Treatment of prostatitis

Prostatitis is inflammation of the Prostate, resulting in, among other symptoms to frequent urination with frequent urging; burning, pain when urinating (dysuria); pain in the lower back and genital area. Prostatitis can be acute or chronic. Acute prostatitis is usually caused by gram-negative bacteria, easily recognized and treated with antibiotics. But, This common form of prostatitis, as chronic abacterial prostatitis is diagnosed is not easy and is not associated with any known infectious lesions of the body. Therefore, in the treatment of nebakterial′nyh forms of prostatitis, antibiotics are often ineffective. Chronic prostatitis is observed in 35% men, older 50 years.

The Reasons For

  • Bacterial infections.
  • Sexually transmitted diseases.
  • Unprotected sexual intercourse.
  • Obstacles at the outlet of the urinary bladder (tumor, stones, etc.).

The Reason 80% cases of bacterial prostatitis-infection of e. coli, the rest are from infections, caused by bacteria Klebsiella, Enterobacter, Proteus,Pseudomonas, Streptococcusor Staphylococcus. Prostate-juice is an excellent breeding ground for bacterial growth, and lining the sinuses cells is an excellent substrate for intracellular sexual infections. The bacteria get into the the prostate through the blood, the infected lymph from the urethra (the urethra) or an infected bladder. This is due to the anatomic structure of the prostate and its feature of blood supply: prostate does not have its own main blood vessels, It is supplied with blood from 8-9 small blood vessels, respectively, poor blood circulation is the basis of development of infection and formation of stagnant phenomena in the tissues of the prostate. Rare or excessive sexual intercourse, catheterization or cystoscopy can cause disease.

Signs and symptoms

Acute prostatitis starts with temperature, chill, lower back pain, Myalgia (muscle pain), feeling uncomfortable, swelling and excessive heat in the perineum, joint pain. Frequent urination with frequent urges. Turbidity in urine. Touch the perineum becomes painful.

Chronic bacterial prostatitis sometimes no symptoms, but can cause symptoms of urinary tract infections (IMP), which are the common complication for this disease. Other possible signs and symptoms include: painful ejaculation, gemospermiû (blood in the semen), persistent urethral discharge, sexual dysfunction, IMP.

A list of common symptoms of prostatitis:

  • prostate enlargement;
  • painful sensations (When the prostheses or pressure);
  • dysuria (urination disorders);
  • učaŝënnye urination;
  • painful ejaculation;
  • lower back pain;
  • perineal pain;
  • muscle pain.

Symptoms of acute bacterial prostatitis:

  • chills;
  • fever;
  • pain in the lower back;
  • pain in the genital area;
  • frequent urination;
  • frequent urge to urinate;
  • frequent night-time urination;
  • burning when urinating;
  • painful urination;
  • pain throughout the body;
  • urinary tract infection;
  • turbidity in urine;
  • blood in urine;
  • Abdominal pain;
  • joint pain;
  • muscle pain;
  • urethrorrhea.

Symptoms of Chronic prostatitis:

  • pain in the lower back;
  • pain between the scrotum and the anus;
  • fever;
  • symptoms of urinary tract infection;
  • cystitis;
  • recurrent cystitis.


Although urine culture, as a rule, helps to identify the cause of infection in the body, for the accuracy of the conclusions are compared in three samples of urine. Receive them:

  1. When the patient begins urinating (VB1);
  2. of urine midstream (VB2);
  3. After the cessation of urination doctor doing massage prostate, to get from the selection.

Increase in colonies of bacteria in the samples confirmed the prostatitis.

To avoid erroneous diagnosis, to exclude a number of diseases, the prostate is indicated as an alternative diagnosis:

  • appendicitis/acute appendicitis/chronic appendicitis;
  • benign prostatic hyperplasia;
  • Interstitial Cystitis;
  • kidney stones;
  • prostate cancer;
  • pyelonephritis;
  • incontinence of urine.

Against the background of serious chronic prostatitis remain, as a rule, undetected (undiagnosed). This can be:

  • high cholesterol;
  • heart disease;
  • cancer;
  • depression;
  • diabetes mellitus (1-th, 2-type);
  • гемохроматоз;
  • metabolic syndrome.


Appropriate treatment includes medication and supportive care. Surgery may be needed, If medical therapy fails.

Medical therapy

Systemic antibacterial therapy is used in acute prostatitis. Trimethoprim-sulfamethoxazole, fluoroquinolones, tetracycline and its derivatives are used most frequently. If the prostate is associated with sexually transmitted disease, use of ceftriaxone and doxycycline or ofloxacin.

Under the right circumstances, medication take from 48 hours before the 1 weeks, then another 30 days-maintenance therapy.

Supportive therapy

Includes bed rest, adequate hydration (drink, at least, 8 glasses of water a day), intake of analgesics, jaroponijath, sedentary baths, and soft seat on an as-needed basis. When secondary Chronic prostatitis regular massage prostate is the most effective. Regular ejaculation may promote drainage of prostate secretions. Anticholinergic drugs and analgesics can help alleviate the symptoms of abacterial prostatitis. Alpha-adrenoreceptor antagonists and muscle relaxants may help prostatodiniû-persistent chronic pain in the perineum and pelvis. Analgesics are to relieve bladder spasms.

Surgical interventions

If drug therapy fails, applies Transurethral resection Prostate -removal of all infected tissue. However, this operation is not usually done for young people, because it leads to a retrograde ejaculation and infertility.Prostatectomy (surgery to remove the prostate, the surrounding tissues, including the seminal vesicles) can lead to impotence and incontinence.

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050 396 36 55
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