Prostatitis in men

28 July 2025

Prostatitis is an inflammatory process that affects the fabric of the prostate gland.This is one of the most common diseases in the practice of a urologist.The disease is diagnosed mainly in men of 25-30 years, but in old age the risk of pathology has significantly increased.

The form distinguishes acute and chronic prostatitis.In the latter case, inflammation is characterized by a long course with periodic recurrence.This condition is much more common than acute.

The causes of prostatitis

Many diseases of the prostate gland, for example benign hyperplasia or oncopathology, are problems of the most advanced age group.However, prostatitis does not belong to this category.His symptoms, as a rule, appear in men at 30-50 years.Very often, the cause is the infectious injury due to the penetration of the pathogenic flora from the urogenital canal or from the glands of the parental parent system.This is explained by the proximity of the location of the urethra and the anus.

Among the most common pathogens of bacterial prostatitis (infectious), gram -year -old organisms should be noted: pseudo -monadi, intestinal stick, lock, entertainable and pro.Often the inflammatory process develops against the background of the IPP infection: clamidia, gonococci, tricomonas, herpes viruses, etc., normally, such forms of the disease are diagnosed in men under the age of 35.The cases of pathology treatment against the background of tuberculosis mycobacteria are extremely rare.

The nebacaterial varieties of prostatitis are also distinguished.Among their main reasons:

increased pressure in the prostate gland;
autoimmune disorders (destruction of prostate cells by antibodies);
Muscle pain syndrome in the pelvic region;
Psychoemotion disorders;
deficiency of motor activity;
Excessive physical stress.

Primary prostatitis signs

The disease is accompanied by a complex of violations, which affects the work of the entire urinary system.Among the main symptoms:

uncontrolled urination;
discomfort, pain in the emptying of the bladder;
Power disorder in reproductive men;
Perineum pain with a long living room in sitting position;
frequent and strong urination;
difficulties in the devastation of the bladder;
decrease in libido and the appearance of problems with an erection;
violation of the reproductive function (infertility);
A feeling of incomplete devastation of the bladder after going to the bathroom;
The impossibility of reaching a high quality and persistent erection even with serious excitement.

Signs of acute prostatitis

The symptoms of the disease in acute form and the general clinical picture differ according to the stage of the pathological process:

Catarrh.The patient complains of rapid impulse, pain during urination, pain in the perineum and sacred.
Folicular.Pain syndrome becomes intense, it can give in to the anus and intensify in the defecation process.The urine is released with a thin flow.In some cases, its delay occurs.There is an increase in body temperature up to 38 degrees for a long period (subfibrilitis) or moderate hyperterteria.
Parenchymal.Man begins the general intoxication of the body with chills and temperature up to 38-40 ° C. Pain syndrome in perineum becomes acute and pulsating.The defecation act is difficult and the normal emptying of the bladder is impossible, due to which there is an acute delay in urination (dysuria).

Symptoms of chronic prostatitis

The chronic form of prostate inflammation can be a consequence of the absence or premature treatment of the acute stage.However, in many men it develops immediately and is characterized by "fattened" symptoms.Among the main features are noted:

subfebral temperature (occasionally);
weak pain in the perineum;
discomfort during urination;
Drawing scars from the urogenital canal during defecation.

In general, the clinical picture changes over time, differs in intensity in different patients and can go to a hidden form when attempting to cars -marization.The symptoms of chronic disorder can be a feeling of combustion in the urethra, pressure in the perineum, dysuria, compromised sexual functionality and increase in general fatigue.Against the background of the problems with power, mental depression stands, irritability and anxiety.The fear of impotence leads to the development of complexes, but at the same time, most men are inclined to postpone an appeal to a urologist due to a sense of shame.

Chronic primary prostatitis develops for a long period.Blood stagnation in the capillaries (prostatosis) causes the initial stage of non -bacterial inflammation, which leads to the appearance of the disease.

With infectious etiology, the cause of the disease is a chronic inflammatory process against the background of the infection from Tricomonas, Ureaplasma, Clamidia or Gonococcus.Signs of prostatitis from primary infection masks and its treatment does not eliminate the inflammation of the prostate.Often the adhesion of the concomitant problem remains unspecious for a man.

We consider in detail the three main symptoms of chronic prostatitis:

Urination disorder (dysuria).Inflammation increases the volume of the prostate gland, which leads to the compression of the ureter.With a decrease in its light, frequent impulses to urination and a feeling of bladder not completely devastated appear.Dizuric disorders in many men occur in the early stages of prostatitis.The compensatory mechanism during this period occurs in the hypertrophy of the muscles of the bladder and ureters, which reduces the symptoms of dysuria, but with the development of inflammation they grow again.
Pain syndrome.There are no pain receptors in prostate tissues.Pain occurs when the inflammatory process is widespread to other pelvic organs and their nerve paths.The sensations vary from weak and painful to very intense, which interfere with night rest.Strengthening discomfort occurs during ejaculation, sexual abstinence or excessive sexual activity.The pain is given to the horse, the sacred, the scrotum and sometimes in the lumbar area.
Violation of power.The lack of treatment in the early stages of prostatitis can lead to disputes, when a man has frequent night erections, a deterioration of the quality of orgasm and accelerated ejaculation.In different patients, these signs appear with different intensity.Premature ejaculation occurs due to a decrease in the excitement threshold of the organic center.At the same time, the patient observes pain, which leads to the development of pain expectations and the gradual refusal of sexual activity.In the absence of a complete treatment with the study of the mental factor of the disorder, sexual disorders are increasingly exacerbated.Ignore the need to seek medical assistance with prostatitis often ends with helplessness.

