Gonorrheal type prostatitis

When gonorrhea provoked prostatitis, this is due to the inflammatory process of the urethra (posterior) in men. In this case, the gonococcal bacteria penetrated through the open ducts for excretion. In some cases, it is difficult to identify such a pathology, which leads to the idea that the bacillus entered the prostate gland through the lymph through the anterior urethra without affecting the posterior one.

Varieties of pathological processes

Gonorrheal disease is treated with the use of the strongest antibiotics, this makes it possible for a rare manifestation of complications in the form of gonorrheal prostatitis. Late detection of gonorrhea or not timely treatment of it contributes to the infectious spread of bacteria in the prostate.

There are several types of acute exacerbation:

Chronic gonorrheal prostatitis

Gonorrheal prostatitis does not always have an acute course. Sometimes the pathology is very sluggish with a chronic nature. An exacerbation can occur at moments of favorable periods for the reproduction of the infection.

The localization of the inflammatory process is manifested not only in the intermediate, but also in the glandular tissues (focal). In the walls of the ducts with alveoli and connective tissue, leukocyte infiltration occurs. Cyst-like formations appear on the lobes of the gland, in the cavities of which there is pus

At the same time, in patients with a chronic course of pathology during an exacerbation, there is a burning sensation, itching in the urethral canal, pulling pain in the sacro-lumbar spine, perineum, pressure radiates to the anal canal area. Pus (filamentous) with flakes appears in urine. Urination becomes more frequent, especially at night.

When remission occurs, the unpleasant symptomatology smoothes out, becomes less noticeable, patients think that the disease has receded.

However, the chronic course of gonorrheal prostatitis without proper treatment can lead to:

• periodic dizziness;
• phosphaturia;
• impaired metabolism;
• decreased performance;
• persistent neuralgia.

On examination by a specialist, the doctor discovers an increased asymmetry of the prostate gland; during palpation, nodular joints with retractions and dense tissue areas are palpated.

Potential complications

Gonorrhea is the same gonorrhea - this is how the disease is called in the common people. The causative agents of this pathology are gonococci, which quickly disappear with adequate therapy.

If timely therapy is not carried out, then the pathology can lead to the formation of an abscess. This phenomenon does not happen very often. In this state, there is a very high temperature with an acute retention of urine and a worsening of the general condition of the patient to a severe form.

During palpation through the rectum, painful swelling is revealed, sometimes fluctuating. With an abscess of the prostate, an urgent autopsy is necessary, otherwise the infection may break out to the posterior urethra, perineum or rectum. Sometimes there are cases when an abscess is opened to the cavity in the small pelvis, which leads to peritonitis.

Treatment manipulations for acute gonorrheal prostatitis

The most important rule in prostatitis therapy is organ rest. For patients with fever, inpatient treatment is recommended.

Thermal procedures are prescribed to stop soreness:

• baths (hot);
• applying hot bottles to the crotch area;
• local enema (hotter than 50 degrees).

When a patient wants to empty himself a quarter of an hour after the enema is administered, the intestines can be emptied; if there is no urge, then the fluid should be held back.

If different types of irritation are felt in the rectum, then the solution should be made with chamomile infusion. For pain, five drops of opium infusion are added to the enema. Suppositories with belladonna or morphine can be administered.

Sulfamide therapy for gonorrheal prostatitis is practically ineffective. A good therapeutic result is manifested by injection of sterile milk (intramuscularly). This effect is called protein therapy, in which the cells in the inflamed organ are irritated under the influence of a foreign protein introduced into the plasma.

Acute prostatitis is treated with local manipulations:

• rectal examination is minimized to avoid injury to the prostate;
• retention of urine is eliminated by catheterization after flushing the urethral canal;
• abscesses are opened with sharp temperatures through the perineum.

The chronic course of gonorrheal prostatitis is treated for a long time and requires special endurance, both by the patient and the treating patient. Treatment involves the elimination of the gonococcal infection of the inflammatory process, and it is impossible to destroy the overgrown tissue.

Disturbing symptoms disappear immediately after the start of drug therapy. If the treatment was interrupted, then the relapse soon makes itself felt.