Prostatitis in men

28 July 2025

Prostatitis is an inflammatory process that affects the tissue of the prostate.This is one of the most common diseases in the practice of a urologist.The disease is mainly diagnosed in men aged 25 and 30, but at older age the risk of pathology is significantly increased.

The shape distinguishes acute and chronic prostatitis.In the latter case, inflammation is characterized by a long course with regular relapses.This condition is much more common compared to acute.

The causes of prostatitis

Many diseases of the prostate gland, for example benign hyperplasia or oncopathology, are problems of the older age group.However, prostatitis does not belong to this category.His symptoms usually occur in men between the ages of 30 and 50.In most cases, the cause is infectious lesion due to the penetration of the pathogenic flora from the urogenital canal or the glands of the genitarian system.This is explained by the proximity of the place of the urethra and the anus.

Gramm -negative organisms should be observed in one of the most common pathogens of bacterial (infectious) prostatitis: pseudo months, intestinal stock, serration, enterobacter and pro.The inflammatory process often develops against the background of the IPP infection: chlamydia, gonococci, trichomonas, herpes virus etc. are usually diagnosed with such forms of disease in men under 35 years.Cases of the treatment of pathology against the background of the mycobacteria of tuberculosis are extremely rare.

Nebbacterial prostate pens are also differentiated.To their main reasons:

increased pressure in the prostate;
Autoimmune diseases (destruction of prostate cells by antibodies);
Muscle pain syndrome in the pelvic region;
Psychoemotional disorders;
Lack of motor activity;
Excessive physical stress.

Main signs of prostatitis

The disease is accompanied by a complex of violations that influences the work of the entire urine system.Among the main symptoms:

uncontrolled urination;
Complaints, pain in emptying the bladder;
Potency disorder in men of reproductive age;
Pain in the perineum with a long stay in a seated position;
frequent and strong urination;
Difficulties in devastating the bladder;
Acceptance of libido and the occurrence of problems with an erection;
Violation of reproductive function (infertility);
A feeling of incomplete devastation of the bladder after going to the toilet;
The impossibility of achieving 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 image differ depending on the stage of the pathological process:

Catarrhal.The patient complains about a quick urge, pain when urinating, pain in the perineum and sacrum.
Folicular.Pain syndrome becomes intense, can add the anus to the anus and intensify in the process of defecation.The urine is released with a thin stream.In some cases, his delay occurs.The body temperature increases up to 38 degrees for a long period of time (subfebrilit) or moderate hyperthermia.
Parenchymal.The man begins the general poisoning of the body with chills and temperature of up to 38 to 40 ° C. Pain syndrome in the perineum becomes sharp and pulsating.The act of defecation is difficult and the normal emptying of the bladder is impossible, which is why there is an acute delay in urination (dysuria).

Symptoms of chronic prostatitis

The chronic form of inflammation of the prostate can be a result of the absence or the early treatment of the acute stage.However, it develops immediately for many men and is characterized by “greased” symptoms.The main features include:

Subfebrilt temperature (occasionally);
weak pain in the perineum;
Disappearance when urinating;
Scar discharge from the urogenital channel during defecation.

In general, the clinical image differs over time in the intensity of different patients and can go into a hidden form when trying to do it.The symptoms of a chronic disorder can be a burning feeling in the urethra, pressure in the perineum, dysuria, impairment of sexual function and increased general fatigue.Against the background of problems with potency, mental depression, irritability and fear arise.The fear of impotence leads to the development of complex, but at the same time most men tend to shift a urologist due to a shame.

Primary chronic prostatitis develops for a long period of time.The blood stagnation in the capillaries (prostatosis) provokes the initial stage of non -bacterial inflammation, which leads to the occurrence of the disease.

In infectious etiology, the cause of the disease is a chronic inflammatory process against the background of infection with trichomonas, urea, chlamydia or gonococci.Primary infection masks signs of prostatitis, and their treatment does not remove inflammation of the prostate.Often the accession of the simultaneous problem for a man remains inconspicuous.

Let us consider the three main symptoms of chronic prostatitis in detail:

Urine disorder (dysuria).Inflammation increases the volume of the prostate gland, which leads to the compression of the ureter.With a decrease in his lumen, a frequent urge to urinate and a feeling of the bladder that is not completely destroyed occurs.In many men, many men appear in the early stages of prostatitis.The compensatory mechanism during this time is evident in the hypertrophy of the muscles of the bladder and ureter, which reduces the symptoms of dysuria, but grow again with the development of inflammation.
Pain syndrome.There are no pain receptors in prostate substances.Pain occurs when the inflammatory process spreads to other pelvic organs and its nervous paths.The sensations vary from the weak and pain to very intense, which bothers the night's sleep.Strengthening the symptoms occurs during ejaculation, sexual abstinence or excessive sexual activity.The step, the sacrum, the scrotum and sometimes into the lumbar zone is given pain.
Violation of potency.The lack of treatment in the early stages of prostatitis can lead to dispute if a man has frequent night elections, a deterioration in the quality of orgasm and accelerated ejaculation.In different patients, these signs of different intensity occur.Early ejaculation takes place due to a decrease in the excitement of the organic center.At the same time, the patient determines pain, which leads to the development of pain expectancy and gradually rejection of sexual activity.In the absence of comprehensive treatment with the examination of the mental factor of the disorder, sexual disorders are increasingly tightened.Ignoring the need to seek medical help in prostatitis often ends with impotence.