The degree of sexual disorder varies according to the individual factors.Some men are so afraid of erectile dysfunction that their violations occur rather due to objective physiological suggestions and non -physiological factors.In particular, psychogenic display is observed precisely with an increase in anxiety and obsessive complexes.The same thought of possible male health disorders is difficult to tolerate such patients.This is reflected a lot in their character and communications with others.Irritability, hypochondria, grudge and depressive state appear.

Complications with prostatitis

The absence of adequate treatment with prostate inflammation leads to related diseases.The fact is that the prostate gland is closely connected to other organs of the male parental system.It is located around the neck of the bladder and the urinary channel.Therefore, with an increase in the prostate, the urethra is crushed and a violation of the normal outflow of urine.Given the characteristics of physiology, with a premature treatment of acute or chronic prostatitis, a series of pathologies and serious complications occur.

Diagnosis of prostatitis

Many urological problems have similar signs, so the specialist works separately with each clinical case and uses all the diagnostic tools available.The urologist's consultation always begins with a survey for symptoms, collecting the anamnesis and general inspection.Then the doctor prescribes a series of studies, whose results are diagnosed and adequate treatment are selected.As a rule, the survey complex includes:

Examination of the rectal finger of the prostate to determine the size, the structure of the prostate gland and the level of compression of the urethra;
Ultrasound of the urinary system (prostate, bladder, kidneys);
Urine laboratory analysis, the secret of the prostate, ejaculate;
tests for urogenital infections;
Urodynamic study.

To ensure accurate diagnosis of prostatitis in men and related disorders, it is necessary to refrain from urination within 2-3 hours before taking the urologist.Otherwise, the test results may not be completely correct, since when the bladder empties, the pathogenic microflora occurs.In accordance with the characteristics of the clinical picture, the method of conducting ultrasound is selected: transrettable or abdominal (through the abdominal wall).After determining the cause and stage of the disease, the development of a therapeutic strategy is performed.

Prostatitis treatment methods

Main therapy is the intake of antibiotics.The use of modern pharmacological developments gives a high result, although it is impossible to completely eliminate the risk of recurrence.The doctor prescribes an antibacterial drug after an urine Bakipsev and/or the secret of the prostate for the type of pathogen.If acute prostatitis is diagnosed, oral antibiotic therapy takes about 4-6 weeks.In a chronic or recurring form of the disease, the treatment will take more time (in accordance with the characteristics of the clinical picture).In serious cases (normally, with acute bacterial prostatitis), hospitalization and antibiotic course intravenously are required.

With the urination of difficulty, the urologist prescribes drugs that relieve the hypertonicity of the bladder muscles and the prostate gland, which normalizes the outflow of urine and prevents stagnation.Some patients undergo drug therapy that reduce the level of sex hormones.Consequently, there is a decrease in the size of the prostate and, consequently, a sense of discomfort during urination, defecation and ejaculation.With severe edema of the prostate gland, muscle relaxants help that relieve the overload of the sphincter of the bladder and adjacent muscles.Anti -storidal anti -inflammatory drugs are actually fighting with pain syndrome.In addition, chronic prostatitis reacts well to auxiliary physiotherapy.Effective methods of this treatment are:

Instillation of drugs in the urethra;
prostate massage;
shock wave therapy (UVT);
magnetic laser therapy (MLT);
electrophoresis;
Ozone therapy;
Laser irradiation intravenously of blood (Vlok);
Ultraviolet of blood irradiation (Ufok).

Prostate massage is a urological technique frequently used.The doctor uses the method of stimulating the fingers of the prostate through the rectum to improve the outflow of secretion and restore the patency of the organic conducts.A further effect is an improvement in blood circulation and an accelerated penetration of antibiotics in inflamed tissues.In addition to the massage of the prostate fingers, hardware methods are also possible.The results of the eyes in the treatment of prostatitis are shown by the therapy of shock waves.The basis of this medical technology is the short -term effect of low -frequency sound waves on an inflamed area.The procedure helps:

Activate local blood circulation and the growth of new vessels;
stimulate your body's regenerative skills;
Destroy fibrous outbreaks and calculations that cause pain and inflammatory processes.

After the course of the UVT, the symptoms of prostatitis and a good preventive effect are observed.A pronounced result can only be obtained with an integrated approach to the problem.In addition, the patient's responsible attitude towards medical appointments is important.

For their part, the urologists of the clinic provide the preparation of an individual treatment system, taking into account the cause, form, stage of the disease, general health and the presence of concomitant pathologies.

Prostatitis prevention

To minimize the risk of recurrence, it is necessary to reduce the negative effects on the body.Among the provocative factors there are:

Smoke.The anatomical characteristics of the arrangement of the prostate gland lead to constant hunger for oxygen and the inhalation of tobacco smoke causes a vascular spasm, which slows down even more the local microcirculation processes.All experienced smokers are characterized by the problem of increasing blood pressure.
The lack of motor activity.The "sedentary" work and a sedentary lifestyle lead to stagnant phenomena in the pelvic organs.
Alcohol abuse.The overcoming of the daily alcohol rule affects health as a whole and makes the body more vulnerable to various infectious injuries.
States stress.It is necessary to avoid situations that lead to maximum anxiety, irritation, depressive disorders.If necessary, contact a profile specialist.
Hypothermia.The effect of the low temperature reduces immunity, which makes the body "open" to colds and inflammation.
Overload, excessive physical activity.We should not forget the work regime and rest, as well as the lifting of heavy gravity.

The preventive measures will help prevent the development of acute prostatitis and the relapse of the chronic.On issues of diagnosis and treatment of the inflammation of the prostate, it is always possible to contact the urological department of our clinic.