What to do with purulent prostatitis

What to do with purulent prostatitis

Prostatitis is among the leaders in terms of incidence. If it is cured in time, it will help prevent all sorts of complications and the development of prostate cancer.

This type of prostatitis, like purulent, refers to acute, and is a complication of catarrhal. With this type, purulent cavities and follicles are formed that secrete pus into the urethra. The process is accompanied by severe pain in the perineum, fever up to 38-390. In addition, threads of pus are released into the urine. The emission of urine turns into a very painful procedure.

If this pathology is started to be treated in a timely manner, then inflammation can be completely stopped, preventing a prostate abscess. And the earlier treatment is started, the more likely it is not to resort to surgery, surgery for chronic prostatitis.

Methods of treating prostatitis with medications

But antibacterial drugs are still the basis of the course in this case, since the cause of such an ailment is most often infection of the body with microbes. As a rule, they use broad-based means and in large quantities, since it is almost impossible to find out the nature of the infection in such a situation. It is impossible to get a secret from the gland due to severe pain and the formation of a large amount of pus. Massage can not be done, it will accelerate the inflammatory process. Medicines are administered either intravenously or intramuscularly. Sometimes drugs are injected directly into the prostate.

In case of very severe pain, the doctor prescribes suppositories containing painkillers (these can be suppositories with pantopon or promedol).

With the help of microclysters, you can also slightly reduce the pain syndrome and stop small foci of purulent formations.

Sitz baths also help reduce pain and help drugs enter the anus and through its walls penetrate the prostate.

Indications for surgical treatment

In the case of advanced purulent pathology in the abscess stage, the patient needs a surgical operation. It is necessary in the formation of large abscesses and the danger of them getting pus into the fiber and tissues that surround the anus. The danger of blood clots and rupture of abscesses in the vessels in the small pelvis can also serve as indications.

When the focus of the abscess is large, there is a danger of its rupture and fluid entering the pelvic area or other tissues, doctors open the focus and remove it.

The autopsy is carried out through the perineum, in case of a large size, or through the tissues of the wall of the anus. After surgery, antibacterial drugs and immunostimulants are used in the rehabilitation course to avoid a recurrence of the "misfortune".

Indications and contraindications for treatment

When deciding on the use of certain medications, it is necessary to talk with the patient in order to find out if he is allergic to a particular drug. They also check whether it is possible to perform an operation or it cannot be performed for health reasons.

With purulent prostatitis, many physiotherapy procedures are contraindicated, as well as prostate massage, because:

Surgical treatment is unacceptable during an exacerbation of prostatitis. First you need to "calm down" the inflammation.

The purulent type of the disease, as follows from the above, is a very dangerous and serious disease. But if you see a doctor in a timely manner, without delay, it is possible to recover from such a dangerous disease completely and, moreover, quite quickly.

Purulent prostatitis: symptoms, prevention and treatment

Purulent prostatitis is the most severe form of prostate inflammation. It affects men between the ages of twenty and forty-five. Purulent prostatitis differs from other varieties of the disease by the presence of abscesses (abscesses) in the tissues of the prostate.

What threatens men with purulent prostatitis

The consequences of purulent prostatitis are sad, and therefore it must be actively treated with the help of doctors. Otherwise, you may experience acute urinary retention, infertility, cystitis, kidney problems and sepsis, which can be fatal.

Causes of purulent prostatitis

Common causes of purulent prostatitis:

• frequent hypothermia of the body;
• low immunity;
• urethral injury;
• staphylococcal infection.

Varieties of the disease

Catarrhal prostatitis usually develops against the background of influenza or SARS, and in the absence of adequate treatment, it turns into follicular. Diffuse and abscessing prostatitis are the most severe types of the disease. In patients who have encountered them, the prostate is completely inflamed, they complain of unbearable pain and high body temperature (up to 40 degrees).