The degree of sexual disorder varies depending on the individual factors.Some men are afraid of erectile dysfunction that their violations are more likely to occur due to proposals and not objective physiological factors.In particular, the psychogenic representation is observed exactly with increased anxiety and obsessive complex.The idea of possible male health diseases is difficult to tolerate.This is strongly reflected in their character and communication with others.Timmondness, hypochondria, resentment and depressed condition appear.

Complications with prostatitis

The lack of adequate treatment with inflammation of the prostate leads to related diseases.The fact is that the prostate gland is closely connected to other organs of the male genitarian system.It is located on the neck of the bladder and the urea canal.Therefore, the urethra is pressed with an increase in the prostate and a violation of the normal urine outflow.In view of the characteristics of physiology, a number of serious pathologies and complications occur in the early treatment of acute or chronic prostatitis.

Diagnosis of prostatitis

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

Rectal finger examination of the prostate to determine the size, structure of the prostate and the level of compression of the urethra;
Ultrasound of the urea system (prostate, bladder, kidneys);
Laboratory analyzes from urine, the secret of the prostate, ejaculated;
Tests on urogenital infections;
Urodynamic study.

In order to ensure precise diagnosis of prostatitis in men and related disorders, you no longer have to refrain from urinating urine within 2-3 hours before taking the urologist.Otherwise, the results of the tests may not be completely correct, since a pathogenic microflora occurs when the bladder is emptied.In accordance with the characteristics of the clinical image, the method for carrying out ultrasound is selected: Transrectal or abdominal (by the abdominal wall).After determining the cause and the stage of the disease, the development of a therapeutic strategy is carried out.

Treatment methods for prostatitis

The main therapy is the absorption of antibiotics.The use of modern pharmacological developments provides a high result, although it is impossible to completely eliminate the risk of relapse.The doctor prescribes an antibacterial medicine after a Bakposevurin 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, treatment takes more time (according to the characteristics of the clinical image).In severe cases (usually with acute bacterial prostatitis), hospital stays and intravenous antibiotics are required.

The urologist prescribes medicinal products with difficulty reasons, which normalizes the hypertension of the muscles of the bladder and the prostate, which normalizes the drainage of urine and prevents stagnation.Some patients undergo medication that reduces the degree of sex hormones.As a result, the size of the prostate and accordingly decreases a feeling of symptoms during urination, defecation and ejaculation.Muscle relaxants help with severe edema of the prostate, which relieve the overpressure of the bladder of the bladder and the adjacent muscles.Anti -inflammatory non -steroidal drugs struggle effectively with pain syndrome.Chronic prostatitis also reacts well to auxiliary physiotherapy.Effective methods of this treatment are:

Integration of drugs in urethra;
Prostate massage;
Shock wave therapy (UVT);
Magnetic laser therapy (MLT);
Electrophoresis;
Ozone therapy;
Intravenous laser radiation of blood (VLOK);
Ultraviolet radiation of blood (UFOK).

The prostate massage is a frequently used urological technology.The doctor uses the method for finger stimulation of the prostate through the rectum to improve the drainage of secretion and to restore the continuousness of the canals of the organ.An additional effect is an improvement in blood circulation and an accelerated penetration of antibiotics in inflamed tissue.In addition to the finger massage of the prostate, hardware methods are also possible.Eye results for the treatment of prostatitis are shown by shock wave therapy.The basis of this medical technology is the short -term effect of sound waves with a low frequency on an inflamed area.The procedure helps:

Local blood circulation and the growth of new vessels activate;
Stimulate your own regenerative skills of the body;
Destroy fibrous herds and lime fire 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 achieved with an integrated approach for the problem.In addition, the patient's responsible attitude to medical dates is important.

Urologists from the clinic offer the production of an individual treatment system, taking into account the cause, form, stage of disease, general health and the presence of simultaneous pathologies.

Prevention of prostatitis

In order to minimize the risk of relapse, negative effects on the body must be reduced.The provocative factors include:

Smoke.The anatomical features of the arrangement of the prostate gland lead to constant lack of oxygen, and inhaling tobacco fragrances leads to vascular spasm, which slows down the local microcirculation processes even more.All smokers with experience are characterized by the problem of increased blood pressure.
The lack of motor activity.The "sitting" work and a sitting lifestyle lead to stagnant phenomena in the pelvic organs.
Alcohol abuse.Exceeding the daily alcohol standard influences health as a whole and makes the body more susceptible to various infectious lesions.
Stresses.It is necessary to avoid situations that lead to anxiety, irritation and depressed disorders to the maximum.If necessary, contact a profile specialist.
Settlement.The effect of low temperature reduces immunity, which makes the body "open" to colds and inflammation.
Review, excessive physical activity.We should not forget the regime of work and calm and increase the heavy severity.

Preventive measures will help prevent the development of acute prostatitis and chronic relapse.With regard to the diagnosis and treatment of inflammation of the prostate, you can always contact the urological department of our clinic.