Bacterial prostatitis may be acute or chronic. These two types of prostatitis is usually caused by different infectious agents. And since in some cases the disease for the time being asymptomatic, sometimes it is difficult to determine an acute inflammation of the primary or recurrent chronic prostatitis.
Bacterial prostatitis - causes of the disease
Acute bacterial prostatitis is usually the result of cold, stress
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, Fatigue, alcohol abuse, and other causes of immunosuppression.
Against the background of reduced immunity activated pathogenic microflora living on the surface of the genitals or in the centers of persistent infection and pathogens to penetrate and prostate with a current of urine from the urethra (the upward path of infection) or with blood from distant foci (eg, tonsils, paranasal sinuses, and so on). Acute bacterial prostatitis often causes E. coli, Staphylococcus and Proteus.
Chronic bacterial prostatitis is often the result of sexually transmitted infections (such as gonorrhea, chlamydia, etc.).
Symptoms of bacterial prostatitis
Symptoms of bacterial prostatitis are more pronounced than the symptoms of relapse of chronic prostatitis. For example, in acute bacterial prostatitis is almost always there are violations of the general condition of the patient manifested in varying degrees of fever, chills, malaise. During exacerbation of chronic prostatitis, these symptoms are rare and are expressed to a small extent.
In acute bacterial prostatitis symptoms of the disease depend on the changes that occur in the prostate tissue. If the inflammatory process captures only the ducts of the prostate, the disease is not serious, sometimes even without raising the temperature. Pain in the perineum and the sacrum and urination disorders are also significant, acute urinary retention does not happen. If the weave glandular prostate is affected, the disease is more severe, severe pain, possible acute urinary retention. The hardest part is acute purulent prostatitis
Purulent prostatitis - require immediate medical attention
- With high fever, intoxication, chills, urination and defecation disorders and the formation of abscesses in the prostate and surrounding tissue.
Symptoms of chronic prostatitis
Chronic prostatitis - every man should know his signs
associated with the duration of the disease, frequency, severity and duration of relapses, as well as the involvement of other urinary organs.
The most typical manifestation of chronic bacterial prostatitis are pain of different nature and sensory disturbances in the suprapubic and groin, perineum, inner thighs on the lower back and lower back, in the area of the genitals and rectum. Pain can be greatly enhanced through sexual contact and after.
Characterized by voiding a frequent urge, pain at the end of urination. Sometimes there is a long involuntary outflow of urine drops after urinating.
There are also disorders of sexual function disorders of sexual desire, erectile dysfunction
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, Ejaculation and orgasm defective. In the long prostatitis may suffer spermatogenesis - sperm loses its fertilizing capacity, it reduces sperm count and can come complete infertility.
Treatment of bacterial prostatitis
Treatment of acute bacterial prostatitis - a bed rest, drinking plenty of fluids, easily digestible food. Drug treatment includes the immediate appointment of broad-spectrum antibiotics that are active against the bacterial flora, most commonly caused by an infectious-inflammatory processes in the urogenital organs (most suitable antibiotics tetracycline and fluoroquinolones).
To remove the inflammation, swelling, pain and fever medication prescribed group of NSAIDs - non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen, Nise). Assign also antispasmodic, relieves spasms of smooth muscles of internal organs - it also helps to reduce pain and decrease urinary disorders.
Treatment of chronic bacterial prostatitis is aimed at eliminating the infection and the normalization of the function of the prostate. Antibiotics are appointed at the same time only during the exacerbation and the results of seeding prostate secretion to identify the infectious agent and its sensitivity to various drugs.
Outside exacerbation prescribe a course of physical therapy, prostate massage, physiotherapy, acupuncture and so on.