Prostatitis in men - signs and treatment

Prostatitis is inflammation and swelling of the tissues of the prostate (prostate). And 50% of men between the ages of 18 and 50 are faced with such a disappointing diagnosis.

Swelling of the prostate with prostatitis

The disease usually develops slowly, with no obvious signs, and causes a minimum of concern to its owner for many years.

A man has lived with prostatitis for years, does not see a doctor and allows the disease to become chronic with severe complications.

If the patient reaches the clinic anyway, it is already too late: the prostatitis becomes malignant or leads to infertility. What are the first signs of the disease and how to deal with it


Prostate disease in men has characteristic symptoms and requires immediate treatment. But the disease is insidious. Sometimes its signs don't appear for years.

Meanwhile, the inflammatory process slowly develops, affecting more and more new tissue, and leading to impotence and infertility.

healthy and inflamed prostate with prostatitis

In order not to trigger the disease, a man should pay attention to the characteristic signs that accompany any type of prostatitis:

  • Pain and burning sensation in the perineum, lower abdomen, scrotum and prostate area;
  • increased urination, a weak stream, the appearance of pus from the urethra in the form of white fibers or flakes;
  • fast or, conversely, prolonged ejaculation (sometimes painful), long nocturnal erection, sexual dysfunction, decreased sex drive;
  • Deterioration in the quality of sperm, change in its quantity;
  • Fatigue and irritability, general weakness.

The symptoms of the disease can appear all together or manifest separately; sometimes they are so subtle that they are attributed to fatigue or lack of sleep. If a man notices at least one of the above symptoms, he needs to see a doctor.

It should not be assumed that prostate problems are the lot of people who have passed the threshold of their 30th birthday. Prostatitis can occur in any sexually mature man, and now people between the ages of 18 and 20 are getting sick more and more often.

Causes of the disease

Prostatitis in men is provoked for several reasons:

  • long abstinence from sex life, stagnation and poor blood supply to the organs of the genitourinary system;
  • Injuries, hypothermia, age-related changes;
  • Genital infections, viruses, bacteria.

When combined with factors that create a favorable situation for harm to the body, these causes cause inflammation of the prostate.

Risk factors:

  • promiscuous or irregular sex life, artificial prolongation or interruption of sexual intercourse;
  • sedentary, sedentary lifestyle;
  • past infections, chronic diseases of the genitourinary system;
  • Obesity;
  • decreased immunity, tendency to allergies, hormonal disorders;
  • frequent hypothermia;
  • premature emptying of the bladder and irregular bowel movements;
  • Stress and emotional overload;
  • excessive physical activity or lifting heavy objects;
  • Smoking and alcoholism;
  • Deficiency of vitamins, micro and macro elements.
Sedentary lifestyle as a cause of prostatitis

If a man's body is affected by at least one of the above factors, he has a high chance of developing prostatitis. In this case, it is advisable to have a check-up every six months.


Prostatitis can take different forms and can be caused by different reasons. Depending on this, it is divided into different types.

A large number of types of prostatitis lead to the fact that in each case individual treatment should be prescribed. You should not listen to friends' advice and their reviews of drugs. What worked in one case will prove completely ineffective in another.

Acute prostatitis

It arises from the action of pathogenic microorganisms on the prostate tissue, which enter the prostate from the urethra or bladder and lead to inflammation.

Sometimes acute prostatitis occurs after chronic infectious diseases - sinusitis, tonsillitis, sinusitis, tooth decay - or as a result of hormonal disorders.

Signs of acute prostatitis are intensely manifested:

  • constant weakness, fatigue, malaise;
  • slight rise in temperature;
  • Pain in the groin, anus, sometimes up to the back, lower back, and legs;
  • frequent urination, inability to empty the bladder completely, weak pressure, stinging, urinary retention;
  • lack of erection, impaired ejaculation;
  • purulent discharge from the urinary tract.

Acute prostatitis is dangerous because the inflammation spreads quickly and affects nearby organs. This sometimes leads to an extensive abscess of adjacent tissues and vascular thrombosis.

Groin pain with prostatitis

Usually, treatment is not given at home, but in a hospital. With proper therapy, acute prostatitis is completely cured.

If treatment turns out to be too early or inadequate, the disease becomes chronic.

Chronic prostatitis

It becomes a consequence of an untreated acute infectious prostatitis (bacterial form) or is caused by trauma, hypothermia (abacterial form).

Symptoms of chronic prostatitis during the period of remission almost do not appear.

A man can celebrate:

  • Discomfort or slight pulling pain in the groin area;
  • increased urination, weakening of the frog;
  • constant weakness, apathy;
  • decreased sex drive.

