What is acute prostatitis in men

pain in a man with acute prostatitis

Acute prostatitis is an inflammatory disease, usually infectious, accompanied by swelling and ulceration in the tissues of the organ of the same name. Older men were previously thought to be most affected, but studies show that the pathology is noticeably "rejuvenated. "And now prostatitis occurs in middle-aged patients.

Not only medicines but also folk remedies can be used during treatment in consultation with a specialist.

Causes of pathology

Acute prostatitis is diagnosed in 30-50% of men, most often at the most affluent age, i. e. 30-50 years. This inflammation leads to:

  • erectile dysfunction;
  • infertility;
  • depression.

The pathogens of the disease are mainly non-specific infectious agents. These are pathogenic microorganisms such as E. coli, staphylococci, streptococci, etc. But sometimes acute prostatitis is caused by other pathogens associated with sexually transmitted diseases - chlamydia, ureaplasmosis, gonorrhea, mycoplasmosis. Often the cause is a conditionally pathogenic microflora - Candida fungi (Candida).

The main causes of inflammation of the prostate are reduced by the penetration of the infection, most commonly by the transcanal route. This is done through the secretory channels of the prostate. Because they open in the back wall of the urethra, the development of prostatitis is affected by a disease such as urethritis.

In men, acute cystitis (inflammation of the bladder caused by bacteria) is rare. But if so, in such cases the prostate suffers, into which the pathogenic microflora enters. Bacteria enter the organ much faster if there are concomitant pathologies - stones in the urethra that cause increased intraurethral pressure.

Sometimes an inflammatory process can develop due to the penetration of the infection into the bloodstream because the prostate is supplied with an advanced arterial and venous network. This occurs when there are chronic inflammatory foci in the body but they have nothing to do with the prostate. Infections spread hematogenously with sinusitis, tonsillitis, bronchitis, and even caries.

The presence of cholecystitis (gallbladder disease) also causes the development of acute prostatitis. Sometimes lymphogen transmission of the infection from the gut is also possible (in the case of proctitis and colitis).

Non-infectious factors in the development of prostatitis - the presence of congestion in the vessels of the pelvis, irregular sex life and its violation. Inflammation of the prostate is also possible in men who have intercourse.

The factors that cause the disease are:

  • sedentary lifestyle;
  • indigestion (especially frequent constipation);
  • hypothermia and decreased immunity;
  • flebeurism;
  • excessive alcohol consumption.

Basic forms

There are three forms of the disease:

  1. hurutos. The ducts of the prostate glands are mainly inflamed, but there is no change at the macro level. In the channels themselves, the processes of dystrophy of the integumental epithelium can be observed, there is a slight swelling in the stroma and the vessels are abundant.
  2. Follicular. Both the reverse development of the process and its growth are possible when the prostatitis becomes a follicular form and the inflammatory process already affects the tissues of the prostate. The body grows in size and becomes flabby. Focal infiltrates appear around the channels.
  3. Parenchymal. The most severe stage of the disease. With this, the inflammatory process affects the whole gland, an abscess is formed. If the disease progresses unfavorably, it can open and pus into the intestines, bladder and urethra.


Common signs include urinary incontinence, pain, and intoxication — weakness, nausea, vomiting, dizziness, and other discomfort that causes discomfort.

The remaining symptoms of acute prostatitis correspond to the developmental stages of the process:

Stage Symptoms
hurutos The first signs are a feeling of heaviness and pain in the perineum. There are dysuria disorders, i. e. , urinary incontinence, its increase, pain, or the appearance of pain in the process. Body temperature usually remains normal, sometimes rising slightly. Diagnosis at this stage involves the study of prostate secretion. It may show an increase in the number of leukocytes, the presence of mucosal purulent fibers. A urine test shows an increase in leukocytes. Prostate massage is not prescribed at this stage due to pain. But medication allows you to get rid of the pathology within 7-10 days.
Follicular The symptoms will be more pronounced. This stage is accompanied by dull aching pains that are localized in the perineum but can be administered into the anus, rectum, or lumbar region. Urination becomes so painful that urinary retention is possible.

Defecation is difficult, also due to severe pain. Body temperature rises to 38 degrees and general health deteriorates. The patient experiences:

  • weakness;
  • headache;
  • sore muscles and joints;
  • feeling of constant weakness and fatigue
Parenchymal In acute parenchymal prostatitis, the temperature rises to 39 degrees. There is a fever or chills. Urination can be quick, but is most often difficult, all the way to complete cessation, as bladder emptying attempts are painful. Puffiness, indigestion and constipation occur. The pain is felt in the rectum. They become throbbing with pain. A person tries to find a position in which he does not feel pain (most often when he is lying with his legs retracted). The acute form of prostatitis is the growth and swelling of the prostate gland. White or yellowish-green discharge may occur from the urethra

The consequences of acute prostatitis can be sepsis (general sepsis), cystitis or pyelonephritis. If the disease is associated with such complications, the patient needs hospital treatment. But in mild cases, the pathology can be treated at home.


Treatment of acute prostatitis should be comprehensive. Treatment involves eliminating the cause of the disease, i. e. , pathogenic microorganisms. In such cases, antibiotics are used in combination, as a drug rarely gives the desired effect.

With timely treatment, the symptoms go away quickly in a few days. But the doctor prescribes a course of at least 4 weeks to completely cleanse the body of harmful bacteria, prevent relapses and the process from going into a chronic form.

Antibiotics are only prescribed based on the results of studies that have revealed the pathogen of the disease and its resistance to certain drugs. Other factors are taken into account. For example, drugs belonging to the group of aminoglycosides and beta-lactams do not penetrate well into prostate tissues.

Antibiotics belonging to the group of fluoroquinolones and macrolides have a higher penetration capacity.

But not only the ability to penetrate is important, but also the strength of the bactericidal effect. Therefore, macrolides and other agents are sometimes prescribed. The release forms of such drugs may vary.

Candles are rarely used. In severe cases of the disease, intravenous administration of antibiotics is recommended (and in a hospital setting). In mild cases, treatment is done on an outpatient basis, with the patient taking pills at home.

Painkillers and non-steroidal anti-inflammatory drugs are used to relieve pain. They lower the temperature, but sometimes additional antipyretics are prescribed. In case of more severe pain, short-term use of opiates is practiced.

Consuming a lot of fluids plays an important role in treating acute prostatitis - blueberry juice or rosehip soup to rinse the urinary tract, reduce poisoning and prevent the development of cystitis and pyelonephritis. Light laxatives such as petrolatum are used.

Anticonvulsants and alpha-blockers may be prescribed for urinary problems.

If you have muscle cramps, take muscle relaxants.

Folk remedies

Treatment of the disease with folk remedies is possible only as an adjunctive therapy that enhances the effect of taking the medication.

Pumpkin seeds are a popular folk remedy. They have been shown to contain a lot of zinc, which has an anti-inflammatory effect. To achieve the correct dose of this substance, it is sufficient to eat 30 g of peeled raw seeds once a day before meals.

You can make a mixture of pumpkin seeds (not fried only) and honey:

  1. Twist 500 g of purified raw material with a meat grinder or blender.
  2. Add a glass of not very liquid honey.
  3. Mix thoroughly until it is of such a texture that walnut balls can be formed from the mixture.

The product is stored in a refrigerator. Half an hour before a meal that day, you should eat 1-2 such balls. The medicine should be chewed thoroughly and should not be swallowed immediately.