Prostatitis in men - signs and treatment

Prostatitis is an inflammation and swelling of the tissues of the prostate gland (prostate gland). And 50% of men aged 18-50 face such a disappointing diagnosis.

swelling of the prostate with prostatitis

The disease usually develops slowly, without obvious signs and for many years causes minimal concern to its owner.

A man has been living with prostatitis for 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 already too late: prostatitis becomes malignant or leads to infertility. So what are the first signs of the disease and how to treat it?


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

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

healthy and inflammation of the prostate with prostatitis

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

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

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

It should not be assumed that problems with the prostate gland are many people who have passed the threshold of 30th birthday. Prostatitis can occur in any sexually mature man and now people aged 18-20 are getting sick more and more often.

Causes of the disease

Prostatitis in men is caused by several reasons:

  • long abstinence from sexual life, stagnation and poor blood circulation to the organs of the urinary system.
  • injuries, hypothermia, age-related changes.
  • genital infections, viruses, bacteria.

In combination with factors that create a favorable situation for damage to the body, these causes cause inflammation of the prostate.

Risk factors:

  • unquestionable or irregular sexual life, artificial prolongation or cessation of sexual intercourse;
  • sedentary, sedentary lifestyle
  • previous infections, chronic diseases of the urinary system
  • overweight?
  • reduced 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
  • lack of vitamins, micro- and macronutrients.
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 recommended that you have a screening every six months.


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

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

Acute prostatitis

It develops due to the effect on the prostate of pathogenic microorganisms that enter the prostate gland from the urethra or bladder and lead to inflammation.

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

Signs of acute prostatitis are most pronounced:

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

Acute prostatitis is dangerous because the inflammation spreads quickly, affecting nearby organs. Sometimes this leads to extensive abscess of adjacent tissues and vascular thrombosis.

groin pain with prostatitis

Usually, the treatment is done not at home, but in a hospital. If the treatment was correct, acute prostatitis is completely cured.

If treatment proves premature or inadequate, the disease becomes chronic.

Chronic prostatitis

It is a consequence of untreated acute infectious prostatitis (bacterial form) or results from trauma, hypothermia (bacterial form).

The symptoms of chronic prostatitis during remission are almost non-existent.

A man can celebrate:

  • discomfort or slight pain in the groin
  • increased urination, impaired flow
  • constant weakness, apathy
  • decreased sexual desire.

How does chronic prostatitis manifest itself during exacerbation?

It is accompanied by symptoms that characterize an acute condition. Chronic prostatitis is characterized by a wavy course: after a deterioration, a period of remission will surely come.

inflammation of the prostate with prostatitis

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

Infectious prostatitis

The cause of infectious prostatitis is damage to the prostate tissues by viruses, bacteria or fungi.

The following types of infectious prostatitis are distinguished by the type of microorganism-pathogen:

  • bacterial (intestinal or Pseudomonas aeruginosa, staphylococcus, streptococcus)
  • virus (herpes virus, human papillomavirus, cytomegalovirus)
  • mycoplasma (mycoplasma)
  • Trichomonas (Trichomonas);
  • gonorrhea (gonococcus);
  • chlamydia (chlamydia);
  • tuberculosis (Koch's bacillus)
  • fungus (Candida fungus)
  • mixed.

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

inflammation of the urinary tract with prostatitis

If the disease is not treated, it leads to a purulent process that spreads rapidly to all nearby organs. Such a condition, which threatens the patient's life, becomes an indication for surgery.

Logic prostatitis

Its cause is stones in the prostate. This form is found in older men who have refused treatment for a chronic illness.

The symptoms of pruritus ani are similar to those of a chronic illness, but are sometimes supplemented by specific signs:

  • sanctuary and back pain that worsens after walking, prolonged sitting or sexual intercourse
  • the presence of blood in the sperm.

Most often it is found during the ultrasound scan.

Congestive prostatitis

It occurs due to stagnation of prostate secretion or blood in the veins that pass through this organ. Congestion is a consequence of an irregular sex life, wearing tight underwear, physical inactivity or alcohol abuse.

The symptoms in 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, acute prostatitis that is not treated in time becomes chronic or leads to the following complications:

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

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

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

Complications of chronic prostatitis and its consequences on men's health:

  • prostate sclerosis.
  • cystitis, pyelonephritis
  • inability;
  • prostate gland abscess;
  • cystitis, epididymitis
  • infertility;
  • massive formations in the bladder and prostate.
  • adenoma and prostate cancer.

With advanced chronic prostatitis, many pathological changes are irreversible. For example, problems with urination and sexual dysfunction will no longer be eliminated by treating prostatitis.