How does chronic prostatitis manifest itself during an exacerbation?

It is accompanied by symptoms characteristic of an acute condition. Chronic prostatitis is characterized by an undulating course: after an exacerbation there will certainly be a remission phase.

Inflammation of the prostate with inflammation of the prostate

Men prefer to wait for the acute phase and forget about the disease for several months. Few go to the doctor.

Infectious prostatitis

Infectious prostatitis is caused by damage to the prostate tissue by viruses, bacteria or fungi.

According to the type of microorganism pathogen, the following types of infectious prostatitis are distinguished:

  • bacterial (intestine or Pseudomonas aeruginosa, Staphylococcus, Streptococcus);
  • viral (herpes virus, human papilloma, cytomegalovirus);
  • Mycoplasma (mycoplasma);
  • Trichomonas (Trichomonas);
  • gonorrhea (gonococci);
  • Chlamydia (chlamydia);
  • tubercular (Koch's bacillus);
  • Fungus (candida fungus);
  • mixed.

The symptoms of infectious prostatitis repeat the symptoms of the acute form of the disease.

inflamed genitourinary system with prostatitis

If the disease is not treated, it leads to a purulent process that quickly spreads to all surrounding organs. Such a condition, threatening the patient's life, becomes an indication for surgical intervention.

Calculi prostatitis

The cause are stones in the prostate. This form is found in older men who have turned down treatment for a chronic disease.

The symptoms of calculous prostatitis are similar to those of a chronic condition, but are sometimes complemented by specific signs:

  • Pain in the sacrum and lower back that worsens after walking, sitting for a long time, or having sex;
  • the presence of blood in the semen.

Most often it is found during an ultrasound scan.

Congestive prostatitis

It occurs due to stagnation of the secretion of the prostate or blood in the veins that penetrate this organ. Traffic jams are a result of an irregular sex life, wearing tight underwear, physical inactivity or alcohol abuse.

The symptoms of this form of the disease are mild, reminiscent of signs of chronic prostatitis.


Each type of prostatitis has its own consequences for the body.

For example, if left untreated, acute prostatitis becomes chronic or leads to the following complications:

  • purulent inflammation of the prostate;
  • Swelling of the prostate;
  • acute urinary retention.

Usually, such consequences rarely occur, since acute prostatitis is clearly manifested and the man goes to the doctor.

Chronic prostatitis, which is not that obvious and develops over a long period of time, can cause a lot more problems.

Complications of chronic prostatitis and their consequences for men's health:

  • Prostate tissue sclerosis;
  • Cystitis, pyelonephritis;
  • Impotence;
  • Abscess of the prostate;
  • Vesiculitis, epididymitis;
  • Infertility;
  • Calcification in the bladder and prostate;
  • Kidney failure;
  • Adenoma and prostate cancer.

With advanced chronic prostatitis, many pathological changes are irreversible. For example, urination problems and sexual dysfunction are no longer eliminated by simply curing prostatitis.


If characteristic symptoms appear, a man needs to see a urologist or andrologist. The diagnosis of "acute prostatitis" is made by the doctor on the basis of an interview, examination of the patient, digital rectal examination and analysis of the prostate secretion.

Usually these studies do not cause discomfort, but they can cause painful sensations during an exacerbation.

Examination of the secretion of the prostate will reveal the nature of the disease - bacterial or abacterial. With the bacterial origin of prostatitis, the secret of resistance to antibacterial drugs is also being studied.

Chronic inflammation is more difficult to spot.

A whole range of laboratory and hardware technologies are used:

  • bacteriological sowing of prostate secretions and urine to determine infection;
  • biochemical analysis of venous blood to determine ESR, PSA and leukocyte levels;
  • Analysis of urethral discharge;
  • Urofluorometry;
  • Prostate biopsy;
  • Ultrasound (through the abdominal wall) and TRUS (through the rectum);
  • MRI and CT scan of the damaged organ;
  • urodynamic research;
  • Urethrocystoscopy;
  • X-ray examination.
Ultrasound for the diagnosis of prostatitis

Why can't a diagnosis be made based solely on the clinical manifestations of prostatitis?

The fact is that in order to choose an effective treatment, the doctor must identify not only the presence of the disease, but also its cause.

If acute prostatitis can be eliminated in one cycle of therapy, chronic prostatitis will be treated for much longer. Sometimes the patient becomes a regular visitor to the urologist's office. The more correctly the treatment is chosen and the more precisely the patient follows the recommendations of the doctor, the longer the remission will last.

How to treat prostatitis

Treating prostatitis is a lengthy process that takes at least 1. 5 months and involves a whole range of procedures.

