Calculous prostatitis: what is it

Men's health suffers due to various negative factors: poor nutrition, bad habits, physical inactivity, stress, environmental degradation and many others. A weakened body is not able to cope with infections, so inflammation in the urogenital area is a frequent illness in men. The reluctance to visit doctors at the first signs of indisposition results in the need to treat complicated forms of the disease. One of these diseases is prostatitis, which is classified according to different types and varieties.

The main types of prostatitis in men:

Acute form - different acute onset of the disease and rapidly developing inflammatory process. Infection often gets from the ureter, less often through the blood. The causative agents of the disease are: staphylococci, streptococci, E. coli, fungi, gonococci and others.

The reasons:

  • genital infections
  • passive lifestyle,
  • irregular sex life, sexual dysfunction,
  • diseases in the rectum,
  • acute respiratory infections.


  • fever,
  • violation of urination,
  • throbbing pain in the rectum,
  • decrease in potency
  • general intoxication of the body.

This type of pathology requires immediate treatment, as it quickly becomes chronic and causes serious complications.

Chronic Bacterial Form arises because of the undertreated acute course of the disease, less often it manifests itself, without the pronounced symptoms characteristic of the acute form. Symptoms of prostatitis are characterized by time intervals, therefore, it is more difficult to diagnose and treat this type of prostatitis.

Types of prostatitis

The reasons:

The disease is promoted by factors influencing the development of the acute form: infections of the urethra, the penis, the rectum, congestion in the pelvic organs, impaired sexual function.


  • pulling pain in the rectum,
  • violation of urination,
  • sexual dysfunction.

In contrast to the acute form, the symptoms are milder, there is no significant intoxication of the body, manifested in loss of appetite, headache, fever, etc. The pain during an exacerbation is tolerable; therefore, men often do not attach importance to a small indisposition, but if the chronic form is not treated, then sexual disorders will progress.

Chronic abacterial form. It is characterized by the presence of pain in the pelvic region and lower abdomen without inflammatory processes. When diagnosing a disease, infection, inflammation or tumors are not detected. The manifestation of the disease more often is episodic - pain, that is, it is not, but can be felt for a long time. Constant discomfort causes psychological problems in men and adversely affect sexual life.

The reasons:

  • inflammation of the pelvic ligaments,
  • infringement of the nerves in the pelvic area,
  • nervous exhaustion, in which the brain can not block weak pain impulses.


  • pain in the pelvic region, vulva, perineum,
  • violation of urination,
  • burning sensation
  • sexual disorders,
  • nervous breakdowns.

Prostatitis symptoms

By the nature of the pain, abacterial prostatitis is classified as follows:

  • pelvic pain - it feels almost constantly, increases after exercise and during hypothermia,
  • dysmenorrhea - occurs during urination,
  • deep dyspareunia - occurs during intercourse.

Asymptomatic inflammatory form develops more often in older men. This type of prostatitis proceeds latently, without causing complaints of patients, pain occurs during palpation of the prostate.

The reasons:

  • undetected pathogens,
  • lymphohistiocytic infiltration of prostate tissue.

In the study of the prostate gland reveal an increase, heterogeneity of structure, asymmetry and soreness of the organ.

Pelvic Pain Syndrome characterized by prolonged painful sensations. The pain does not have a clear localization: occurs in the back, perineum, rectum. Feels sick as sharp, aching, stabbing, burning.

The reasons:

  • bacterial prostatitis
  • inflammation of the prostate of a chemical nature (urine entering the organ),
  • autoimmune form of prostatitis,
  • injuries, inflammation of the muscles and nerve endings of the pelvis and perineum,
  • psychological disorders.

The diagnosis of pelvic pain syndrome is most often given to patients suffering from chronic abacterial prostatitis.

Acute and chronic types of prostatitis, in turn, are classified into subspecies, consider them in more detail.

Prostatitis Varieties and Their Treatment

Bacterial prostatitis. Occurs more often in the age caused by various pathogenic microorganisms, it is acute and chronic.

The development of the disease contributes to a number of factors that inhibit the normal activity of the body:

  • smoking, drinking alcohol,
  • frequent hypothermia
  • reduced immunity
  • sedentary lifestyle, lack of physical exertion.


  • antibiotics
  • anti-inflammatory drugs
  • alpha adrenergic blockers.

Antibiotics are needed to fight pathogens. Treatment of the bacterial form of the disease is effective only if all the recommendations of the doctor are followed. Often, this type of prostatitis is not cured completely due to the fact that the patient stops taking the tablets after a course of relief, but this only worsens the situation, since the chronic form, into which acute bacterial prostatitis passes, is very difficult to cure.

