This is the most common urinary tract infection in adult men, ranging from 45 years and above. The most common bacterium is Escherichia coli, which, once it enters the urinary canal, travels up the canal and enters the prostate gland. If the infection gets higher, then this can cause pyelonephritis, and, consequently, the likelihood of hospitalization of the patient.
Prostatitis usually manifests acutely and is characterized by the presence of urination syndrome, fever and chills. The patient usually indicates the presence of pain in the perineal region and in the hypogastric region of an intense nature. By definition, a urinary infection in a man is usually defined as prostatitis, so the approach and treatment is more complex and lengthy. Therefore, despite different opinions, treatment in spain prostatitis for at least 14 days.
How is acute prostatitis manifested?
At sharp prostatitisaccompanied by high temperature and the poor condition of the patient, sometimes hospitalization is required, because if you do not start quickly prescribing antibiotics, and there are at least two of them in this case, then this infection can cause blood poisoning.
The reasons are different, but the individual anatomical factor is important, which is one of the main ones in our opinion. There are a lot of myths around this disease. Most ridiculous and unproven is that sexual abstinence increases the risk of prostatitis. At the same time, we can definitely say that intense sexual practices also do not protect a man from prostatitis and prostate cancer.
By the way, there is another curious version that cyclists have an increased risk of prostatitis due to constant blows to the prostate with a bicycle saddle, however, in fact, this is not the cause of prostatitis. But if there is a stated inflammation of the prostate gland, then severe pain will definitely be felt upon impact. Thus, this causal relationship is from a number of regular myths and legends.
Diagnosis of acute prostatitis
First of all, it is a pronounced and understandable clinical symptomatology. It is necessary to take a blood and urine test. AT Blood test necessarily included PSA protein (PSA), and in the analysis of urine, you should always ask bacteriological culture and test for antibiotic resistance in bacteria.
As a rule, it is necessary urological rectal examination. The procedure in this situation is quite painful, because the prostate gland is inflamed and enlarged. Prostate massage should be avoided during the examination, as it increases the risk of bacteriuria.
Male patients, for various reasons, often do not want to see a urologist because of the fear of a rectal examination of the prostate gland. This is a big mistake and delusion, which in practice ends with prostate cancer with bone metastases. [su_highlight]Every man over the age of 50 must at least once consult a urologist.[/su_highlight]
Next, the first standard treatment will be two antibiotics. Improvement of the picture should be in the next 48 hours. Ciprofloxacin and Gentamicin are used.
Why is it so important to start prostatitis treatment quickly?
In addition to preventing blood poisoning, it is also necessary to prevent the possibility of chronic prostatitis. Occasionally, prostatitis may have a chronic evolution, showing an asymptomatic clinical expression and presenting as a recurrent bladder infection. Consequently, treatment urinary infection in men prostatitis always will be at least two weeksand in some cases up to 28 days.
The control and recovery of the patient can be ascertained by a decrease in PSA protein (PSA) within a few weeks to the minimum values. Note that monitoring the level of prostate specific antigen is not an absolute indicator of the course of this disease, because in practice there are cases when it is always elevated in patients. The topic is delicate and complex, primarily related to prostate cancer, which must always be detected in time. Therefore, experienced urologists always link laboratory parameters in the context of the clinical picture of the disease.
In such cases a prostate biopsy is recommended. Our medical centers perform a new and exclusive type of biopsy that combines ultrasound and MRI images at the same time. Grupo Biomedico Ascires
Prostate adenoma and prostatitis
A few words about benign prostatic hyperplasia (BPH). Experts usually call this an enlarged prostate, which changes after 50 years, when a man's body begins to change too. Recall that this is "This is a natural process, and from the age of 70-80 all men suffer from prostatic hyperplasia." This process is comparable to the changes associated with menopause in women, although, to be precise, "men do not have hormonal failure, but there are changes."
Prostate adenoma is an increase in the volume of the center of the prostate. When a man sees a doctor about problems with urination, it is most often associated with prostate adenoma. Remember, it's not cancer. Therefore, we always talk about benign prostatic hypertrophy.
And finally, prostatitis is not directly related to prostate adenoma, so if you have an enlarged prostate gland, then you are not a candidate to get frequent prostatitis or chronic prostatitis.
Dr. O. Korzhikov