • Trichomonas;
  • gonococci;
  • Enterobacteriaceae;
  • Escherichia coli.
Chlamydia pathogens of chronic bacterial prostatitis

The most common causative agent of the disease is E. coli, as it is found in 80% of patients with prostatitis.

Individual factors and diseases can also worsen the course of the disease and provoke its development. There is a high likelihood of developing chronic prostatitis in a man who:

  1. leads an inactive life;
  2. Suffering from pyelonephritis or cystitis;
  3. Has low immunity;
  4. Consumes alcoholic beverages and tobacco products;
  5. Often supercooled;
  6. Subject to stress;
  7. Suffering from constipation;
  8. Has an ugly sex life;
  9. Often comes in contact with direct sources of infection;
  10. Has hormonal disorders;
  11. Has no normal intimate life.
physical inactivity as a cause of chronic bacterial prostatitis

It should be noted that, as a rule, chronic prostatitis is preceded by its acute form, so the patient has a certain amount of time to prevent the development of the disease. The reason for the development of a permanent form is the spread of bacteria throughout the body through the circulatory, lymphatic and other systems of the body, and as soon as the immune system weakens, for example, during a cold, the prostate can becomeinflamed, causing discomfort and a number of other consequences.

Symptoms

The main symptoms of chronic bacterial prostatitis are similar to those of other types. The patient may feel:

  • Pain in the lower abdomen;
  • The inflammatory process is accompanied by an increase in body temperature;
  • Muscle fatigue and general weakness of the body are observed;
  • Urination may be accompanied by pain;
  • There is pain in the anus and rectum.

It should be noted that, unlike the acute form, the symptoms of chronic prostatitis are less pronounced. With an exacerbation of the disease, blood particles can be observed in the urine, and the pain syndrome increases significantly.

lower abdominal pain in chronic bacterial prostatitis

If you do not pay attention to this symptomatology and do not see a doctor in time, there is a fairly high probability of a complication in the form of:

  1. Development of purulent processes of the genitourinary system;
  2. prostate adenomas;
  3. Problems with urine flow;
  4. stone prostatitis;
  5. Infertility;
  6. Sexual dysfunction.

Similar complications are also possible with the prescription of ill-treatment or self-medication without first consulting a doctor.

Diagnosis of the disease

The diagnosis of chronic bacterial prostatitis can be made on the basis of:

  • General blood test - helps to determine the shift in the formula of leukocytes to the left, which indicates the course of inflammatory processes in the body;
  • Routine urine analysis - will determine the increase in the content of leukocytes and erythrocytes, which are produced to combat harmful microorganisms;
  • A three-glass urine sample - this test is similar to the usual test, only changes in a three-glass urine sample will be more noticeable;
  • Analysis of the secretion of the prostate - in the presence of bacterial prostatitis, fragments of specific proteins will appear in secret;
  • Urine flow meter - observation of a patient to determine the daily amount of urine is usually carried out by the patient himself in a hospital setting, and the results of calculations are communicated to the attending physician.
blood test to diagnose chronic bacterial prostatitis

Diagnostic methods are determined directly by a specialist. It is not possible to make a diagnosis on the basis of a conventional examination and interview.

Processing methods

In the treatment of bacterial prostatitis, treatment is prescribed, which consists of:

  1. Antibacterial drugs, the duration of admission varies from 1, 5 to 2 weeks;
  2. Nonsteroidal anti-inflammatory drugs - will help relieve inflammation and relieve the patient of pain;
  3. Muscle relaxants - are prescribed for severe pain that does not allow the patient to empty the bladder, they relax the walls of the bladder.

An optional symptom of bacterial prostatitis is a depressive state in which the patient is prescribed antidepressants. It helps reduce stress levels for the whole body, reduces the production of hormones that can negatively affect the course of the disease.

In addition, with chronic bacterial prostatitis, physiotherapy courses are often prescribed, which may include one or more procedures:

  • Electrophoresis - the introduction of special drugs under the influence of an electric voltage of a special frequency;
  • Ultrasound - activates the process of tissue regeneration, eliminates inflammation, prevents scarring and normalizes metabolism;
  • Magnetotherapy - aimed at normalizing the process of blood circulation;
  • Electrical stimulation of smooth muscles - helps get rid of congestion, improves the movement of secretory secretions;
  • Laser therapy - normalizes the performance of the prostate.

In some cases, prostate massage can also be used as a preventative measure, which helps to eliminate pain and improve organ activity.

Chronic bacterial prostatitis has been observed in recent years in patients with increasing frequency. This is due, first of all, to the increase in cases of registration of STDs, especially chlamydia and candidiasis. This type of disease can occur at any age, although it most often attacks weaker middle-aged organisms.