Non-steroid drugs are prescribed to quickly relieve inflammation. Topical treatment is not recommended, as it is possible to provoke the spread of infection to other parts of the body.

Congestive prostatitis. The disease may be infectious and non-infectious nature, refers to the chronic form of the disease. Symptoms are numerous, but mild, so the problems in the prostate are difficult to diagnose, relying only on the clinical picture.

The disease occurs against the background of stagnation in the pelvic organs and stagnation of the secret in the prostate. The main reasons for the development of this type of prostatitis is considered a sedentary lifestyle and irregular sex.


  • antibacterial agents
  • hormonal drugs
  • alpha blockers,
  • muscle relaxants
  • herbal remedies,
  • prostate massage,
  • physiotherapy.

The disease is dangerous, as it can lead to impotence, adenoma, prostate cancer, therefore, mandatory drug treatment is required.

Calculous prostatitis. This is a rare kind of pathology that occurs against the background of the chronic form of the disease, mainly in older men. A characteristic feature of the disease - the stones in the prostate, education can be endogenous (migrate from other organs) and exogenous (formed directly in the prostate, as a result of inflammatory processes). Calculous prostatitis is diagnosed on the basis of palpation, blood tests, urine and prostate secretion, ultrasound.

Prostate calculus: diagnosis, symptoms of calculous prostatitis and its treatment

There are no specific symptoms that are clear evidence of the presence of calculous prostatitis. A number of men with prostatic calculi may have no symptoms. Symptoms, when they occur, may be associated with prostatic hypertrophy, chronic prostatitis, or possibly urethral structure.

  • A patient with prostate calculus may complain of dull pain in the lower back, abdomen, perineum, or penis. It may increase with erection and ejaculation.
  • If there is an enlargement of the prostate gland associated with the disease, the patient may experience symptoms characteristic of lower urinary tract infection.
  • Sometimes the patient may have a discharge from the urethra associated with the presence of chronic prostatitis.
  • Usually with stones in the urethra there is no hematuria (the appearance of blood in the urine).
  • Prostatic abscess in combination with prostatic calculi is very rare. However, a patient with a prostate abscess associated with prostate calculus will suffer from severe pain in the perineum and rectum, and this pain will be exacerbated during defecation. In addition, such a patient may have an elevated temperature, this may be accompanied by cystitis, dysuria, nocturia and an increased frequency of urination.

Folk treatment of prostate calculus is aimed at relieving symptoms and supporting the body.

Popular means include pumpkin seeds (not fried, but dried and then peeled).

They contain zinc, necessary for potency and testosterone synthesis, as well as vitamin E (antioxidant), folic acid and other substances necessary for the body. No need to eat pumpkin seeds in handfuls, enough pieces before meals.

It is also useful to drink a tablespoon of parsley juice half an hour before meals, it helps reduce inflammation.

Physical therapy for prostate stones helps improve the function of this small but important male organ. Usually, doctors prescribe:

  • Ultrasound therapy to reduce pain and inflammation.
  • Magnetic therapy to improve blood circulation and relieve swelling.
  • Laser therapy for activation of metabolic processes in the prostate and temporary relief from pain.
  • Prostate massage to restore the patency of the ducts and improve blood circulation in the prostate.

For non-invasive removal of stones with calculous prostatitis, shock wave therapy can be used, crushing of stones occurs due to the action of an acoustic wave. This requires from 4 to 7 procedures with a weekly interval between each procedure. Reviews on the forums of such treatment are good, it helps, regardless of the patient's age.

Diet for prostate calculus is compiled by the attending physician.

It is usually recommended to exclude spicy, spicy, meat broths and soups, whole milk, legumes and cabbage. But it is desirable to drink more to wash the urinary tract.

Signs of calculous prostatitis, complications and prevention

The clinical signs of calculous prostatitis are largely similar to those of chronic prostatitis and include the most common symptoms such as:

  • Periodic dysuria.
  • Unstable symptoms of urinary tract obstruction.
  • Recurrent urinary tract infections.
  • Erectile dysfunction.

Complications of prostate stones include:

  • urine retention
  • abscess,
  • infertility due to scarring of the urethra or vas deferens,
  • recurrent cystitis
  • pyelonephritis.

There are no specific ways to prevent the appearance of stones in the prostate, as the factors contributing to their formation depend on other diseases. However, if the patient has any unusual symptoms - pain during urination, discoloration of urine, it is advisable to consult a doctor as soon as possible and drink plenty of fluids, this will help dissolve the minerals.

People with a urinary tract infection who have a feeling that the bladder is not fully emptied after using the toilet should try to urinate seconds after the first attempt. This is called “double emptying” and can help prevent the formation of stones.

