Types of prostatitis in men

Prostate disease is one of the most common and insidious diseases affecting men over 40 years of age.At first, patients may not even realize that there is a problem, but over time the symptoms make themselves felt.If you do not consult a doctor in time, prostatitis becomes chronic and complications may occur.Depending on the severity, cause and nature of the course, different types of prostatitis are distinguished.

Types of prostatitis depending on the form of occurrence:

• spicy;
• chronic;
• hidden.

What type of prostatitis occurs:

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

Classification

Faced with such an unpleasant disease of the urogenital system as inflammation of the prostate, many men wonder why they have prostatitis.

Understanding the etiology of the disease helps to establish an accurate diagnosis and promotes effective prevention.

According to the flow form

According to the form of its course, prostatitis is acute, chronic and latent, among which chronic, follicular and parenchymal (purulent) can be distinguished.

We distinguish the following forms of the disease:

• In the case of chronic prostatitis, the male body experiences 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, a rise in body temperature and severe problems urinating (dysuria).In a more advanced form, when the patient postpones a visit to the doctor, acute pain occurs during urination and urinary retention occurs.
• Parenchymal prostatitis - an abscess containing pus develops in the body of the prostate gland.In this case, fever occurs, sharp pain occurs with frequent urge to urinate.The temperature rises to 39-40 °C, defecation becomes almost impossible.

Acute prostatitis

Acute prostatitis is a condition in which inflammation of the prostate occurs within a short period of time and can be characterized by various symptoms.Swelling of the gland occurs, which is provoked by the negative effects of the pathogenic microflora.Pathogenic bacteria disrupt the integrity of tissues, causing constant discomfort in the pelvic area even when at rest.

There are several beneficial ways for infection to enter the prostate gland:

• in case of inflammation of the rectum - by lymphogenous means;
• after infectious diseases - hematogenous;
• directly through the urethra - canalicularis.

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

• abscess;
• prostate adenoma;
• prostate cancer;
• loss of potency;
• 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 in time, prostatitis becomes chronic, which is much more difficult to cure.Antibacterial therapy in combination with drugs that strengthen the immune system effectively fights the disease.

Chronic prostatitis

Symptoms of chronic prostatitis are usually seen against the background of congestion in the prostate gland, which is the result of an untreated acute disease.It usually occurs in men over 50 who have not sought help or self-medicated.Many of them experienced complications due to concomitant diseases.In addition, at this age, not everyone is sexually active enough, as a result of which secretions thicken and get stuck in the prostate, which leads to dysfunction.Interrupted sexual intercourse also provokes fluid retention.According to modern research, about 40% of men experiencing symptoms of chronic prostatitis have erectile problems.

Chronic prostatitis usually has mild symptoms that only appear during exacerbations.Patients report a dull ache in the groin area that worsens after exercise and at the end of the day.The pain often radiates to the lower back, scrotum and perineum.Frequent urination is observed, especially at night, the flow is intermittent and the flow is curvy.

Sexual intercourse is less prolonged, an incomplete erection is observed, and sometimes there is pain in the head of the penis.Infertility usually occurs in patients with chronic prostatitis;impotence practically does not occur at this stage of the disease.Sometimes the color of the genitals changes;they turn purple due to improper blood circulation.

All symptoms of prostatitis worsen if left untreated.The condition is similar to the manifestations during the acute course of the disease.Weakened immunity, stress, neglect of the diet, bad habits - all this leads to an aggravation and aggravation of the condition.

The chronic form often leads to the appearance of symptoms of diseases such as cystitis, kidney disease and adenoma.The risk of developing urolithiasis and malignant tumors increases.The pathological process is often practically asymptomatic and is discovered completely by chance during laboratory tests related to another disease.

Because of the occurrence

There are many reasons for provoking the development of prostatitis of infectious and non-infectious etiology, as well as predisposing factors.Due to their occurrence, the following types of prostatitis can be distinguished:

• bacterial;
• predictable;
• stagnant;
• infectious;
• purulent.

A sedentary lifestyle, frequent hypothermia, infrequent sexual activity, interrupted sexual intercourse, smoking, alcohol consumption, stressful situations - all these conditions affect the stagnation of secretions in the vessels of the prostate gland and the vessels next to it.Depending on the causes of prostatitis, it can be divided into several forms.

