Prostatitis in men

28 July 2025

Prostatitis is an inflammatory process that affects the tissue 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 aged 25 to 30, but, at an advanced age, the risk of pathology increases significantly.

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

The causes of prostatitis

Many prostate gland diseases, for example, benign hyperplasia or oncopathology, are problems of the older age group.However, prostatitis does not belong to this category.Its symptoms, as a rule, appear in men aged 30 to 50 years.Most of the time, the cause is the infectious lesion due to the penetration of the pathogenic flora of the urogenital canal or the glands of the genitourinary 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 -negative organisms should be observed: pseudo -monadras, intestinal staff, saw, Enterobacter and Pro. The inflammatory process develops against the antecedents of IPP infection: chlamydia, gonococci, trichomonas, herpes virus, etc.Rule, these forms of the disease are diagnosed in men under 35 years.Cases of treatment of pathology against the tuberculosis mycobacteria fund are extremely rare.

Nebacterial varieties of prostatitis are also distinguished.Among its main reasons:

Increased pressure in the prostate gland;
Autoimmune disorders (destruction of prostate cells by antibodies);
Muscle pain syndrome in the pelvic region;
psycho -emotional disorders;
motor activity deficiency;
Excessive physical stress.

Primary signs of prostatitis

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

untt controlled urination;
discomfort, pain in bladder emptying;
Power disorder in men of reproductive age;
Perineum pain with a long stay in a sitting position;
frequent and strong urination;
Difficulties in bladder devastation;
decreased libido and the appearance of problems with an erection;
breach of reproductive function (infertility);
a feeling of incomplete devastation of the bladder after going to the bathroom;
The impossibility of achieving a high quality and persistent erection, even with severe excitement.

Signs of acute prostatitis

The symptoms of acute disease and general clinical image differ depending on the stage of the pathological process:

Qatarhal.The patient complains of good desire, pain during urination, perineum and sacred pain.
Follow.Pain syndrome becomes intense, 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 of up to 38 degrees for a long period (subfebrililitarian) or moderate hyperthermia.
Parenchimate.Man begins general body poisoning with chills and temperature up to 38-40 ° C. Perineum pain syndrome becomes clear and pulsating.Defacial act is difficult and normal bladder emptying is impossible as a result of which there is an acute delay in urination (dysuria).

Symptoms of chronic prostatitis

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

Subebril temperature (occasionally);
weak pain in the perineum;
discomfort during urination;
Urogenital channel scars discharge during defecation.

In general, the clinical picture changes over time, differs in intensity in different patients and can enter a hidden form when attempted self -medication.Symptoms of chronic disorder may be a burning sensation in the urethra, perineum pressure, dysuria, impaired sexual function and increased general fatigue.In the context of problems with power, mental depression, irritability and anxiety arises.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 because of a sense of shame.

Primary chronic prostatitis develops for a long time.Stagnation in the blood in the capillaries (prostatosis) causes the early 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 bottom of Trichomonas, urea, chlamydia or gonococcus infection.Primary infection masks signs of prostatitis and its treatment does not eliminate inflammation of the prostate.Often the adherence of the concomitant problem remains imperceptible to a man.

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

Urination disorder (disuriance).Inflammation increases the volume of the prostate gland, which leads to compression of the ureter.With a decrease in lumen, the frequent desire for urination and an unbeaten bladder sensation appears.The disorders say to many men occur in the early stages of prostatitis.The compensatory mechanism during this period manifests itself in bladder and ureter muscles hypertrophy, 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 spreads to other pelvic organs and their nerve paths.The sensations vary from weak and painful to very intense, which interfere with the night rest.Strengthening discomfort occurs during ejaculation, sexual abstinence or excessive sexual activity.The pain is given to the groin, sacred, scrotum and sometimes to the lower back.
Violation of power.Lack of treatment in the early stages of prostatitis can lead to dispute when a man has frequent night erections, a deterioration in 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 organic center excitement threshold.At the same time, the patient observes pain, which leads to the development of the expectation of pain and a gradual rejection of sexual activity.In the absence of comprehensive treatment with the study of the mental factor of the disorder, sexual disorders are increasingly exacerbated.Ignoring the need to seek medical help with prostatitis usually ends with impotence.