The key to successful therapy is a timely visit to the clinic, high professionalism of the doctor, correct diagnosis and strict adherence to all recommendations of a specialist by the patient.

For prostatitis, complex treatment is prescribed, which includes taking anti-inflammatory drugs and antibiotics at the stage of exacerbation, and physiotherapy and massage at the stage of remission. These methods alone will not have the desired effect.

Drug therapy

Drug therapy lasts 3-4 weeks and includes the following groups of drugs:

  • non-steroidal anti-inflammatory drugs to relieve pain and inflammation;
  • antibacterial drugs (fluoroquinols, cephalosporins, penicillins, macrolides, tetracyclines) used to treat bacterial prostatitis and diseases caused by hypothermia;
  • Immune modulators, vitamin and mineral complexes to stimulate the body's defenses;
  • hormonal drugs designed to eliminate hormonal imbalance and stagnation of secretion of the prostate in its tissues;
  • Muscle relaxants and alpha blockers to relax the muscles (relieve inflammation of the prostate, relieve cramps in the urethra and bladder, make urination easier).
Prostatitis drugs

Medicines that are available in the form of rectal suppositories are particularly effective.

They deliver the active ingredient to the prostate tissue faster than tablets and injections and have a better healing effect.

Acute prostatitis is treated with medication until the disease enters the remission stage. In advanced cases, the patient is hospitalized and up to 5 groups of antibiotics are prescribed at the same time.

Physiotherapy treatment

Physiotherapy is used as an additional treatment and is only used in combination with medication.

It is impossible to treat the prostate with physical therapy equipment until the symptoms of the exacerbation are completely eliminated.

Types of physiotherapy:

  • electrical stimulation;
  • Laser treatment;
  • Diadynamophoresis;
  • transrectal magnetic therapy;
  • Phonophoresis and phototherapy;
  • Reflexology;
  • Hirudotherapy;
  • Prostate massage.

Physiotherapy gives the best results for chronic and congestive prostatitis.

But with a contagious and calcareous disease, massage should be abandoned - it only helps the infection to spread faster to nearby organs or to set stones in motion.


Surgical treatment can be radical (removal of the prostate) or gentle (removal of part of the prostate or injections to make it smaller).

surgical treatment of prostatitis

Indications for an operation:

  • Narrowing of the urethra, phimosis of the glans penis and acute urinary retention;
  • purulent process in the tissues of the prostate and nearby organs;
  • stagnation of secretion of the prostate in its cavity due to a malfunction of the seminal vesicles;
  • Stones in the prostatic cavity;
  • Adenoma of the prostate or sclerotic changes in its tissues.

What is prostate adenoma in men? This is a benign mass that is most commonly treated with surgical methods. It is a consequence of chronic prostatitis and occurs in men after 50 years.

This type of treatment is not the best option because it targets the effect of the disease rather than its cause.

In addition, he cannot regain the lost health: he will only slow down the development of the disease.

Home remedies

Well-known folk recipes should be used only as a complement to the main treatment prescribed by a doctor.

Traditional drugs:

  • Taking decoctions of chamomile, calendula, birch buds, sage;
  • the use of alcoholic tinctures of St. John's wort and echinacea;
  • wear urological patches with herbal extracts;
  • the use of candles with propolis, ichthyol or sea buckthorn candles.
Chamomile broth for prostatitis

It is impractical to use folk remedies as the main treatment.

You will not be able to slow down or heal the course of the disease and valuable time will be lost.


Preventive measures are aimed at eliminating factors that contribute to the development of prostatitis and the timely diagnosis of an existing disease.


  • Strengthening the immune system;
  • Denial of casual sex;
  • timely treatment of infectious and venereal diseases;
  • Smoking cessation and excessive alcohol consumption;
  • healthy diet, exclusion of spicy and smoked foods, carbonated drinks, energy drinks;
  • Fight against stress;
  • Avoidance of hypothermia and overheating;
  • Wearing loose underwear made from natural materials;
  • Regular sport, exercise therapy (jogging, walking, abdominal exercises, squats, "birch"), long walks.

A good sex life is important to prevent prostatitis. Such phenomena as artificially prolonged or interrupted sexual intercourse, repeated sexual intercourse are completely unacceptable.

Specialist advice on prostatitis

Sex life should be regular: prolonged abstinence is unacceptable, as is sexual arousal that does not end with ejaculation.

In addition, every man should undergo a routine urologist check-up every six months. The doctor will notice the signs of the onset of the disease and prescribe appropriate treatment.

Prostatitis in the early stages is much easier to cure than a chronic disease.