Bacterial prostatitis

Bacterial prostatitis is caused by bacteria that invade the prostate gland in various ways.It can be a species or a group of bacteria.The disease can be caused by:

• mushrooms;
• gonococci;
• Koch stick;
• chlamydia;
• several 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 gland.Chaotic sex with frequent changes of partners and unprotected sex leads 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 of bacterial prostatitis include burning, pain, and cloudy discharge during urination.The smell of urine is unpleasant.The general symptoms accompanying poisoning can be observed: dizziness, weakness, nausea, fever.There is pain during ejaculation and sometimes blood is present.In case of chronic bacterial prostatitis, urination becomes more frequent and yellowish or greenish discharge appears from the genitals.

Calculous prostatitis

In the case of calculous prostatitis, stones form in the ducts of the prostate gland.This form of the disease is very complex and is accompanied by severe pain.The conglomerates are of various origins: phosphates, oxalates, calcium and protein are predominant.

There are two reasons for the formation of stones in the ducts: stagnation of the contents of the gland and backflow 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 blocking the channels, and a sedentary lifestyle lead to secretion stagnation and disruption of the vascular and lymphatic system.

Urinary reflux is caused by a breakdown of the sphincter muscle, which relaxes and allows urine to flow in and out.The presence of stones and sand in the bladder contributes to the formation of stones in the prostate ducts.They get there with the urine, settle and continue to grow, eventually narrowing the outlet opening.Dysfunction of the sphincter can result from injuries to the genitals and surgical interventions.

At first, the calculus form of prostatitis is asymptomatic;symptoms appear and increase as the stones grow.Pain in the lower abdomen or scrotum that radiates to the buttocks and lower back.Pain at rest is not observed and occurs only during physical activity, defecation and urination, sexual intercourse and walking.

Large stones with sharp edges damage the canal during their movement, which leads not only to pain, but also to the release of blood in the urine and ejaculate.Wounds from stones can easily become infected, and then calculous prostatitis becomes infectious.

After about a month, in the case of calculous prostatitis, the functioning of the entire body is disturbed, the person feels bad, experiences insomnia, increased fatigue and irritability.

In the advanced stage of the calculous form of prostatitis, after a complete diagnostic examination, medication is prescribed and surgical treatment is performed to remove the conglomerates.

Congestive prostatitis

The stagnant type of prostatitis occurs due to retention of secretions in the prostate gland.Most often, such problems are observed in men who do sedentary work and do not play sports.As a result of physical inactivity, the blood circulation of the pelvic organs is damaged, 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.

Stagnant prostatitis is triggered by irregular sex life or its complete absence.In this case, men must rid the gland of secretions themselves, but do not overdo it, as regular masturbation can cause damage due to incomplete ejaculation.Many spouses have found ways to prevent pregnancy, such as celibacy.This also leads to incomplete ejaculation and the development of inflammation.

Sometimes the provoking factor is hypothermia or varicose veins.Anomalies of the structure of the prostate gland can also cause stagnation.Regular overheating of the pelvic area and constant constipation adversely affect secretion production.Depending on the factors that trigger the disease, there are several types of stagnant prostatitis.

• Venous prostatitis.It occurs in people who suffer from varicose veins of the lower extremities.This disease affects all organs of the pelvis due to improper blood circulation.
• Stagnant.It is formed by partial emptying of the prostate.Gradual overflow leads to stagnation.
• Chronic.It develops when the wrong lifestyle has become a habit.If nothing is done to change the situation, the disease becomes chronic.It occurs more often in single men who are already obese in adulthood, when it is aggravated by diseases accompanying the anamnesis.During this stage, the prostate is often enlarged, which can be easily determined during the examination.
• Infectious.It joins the existing inflammation of the prostate when an infection enters the urogenital system.

Symptoms of prostatitis are caused by difficulty urinating, lower back pain, straining during defecation and weakening of sexual activity.As a result of these symptoms, in stagnant types of prostatitis, malaise and irritability develop, performance decreases, and sleep is disturbed.

Infectious prostatitis

Microorganisms that cause signs of acute prostatitis include Escherichia coli, Staphylococcus aureus, Proteus, Eltirococcus, Klebsiella.There are bacteria that are constantly in the body, but do not lead to inflammatory processes when they are at rest.When it penetrates the mucous membrane of the prostate through the urethra, the process of development and reproduction of microorganisms begins, resulting in inflammation.Indiscriminate and unprotected sex allows harmful bacteria to enter the body.

Typical symptoms are pain in the scrotum, perineum, lower abdomen, lower back, pain and burning sensation in the pelvic area.Difficulty urinating, acute urinary retention occurs.In addition to the listed symptoms accompanying infectious prostatitis, constipation, urethral discharge, hemostasis and pain during ejaculation may also occur.