Symptoms of purulent prostatitis in men

It is easy to recognize the symptoms of purulent prostatitis, because it is the appearance of purulent discharge from the urethra. At first they have a yellowish color, and over time they become milky. Other signs of purulent prostatitis:

• stinging during defecation and urination;
• increase in body temperature;
• pain in the perineum.

Treatment of purulent prostatitis

In order to prevent complications of prostatitis, it is necessary to pay maximum attention to the fight against it. How to treat purulent prostatitis? To do this, you must use the following drugs: "Prostatilen", "Tamsulosin", "Prostacor", "Terazolin", etc. They should be prescribed to you by a doctor after an examination. Do not self-medicate, because this can aggravate the situation and worsen your well-being.

Purulent prostatitis in men can be accompanied by severe pain. In such cases, they are prescribed suppositories with analgesics - Promedol, Pantopon, etc. They are supplemented with microclysters and various auxiliary procedures: laser therapy, electrical stimulation.

Speaking about how to cure purulent prostatitis, it is necessary to clarify that prostate massage is contraindicated in this form of the disease.

If the treatment of purulent prostatitis with drugs does not bring the desired results (this happens in especially severe cases), one has to resort to surgical intervention. During the operation, doctors remove pus from the prostate and wash the cavity with antiseptics. After that, in order to avoid a recurrence of the disease, the patient needs to take antibiotics and strengthen the body with immunostimulants.

Preventive measures

Because the treatment of prostatitis is a difficult task, it is much wiser not to fight the disease, but not to allow it to occur. Prevention of purulent prostatitis comes down to the fact that a person must observe intimate hygiene, give up bad habits and play sports, and not spend all day in the office or driving.

Purulent form of prostatitis and its treatment

Every person is subject to a huge number of different diseases, from which it is almost impossible to escape. Probably everyone knows that among the male population there is a very common ailment called prostatitis, and every year more and more young men are exposed to it, despite the fact that this disease was previously considered unusual for them. Let's look at one of the forms of this disease, namely, purulent prostatitis, which, according to experts, occurs only when a man ignored inflammatory processes and did not seek medical help.

What is purulent prostatitis?

It is worth mentioning right away that the main risk group for this disease is men aged 30-50 years who have a fairly active sex life, but this does not mean that purulent prostatitis in men develops only if they can be attributed to this group of people. Sometimes the disease appears in 20 years, and sometimes even in old age. As for the term itself, ordinary prostatitis is an inflammation that affects the prostate gland, and the purulent form, as mentioned earlier, is simply an unpleasant consequence of ignoring pain and its other manifestations.

Doctors divide the disease into chronic, as well as acute purulent prostatitis. As for the characteristic manifestations of the disease, doctors note its accompaniment by the development in the prostate gland (in its tissues) of small pustules (another name is abscesses). It is worth noting that the disease can be expressed in only one large purulent element or in many small pustules. It is important to understand that this form of prostatitis poses a direct danger to life, since the infection tends to spread through the circulatory system from one focus throughout the body.

Why does this disease develop?

Let's look at the main reasons that predispose the body to the development of the disease under discussion, here are the main ones:

• severe hypothermia;
• a significant decrease in the body's immune system (this will cause excessive activity of pathogenic microflora, which can only be suppressed with strong immunity);
• getting into the body of a staphylococcal infection, which, in turn, also has a lot of predisposing factors, for example, caries or sinusitis, it can even get into the prostate gland through the same circulatory system;
• serious injuries of the urethra, as a result of which it becomes possible for many infections to enter directly into the prostate gland;
• impact anaerobic infection entering the prostate from the urethra.

You should also consider the ways in which infection enters the prostate, here are the main ones:

Classification

Doctors distinguish 4 stages of this disease, the treatment of which differs markedly.If you start to fight the disease at the initial stage, but you can get rid of it quickly enough. It is also important to analyze a detailed classification due to the fact that purulent prostatitis has different symptoms, and they depend on the stage. Let's take a closer look at each of them.

