Chronic bacterial prostatitis: causes, signs, diagnosis, treatment methods

consult a doctor for chronic bacterial prostatitis

Chronic bacterial prostatitis is one of the most common types of diseases. This form of the disease is characterized by the frequency of its occurrence and the lack of timely treatment can lead to various disorders - sexual dysfunction, as well as contribute to the development of prostate hyperplasia. But what is the causative agent of the disease and what will be the consequences if left untreated? Let's take a closer look at these questions.

What is bacterial prostatitis?

Chronic bacterial prostatitis occurs in 15-20% of all people suffering from the underlying disease. This condition is common in middle-aged men as they continue to have a normal sex life and there is a good chance that harmful bacteria will enter their body. Harmful microorganisms with this type of prostatitis fall directly into the area of the prostate gland, where they actively multiply and disrupt the activity of an organ that is so important for a man.

At the same time, inflammation can be promoted not only by the bacteria themselves, but also by their metabolic products.

Unlike other subspecies of the disease, bacterial chronic prostatitis has more severe symptoms and the microorganisms can spread not only within the gland, but also beyond it, disrupting the functions of the bladder and other nearby organs.

Causes of the disease

The main causative agent of chronic prostatitis of bacterial nature is the bacteria that can enter the body both during sexual intercourse and from the environment. Among the pathogenic microbes, the following should be noted:

  • Chlamydia?
  • Streptococci?
  • Staphylococci?
  • Klebsiella;
  • Pseudomonas aeruginosa;
  • Trichomonas;
  • Gonococci?
  • Enterobacteriaceae?
  • Escherichia coli.
pathogenic chlamydia of chronic bacterial prostatitis

The most common causative agent of the disease is E. coli, as it is found in 80% of patients with prostatitis.

Individual factors and diseases can also worsen the course of the disease and cause it to develop. There is a high probability of developing chronic prostatitis in a man who:

  1. Leads an inactive lifestyle.
  2. They suffer from pyelonephritis or cystitis.
  3. He has weak immunity.
  4. Consumes alcoholic beverages and tobacco products.
  5. Often overcooling;
  6. Prone to stress.
  7. Suffer from constipation;
  8. She has a bad sex life.
  9. It often comes in contact with direct sources of infection.
  10. He has hormonal disorders.
  11. He does not have a normal intimate life.
physical inactivity as a cause of chronic bacterial prostatitis

It is worth noting that chronic prostatitis, as a rule, precedes its acute form, so the patient has little time to prevent the development of the disease. The reason for the development of a permanent form is the spread of bacteria throughout the body through the circulatory, lymphatic and other systems of the body and once the immune system is weakened, for example, during a cold, the prostate gland can become inflamed. , thus causing discomfort and a number of other consequences.


The main symptoms of chronic bacterial prostatitis are similar to other types. The patient may experience:

  • Pain in the lower abdomen.
  • The inflammatory process is accompanied by an increase in body temperature.
  • There is muscle fatigue and general weakening of the body.
  • Urination may be accompanied by pain.
  • There are pains in the anus and rectum.

It is worth noting that, in contrast to the acute form, the symptoms of chronic prostatitis are less pronounced. As the disease flares up, blood particles can be seen in the urine and the pain syndrome increases significantly.

lower abdominal pain in chronic bacterial prostatitis

If you do not pay attention to this symptomatology and do not consult a doctor in time, there is a high probability of complication in the form of:

  1. Development of purulent processes of the urogenital system.
  2. Prostate adenomas?
  3. Problems with urine outflow.
  4. Stone-like prostatitis.
  5. Infertility;
  6. Sexual dysfunction.

Similar complications are also possible in the case of prescribing the wrong treatment or self-medication without prior medical advice.

Diagnosis of the disease

The diagnosis of chronic bacterial prostatitis can be made based on:

  • General blood test - helps determine the displacement of the leukocyte count to the left, which indicates the course of inflammatory processes in the body.
  • Regular urinalysis - will determine the increase in the content of leukocytes and erythrocytes, which are produced to fight harmful microorganisms.
  • A urine sample with three glasses - this analysis is similar to the usual, only the changes in a urine sample of 3 glasses will be more noticeable.
  • Prostate secretion analysis - in the presence of bacterial prostatitis, specific protein fragments will appear in secret.
  • Uroometry - the observation of a patient to determine the daily amount of urine, as a rule, is performed by the patient himself in a hospital setting and the results of the calculations are reported to the treating physician.
blood test to diagnose chronic bacterial prostatitis

Diagnostic methods are determined directly by a specialist. It is not possible to make a diagnosis based on the classic examination and interview.

Treatment methods

In the treatment of bacterial prostatitis, a course of treatment is prescribed, which consists of:

  1. Antibacterial drugs, the duration of introduction ranges from 1. 5 to 2 weeks.
  2. Non-steroidal anti-inflammatory drugs - will help relieve inflammation and relieve pain.
  3. Muscle relaxants - prescribed for severe pain that does not allow the patient to empty the bladder, relax the bladder walls.

An optional symptom of bacterial prostatitis is a depressive condition in which the patient is prescribed antidepressants. This helps reduce stress levels for the whole body, reduces the production of hormones that can negatively affect the course of the disease.

Also, with chronic bacterial prostatitis, physiotherapy courses are often prescribed, which may involve one or more procedures:

  • Electrophoresis - the introduction of special drugs under the influence of a special frequency electric voltage.
  • Ultrasound - activates the process of tissue regeneration, eliminates inflammation, prevents scarring and normalizes metabolism.
  • Magnetotherapy - aimed at normalizing the blood circulation process.
  • Electric smooth muscle stimulation - allows you to get rid of congestion, improves the movement of secretory secretions.
  • Laser treatment - normalizes the performance of the prostate gland.

In some cases, prostate massage can also be used as a preventative measure, which helps to eliminate pain and improve the activity of organs.

Chronic bacterial prostatitis in recent years has been observed in patients with increasing frequency. This is due, first of all, to the increase in the incidence of STDs, especially chlamydia and candidiasis. This type of disease can occur regardless of age, although it most often affects weaker middle-aged organisms.