Prostate inflammation (prostatitis) can occur in various forms. For the most part, men develop acute inflammation of the prostate gland. If this illness occurs more often or if it is not treated sufficiently, it can come in the course to the chronic Prostatisentzündung (Prostatitis). Typical signs are burning and pulling pain when urinating, fever and chills.

What is a prostate infection?

The man's prostate is responsible for producing some of the sperm. Like any other organ, however, it can ignite:

This is called prostate inflammation, also known as prostatitis in technical language. In a broader sense, this also refers to all other inflammations of the pelvic floor, which initially have no other cause.

Typical symptoms include difficulty and pain when urinating, increased urination and severe pain after ejaculation.

causes

Acute prostatitis (prostatitis) is a reaction of the body to bacterial infections. In most cases, these are intestinal bacteria of the species E. coli, which can be detected in large quantities in the urine of affected men. Other, though rarer, triggers are chlamydia or mycoplasma. When it comes to the chronification of bacterial prostatitis, usually other bacteria play a role.

For example, Mycobacterium tuberculosis has been identified as a potential trigger, which must have been preceded by genital tuberculosis. Rarely, viruses or fungi are associated with chronic prostatitis. Most of the reason is that the triggers of the previous acute disease remained in the urethra and after healing of the first infection thrust in this way have returned to the prostate, which was still weakened.

Abacterial prostatitis (prostatitis) is by far the most common manifestation. It hardly differs from the bacterial inflammation, but has other causes. In question come neuronal disorders up to autoimmune reactions. Although it is being discussed that difficult to detect bacteria could act as pathogens, there is no proof for this.

Symptoms, complaints & signs

Acute prostatitis usually begins with a general malaise. The patient feels tired and chipped, it comes to fever with chills. Urination causes burning pain, much like cystitis. The urinary stream may be restricted by the swollen prostate.

Because only a small amount of urine can be excreted at the toilet, the patient often has the urge to let water. Furthermore, it comes to pain in the perineal area, which can radiate into the penis, the testicles, the bladder and into the groins. Pain may also occur during bowel movements and intercourse, especially during or after ejaculation.

As a complication of acute inflammation a purulent encapsulation (abscess) in the prostate is possible. It has to be surgically opened and cleared. Chronic inflammation of the prostate causes less severe discomfort. There is no fever and no chills. The strongest symptom is a feeling of pressure in the perineum or abdomen.

The ejaculate may be tinged with blood due to traces of blood. Also, blood in the urine is possible. Even with the chronic form of the man often feels more pain during or during ejaculation. In addition, it can lead to libido or potency disorders. If the inflammation is not treated, it can spread to surrounding organs, such as the testicles or epididymides.

disease

In the case of acute prostatitis (prostatitis) prostate abscess or urinary retention may occur as a complication during the course of the disease. If it has already come to a chronic form of prostatitis (prostatitis), it can always occur new infections, so that a treatment can be very lengthy and complicated.

complications

Recognized and treated in good time, acute prostate inflammation usually heals without consequences in a short time. Occasionally the triggering bacteria enter the testes and can cause an epididymitis there. As a further complication, a prostate abscess can occur in which pathogens in the prostate become encapsulated and cause a massive purulent inflammation.

This can be accompanied by fever, chills and severe pain in the affected area. A prostate abscess is usually promptly surgically opened, as the epithelium can otherwise break into the urinary bladder, urethra or rectum. Furthermore, as a result of prostatitis disturbances in urination are possible, which may extend to complete urinary retention - in this case, the urine emptying must be performed using a catheter.

A rare but life-threatening complication is blood poisoning (urosepsis), in which bacteria invade the bloodstream and spread throughout the body. If no rapid treatment, it comes to the failure of vital organs. An insufficiently treated with antibiotics, acute prostatitis is often in a chronic prostatitis over: the infection flares up again and must be treated with medication. The premature discontinuation of the antibiotic carries the risk of resistance, in which the triggering bacteria no longer respond to the drug.

When should you go to the doctor?

