Prostatitis in men

What kind of disease is prostatitis, and what first symptoms it causes, every man should know. Prostatitis is a common urological pathology in which inflammatory processes progress in the prostate gland. Basically, the disease is diagnosed in men over the age of 35 - 40 years. The predisposing factors contributing to the onset of the disease are reduced immunity, an inactive lifestyle, abuse of bad habits, unhealthy diet. The diagnosis and treatment of pathology is carried out by a doctor who is called a urologist. It is to him that you need to sign up for a consultation if you are worried about the characteristic symptoms. It is important for any man to remember that the earlier the disease is diagnosed and treatment is started, the more chances for a full recovery and recovery are. Lack of timely therapy threatens with serious consequences, up to male infertility and prostate cancer.

The essence of pathology

Inflammation of the prostate gland is called prostatitis. The prostate is a male organ that produces secretions that maintain normal sperm activity. In most cases, the disease is infectious in nature. Infection can occur through the urethra, blood or lymph flow, when the infection moves throughout the body from remote inflammatory foci. Microorganisms that can provoke an inflammatory complication:

  • colibacillus;
  • staphylococci;
  • enterococci;
  • proteas;
  • Klebsiella, etc.

All these microscopic organisms are conditionally pathogenic microflora, the active life of which is suppressed by the human immune system. But as soon as the immune system is weakened, under the influence of predisposing factors, the infection is activated, causing inflammation in the tissues of the gland.

inflammation of the prostate and pain with prostatitis

Depending on the nature of the course, such forms of prostatitis are distinguished:

  • sharp;
  • chronic.

Acute is characterized by pronounced symptoms, with timely treatment for medical help, it is successfully cured. The chronic type of pathology arises as a result of inadequate or untimely treatment of the acute form. The disease is characterized by recurrent infection, which is manifested by blurred symptoms. Chronic prostatitis cannot be completely cured, but correctly selected therapy and preventive measures help to prolong remission.


The key causes of prostatitis are decreased immunity, untreated urological and venereal infections. Inflammation often occurs against the background of a bacterial infection, which is latent when the immune system functions properly. But as soon as the immune system weakens, pathogens become active, causing inflammation of the prostate tissue.

What causes prostatitis:

  • Hypothermia. Hypothermia causes stress in the body, promotes vasospasm, circulatory disorders, and decreased immunity.
  • Inactive lifestyle. With a sedentary lifestyle, the blood supply to the pelvic organs worsens, which leads to stagnation and the development of inflammation in them.
  • Chronic constipation. Hardened feces, which linger for a long time in the intestines, put pressure on the gland, disrupting microcirculation. This creates favorable conditions for the life of the pathogenic microflora.
  • Injuries. Traumatic damage to the prostate contributes to a deterioration in blood flow and a decrease in local immunity.
  • Overweight. Overweight people move little, which is why blood circulation in the internal organs deteriorates. Stagnant processes lead to swelling and inflammation of the tissues of the prostate gland.
  • Violation of the rhythm of sexual activity. Prostatitis can cause both too active sex life and prolonged abstinence.
  • The presence of chronic pathologies. Any focus of chronic infection can potentially damage the prostate and can cause inflammation.
  • Conditions that contribute to the suppression of the immune system. The general condition of the body is negatively affected by chronic stress, overwork, regular lack of sleep, physical overload.

Types of prostatitis

Symptoms of prostatitis depend on its type and nature of the course. There are several types of the disease, each of which has its own characteristics.


The main cause of the occurrence is a bacterial infection that develops against the background of a weakened immune system. Bacterial prostatitis is:

  • spicy;
  • chronic.

In the acute course, pronounced prostatitis syndromes are disturbed:

  • a sharp rise in temperature;
  • violation of urination;
  • pain, discomfort in the perineum;
  • purulent, bloody inclusions in the urine;
  • deterioration in general health.

In a chronic course, the symptoms are blurred and manifest weakly. But in the event of a relapse, the symptoms resemble an acute process in intensity.


This type of pathology is mainly diagnosed in men over 55 years old. An inflammatory complication develops against the background of the formation of calculi in the tissues of the prostate. Most often, calculi are formed as a result of improper treatment of chronic prostatitis. Another common underlying cause is untreated urolithiasis.

Typical signs of calculous prostatitis:

  • violation of urination;
  • hematuria;
  • weakening of an erection.


It develops against the background of chronic prostatitis and is associated with a violation of microcirculation in the pelvic organs. Also, a stagnant form can manifest itself with a prolonged absence of sexual intercourse, which leads to stagnation of secretions in the gland.

Typical symptoms of congestive prostatitis:

  • problems with urination;
  • discomfort in the groin and testicles;
  • erectile dysfunction.


Purulent prostatitis develops against the background of an acute form of the disease, the treatment of which is incorrect or completely absent. Pathology is characterized by a significant increase in body temperature, impaired urination, the presence of purulent inclusions in the urine, acute pain in the groin and perineum. If treatment is not started immediately, there is a high likelihood of developing an abscess and blood poisoning, which can lead to the death of the patient.


Symptoms and treatment of prostatitis depend on the stage of its progression:

  • Catarrhal. At this stage, the patient complains of frequent urination, pain when going to the toilet, discomfort in the perineum during physical activity.
  • Follicular. The pain symptom becomes more pronounced, worries even at rest, can be given to the lower abdomen, lower back. The process of urination is disrupted, the liquid flows out in a thin stream, sometimes urinary retention occurs.
  • Parenchymal. The neglected stage, in which general intoxication of the body develops, the body temperature rises significantly, unbearable pains in the perineum disturb, problems with urination become more pronounced.

Pain syndrome

There are no pain receptors in the prostate, but pain syndrome occurs due to an enlargement of the gland in size and irritation of nearby nerve fibers. The more neglected the disease, the more pronounced soreness worries a person. Pain syndrome can change intensity with sexual abstinence or increased sexual activity. Discomfort spreads to the lower abdomen, lumbar region, perineum, scrotum.

Dysuric syndrome

With inflammation, the prostate increases in size and begins to put pressure on the ureters, due to which their lumen gradually decreases. The patient begins to worry about frequent urination, and after visiting the restroom, there is a feeling of incomplete emptying of the bladder.

Sexual deviations

At the initial stages of the development of pathology, a man may be disturbed by frequent erections or, conversely, a lack of sexual arousal. Accelerated ejaculation is explained by a decrease in the sensitivity threshold of the excitation center. If you do not start treatment of prostatitis in the initial stages, complications develop that lead to impotence and infertility.


If you have characteristic symptoms, you should consult a doctor. Diagnosis and treatment of prostatitis is carried out by a urologist. It is to him that a man should make an appointment for an initial appointment. During the examination, the doctor will ask about disturbing symptoms, complaints, take anamnesis, and conduct a rectal examination of the prostate gland. To confirm the diagnosis, the urologist will give a referral for an additional diagnostic examination, including the following procedures:

  • clinical analysis of blood and urine;
  • PCR research;
  • uroflowmetry;
  • study of the secretion of the gland;
  • Ultrasound of the prostate;
  • CT or MRI.


The therapy regimen is determined taking into account the nature of the course and the degree of neglect of the pathology. If the patient's condition is serious, the doctor decides on hospitalization. Otherwise, treatment is carried out on an outpatient basis. The patient is obliged to strictly follow the instructions of the urologist, adhere to the therapy plan and not self-medicate.

Drug therapy

Antibiotics will help to stop the inflammatory process and destroy the pathogenic microflora. If prostatitis is provoked by viruses or fungi, the antibacterial therapy regimen is supplemented with appropriate groups of drugs.

To eliminate pathological symptoms, the following groups of drugs are additionally prescribed:

  • non-steroidal anti-inflammatory;
  • pain relievers;
  • muscle relaxants;
  • antispasmodics;
  • alpha blockers;
  • diuretics;
  • drugs that normalize the function of the prostate gland.

If a man complains of problems with potency and sexual dysfunction, the doctor prescribes drugs that stimulate blood circulation in the penis and restore an erection.

Supportive therapy

The effect of drug therapy will be enhanced by supportive measures, including the following rules:

  • Consumption of the required amount of liquid - at least 1. 5 - 2 liters per day.
  • Compliance with bed rest.
  • Warm medicinal baths.
  • Compliance with a sparing diet, during which salty, spicy, fatty foods, alcohol, coffee, sour drinks are excluded from the diet.

The patient's condition is favorably influenced by regular sexual activity, which ensures drainage of the prostate and prevents stagnation of secretions.

Surgical intervention

If conservative treatment does not bring the desired effect, the doctor decides to perform a surgical operation. In modern urology, the following surgical methods of treating prostatitis are practiced:

  • Transurethral resection (TUR). During the operation, the surgeon removes all the affected tissue of the gland.
  • Prostatectomy. It involves the removal of the prostate, adjacent tissues, seminal vesicles.

Surgical intervention is not performed on young men, because any of the operations can cause infertility.

doctor's consultation for prostatitis

Folk remedies

In addition to complex drug therapy, alternative medicine can be used. The treatment regimen must be agreed with the doctor. Self-medication is unacceptable.

To combat inflammation and disturbing symptoms, medicinal herbs are used that are rich in useful substances, elements that have a bactericidal and anti-inflammatory effect. On the basis of medicinal herbs, infusions, tinctures, decoctions are prepared, which can be consumed orally, make compresses and lotions, add to the bath.

For the treatment of prostatitis, the following herbs are used:

  • sage;
  • calendula;
  • pharmaceutical camomile;
  • licorice;
  • yarrow;
  • nettle;
  • parsley;
  • St. John's wort;
  • bearberry;
  • rosemary;
  • centaury;
  • ginseng;
  • sweet clover;
  • chestnut.

In chronic prostatitis, bee propolis is widely used, which is famous for its anti-inflammatory properties and analgesic effects. Adherents of alternative medicine advise making propolis suppositories that are inserted into the rectum. The recipe is as follows:

  1. Grind 20 g of propolis to a powder.
  2. Combine the main component with 200 ml of alcohol and evaporate over low heat.
  3. Add 2 g of cocoa butter to the resulting mass.
  4. Form a candle from the finished composition.
  5. The agent is inserted into the rectum at night. The treatment is carried out as a course and lasts 1 month.


Lack of proper treatment or self-medication can result in serious health problems. The spread of infection leads to the development of such negative consequences as:

  • cystitis;
  • pyelonephritis;
  • vesiculitis;
  • colliculitis and urethritis;
  • epididymitis;
  • sclerosis of the prostate.

Against the background of such complications, erectile and psychological disorders join. In severe cases, the disease can progress to the stage of chronic calculous prostatitis, cause an abscess and other life-threatening complications. Frequent relapses often cause the development of male infertility, adenoma, and even prostate cancer.


Preventing prostatitis is much easier than fighting the disease and its consequences. To prevent inflammation of the prostate or prolong remission in a chronic form, such simple and affordable preventive measures will help:

  • active lifestyle;
  • control of proper nutrition and water regime;
  • exclusion of bad habits;
  • elimination of stress factors;
  • hardening;
  • observance of the basics of personal hygiene;
  • normalization of body weight;
  • timely and adequate treatment of infectious pathologies;
  • regular, high-quality, protected sex;
  • annual preventive visits to the urologist.