This is a dangerous disease that, even at the earliest stage, can provoke an infection of a sexual partner, cause 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.

• With catarrh.It develops after 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 notice a weakening of potency.The process accompanying this type of prostatitis affects the surface tissues of the prostate.
• Focal.The process extends to glandular tissue.The channels swell, the outflow is interrupted.The size of the gland increases due to the accumulation of pus inside it, which is released in the urine.The body temperature rises.
• Parenchymal.The connective tissue takes part in the process, the swelling becomes even bigger, the temperature can reach 40 °C.The pain that erupts in the anus does not give you peace, and you feel a false urge to defecate.
• Abscess.The worst form of prostatitis.The temperature drops sharply, there is abundant pus and unbearable pain.This stage can be complicated by peritonitis and can be fatal.

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

Diagnostics

Diagnosing the types of prostatitis is not particularly difficult and begins with the collection of anamnesis, which helps to more accurately understand the picture of the disease.Then a rectal examination is performed, during which the size of the gland is determined, the nature of the pain is determined, and the presence of swelling and hardening is detected.

In order to make a correct diagnosis, laboratory tests are prescribed:

• urinalysis;
• urine culture with AB sensitivity test;
• general blood test;
• prostate secretion analysis;
• biochemical blood test;
• rectal examination.

Additional diagnostics include instrumental research methods.First of all, an ultrasound is performed;MRI and TRUS are also prescribed if necessary.A new PET scan method has appeared relatively recently;this is considered the most informative.

Treatment of inflammation

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

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

• Active antibacterial therapy helps to cure prostatitis.Parenteral administration of antibiotics is most effective.
• Painkillers and diuretics are recommended for severe pain.
• Laxatives are prescribed for constipation.
• In case of severe pain and difficulty urinating, novocaine blockades are placed.
• A course of vitamin therapy and immune correctors is recommended.
• It is worth following a special diet that excludes spicy, salty and smoked foods.
• Bed rest is prescribed.

Local procedures include a sitz bath with water two degrees higher than body temperature.An enema is made from a herbal 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 tolerate it.

Physiotherapy treatment also has a beneficial effect on the restoration of prostate function.Prostate massage is prohibited in acute prostatitis, but recommended in 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 inserted.In some stages of the disease, surgical treatment is prescribed to open the pus bags and install a drain.

Treatment of acute prostatitis lasts from several weeks to a month.A favorable result is usually observed.If the disease has become complicated or reached a chronic stage, the process is complex, long and may take several months.

During treatment, it is recommended to limit sexual activity and use personal protective equipment.

A medical physiotherapy device helps to cure prostatitis.It effectively eliminates the symptoms of prostatitis, can restore reduced sexual activity, eliminates pain, relieves swelling and inflammation.The device can be used both at home for the treatment and prevention of diseases of the pelvic organs.

The device relieves muscle tension, improves sperm production, strengthens blood vessels and prevents the development of other possible diseases of the pelvis.The device used for the treatment of prostatitis in men is easy to use, equipped with a heating and vibration mode regulator, and operates from mains electricity.The compact dimensions allow the device to be used in any conditions.

How can the disease be prevented?

Prevention of different types of prostatitis, like any other disease, is to maintain a healthy lifestyle, avoid bad habits and eat a balanced diet.If you have been diagnosed with prostatitis, do not neglect exercise.If inflammation occurs, consult a doctor immediately to eliminate the cause and prevent the infection from spreading to other organs.

You must lead a decent lifestyle and have regular sex with a regular partner.It is important not to forget about the personal hygiene of the genitals and not to neglect regular preventive examinations by the 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

Depending on the causes and characteristics of the course, acute and chronic types of prostatitis are diagnosed.Chronic pelvic pain syndrome belongs to a separate group.Acute prostatitis is characterized by clinical symptoms such as chills, fever and pain.It may happen that the chronic form does not appear in any form, or it has a vague picture: urination disorder, aching pain in the pelvic area, which, with the development of complications, can lead to impotence and loss of fertility.

Acute prostatitis develops suddenly and is easily diagnosed.In contrast, chronic prostatitis occurs in waves, alternating periods of remission and exacerbation.In chronic cases, identifying the causative microbes can cause certain difficulties.Infection foci in the urogenital system cause complications in the form of diseases of organs anatomically adjacent to the prostate gland.Depending on the type of prostatitis diagnosed, the urologist prescribes a differentiated treatment regimen.