Symptoms such as burning on urination, frequent urination and an unpleasant feeling in the lower abdomen indicate a prostate inflammation. A consultation with a doctor is necessary if the symptoms do not recede within two to three days. If general symptoms such as fever or discomfort are added, it is best to consult the family doctor immediately. Sometimes the symptoms appear in connection with a bacterial infection or tuberculosis of the genital organs. Then the responsible specialist should be switched on.

The same applies if the health problems in the context of Chlamydia infection show up. Apart from the family doctor you should go with a prostate infection to a urologist. For organic causes, the responsible specialist must be consulted so that treatment can be started quickly. If no physical cause is found, the condition may be psychological. The patient should consult a psychologist or psychotherapist if mental health is poor or if there is a suspicion of a psychic trigger for other reasons.

Treatment & Therapy

Acute prostatitis (prostatitis) is first treated with antibiotics. Depending on the pathogen, different preparations come into question. The chronic form is also treated with antibiotics, but other drugs are used. In order to combat the chronic bacterial inflammation of the prostate, gentler remedies are required, since the administration of antibiotics may extend over 4-6 weeks. In addition, alpha blockers are often prescribed or prostate massages performed to help narrow the painful discomfort.

More difficult to treat is the abacterial prostatitis. It must first be determined whether it is an inflammation or not. In some cases, the pain may also be due to an unhealthy tension in the pelvic floor muscles, affecting the prostate only among other things, sometimes even not at all. The administration of antibiotics has been shown to be helpful in preventing bacterial inflammation of the weakened area. However, quercetin, alpha-1-blocker or mepartricin play the main role in the drug treatment.

prevention

A prostate infection (prostatitis) can hardly be effectively prevented, as it starts from internal processes in the body, on which humans have little influence. Basically, a thorough body care and adherence to hygienic principles help to let the pathogens of inflammation penetrate through the urethra into the body.

Chronification of prostatitis can be prevented by having the acute form treated by the doctor immediately. Antibiotics must be taken to the last tablet of the pack or as directed by the physician, otherwise the bacterial population can not be completely killed. In case of recurrence of discomfort or only slight improvement, the doctor must be consulted immediately.

aftercare

The aftercare of a prostate infection takes place a few days after recovery. If the patient is no longer in pain and otherwise does not notice any unusual symptoms, the responsible urologist will be consulted. The aftercare includes a physical exam and a patient interview. During the physical examination, the doctor controls the bladder area.

Typical symptoms such as inflammation of the epididymis or fever are clarified. If symptoms persist, a blood test may be necessary. In the patient discussion further typical symptoms are clarified, which are difficult to see for the physician during the physical examination. These include the typical pain of urination and general potency problems.

Insofar as no abnormalities are detected, the treatment can be completed. A prescribed antibiotic must be swapped out. If necessary, the doctor prescribes a lighter medication or refers the patient to an alternative physician.

The aftercare of a prostate infection is carried out by the urologist, who has already taken the treatment. It is a one-time examination designed to clarify the symptoms. If the patient has fully recovered, no further visits to the doctor are needed. Before discharge, the doctor can inform the patient about preventive measures to prevent recurrence of the prostate.

You can do that yourself

Very often, bacterial prostatitis is caused by pathogens that rise from the urinary tract to the prostate and kidneys. For this reason, immediate countermeasures should be taken at the very first signs of urinary tract disease.

Patients help themselves by flushing their urinary tract thoroughly to flush out the germs and minimize bacterial concentration. For this, a lot of water or unsweetened herbal or fruit tea should be drunk. In pharmacies and drugstores, there is also special bladder tea, which not only flushes the urinary tract, but also has a pain-relieving effect. In natural medicine, pumpkin seeds and drops and tablets based on them are also used.

If it is a chronic prostatitis, the patient can improve his chances of recovery by protecting himself from hypothermia. The weather is accompanied by appropriate clothing, warm underwear and the avoidance of cold seats. Warm sitz baths can also relieve tension and so relieve pain. In addition, the patient can learn and apply relaxation techniques such as yoga or tai chi, which also has a beneficial effect on chronic pelvic tension pains. If the patient also suffers from erectile dysfunction, he should necessarily point out to his attending physician and not be silent out of shame, as this makes diagnosis and therapy difficult.

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