Stasis secretion in the prostate gland

Often the stagnation of secretions in the prostate gland can be detected even in adolescents, due to frequent masturbation, or caused by the penetration of various bacteria into the prostate tissue.

Also the development of the disease is promoted by such reasons as:

  • constipation
  • work while standing or sitting
  • inactive lifestyle,
  • reduced immunity.

All these factors lead to stagnation of blood circulation in the lower extremities and the pelvic area.

Congestion in the prostate: the main types of congestive prostatitis

There are several types of prostatitis, in which there are stagnation in the prostate:

  • Venous. It manifests itself in cases where there are pathological changes in the venous system. In the presence of varicose diseases, the veins of the lower extremities dilate, and the blood remains in the pelvic venous system, as a result of which the venous congestion passes into the prostate gland and causes prostatic congestion.
  • Congressive. This form of the disease develops in the case when parts of the prostate gland are not completely emptied; consequently, it remains filled with blood, this leads to an increase in the inflammatory process. Congestive prostatitis is most common in mature men.
  • Chronic. This form of prostatitis develops as a result of irregular sex life, or its replacement with masturbation. Also, the practice of interrupting sexual intercourse, sedentary lifestyle, excess weight, poor blood supply, stress - all this leads to chronic prostatitis. The main indicator of the presence of chronic congestive prostatitis is the release of ejaculate in the form of clots. The prostate may increase in size, with intercourse and massage there is some improvement, but not for long.
  • Infectious. Infection that enters the prostate through the urogenital system at the time of the occurrence of congestive prostatitis increases the inflammatory process and worsens the overall condition.

Annual preventive visits to the urologist, as well as timely appeal for help at the first signs of congestive prostatitis reduces the risk of complications and is the key to successful treatment.

Causes of congestive prostatitis

There are several reasons that can cause stagnation of secretion in the prostate gland:

  • Irregularity of sexual life.
  • Increased sexual activity, leading to sexual exhaustion.
  • Masturbation.
  • Practice interrupting intercourse.
  • Excitement not proceeding to realization.
  • Supercooling of the body.
  • Lack of an active lifestyle.
  • Insufficient emptying of the prostate.

Most men wonder: what is the main cause of stagnation of blood in the prostate?

Experts have found that the main cause is varicose veins of the lower extremities. This leads to the fact that the blood circulation in the pelvis is broken and the prostate is filled with blood.

Also, the cause of this disease can be inflammatory processes in the rectum and small pelvis, and sometimes diseases that are hormonal in nature.

Often, prostate secretion stagnation can be caused by acute or chronic diseases that are infectious in nature. The infection enters the prostate gland through the urethra or from the rectum through the lymphatic and blood vessels.

Treatment of prostatitis


  • anti-inflammatory drugs
  • immunomodulators,
  • antibiotics
  • physiotherapy (electrophoresis, ultrasound),
  • prostate massage.

If the stones are large, they are surgically removed, but, if possible, conservative treatment is applied.

Pathology refers to a dangerous mind, as it can cause serious complications: infertility, prostate adenoma, prostate abscess, impotence.

Purulent prostatitis. The most dangerous types of prostatitis have a bacterial etiology, purulent prostatitis develops in stages.

Among them are the following:

  1. Catarrhal - The easiest subtype of purulent prostatitis. Occurs on the background of infectious diseases: influenza, acute respiratory infections, tonsillitis, etc. With timely treatment, passes quickly and without consequences.
  2. Follicular - occurs on the background of untreated catarrhal prostatitis. In the body, purulent contents are formed. Symptoms of the disease are acute: increased body temperature, pain, but if at this stage treatment is started, then, as a rule, everything ends safely.
  3. Parenchymal - The third stage of the disease. The general well-being of the patient is significantly worsened: the pains become strong, the heat does not subside, pus is released from the prostate. The treatment at this stage is long, but it gives a positive result if the drugs are taken strictly according to the doctor’s prescription.
  4. Abscessing - occurs when untreated previous stages. The stage of development of the disease is characterized by an abscess of prostate tissue. The health of the patient becomes critical, and the disease requires immediate action. Causes serious complications, even death. These include: acute urinary retention, severe renal dysfunction, infertility, cystitis, sepsis.

Treatment of purulent prostatitis is taking antibacterial drugs. In case of late treatment, there is a chance of surgery, so it is very important to consult a doctor on time, and not to self-medicate.

Of particular importance is the choice of modern drugs that quickly treat purulent diseases, reducing the risk of complications. If the doctor prescribed an expensive drug, then, despite the high price, you need to buy it, since the severe forms of purulent prostatitis require a quick and high-quality disposal of the infection.

