What is prostatitis?
Last reviewed: 19.11.2021
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To date, prostatitis is the most common disease of the male sexual sphere. The malaise manifests itself in the form of inflammation of the prostate gland and is accompanied by swelling of the tissues. According to statistics, the number of men who have crossed the 30-year line and who suffer from this disease is 30%, over 40-year-old line - 40%, 50-year-old line - 50%, etc.
Hearth of Affection
The prostate gland in men is presented in the form of a glandular-muscular organ located under the bladder in a small pelvis. The gland is in close contact with the urethra, the initial area of the urethra. The main and very important function of the prostate gland is the development of a secret that is mixed with the seminal fluid, as a result of which support for the activity of spermatozoa and increasing their resistance to various adverse factors. Under the influence of various factors, the prostate (prostate) activity is disrupted - prostatitis occurs.
What causes prostatitis?
There are 4 categories of prostatitis: acute bacterial, chronic bacterial, non-bacterial and prostatodynia.
Acute bacterial prostatitis occurs due to infections in the body. These include trichomoniasis, chlamydia, gonorrhea, gardnerellez. Bacteria enter the prostate through the bladder, rectum, urethra, lymphatic and blood vessels of the small pelvis.
The causes of non-bacterial prostatitis have not yet been specifically established, but there is an opinion that the presence of bacteria with this form of the disease is absolutely not excluded. Researchers of the disease believe that the factors that provoke prostatitis may include neglected and untreated infectious diseases, disorders in the blood circulation of the prostate because of a sedentary lifestyle, impaired nervous regulation of the pelvic organs and so on.
Prostadonia is a neurovegetative disorder of the prostate gland. In the same way as non-bacterial prostatitis, prostatodynia occurs for as yet specifically unknown reasons. Bacterial factor is almost excluded due to unsatisfactory consequences of treatment of the disease with antibacterial agents. There are several opinions about the sources of prostatodynia, namely:
- psychological factor;
- abnormalities of the neck of the bladder;
- Dysfunctional urethra occurring under high pressure;
- stricture of the urethra;
- disorders in the neuromuscular apparatus of the pelvic diaphragm and perineal muscles;
- the reverse current of a secret that does not go beyond the prostate gland, which arose as a result of anatomical features of the body, high pressure during urination, turbulent flow of urine.
How is prostatitis manifested?
The main symptoms of non-bacterial prostatitis are painful urination, pain syndrome in the groin, pelvis and genital area, decreased libido, impotence, etc.
Symptoms of prostatodynia are painful ejaculation, pain in the perineal region, frequent urination, disturbances in the process of urination.
What are the consequences of prostatitis?
Not detected in time and untreated prostatitis is fraught with the following consequences:
- infertility;
- the flow of acute prostatitis into a chronic form;
- recurrent cystitis;
- bladder obstruction with urinary retention factor (surgical intervention required);
- narrowing, scarring of the urethra;
- suppuration (abscess) of the prostate (surgical intervention is required);
- kidney disease, pyelonephritis;
- sepsis, is especially dangerous in patients with renal insufficiency, diabetes mellitus).
How is prostatitis treated?
If acute bacterial prostatitis is not subjected to thorough and serious treatment, then it can pass into a chronic bacterial form. Treatment in this case will be longer and does not give guarantees for complete recovery. As a treatment, antibiotic therapy is prescribed, aimed at eliminating the infection, and then - with immunotherapy to restore the body after taking medication. The doctor-urologist appoints a dosage and the scheme of reception of preparations individually, depending on presence of concrete infection and a degree of neglect of disease.
As a treatment for patients with this form of the disease, prescribe antibiotics, despite the fact that this type of prostatitis is unusual infectious side. The most effective treatment is the use of alpha-blockers - they are able to relax the muscles of the prostate gland. In addition, such prostatitis is cured with rectal medicines, which have anti-inflammatory properties - they reduce the growth of the gland tissues and improve the patient's well-being.
Often, coupled with drug treatment, a urologist prescribes the restoration of the patient's body through the use of immunomodulators, sedatives, agents that improve microcirculation, and so on.
Prostatitis of this kind is more difficult than other forms to be treated, since the exact causes of the disease have not been clarified. Antibiotic therapy in this case is ineffective and is very rarely prescribed. More often used alpha-blockers, anti-inflammatory drugs, vitamins, muscle relaxants.
Sometimes doctors advise their patients to refuse to eat fried, spicy food, alcohol, smoking, some activities, for example, riding a bicycle - doctors tend to believe that these and many other factors can aggravate the course of the disease.
How to prevent prostatitis?
Any disease can be cautioned if you follow simple rules. Prostatitis does not occur in a person who does not allow himself to sit on cold stones or iron, does not abuse alcohol and smoking, does not use too sharp, smoked, canned and fried foods, has constant sexual contacts, is protected from promiscuous sexual intercourse, often has in his a diet of vegetables and fruits, is engaged in sports and regularly, at least once a year, visits the urologist's office.