Catarrhal prostatitis

Catarrhal appearance is the mildest form of purulent prostatitis. Such an ailment develops for the previously described reasons, especially if your immunity is weakened. In this case, specialists almost always diagnose inflammation of the walls (we are talking about the ducts of the gland). At this stage, the gland itself is not yet subject to changes, because the only change can be an open. Also, the disease can be accompanied by relatively frequent urination, which is why ordinary people sometimes confuse it with cystitis. Pain is also observed in this form. It is worth noting that the symptoms already at this stage are quite bright, so it is simply impossible not to notice them. We also mention that at this stage the disease is treated easily, and patients notice improvements after a week of therapy.

Follicular prostatitis

Catarrhal prostatitis is impossible to ignore and hard to ignore, but some men still do it. In this case, after some time, the disease will move to the next stage, which is characterized by a follicular appearance. The disease at this stage is already much more pronounced, since the glandular tissue itself becomes inflamed, and the gland also becomes flabby. We mention that pustules can form even on the lobules. It is worth noting that the mucous membrane related to the excretory streams begins to swell, which significantly prevents the outflow of pus. At the same time, the patient's temperature will rise significantly (up to 39 degrees) and pulling pains will appear, the location of which will be the inner surface of the thigh, as well as the perineum and sacrum. Pain will appear even when urinating, and the urge will be much more frequent. There will also be purulent discharge into the prostate. Experts note that at this stage, treatment will take much longer, but positive dynamics will definitely be observed.

Parenchymal prostatitis

An even more advanced form is parenchymal prostatitis, it is accompanied by a strong edema that affects the glandular tissue, as well as the connective tissue base of the prostate. The gland increases significantly, and the main symptoms practically do not differ from what signs were attributed to follicular prostatitis. The fact is that all these manifestations will become much more serious, because the temperature will become even higher, the discharge with prostatitis of pus will be much larger, there will even be urinary retention, accompanied by serious pain. It is worth mentioning that patients, for some reason, sometimes begin to feel the presence of something in the anus, and sometimes false urges also occur. There will also be pain in the kidneys, and sometimes they are so intensified that there are problems even with sitting. Experts say that treatment in this case is possible, but it is very difficult to produce it.

Abscessing prostatitis

And the most neglected form is abscessed prostatitis, which is simply an abscess of the entire prostate tissue. It is always accompanied by intense heat, as well as sharp and severe pains. Purulent discharge becomes incredibly huge, and patients noted that pus is released quite often. Also, there is always a complete intoxication of the whole organism, which can even cause the death of a person (as a result of the development of some complications), it is necessary to immediately begin to treat a person. We mention that there is a possibility of an independent cessation of the inflammatory process, it is accompanied by a subsidence of all symptoms, but you should not hope for such an outcome, because it is extremely unlikely. Most likely, there will be a simple maturation of the abscess and its opening, as a result of which pus will enter many cavities of the body, due to which the patient's condition will deteriorate sharply.

As you could understand, there is no ideal treatment for purulent prostatitis, it all depends on the stage of the disease, as well as on how many abscesses appeared (one large or many small ones). If the patient has only small abscesses, then simple antibiotics can help him. A more serious process almost always requires surgery, but at the initial stage, it most often passes without complications. Antibiotics used in the initial stages will not help relieve the pain, they will fight the problem. To relieve pain, you should use special baths, and a specialist can prescribe painkillers.

A more advanced disease must be treated in a hospital, and the patient must comply with strict bed rest. Also, most likely, a catheter will be inserted and antibiotics will be prescribed. Painkillers and special suppositories may also be prescribed.Folk remedies can be used as an adjunct to therapy (most often their purpose is to relieve pain).

Pay attention! Never argue with a specialist if the prescribed treatment is slightly different from what was given above. The fact is that for the attending physician the situation is clearer (he examined you, asked questions, studied the results of the tests). Thus, you can find the perfect way to treat this disease!

Prevention

Let's look at the main methods of preventing purulent prostatitis. It is important to know them in order to prevent the development of such a terrible disease. Here are some prevention tips: