Non-bacterial will forgive a non-infectious disease

Non-bacterial prostatitis is a disease characterized by the development of an inflammatory process in the tissues of the prostate gland. The bacterial infection does not participate in the development of the disease, but due to the high risk of infection, the main drug therapy is carried out with the help of antibacterial drugs.

Etiological and pathogenetic factors in the development of the disease

The main reason for the development of non-bacterial prostatitis is the occurrence of congestion in the pelvic organs. The most common cause of stagnation is considered to be a sedentary lifestyle and prolonged abstinence from sexual relations.

Slowdown of blood and lymph flow leads to leakage of plasma and lymphatic fluid through the walls of blood vessels in the prostate tissue, provoking the development of edema and an increase in glandular tissue in size. The main group of morbidity for non-bacterial prostatitis includes men who have reached the age of more than forty years. Comparing statistical indicators, it should be noted that the disease is progressively younger.

The main factors provoking the development of the disease are:

• not adhering to the diet, eating fatty and excessively high-calorie foods;
• drug and alcohol abuse;
• complete absence or insufficient performance of physical activity throughout the day;
• irregular sexual relations;
• hypothermia or overheating of the body as a whole.

Symptoms

Non-bacterial prostatitis provokes the development of symptomatic signs that characterize the inflammatory process, disorders of the reproductive system and dysfunction of the pelvic organs.

The main symptoms of prostatitis of non-infectious etiology should be highlighted:

• a sharp decrease in potency;
• complete lack of orgasm during intercourse;
• painful and difficult urination;
• cramps and pain along the urethra;
• constrictive pain in the perineum radiating to the thigh and lower back;
• pulling pains in the lower abdomen.

Acute inflammatory process is characterized by a pronounced symptomatic picture, but in the absence of treatment, the disease becomes chronic.

A distinctive feature of Chronic prostatitis is the less pronounced manifestation of symptoms. Sharp, short-term pains become more prolonged and aching in nature. Treatment of prostatitis in an acute course is simple and successfully carried out in a urological hospital, with the help of restorative drug therapy, inflammatory tissues are quickly restored and continue to function normally.

During chronic prostatitis, follicular cells in the tissues of the gland begin to gradually be replaced by connective tissue. The pathologically altered prostate tissue completely ceases to function over time and this process cannot be changed. Chronic prostatitis without a course of treatment leads to a lack of reproductive function, against the background of complete infertility, most patients develop instability of the emotional state and, as a result, mental disorders.

Diagnostic activities

Diagnosis of non-bacterial prostatitis is largely difficult, this is due to the complexity of determining the etiological factor in the development of the disease. Differential comparison of non-bacterial prostatitis from its other types is considered to be the main diagnostic method.

To carry out a differential diagnosis, a thorough external examination of the patient is carried out and common laboratory and instrumental diagnostic methods are used.

Additional research methods include:

• Laboratory examination of peripheral blood in order to detect signs of an inflammatory process in the body.
• A general clinical examination of urine will assess the functional state of the kidneys and show the presence of urinary disorders.
• Bacterial culture of urinary sediment and scraping from the surface of the urethral canal will help to exclude or confirm the bacterial etiology of the disease.
• Ultrasound examination of the pelvic organs is necessary for visual assessment of the condition of the gland tissue and detection of pathology from adjacent tissues.
• Magnetic resonance imaging and computed tomography is a type of radiation diagnosis, which is used when there is a suspicion of the presence of an oncological process to exclude the diagnosis of prostate adenoma.

A comprehensive assessment of the results obtained after carrying out the above diagnostic methods will allow for differential diagnosis and a final diagnosis.

Treatment activities

Treatment of non-bacterial prostatitis in acute and chronic course should be carried out in a comprehensive manner, including drug and physiotherapy treatment. An integrated approach to treatment is aimed at treating the underlying disease, eliminating the etiological factor and restoring the body as a whole.

Treatment of prostatitis using medical methods, includes the use of the following groups of drugs:

As an additional treatment, patients are advised to undergo a course of prostate massage. With the help of massage, microcirculation and lymph flow are resumed, symptoms of congestion in the pelvic cavity are eliminated and the healing process is accelerated. With the help of massage, not only the structure of the prostate is restored, but also the manifestation of pain syndrome is reduced.

In non-bacterial prostatitis, surgical intervention is not used, since the disease itself does not provoke the development of a systemic inflammatory process. An acute course, in the absence of treatment or its incorrect conduct, becomes chronic, and the resulting structural changes are not subject to surgical correction. In the event of complications or lack of effect from the provided therapeutic assistance, it is necessary to make adjustments to this course of treatment.

Prevention of the disease is carried out for elderly men and people who are at the main risk group:

• men whose professional activities are associated with sedentary work;
• patients with prolonged bed rest, disabled people;
• obese men.

To prevent the development of stagnant processes, patients are advised to carry out exercises to train the muscles of the perineum.

The prognosis for recovery is favorable with a timely course of drug treatment and physiotherapy procedures. With the development of the chronic stage of the disease, the prognosis is not favorable, since the glandular tissue of the prostate undergoes irreversible changes.