If typical symptoms occur, a man should see a urologist or andrologist. The doctor makes the diagnosis of "acute prostatitis" based on research, examination of the patient, digital rectal examination and analysis of prostate secretion.

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

The study of prostate secretion reveals the nature of the disease - bacterial or bacterial. With the bacterial origin of prostatitis, the secret is also being investigated for resistance to antibacterial drugs.

Chronic inflammation is more difficult to detect.

For this, a whole range of laboratory techniques and materials are used:

  • bacteriological seeding of prostate and urine secretions to determine infection.
  • biochemical analysis of venous blood to determine the level of ESR, PSA and leukocytes.
  • urethral discharge analysis
  • urophotometry?
  • prostate biopsy
  • Ultrasound (via the abdominal wall) and TRUS (via the rectum)
  • Magnetic resonance imaging and computed tomography of the damaged organ.
  • urodynamic research?
  • urethrocytoscopy
  • X-ray examination.
ultrasound as a way to diagnose prostatitis

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

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

If acute prostatitis can be eliminated in 1 course of treatment, then chronic prostatitis is treated much more. Sometimes the patient becomes a regular visitor to the urologist's office. The more correctly the treatment is chosen and the more accurate the patient follows the doctor's recommendations, the longer the remission period.

How to treat prostatitis?

The treatment of prostatitis is a long process that lasts at least 1, 5 months and includes a whole series of procedures.

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

For prostatitis, a complex treatment is prescribed, which includes taking anti-inflammatory drugs and antibiotics in the stage of deterioration and physical therapy and massage in the stage of recession. These methods alone will not have the desired effect.


The drug treatment lasts 3-4 weeks and includes the following groups of drugs:

  • non-steroidal anti-inflammatory drugs to eliminate pain and inflammation.
  • Antibacterial drugs (fluoroquinolones, cephalosporins, penicillins, macrolides, tetracyclines) for the treatment of bacterial prostatitis and hypothermia.
  • Immunomodulators, complexes of vitamins and minerals to stimulate the body's defenses.
  • hormonal drugs to eliminate hormonal imbalance and stagnation of prostate gland secretion in its tissues;
  • muscle relaxants and alpha-blockers for muscle relaxation (elimination of inflammation of the prostate, relief of urethral and bladder spasm, facilitation of the urination process).
drugs for prostatitis

Particularly effective are drugs available in the form of anal suppositories.

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

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

Physiotherapy treatment

Physiotherapy is used as adjunctive therapy and is used only in combination with drugs.

It is impossible to treat the prostate with physiotherapy devices until the symptoms of deterioration are completely eliminated.

Types of physiotherapy:

  • electrical stimulation
  • laser treatment
  • media coverage?
  • structural magnetotherapy
  • phonophoresis and phototherapy.
  • reflexology?
  • hydrotherapy?
  • prostate massage.

Physiotherapy gives the best results for chronic and congestive prostatitis.

But with an infectious and huge disease, massage should be abandoned - it will only help the infection to spread to nearby organs faster or activate the stones.


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

surgical treatment of prostatitis

Indications for surgery:

  • stenosis 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 its cavity due to improper functioning of the seminal vesicles.
  • stones in the prostate cavity
  • prostate adenoma or sclerosing changes in its tissues.

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

This type of treatment is not the best choice, as it aims at the effect of the disease and not at its cause.

In addition, it is not able to regain its lost health: it will only slow down the development of the disease.

Folk remedies

Well-known folk remedies should only be used as an adjunct to the main treatment prescribed by a doctor.

Traditional medicines:

  • take decoction of chamomile, calendula, birch buds, sage.
  • the use of alcoholic tinctures of St. John's wort and Echinacea;
  • wearing urological patches with plant extracts.
  • the use of candles with propolis, ichthyol or sea candles.
chamomile broth for prostatitis

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

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


Preventive measures aim to eliminate factors that contribute to the development of prostatitis and the early diagnosis of an existing disease.

Precautionary measures:

  • strengthening the immune system
  • denial of casual sex;
  • timely treatment of infectious and aphrodisiac diseases;
  • smoking cessation and excessive alcohol consumption.
  • healthy eating, exclusion from the diet of spicy and smoked foods, carbonated beverages, energy drinks.
  • fight stress
  • avoid hypothermia and overheating.
  • wearing loose underwear made of natural materials.
  • regular sports, exercise therapy (jogging, walking, abdominal exercises, squats, "birch"), long walks.

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

special consultation for prostatitis

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

Also, each person should have a routine examination by a urologist every six months. The doctor will notice the signs of an initial illness and prescribe the appropriate treatment.

Early stage prostatitis is much easier to cure than a chronic illness.