The degree of sexual disorder varies depending on individual factors.Some men are so afraid of erectile dysfunction that their violations occur greatly due to the suggestion, not objective physiological factors.In particular, psychogenic display is accurately observed with greater anxiety and complex obsessive.The very thought of possible male health disorders is difficult to tolerate these patients.This is very reflected in their character and communication with others.Irritability, hypochondria, grudge and depressive state appear.

Complications with prostatitis

The absence of proper treatment with prostate inflammation leads to related diseases.The fact is that the prostate gland is closely linked to other organs of the male genitourinary system.It is located around the bladder neck and urinary canal.Therefore, with an increase in the prostate, the urethra is squeezed and a violation of normal urine output.Given the characteristics of physiology, with premature treatment of acute or chronic prostatitis, various pathologies and serious complications occur.

Prostatitis diagnosis

Many urological problems have similar signs;Therefore, the expert works separately with each clinical case and uses all available diagnostic tools.Urologist consultation always starts with research for symptoms, anamnesis collection and general inspection.Then the doctor prescribes several studies whose results are diagnosed and proper treatment is selected.As a rule, the research complex includes:

Retal examination of the prostate fingers to determine the size, the structure of the prostate gland and the compression level of the urethra;
Ultrasound of the urinary system (prostate, bladder, kidneys);
Laboratory analysis of urine, the secret of the prostate, ejacular;
Tests for urogenital infections;
Urodynamic study.

To ensure precise diagnosis of prostatitis in men and related disorders, you need to refrain from urination within 2-3 hours before taking the urologist.Otherwise, test results may not be completely correct, because when the bladder is emptying, pathogenic microflora occurs.According to the characteristics of the clinical image, the ultrasound conduction method is selected: transreal 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

The main therapy is the ingestion 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 urine and/or the prostate secret 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 will take longer (according to the characteristics of the clinical picture).In severe cases (as a rule, with acute bacterial prostatitis), hospitalization and intravenous antibiotics course are required.

With difficulty in urination, the urologist prescribes medications that relieve the hypertonization of the bladder and prostate muscles, which normalizes the exit of the urine and prevents its stagnation.Some patients undergo drug therapy that reduce the level of sex hormones.As a result, there is a decrease in prostate size and therefore a sense of discomfort during urination, defecation and ejaculation.With severe prostate gland edema, muscle relaxants help that relieve bladder sphincter overload and adjacent muscles.Non -anti -inflammatory drugs are effectively struggling with pain syndrome.In addition, chronic prostatitis reacts well to auxiliary physiotherapy.Effective methods of this treatment are:

Drug instillation in the urethra;
prostate massage;
Shock wave therapy (UVT);
laser magnetic therapy (MLT);
electrophoresis;
Ozone therapy;
Irradiation to intravenous blood laser (VLOK);
Ultraviolet Irradiation of Blood (UFOK).

Prostate massage is a frequently used urological technique.The doctor uses the prostate fingertips method through the rectum to improve the exit of secretion and restore the forgness of the organ ducts.An additional effect is an improvement in blood circulation and accelerated antibiotic penetration in inflamed tissues.In addition to the massage of the prostate fingers, hardware methods are also possible.Eye results in the treatment of prostatitis are shown by shockwave therapy.The basis of this medical technology is the short -term effect of low frequency sound waves in an inflamed area.The procedure helps:

activate local blood circulation and the growth of new vessels;
stimulate your own regenerative body skills;
Destroy fibrous outbreaks and calcifiers that cause inflammatory and pain processes.

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

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

Prostatitis prevention

To minimize the risk of relapse, it is necessary to reduce the negative effects on the body.Instigating factors include:

Smoking.The anatomical characteristics of the prostate gland arrangement lead to constant oxygen hunger and tobacco smoke inhalation further causes vascular spasm, which further decreases local microcirculation processes.All smokers with experience are characterized by the problem of increased blood pressure.
The deficiency of motor activity.The "sedentary" work and a sedentary lifestyle lead to stagnant phenomena in the pelvic organs.
Alcohol abuse.Exceeding the daily standard of alcohol affects health as a whole and makes the body more vulnerable to various infectious lesions.
Stress states.It is necessary to avoid situations that lead to anxiety, irritation and depressive disorders to the maximum.If necessary, contact a profile specialist.
Hypothermia.The effect of low temperature reduces immunity, which makes the body "open" to colds and inflammation.
Over work, excessive physical activity.We should not forget the regime of work and rest, and raise heavy severity.

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