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Treatment, symptoms and classification of bacterial prostatitis

Prostatitis – is an inflammatory process in the prostate tissue. He wears an infectious or physiological


Clinical manifestation of prostatitis can be called painful and problematic urinating, which subsequently leads to retention of urine for a day or more. If time does not respond and no action is taken, the disease can develop in no time.

The prostate produces a secret part of the seminal fluid, which breed pathogens, such as chlamydia and Ureaplasma. Worsens the condition of the disease the anatomical structure of the prostate, as through it pass only small blood vessels, so blood flow is much lower than in other organs.

Due to the fact that filtering happens slowly in the gland are accumulated waste products of microbes, resulting in the stagnant processes in tissues.


The most common reasons that cause inflammation of the prostate, are as follows:


Pathogenic bacteria most often cause of acute prostatitis.

If time does not begin treatment, it can lead to impotence.


This constant nervous tension, poor sleep, fatigue, reduced immunity lead to the development of prostatitis.

A sedentary lifestyle

If the man moves a little, he has a sedentary job, he's not involved in sports and active rest, it blood circulation in the pelvic organs and the prostate, which ultimately leads to prostatitis.


Any hypothermia scary for men, as this can develop prostatitis.

Lack of sexual life

If a male following a normal sexual life all of a sudden stopped having sex, it may cause congestive processes in the prostate tissue.

The blood circulates through the small vessels, resulting in disturbed nutrition of the cells, which leads to the development of the inflammatory process.

Classification of prostatitis

Prostatitis klassificeret according to the criteria of the Institute of Health USA:

  • Bacterial prostatitis: acute and chronic,
  • Non-bacterial prostatitis: chronic inflammatory and non-inflammatory prostatitis;
  • Assymptotically chronic prostatitis.

The acute form of the disease

This type of prostatitis develops as a result of the fact that in the prostate penetrate various kinds of microorganisms.

Most often, prostatitis cause the following bacteria:

  • E. coli,
  • Pseudomonas aeruginosa,
  • Klebsiella,
  • GoldenStaphylococcus aureus,
  • Enterococcus,
  • Proteus,
  • Enterobacter.

This opportunistic bacteria that are part of the normal intestinal and skin flora.

When the body decrease the protective properties, and there are predisposing factors, these microorganisms can cause acute prostatitis, although it is much rarer of chronic. With timely and proper therapy, the patient is cured completely.


The main symptom of acute prostatitis is a General intoxication, when the patient has fever and chilly. Also experiencing pain in the groin and the perineum, urination and defecation become painful.

There are frequent urination, the urine comes out in small portions and left feeling not completely empty the bladder.


Diagnosis is not difficult, it is based on clinical picture and data inspection. It is necessary to conduct a digital rectal examination of the prostate. In acute prostatitis, the procedure will be painful, as the prostate is swollen.

Needs to have a urine test that will detect elevated levels of white blood cells and total blood test that will show leukocytosis and elevated ESR.


Treatment of acute prostatitis, based on antibacterial and anti-inflammatory therapies. The ultrasound can determine the status of the prostate.

If the patient showed signs of severe intoxication, acute prostatitis requires hospitalization. Treatment of acute prostatitis is possible without complications in an outpatient setting.


Acute prostatitis can give some complications. For example:

  • to become chronic,
  • to develop abscess of the prostate,
  • to cause the formation of fistulas.

Chronic type of disease

The emergence and development of chronic bacterial prostatitis are the most frequent cause of opportunistic microorganisms.

There are several factors that predispose to the development of chronic prostatitis:

  • Heredity,
  • Hypothermia,
  • Untimely urination,
  • Irregular sexual life,
  • A sedentary lifestyle,
  • Diseases of the genitourinary system,
  • Sexually transmitted diseases.


Chronic bacterial type of prostatitis often develops imperceptibly, very often have no symptoms for several years. Inflammatory process that escalates, it calms down.

The main symptoms include the following:

  • frequent urination in small portions,
  • aching pain in the suprapubic region, groin, perineum and scrotum,
  • disorder sexualfunction.


For the diagnosis of chronic prostatitis is carried out microscopy of prostate secretion to detect elevated levels of white blood cells.

Also in order to identify the pathogen and sensitivity to antibiotics, conducted bacteriological examination. During an exacerbation can increase the PSA level. Ultrasound will help to detect in the prostate areas of fibrosis and calcification.


