Prostatitis in men - symptoms and treatment

Prostatitis is an inflammation and swelling of the tissues of the prostate gland (prostate gland). And 50% of men between the ages of 18 and 50 are diagnosed with such a frustration.

swelling of the prostate gland with prostatitis

The disease usually develops slowly, without obvious symptoms, and causes minimal discomfort to the owner for many years.

A man has been living with prostatitis for many years, does not consult a doctor and allows the disease to become chronic with serious complications.

However, when the patient arrives at the clinic, it is too late: prostatitis becomes malignant or causes infertility. What are the early signs of the disease and how to deal with it?


In men, prostate disease has characteristic symptoms and requires immediate treatment. But the disease is insidious. Sometimes the symptoms do not appear for years.

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

healthy and inflamed prostate with prostatitis

To avoid the onset of the disease, a man should pay attention to the characteristic symptoms that accompany all types of prostatitis:

  • pain and burning sensation in the perineum, lower abdomen, scrotum and prostate;
  • increased urination, a weak flow, the appearance of pus in the form of white fibers or flakes from the urethra;
  • rapid or, conversely, prolonged ejaculation (sometimes painful), long night erections, sexual dysfunction, decreased sexual desire;
  • deterioration of sperm quality, change in quantity;
  • fatigue and irritability, general weakness.

Symptoms of the disease may appear together or manifest themselves separately; sometimes they are so subtle that they are associated with fatigue or lack of sleep. If a man sees at least one of the above symptoms, he should consult a doctor.

It should not be assumed that many people with prostate problems exceed the threshold of the 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.

Causes of the disease

Prostatitis in men has various causes:

  • prolonged abstinence from sex, stagnation and poor blood circulation in the genitourinary system;
  • injuries, hypothermia, age-related changes;
  • genital infections, viruses, bacteria.

Along with the factors that create a favorable environment for damage to the body, these causes cause inflammation of the prostate gland.

Risk factors:

  • immoral or irregular sexual life, artificial prolongation or termination of sexual intercourse;
  • sedentary, sedentary lifestyle;
  • past infections, chronic diseases of the genitourinary system;
  • excess weight;
  • decreased immunity, predisposition to allergies, hormonal disorders;
  • frequent hypothermia;
  • timely emptying of the bladder and irregular bowel movements;
  • stress and emotional overload;
  • excessive physical activity or lifting heavy objects;
  • smoking and alcoholism;
  • vitamin, micro and macronutrient deficiencies.
Sedentary lifestyle as a cause of prostatitis

If a man's body is affected by at least one of the above factors, he is more likely to develop prostatitis. In this case, it is recommended to undergo a preventive examination every six months.


Prostatitis can take many different forms and can have different causes. Therefore, it is divided into different types.

Many types of prostatitis lead to individual treatment in each case. You should not listen to the advice of friends and their opinions about drugs. In one case, it will be completely ineffective in another.

Acute prostatitis

It develops due to the action of pathogenic microorganisms on the prostate tissue, which enters the prostate gland from the urethra or bladder and causes inflammation.

Sometimes acute prostatitis occurs as a result of chronic infectious diseases - sinusitis, tonsillitis, sinusitis, caries - or hormonal diseases.

The symptoms of acute prostatitis are many:

  • constant weakness, fatigue, weakness;
  • a slight increase in temperature;
  • pain in the groin, anus, sometimes extending to the back, back and legs;
  • frequent urination, incomplete emptying of the bladder, low blood pressure, convulsions, urinary retention;
  • lack of erection, ejaculatory disorders;
  • purulent discharge from the urinary tract.

Acute prostatitis is dangerous because the inflammation spreads quickly and affects nearby organs. Sometimes this leads to a large abscess of adjacent tissues and vascular thrombosis.

groin pain with prostatitis

Generally, treatment is given in a hospital, not at home. If the therapy is correct, acute prostatitis is completely cured.

If the treatment is premature or insufficient, the disease becomes chronic.

Chronic prostatitis

Untreated acute infectious prostatitis (bacterial form) is a consequence or occurs as a result of trauma, hypothermia (abacterial form).

Symptoms of chronic prostatitis are almost non-existent in remission.

Men can note:

  • discomfort in the groin or mild cramping pain;
  • increased urination, decreased flow;
  • constant weakness, apathy;
  • decreased sexual desire.

How does chronic prostatitis manifest itself during exacerbation?

Accompanied by symptoms characteristic of an acute condition. Chronic prostatitis is characterized by a wave-like course: after exacerbation, there will definitely be a period of remission.

Inflammation of the prostate with prostatitis

Men prefer to wait for the acute period and forget about the disease for several months. Go to the doctor less.

Infectious prostatitis

Infectious prostatitis is caused by viruses, bacteria or fungi that damage the tissues of the prostate gland.

The following types of infectious prostatitis differ according to the type of microorganism-pathogen:

  • bacterial (intestinal or Pseudomonas aeruginosa, staphylococcus, streptococcus);
  • viral (herpes virus, human papilloma, cytomegalovirus);
  • mycoplasma (mycoplasma);
  • Trichomonas (Trichomonas);
  • gonorrheal (gonococcus);
  • chlamydia (chlamydia);
  • tuberculosis (Koch bacillus);
  • fungi (Candida fungi);
  • mixed.

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

Inflammatory genitourinary system with prostatitis

If left untreated, the disease causes a purulent process that spreads rapidly to all nearby organs. Such a life-threatening condition becomes an indication for surgery.

Calculous prostatitis

This is due to stones in the prostate gland. This form is present in older men who refuse treatment for a chronic disease.

The symptoms of calcified prostatitis are similar to those of a chronic disease, but are sometimes complemented by specific symptoms:

  • sacral and back pain worsening after walking, sitting, or sexual intercourse;
  • the presence of blood in the seeds.

It is often detected during an ultrasound examination.

Congestive prostatitis

It is caused by stagnation of prostate or blood secretion in the vessels that penetrate the body. Congestion is the result of an irregular sex life, tight clothing, physical inactivity, or alcohol use.

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


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

For example, untreated acute prostatitis becomes chronic or causes the following complications:

  • purulent inflammation of the prostate gland;
  • swelling of the prostate;
  • acute urinary retention.

In general, such results are rare, because acute prostatitis manifests itself openly and the man consults a doctor.

Chronic prostatitis, which is less obvious and develops over a longer period of time, can cause more problems.

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

  • sclerosis of prostate tissue;
  • cystitis, pyelonephritis;
  • impotence;
  • prostate abscess;
  • vesiculitis, epididymitis;
  • infertility;
  • calculation formations in the bladder and prostate gland;
  • Kidney failure;
  • adenoma and prostate cancer.

Many pathological changes are irreversible with advanced chronic prostatitis. For example, problems with urination and sexual dysfunction will not be solved by simply treating prostatitis.


If symptoms occur, a man should consult a urologist or andrologist. The doctor diagnoses "acute prostatitis" based on a questionnaire, patient examination, digital rectal examination and analysis of prostate secretion.

In general, these studies are not a cause for concern, but may cause painful sensations during inflammation.

The study of prostate secretion reveals the nature of the disease - bacterial or abacterial. The bacterial origin of prostatitis and cannabis are also being studied in terms of resistance to antibacterial drugs.

Chronic inflammation is more difficult to detect.

All laboratory and hardware techniques are used for this:

  • bacteriological tissue of prostate secretions and urine to diagnose infection;
  • Biochemical analysis of venous blood to determine ESR, PSA and leukocyte levels;
  • analysis of urethral discharge;
  • urofluometry;
  • prostate biopsy;
  • Ultrasound (from the abdominal wall) and TRUS (from the rectum);
  • MRI and CT examination of the affected organ;
  • urodynamic research;
  • urethrocystoscopy;
  • X-ray examination.
Ultrasound as a way to diagnose prostatitis

Why can not be diagnosed only on the basis of clinical manifestations of prostatitis?

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

If acute prostatitis can be eliminated with 1 therapy, chronic prostatitis is treated for a longer time. Sometimes the patient is a regular visitor to the urologist's office. The more correctly the treatment is chosen and the more accurately the patient follows the doctor's recommendations, the longer the remission period will be.

How to treat prostatitis?

Treatment of prostatitis takes a long time, lasting at least 1, 5 months and covering all procedures.

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

For prostatitis, a complex treatment is prescribed, including anti-inflammatory drugs and antibiotics in the acute phase, and physiotherapy and massage in the remission phase. These methods alone will not give the desired effect.

Drug treatment

Drug treatment lasts 3-4 weeks and covers the following groups of drugs:

  • non-steroidal anti-inflammatory drugs to relieve pain and inflammation;
  • antibacterial drugs (fluoroquinolones, cephalosporins, penicillins, macrolides, tetracyclines) for the treatment of diseases caused by bacterial prostatitis and hypothermia;
  • immunomodulators, vitamin and mineral complexes to stimulate the body's defenses;
  • hormonal drugs to eliminate the hormonal imbalance and stagnation of secretion in the tissues of the prostate gland;
  • muscle relaxants and alpha-blockers to relax the muscles (eliminate inflammation of the prostate gland, relieve spasms of the urethra and bladder, facilitate the process of urination).
drugs for prostatitis

Drugs in the form of rectal suppositories are especially effective.

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

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

Physiotherapy treatment

Physiotherapy is used as an adjunct therapy and is used only in combination with medication.

It is not possible to treat the prostate with physiotherapy devices until the symptoms of inflammation are completely eliminated.

Types of physiotherapy:

  • electrical stimulation;
  • laser treatment;
  • diadynamophoresis;
  • transrectal magnetotherapy;
  • phonophoresis and phototherapy;
  • reflexology;
  • hirudotherapy;
  • prostate massage.

Physiotherapy gives the best results for chronic and congestive prostatitis.

However, massage should be avoided with a contagious and insignificant disease - this will help the infection to spread more quickly to nearby organs or move the stones.


Surgical treatment can be radical (removal of the prostate) or mild (removal of part of the prostate or injections to shrink).

Surgical treatment of prostatitis

Tips for surgery:

  • narrowing of the urethra, phimosis of the glans penis and acute urinary retention;
  • purulent process in prostate tissues and nearby organs;
  • stagnation of prostate secretion in the cavity due to malfunction of seminal vesicles;
  • stones in the prostate cavity;
  • adenoma of the prostate or sclerotic changes in the tissues.

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

This type of treatment is not the best choice because it focuses on the effect of the disease, not the cause.

In addition, it can not restore lost health: it will only slow down the progression of the disease.

Folk remedies

Well-known folk recipes should be used only in addition to the basic treatment prescribed by a doctor.

Traditional medicines:

  • purchase of decoctions of chamomile, calendula, maple buds, sage;
  • Use of alcoholic tinctures of St. John's wort and Echinacea;
  • wear urological patches containing plant extracts;
  • The use of candles with propolis, ichthyol or sea buckthorn candles.
chamomile juice for prostatitis

It is not practical to use folk remedies as the main treatment.

They will not be able to slow down or cure the disease, and valuable time will already be lost.


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

Preventive measures:

  • strengthen the immune system;
  • refusal to have casual sex;
  • timely treatment of infectious and venereal diseases;
  • quitting smoking and excessive alcohol consumption;
  • exclusion from the diet of healthy food, spicy and smoked foods, carbonated beverages, energy drinks;
  • stress management;
  • prevent hypothermia and overheating;
  • to wear loose clothes made of natural materials;
  • regular exercise, exercise therapy (running, walking, abdominal exercises, squats, "birch"), long walks.

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

Consult a specialist for prostatitis

Sex life should be regular: long-term abstinence is unacceptable and sexual arousal that does not end with ejaculation.

In addition, every man should have a routine examination by a urologist every six months. The doctor will see the symptoms of an initial disease and prescribe appropriate treatment.

In the early stages, prostatitis is easier to treat than a chronic disease.