Treatment of folk remedies

Folk remedies to combat prostatitis help eliminate painful symptoms and reduce inflammation. For treatment, decoctions and herbal extracts are used, which must be taken internally or made microclysters; berries and seeds of plants added to food have a no less positive effect. Among the well-known healing remedies are the following: parsley, pumpkin seeds, elderberry, honey, propolis, garlic.

Numerous recipes can be found on the Internet on the forums. People willingly write reviews about a particular product, which are used in the treatment of prostatitis, spread the recipes with photos, but in any case, you should consult with a urologist about the feasibility of national treatment.


As a rule, the disease is divided into types based on the following criteria:

  1. The nature of the disease.
  2. Features of the flow.
  3. The form of the disease.

Depending on the symptoms, the disease is divided into acute and chronic forms. In the case of acute prostatitis, inflammatory processes begin with lightning speed and are accompanied by the following features:

  • discomfort and pain when urinating,
  • bolt affects the lower abdomen, different parts of the pelvis,
  • changes in urine color.

In chronic prostatitis, these symptoms are also present, but manifest themselves weakly, almost imperceptibly. In the initial stages of the disease, the diagnosis is very difficult, because the patient does not feel any pathological changes in the work of the urogenital system.

Nature of prostatitis

The classification of prostatitis based on its origin is more complex and extensive. This is due to the fact that each type of disease has several subspecies, which are determined by additional factors.

By the nature of origin, prostatitis is divided into infectious and non-infectious. These groups, in turn, are divided into smaller subgroups. Non-infectious prostatitis has the following classification, which depends on the course of the disease:

Sometimes congestive prostatitis is isolated as an additional type of disease at the level of its infectious and non-infectious forms. But in its essence, it also belongs to the non-infectious group, since its appearance is not caused by the vital activity of harmful microorganisms. The disease begins with insufficient sexual and physical activity of a man.

Age-related prostatitis affects men over the age of 40 years. The fact is that over the years, a man's secretion of certain hormones changes, and this eventually leads to the appearance of inflammatory processes in the prostate. The body itself begins to change its shape, hypertrophied. At the same time, patients do not always feel discomfort from the course of the disease, but sometimes it passes in an acute form.

Calculous prostatitis is associated with the appearance of stone formations in the urinary tract. The main complaints are due to painful ejaculation and other problems with sexual function. Disorders occur due to the pathological entry of urine elements into the ducts of the prostate.

Acute prostatitis

The name "sharp" speaks for itself. This means that an acute infection of the prostate tissue is observed in the body, which is most often caused by microorganisms (bacteria, rarely protozoa or fungus). In most cases, the cause is abnormal reproduction in the organism of E. coli, sometimes an ameba-protei, Klebsiella, Pseudomonas aeruginosa, enterococci, and other species act as infectious agents. Many of these microbes are permanent components of the body's microflora, but sometimes, as immunity decreases, they begin to multiply uncontrollably. As a consequence, there is an acute process of lesions of the prostate.

In the presence of concomitant chronic infections, such as untreated caries, sinusitis, sinusitis, tonsillitis, pathologies of internal organs, hormonal disorders, after recent surgery, the likelihood of getting prostatitis increases.

The disease develops rapidly. Men almost immediately can recognize acute prostatitis due to the following symptoms:

General malaise (fever, fever, chills, weakness and weakness). Signs a bit like the beginning of the development of influenza or ARVI.

Pain syndrome. This includes acute pain in the perineum, groin and anus, lower back pain, lower back, radiating to the legs, muscle pain, and also during defecation.

Urinary disorders: difficult, but frequent urination, sometimes urinary retention.

Problems in the intimate sphere (ejaculatory disorders, erections).

Purulent discharge may occur, most often this occurs in advanced cases.

Diagnosis of acute prostatitis. There are focal and diffuse prostatitis, as well as complicated (up to the abscess of nearby tissues and thrombosis of the vessels of the prostate) and uncomplicated. After examining the patient, the doctor prescribes tests of biological fluids for the presence of PSA-antigen (a specific protein for prostatitis), a test for sexually transmitted infections and pelvic ultrasound. After that, an accurate diagnosis is made.

Treatment of acute prostatitis. Acute prostatitis requires treatment only in the hospital. In very rare cases, outpatient treatment is allowed, but only in the absence of other infectious diseases and complications, at a young age.

Apply modern methods and preparations, which include:

antibiotics of a new generation (in the case of a bacterial type of prostatitis),

anti-inflammatory drugs (effective use of candles)

drugs to reduce swelling and restore urine outflow (alpha-1-blockers and alpha reductase blockers),

microclysters with medicinal herbs (calendula, chamomile),

physiotherapy (UHF, ultrasound, magnetic therapy).

For the prevention of prostatitis is important to proper nutrition, physical activity, regular sexual life with a regular partner. It is advisable to avoid hypothermia of the pelvic region and the whole organism.

