Bacterial prostatitis: causes of inflammation and symptoms

In most cases, men are faced with chronic congestive prostatitis, the development of which is caused by impaired blood circulation and thickening of the prostate secretion. This form of inflammation is considered a disease of older men. In about 20% of cases, patients of urological clinics are diagnosed with bacterial prostatitis - an acute form of inflammation of the prostate, which does not depend on age and is caused by the action of pathogenic microorganisms.

The causes of bacterial prostatitis

causes of bacterial prostatitis

As it becomes clear from the name of the diagnosis, the cause of the disease is bacteria that enter the prostate gland by the lymphogenous or hematogenous route.

Infection of the prostate with lymph flow occurs with the development of various inflammatory diseases of the genitourinary system.

With the blood stream, the infection enters the prostate gland against the background of severe infectious diseases such as influenza, acute tonsillitis or pneumonia.

Most often, pathogenic microorganisms enter the prostate through the urethra. Infection occurs against the background of diseases of the genital organs.

With bacterial prostatitis, the causes lie in the action of pathogenic microbes, but the general condition of the body is of no small importance, since the disease develops only with reduced immunity. The reasons for the weakening of the body's protective function:

  • hypothermia;
  • vitamin deficiency due to an unbalanced diet;
  • antibacterial therapy;
  • stress;
  • hypodynamia;
  • chronic focus of infection;
  • bad habits;
  • prolonged sexual abstinence;
  • promiscuous sex.

The disease is characterized by acute, rapidly increasing symptoms. Unlike congestive prostatitis, bacterial inflammation is age independent and occurs in young men.

Varieties of the disease

Bacterial prostatitis is distinguished by the type of pathogen and the degree of involvement of prostate tissue in the inflammatory process.

Staphylococcus aureus most often provokes prostatitis. This form of the disease is characterized by the formation of abscesses in the prostate tissue, accompanied by an increase in temperature and the release of pus from the urethra or anus. This form of the disease can be a complication of influenza, pneumonia, or a consequence of the presence of a chronic focus of infection in the body.

Among conditionally pathogenic microorganisms that provoke prostatitis, E. coli and Pseudomonas aeruginosa take the first place in prevalence. This form of the disease develops against the background of a decrease in immunity. Pathogenic microorganisms enter the prostate gland by the lymphogenous route.

Chlamydial prostatitis is a consequence of promiscuous sex. Chlamydia infection from a partner is asymptomatic, however, against the background of a decrease in immune defense, bacteria can enter the prostate gland, provoking inflammation.

One of the most severe forms of bacterial prostatitis is fungal or candidal inflammation. It develops with the penetration of Candida fungi into the prostate gland. The disease develops slowly and for a long time it may not manifest itself with vivid symptoms. Often, the fungal form of inflammation turns into chronic prostatitis.

Treatment of abacterial prostatitis caused by fungal microflora requires an integrated approach, since fungi rapidly develop resistance to the action of antimycotics.

causative agent of bacterial prostatitis in men

Candida does not show its presence for a long time and is difficult to treat.

Acute bacterial prostatitis may be accompanied by the formation of purulent foci. There are several types of disease, according to the degree of involvement of prostate tissue in the inflammatory process:

  • catarrhal;
  • follicular;
  • parenchymal;
  • prostate abscess.

The catarrhal form is characterized by inflammation of the walls of the ducts of the prostate gland. It belongs to mild forms of inflammation and is successfully treated with antibiotics in a week and a half.

Follicular prostatitis is accompanied by the formation of abscesses in the glandular tissue. This form of the disease is manifested by high fever, but it is quite effectively treated with antibiotics.

In parenchymal inflammation, the pathological process spreads to the entire organ. At the same time, the prostate increases in size, its contours change and edema develops. In the absence of timely treatment, this form of the disease can develop into chronic prostatitis.

A prostate abscess is the formation of a cavity filled with pus. Because of the abscess, there is a high fever and symptoms of intoxication. When an abscess breaks out, immediate relief occurs, but the ingress of purulent contents into the general bloodstream can lead to sepsis. This form of the disease is characterized by acute pain syndrome, high body temperature and severe intoxication of the body. The abscess is opened with surgery.

The listed types of the disease are also stages in the development of acute bacterial prostatitis. In the absence of timely treatment, one stage passes into another, the symptoms worsen, the risks of complications increase.

Symptoms of the disease

The symptoms of bacterial prostatitis depend on the stage of the inflammatory process. The following symptoms are characteristic of the initial stages of the disease:

  • pain in the bladder area;
  • frequent urge to use the toilet;
  • pain after urination;
  • general malaise.

As bacterial prostatitis progresses, symptoms worsen. The body temperature rises, the pain syndrome increases, and the problems with urination are aggravated.

signs and symptoms of bacterial prostatitis

In severe cases, severe intoxication is possible, accompanied by nausea and vomiting, loss of strength, and dizziness. Body temperature can rise to 40 ° C.