Chronic type of prostatitis is treated with antibiotics for at least 4 -8 weeks. Comprehensive treatment consists of antibacterial, anti-inflammatory and immune-boosting therapies. In order to decrease the tonus of the gland prescribed alpha blockers. If the patient has been stagnation, and there are no contraindications, he can prescribe a course of massage of the prostate gland.

Also in the treatment of this disease using physiotherapy techniques such as electromyostimulation, microwave thermotherapy of the prostate. Can also assign laser therapy, ozone therapy, or magnetic therapy, which are very effective.


The first symptoms of prostatitis can be called some pain in suprapubic area and in the groin area and the area of the perineum. Also one of the symptoms of the inflammatory process is the decrease of libido.

Sometimes it comes down to the fact that men in General lost any desire for the opposite sex. At the beginning of urination appear cutting painful sensations, and in the end felt an unpleasant burning sensation.

If the inflammation is of infectious nature, of the urethral canal appear weak clear or whitish discharge. Problems with ejaculation: or too fast, or Vice versa, prolonged process. Significantly reduced sperm count, reduced sense of feeling penis. The manifestation of any of these symptoms, you should urgently consult a doctor.


  • The use of physiotherapy. You can apply any effect that improves micro-circulation, action of drugs and that helps to improve blood flow in the prostate gland. The choice of therapy for each patient should be individualized.
  • Treat prostate complex methods. Depending on the type of disease, its causes and the susceptibility of the organism, a physician prescribes personalized treatment for each patient.

    The most common procedures in the treatment of prostatitis are considered electrical stimulation, laser therapy, magnetotherapy, TOUR, finger prostate massage, pneumomassage, vacuum urethral stimulation.

    In addition to non-drug therapy the patient is prescribed a course of antibiotics, anti-inflammatory, restorative drugs. Besides, during the treatment the patient is prescribed a special diet, light weight routine and therapeutic physical exercises.

    The treatment will last at least 2-3 months, and in some cases six months. But, even after recovery, the patient can remain some of the symptoms. To avoid this, it is necessary to take preventive measures to ensure that did not develop prostatitis.

    Principles of treatment

    The choice of antibiotics depends on the sensitivity of microbes and pharmacokinetics of drugs. Antimicrobial treatment depends on the sensitivity of microorganisms and the concentration of a certain antibiotic, which is achieved in the prostate gland and is comparable to the smallest inhibitory concentration, which is obtained "in vitro".

    It should be noted that the actual number of microorganisms may be very different from laboratory conditions, and the environment in the prostate are usually more alkaline.

    In addition to the accumulation of antibiotic in a particular tissue results in jirorastvorimogo, the dependence on acidity, the size of the molecule.In the treatment of chronic prostatitis course of antibiotics will be long.

    The best European experts say that antibacterial treatment cycle should not be less than 2-4 weeks. If after this period the patient has not observed improvements, it is necessary to analyze and assign a different treatment. If seen clear improvement, treatment should be extended for the same period.

    The result is a couple of months of continuous antibiotics.However, bacteria are destroyed in secret after the 2-3 week treatment. Therefore, the physician individually for each patient chooses a course of antibiotics and duration of their admission.

    In the complex treatment of patients with bacterial prostatitis you need to apply alpha-adrenergic blockers. Also very promisingis combined with the appointment of alfuzosin with antibacterial drugs.

    Fluoroquinolones in the treatment of bacterial prostatitis

    Today for the treatment of prostatitis most commonly prescribed fluoroquinolones, as they have a wide range of activity, thereby helping to destroy virtually all pathogens of bacterial prostatitis. Thanks to the active physical-chemical properties of fluoroquinolones penetrate well into the fabric, the secret of the secret of the prostate and seminal vesicles.

    In addition, they are zwitterionic ions, and do not depend on the acidity, therefore, can retain their activity in acidic and alkaline medium. But in alkaline environment and their activity increases even more. According to the clinical results of the use of fluoroquinolones, these drugs were the most popular in the treatment of bacterial prostatitis.


    For prevention of prostatitis a man to lead a regular sexual life with the constant partner. Casual sex with strange women can lead to infection of various diseases.

    To avoid inflammation of the prostate gland and help active lifestyle. Need to move a lot, exercise, be given to walking about 2-3 hours a day. To ensure not to be supercooled. To dress in the cold season warmth to feet dry and warm, not freezing.

    Of great importance is nutrition. To avoid the development of inflammatory processes in the prostate, do not eat a lot of spicy, sour and salty dishes, as well as to forget about alcohol and cigarettes.

    Men older than 35 years at least once a year to undergo a medical examination at the urologist. Remember, if you detect the prostate in the early stages, it can be cured quickly and painlessly.