Taking the necessary measures in time guarantees a complete cure for a patient with acute prostatitis, however, in the absence of adequate treatment, there may be complications. The most frequent is the transition of the acute stage to the chronic form.

Chronic prostatitis

In men of mature age (up to 55 years) in the absence of treatment, chronic prostatitis gives a complication in the form of prostate adenoma. The disease develops gradually, the symptoms are not acute, and therein lies its danger.

Chronic prostatitis can be caused by microorganisms penetration into the prostate gland, as well as by other reasons. It can be stagnation in the genital area, age-related changes. Often, even after a complete cure for an infection, the prostate is attacked by its own immune system. This can happen in cases where the male body is exposed to various risk factors, namely:

previous infections of the reproductive system,

sedentary lifestyle,

chronic problems with stool due to malnutrition,

prostate injuries

Often, untreated acute prostatitis causes the development of chronic. There is also an asymptomatic form when the presence of pathogenic organisms is not detected, however, the presence of inflammation of the prostate is present.

Symptoms of the chronic form are somewhat different from acute. Complaints of the patient usually include:

difficulty urinating,

weak pain in the perineum, discomfort,

burning sensation, intermittent sharp pain in the groin,

weakness, nervousness, apathy,

With exacerbations, the already listed symptoms of acute prostatitis occur.

Reliable results in the diagnosis give laboratory methods, in particular, the analysis of prostate and blood secretion for PSA-protein, as well as palpation of the gland.

With treatment, it is impossible to delay, so that the protracted form does not provoke the development of serious complications, such as cystitis, pyelonephritis, vesiculitis, inflammation of the testicles and further sterility. Perhaps the development of adenoma or even prostate cancer. The following methods are used for treatment:

Proper lifestyle, diet,

Surgical interventions (in advanced cases),

In order to prevent chronic prostatitis, the acute should be completely cured, if it had place to be. Do not wear tight clothes, do not supercool. A healthy diet and lifestyle, physical education, regular sex life with a regular partner will reduce the chances of getting an unpleasant disease several times.

Bacterial prostatitis

This type of inflammation of the prostate can be acute and chronic. It is caused, as the name implies, by various microorganisms (E. coli, Klebsiella, enterococci, Pseudomonas aeruginosa). Patients have symptoms characteristic of acute prostatitis, after medical diagnosis, the presence of inflammation and changes in the secretion of the prostate gland, urine and semen is detected. The diagnosis is established after conducting laboratory research methods.

Bacterial prostatitis is more common in young men (20 to 40 years). It is distributed among other types of prostatitis quite rarely - about 5-10%.

Disease factors contribute to the development of the disease, namely:

finding the body in extreme conditions (cold, alcohol abuse, stress)

low physical activity

penetration of pathogens from the body into the prostate tissue in the presence of an infection in it or after surgery.

Signs of bacterial prostatitis. Bacterial prostatitis is divided into acute and chronic. In the first case, there are a number of syndromes:

general inflammatory (fever, fever and chills, weakness, muscle pain),

local inflammatory (pain in the genital area, anus, rectum, perineum),

disorders in the genitourinary sphere (frequent urination and difficulties with it, cutting, erection, etc.),

presence of specific changes in urine, blood, prostate secretion.

In chronic form of bacterial prostatitis, the symptoms are less pronounced, however, with exacerbations, all of the above symptoms occur.

Treatment of bacterial prostatitis. A complete cure is possible if all the recommendations are followed, the correct treatment is correct, and also if the disease is not started. The main active agent is antibiotics, which are used for an average of 14 days. The doctor may prescribe fluoroquinolones (ciprofloxacin, lomefloxacin, levofloxacin), penicillins (amoxicillin) and macrolides (clarithromycin).

In addition to antibacterial therapy, anti-inflammatory drugs of non-steroid composition are used to relieve pain. In case of violation of urination, adrenoblockers and alpha reductase blockers are prescribed. If the patient complains of insomnia, an antidepressant can be prescribed additionally. Local treatment in order to avoid the spread of infection into the depths is not recommended.

Calculous prostatitis

Calculous prostatitis is inflammation of the prostate caused by the presence of stones in it. This species is quite rare and occurs mainly in older men who have neglected the treatment of chronic prostatitis. Stones consist of inflammatory exudate, prostate secretion, calcium and phosphate salts. Stones in the body can be of two types:

Endogenous - occur as a result of stagnant processes in the prostate. These stones are small, up to 5 mm, and often go unnoticed, without causing any painful symptoms.

Exogenous - in composition resemble stones in the kidneys or bladder. The reason - chronic prostatitis, the presence of prostate adenoma.

Signs of calculous prostatitis are usually pain in the pelvic organs, the sacral spine, and lower back. Strengthened with movement, after sexual contact, with long walking and sitting on an uncomfortable surface. There may be a drop of blood in the semen. Also common are prostatitis syndromes, such as impaired urination, decreased erection, ejaculation, apathy, and irritability.

The doctor diagnoses calculous prostatitis according to the general condition of the patient. General blood and urine tests, prostate secretion, organ palpation, ultrasound, PSA-protein analysis are prescribed.

Treatment of calculous prostatitis. Complications of calculous prostatitis can lead to infertility, adenoma, impotence and abscess of the prostate. To avoid them, the early detection of the disease and treatment are essential.

In the presence of large stones is likely surgery, but if possible, doctors prefer to do without it. Appointed, as in chronic prostatitis, antibiotics, anti-inflammatory drugs, immunomodulators, physiotherapy. Prostate massage in case of calculous prostatitis is ruled out, as this may provoke a rupture of the excretory tract and other complications. Valid folk methods as auxiliary.

Disease prevention is timely examinations by a urologist, healthy nutrition, sports, regular sex life, avoiding stress, hypothermia, and the struggle with bad habits.

Congestive prostatitis

This is a chronic non-infectious form. It develops as a result of stagnation of blood in the pelvic region (in case of impaired circulation of the venous system) or stagnation of the prostate gland secretion (as a result of inadequate sexual activity).

In the composition of urine, semen and other biological fluids, inflammatory changes are absent.

Congestive prostatitis is of two types - non-infectious and infectious, but in both cases the disease develops in the male body gradually and imperceptibly. Symptoms of congestive prostatitis are mild, they include:

discomfort and pain in the groin, testicles, perineum,

urination problems,

general inflammatory syndrome of the body

weak orgasm, deterioration of sperm quality.

Diagnose stagnant prostatitis based on the results of the obtained tests and examination, as well as the results of the study of venous vessels in the pelvis. If no infection is detected, several groups of drugs are treated:

drugs that improve blood circulation in the pelvic region and metabolic processes,

hormonal drugs, muscle relaxants,

baths and microclysters with medicinal herbs (chamomile, calendula),

It is very important to prevent the disease, so that the first stage does not flow into the chronic form, which is fraught with sterility and other complications. What is important is the rejection of bad habits, a healthy and regular intimate life. Some doctors recommend masturbation in the absence of a permanent partner: it helps to cleanse the male body and update the prostate secretion, prevents stagnation.

Eat right - eat more foods with fiber, lean meat, fish, fruits, vegetables, cereals. Try to drink less alcohol in combination with fatty, smoked, fried foods.

Infectious prostatitis

This is an infectious inflammation of the prostate caused by pathogens, most often - Escherichia coli (sometimes other pathogens). There are acute and chronic forms. The overall clinical picture of infectious prostatitis is similar to bacterial. The difference between infectious prostatitis and bacterial is that the former is caused by bacteria, and the development of the latter (much less often) can be provoked by other pathogens, for example, fungi, protozoa.

It is more common in young men (from 20 to 40 years). Distributed among other types of prostatitis quite rarely (5-10% of all cases).

The causes of the disease are common (weak immunity, colds, unhealthy lifestyles and other types of risk), as well as the direct penetration of pathogens into the prostate (from the outside or from other organs in which infection has been detected).

Diagnostics is described in the sections “Acute prostatitis” and “Bacterial prostatitis”. Treatment - antibacterial drugs in combination with anti-inflammatory drugs, to reduce swelling and restore urine outflow, immunorecortors and auxiliary methods (folk, micro enemas, physiotherapy).

It is imperative to treat infectious prostatitis, since its acute form can smoothly flow into the chronic one, and from here it is close to infertility, prostate adenoma, congestion in the genitals, oncology or sterility. The timely destruction of the causative agent of infection guarantees a complete cure for a man from this insidious disease.

Purulent prostatitis

One of the severe forms of acute infectious prostatitis is its purulent form. The main symptom for diagnosis is the release of pus from the urogenital opening and the high temperature of the patient.

There are several types of purulent prostatitis:

Catarrhal - occurs in conjunction with SARS, sore throat, flu, with a weakened immunity. Symptoms are mild, mostly in the form of pain and frequent urination (symptoms resemble cystitis). A timely start of treatment guarantees a positive effect in just a week.

Follicular is the second stage of catarrhal prostatitis. It is characterized by the release of pus in the prostate, pain and fever. The treatment lasts longer, but in most cases the effect is positive.

Parenchymal - a more severe form of purulent prostatitis. Here the patient has a high fever, severe pain, discharge of pus. The treatment gives a positive result, but longer.