The frequency of urging to the toilet can be up to 10 times per hour. In this case, the man feels the fullness of the bladder, after urination there is no relief.

In severe cases, acute urinary retention may develop. This is accompanied by a feeling of distention of the bladder with a complete impossibility of its emptying. This complication is very dangerous and requires hospitalization with the subsequent installation of a catheter.

Frequent urination is caused by compression of the bladder by an inflamed prostate.

Why is prostatitis dangerous?

The danger of bacterial prostatitis is the risk of infection of the pelvic organs. If urination is impaired, urinary backflush is possible, leading to kidney infection. This condition is called pyelonephritis and is difficult to treat.

One of the most common complications of bacterial prostatitis is cystitis, which becomes chronic. The disease is characterized by inflammation of the mucous membrane of the bladder and is accompanied by frequent urge to use the toilet, cramps and pain in the bladder, hematuria.

Untimely or inadequate treatment of bacterial prostatitis can lead to chronic disease. If acute bacterial prostatitis is successfully treated with antibiotics, treatment of the chronic disease is aggravated by periodic exacerbations of symptoms, which occurs against the background of a decrease in immunity.

Acute bacterial prostatitis can cause infertility and impotence.

The most dangerous complication is an abscess burst in the prostate cavity. Purulent masses with the flow of blood and lymph are carried through the pelvic organs, provoking inflammation of the rectum, bladder and kidneys. In severe cases, a bursting abscess can lead to sepsis.

Disease Diagnostics

The primary examination of the prostate is a digital examination (rectal palpation). If bacterial prostatitis is suspected, when the patient has symptoms of intoxication and a high fever, prostate massage is not performed, in order to avoid the risk of worsening symptoms.

Diagnosis is based on ultrasound or TRUS. Treatment for bacterial prostatitis depends on the type of inflammatory agent. For this purpose, it is necessary to analyze the secretion of the prostate. Since in acute inflammation rectal examination of the prostate is prohibited, urine is taken for bacteriological analysis of the causative agent of prostatitis. It is also necessary to pass a general and biochemical blood test.

Based on the results of urine analysis, the doctor selects antibiotics and bactericidal drugs for the treatment of prostatitis.

Bacterial Prostatitis Treatment

How to treat bacterial prostatitis depends on the type of pathogen. The choice of antibiotic therapy for prostatitis is carried out depending on the sensitivity of the pathogenic agents to the action of certain drugs.

Antibiotic treatment can be supplemented with rectal suppositories - these are antibacterial and anti-inflammatory suppositories used for prostatitis.

Non-steroidal anti-inflammatory drugs, antipyretic drugs with anti-inflammatory action, antispasmodics help to reduce the signs and symptoms of bacterial prostatitis. These drugs do not cure prostatitis, but they can relieve pain and ease the course of the disease.

Folk remedies

Having figured out how to cure the prostate gland with bacterial prostatitis with the help of medications, many will be interested in the possibility of alternative treatment.

Among the effective methods of treating prostatitis with folk remedies, the most effective are rectal suppositories with propolis. You can cook them yourself. To do this, melt 200 g of cocoa butter in a water bath and add 40 g of crushed propolis to it. The means are boiled until the propolis dissolves and the mass acquires a uniform color and consistency. Then the medicine is cooled in the refrigerator, having previously formed a cone from the mass, using cling film. After cooling, the cone is cut into small torpedoes, about 2 cm in diameter and 4 cm in length. Suppositories are stored in the refrigerator, used twice a day - in the morning and in the evening. The course of treatment takes two weeks.

Walnuts and pumpkin seeds can help speed up your recovery. To prepare the medicine, grind 100 g of nuts and peeled raw seeds in a coffee grinder, and then mix with a glass of honey. From the resulting mass, balls are made, about 2-3 cm in diameter. You need to eat 3 of these balls daily.

Men are also encouraged to eat walnut kernels with honey. To prepare the medicine, a glass of chopped nuts is mixed with honey and insisted for three days in the refrigerator. Then the remedy is taken three large spoons daily.


Bacterial prostatitis is a dangerous disease that can become chronic. In most cases, timely treatment can successfully get rid of the disease, but not a single man is immune from a repeated episode of prostatitis. To prevent the development of bacterial prostatitis, you must:

  • dress for the weather;
  • avoid hypothermia;
  • treat any infectious diseases in time;
  • protect themselves during intercourse.

With long-term antibiotic or corticosteroid therapy, you should consult your doctor about how to prevent deterioration of the immune system.

You should pay attention to your own immunity, as the weakening of the protective function of the body leads to the development of an acute inflammatory process in the prostate. To this end, it is recommended to annually drink a course of vitamins designed specifically for men, monitor the diet and avoid stress.