Abscess is an abscess of the prostate tissue. The patient has a fever (up to 39 ° C), sharp pains, a large amount of pus. Treatment should begin immediately, otherwise this stage can lead to serious complications.

Treatment of all stages of purulent prostatitis involves taking antibiotics and related drugs to reduce inflammation. Possible physiotherapy, traditional methods with the use of herbs with anti-inflammatory action.

At all stages and with all types of prostatitis, in the first place, it is best to engage in the prevention of the disease than to treat it, despite positive forecasts. A healthy lifestyle, sports and the absence of bad habits will bring only advantages, good health and a long active life.

Education: The diploma in the specialty “Andrology” was obtained after passing residency at the Department of Endoscopic Urology of the Russian Academy of Medical Education at the Urology Center of the Central Clinical Hospital №1 of Russian Railways (2007). Here was completed graduate school by 2010.

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About the disease

Prostatitis is a urological disease in which an inflammatory process occurs in the prostate gland. In this case, the prostate increases in size significantly, the ureter contracts, leading to difficulty in urinating. The prostate plays an important role in the male body: the secret of the prostate is one of the main components of sperm.

Also, the quality of prostate juice depends on:

  • erection,
  • organ resistance against infections
  • testosterone production
  • sperm activity.

Inflammation of the prostate causes changes in the properties of its secret. Hence all the symptoms characteristic of prostatitis, including a decrease in sexual desire.

What happens and forms

The disease may be of a different nature, in accordance with which treatment is prescribed.

Immediately you need to clarify: prostatitis is different in types and forms. What does it mean? The type of prostatitis depends on the reasons that caused it.

There are a lot of factors causing prostatitis, so the types of prostatitis are also diverse. When determining the form of prostatitis plays a crucial role symptoms.

Almost all types of prostatitis can manifest in different forms.

Regardless of the reasons, prostatitis can occur in one of two forms: acute and chronic. Acute prostatitis is characterized by vivid symptoms. The patient feels acute pain and urination disorders, fever. Possible intoxication. Against the background of the inflammatory process, edema and purulent formations occur in the tissues of the prostate.

The course of acute prostatitis consists of three stages.

  1. Catarrhal Initial inflammation of the prostate, the occurrence of reactive edema of interstitial tissue. Violation of prostate secretion is violated.
  2. Follicular Inflammation expands and affects all prostatic glands. Purulent discharge occurs.
  3. Parenchymatous. Separate ulcers merge into an abscess. The inflammatory process affects the region of the posterior urethra and the bladder neck.

Chronic prostatitis manifests with aching pain and discomfort in the pelvic region:

Potency decreases, and if sexual relations are possible, then there is pain when ejaculating. In chronic prostatitis, the symptoms are not so pronounced and may temporarily not manifest. Such a form of the disease as latent prostatitis is known. The disease is cunning because it is completely asymptomatic. To determine its presence is possible only with the help of a medical examination. More common in older people.

Modern classification

Only a disease directly associated with pathological changes in the prostate gland can be called prostatitis. Some types of diseases have symptoms similar to prostatitis, but they are not related to the prostate. In 1995, medical scientists from the United States developed a clear classification of prostatitis, which is based on clinical signs.

Modern classification of prostatitis:


Now you know what types of prostatitis are. Accurate diagnosis of this disease is possible only with a special examination, you should not try to determine the type of the disease yourself. In addition, timely treatment in a medical institution will allow for more successful follow-up treatment.

The main types of prostatitis in men: acute and chronic forms.

When it comes to diseases of the reproductive system, men to the last postpone a visit to the doctor, what causes irreparable harm to their health. According to statistics, most urologists are forced to treat advanced forms of diseases, which include many types of prostatitis.

Before answering the question “What is prostatitis?", We give a definition of this phenomenon: the so-called inflammation of the prostate gland (prostate). Under the general term is about a dozen different diseases. There are many classifications of prostatitis, but we systematize its main types according to two main features:

  • form of the disease
  • the cause and specificity of the pathological process.

Consider the types of prostatitis in more detail.

Forms of the disease

Depending on the characteristics of the course, there is an acute, chronic and asymptomatic form of the disease.

It is characterized by a sudden and violent onset of the inflammatory process. Among the main symptoms are:

  • fever and malaise of the body,
  • problems with urination (frequent urge, pain, difficulty excretion or retention of urine, its white color),
  • pain in various parts of the pelvis,
  • sexual dysfunction (premature ejaculation, absence or weakness of erection, decreased libido),
  • purulent discharge from the urethra (in advanced cases).

Detection of any of the above symptoms or their combination in oneself is a reason to immediately undergo a urological examination.


Unlike the previous form of prostatitis, this type of disease has a sluggish course. As a rule, it occurs as a result of incorrect or untimely treatment of the acute form, less often manifests itself.

Symptomatology is characterized by significant time intervals, therefore, it is much more difficult to diagnose chronic prostatitis, and therein lies its danger. Often men do not pay attention to short-term pain in the groin and genitals, periodic disorders of erectile function, and meanwhile the disease progresses. Chronic or terry terrestrial prostatitis can cause serious complications, including prostate adenoma, cancer or infertility.

Asymptomatic (latent)

Most often develops in older men. Inflammation proceeds hidden, without pronounced external signs. Only a doctor can detect asymptomatic prostatitis - palpation of the prostate gland reveals the following changes:

  • increase in size
  • asymmetry,
  • structural heterogeneity,
  • soreness

As a rule, the patient seeks medical help when the latent type of the disease has developed into a sluggish or acute stage. As well as the chronic form, the asymptomatic inflammatory process is difficult to treat, therefore, to prevent it, it is recommended to have an examination by a urologist at least twice a year.

Infectious group

Inflammation is caused by the ingestion of prostate gland pathogenic bacteria, viruses, or microscopic fungi. Depending on the nature of the pathogens, the disease has several varieties. Let's name some of them:

  1. Chlamydial prostatitis. The cause of its occurrence is unthreated urogenital chlamydia that is sexually transmitted in a timely manner. The inflammatory process can develop asymptomatically, sometimes the patient has a nagging pain in the rectum and perineum, itching in the urethra, and frequent urination. In the absence of complex treatment, chlamydial prostatitis takes a chronic form, fraught with serious complications such as impotence or infertility.
  2. Gonorrheal. Another type of prostatitis, triggered by a venereal infection, namely the gonococcus microbe. It is characterized by purulent discharge from the urethra and pain during defecation.
  3. Trichomonas prostatitis. It is formed as a result of the disease, caused by a distant relative of the infusorian shoe - Trichomonas. Most inflammation is hidden, only 10-15% of carriers have acute symptoms: tingling in the penis head, burning and itching, whitish, grayish or watery discharge from the urethra.
  4. Viral. It occurs due to various viruses (papillomas, herpes, flu, cytomegalovirus, etc.) entering the prostate gland. It is quite rare, therefore, is poorly understood. The disease is dangerous in that it can affect not only the prostate, but also nearby organs.
  5. Fungal. The causative agent is a yeast infection (Candida), which can be infected both sexually and due to a weakened immune system. It is difficult to diagnose this type of prostatitis, because the symptoms are usually absent, and the disease makes itself felt several years after its occurrence.
  6. Tuberculous prostatitis. It is provoked by Koch’s wand and can strike a man at any age. In the vast majority of cases, prostate tuberculosis is accompanied by inflammation of the seminal vesicles or epididymis. At the initial stage of the disease of clinical manifestations, as a rule, is not observed. The later stages are characterized by symptoms typical of the acute form.

Almost all infectious types of prostatitis in men are complications caused by advanced venereal diseases. Most often, inflammation occurs in young people from 20 to 40 years, leading to promiscuous sex life.

Important information: Chlamydial prostatitis is one of the most common types of inflammation of the prostate: it is found every year in 30% of the male population in the world.

Severe infection

A dangerous form of the disease is purulent prostatitis. An infection in the prostate gland causes an abscess in the tissues, which manifests as pus discharge. There are four stages of the disease:

  1. Catarrhal Inflammation occurs against a background of weakened immunity after acute respiratory viral infection, flu or tonsillitis. If you start treatment at this stage, it passes quickly and without consequences.
  2. Follicular This stage is characterized by acute symptoms: a sharp increase in temperature and a strong pulling pain in the perineum and inner thighs, difficulty urinating. With timely medical care, positive dynamics are achieved in 100% of cases.
  3. Parenchymatous. From the urethra and / or rectum pus is secreted, the pain increases, the fever does not subside. Purulent prostatitis at this stage is difficult to treat and for a long time.
  4. Abscess. The patient’s condition becomes critical: temperatures up to 40 ° C, abundant discharge of pus, general intoxication of the body. In this case, immediate medical intervention is required, otherwise serious complications, including death, are possible.

In the early stages, purulent prostatitis is detected by palpation. The ultrasound image also helps to detect enlarged lobes of the gland.

Age view of prostatitis

At risk - men from 40 years. With age, the concentration of sex hormones in the body changes, which leads to the formation of an inflammatory process in the prostate and an increase in its size. In most patients, this type of disease is asymptomatic, but in some cases it may show signs of an acute or chronic form.

Watch the video: Types of Urine Problem and its Homeopathy Medicine - Dr Tiwari (December 2019).