Prostatitis of II category, aka chronic bacterial prostatitis (CP\CBP), is a complex disorder that doesn’t respond to treatment well. Chronic inflammation is caused by infection. Men of any age, young men are no exception, can develop the condition, with every life aspect being affected:
- reduced work efficiency
- decreased sexual activity
- poor life quality
If inflammatory process fails to be cured for more than three months, CBP is diagnosed. Bacteria of the same kind are discovered in semen, prostate secretion, and urine (after prostate being massaged).
What Cause CBP?
As soon as this infectious disorder is diagnosed, it is important to identify, prior to the treatment, the reasons for the illness. Microorganisms triggering the infection fall into several groups:
- GIT bacteria
- staphylococci, streptococci, enterococci
- intracellular microorganisms, e.g., chlamydia, fungi, gonococci, etc.
However, healthy men with strong immune resistance are likely to be affected with neither bacteria nor intracellular microorganisms. Therefore, researchers distinguish several triggering factors. The prostate gland performs protective functions; low count of citric acid, fructose, zinc, calcium, and magnesium in gland secretion leads to protection failure resulting in the inflammation. Urethritis, cystitis, and some kinds of medical examinations of the urethra are to fault for giving pathogenic microorganisms the way to the prostate. Low immunity may also create proper environment for the condition. At times, being cold for a long time can be enough to promote the infection, which, when poor body resistance, easily progresses to chronic. A disturbed circulation in the pelvic organs causes engorgement in the gland that also contributes to pathogenic bacteria growth and disease worsening. Inflammation sites near the prostate also stand among the causes of bacterial prostatitis.
Symptoms of the chronic form are not always evident. It happens due to alternating periods of exacerbation and regression lasting sometimes for long. Often asymptomatic disease course takes place. Here are the main signs of the disorder:
- Drawing, aching, or dull pain in the perineum. Pain may be located in the lower abdomen, low back, scrotum, and penis; it intensifies when sitting during defecation. Sometimes painful feeling turns to be constant.
- Discomfort when urinating, such as itching, burning, urethralgia.
- Urination disorder.
- Sexual malfunction (decreased libido, blood in semen, erection problems, etc.).
- Profound intoxication (low grade fever at recrudescence, tiredness, appetite disorders, atony).
- Frustration, depression, anxiety, and reserved demeanor.
This infectious disease, with clinical pattern not obvious, doesn’t respond to treatment often due to low spirit of the depressed patient who finds no motivation to follow the prescription. So much so that acute form caused by infection occurs rare, whereas chronic one requires long and persistent treatment.
Simple examination and laboratory research are used to diagnose bacterial prostatitis. It is indicated by pale skin, swollen legs and scrotum, increased urinary bladder (in neglected cases). A swollen prostate hurts.
Prostate secretion and urine (taken after prostate milking) are tested at several laboratory assessments that usually reveal elevated level of white blood cells and bacteria.
Prostatitis Category 2: Treatment
Only your doctor, having considered the stage, is to decide on medical treatment for the condition. An early phase of CBP presents with overall health, through pain and burning during urination, reduced libido, and ejaculation disorder are reported. Changes in the prostate and its tissues are typical for the chronic type category 2. Cicatricial tissue, destroyed blood vessels, and pain signal the ailment. Prostatitis category 2 accompanied with increased pain is normally when men decide to see the doctor. Category 3 is characterized with necrosis in the prostate, when complications are likely to progress to kidneys. CBP requires antibiotic treatment. Several groups of medications are usually used:
The choice of medicine depends on the cause of the disease, microorganisms, which triggered the condition, and their sensitivity to the drug. Often a set of antibiotics are prescribed and substituted in case of failure. Several antibiotic therapies are administered, with prostate secretion and urine tests being taken on regular basis to monitor treatment efficacy.
Tetracyclines have been popular in medication sector recently for being much more effective as compared to their predecessors, such as doxycycline. They provide proper features to treat bacterial prostatitis:
- direct anti-inflammatory effect
- impact on susceptible bacteria
- ability to penetrate deeply into the prostate tissue
- sufficient concentration in inflammation sites for proper therapeutic result
- comparatively lower doses to avoid many unwanted sequelae, including dysbiosis
Antibiotic treatment is combined with immunotherapy, physiotherapy, prostate milking. One needs to follow the diet and give up alcohol. On your doctor’s approval, complementary therapy, e.g., medicinal herb tinctures and infusions for oral intake and micro-clysters, is possible. However, one should not hope for complete recovery without antibiotics. Prostatitis treatment asks for utmost earnest to prevent numerous complications, including:
- vesiculitis (inflammation of seminal vesicles)
- prostate abscess
- prostate sclerosis
- cysts and calculi in the prostate gland
- sexual disorders and infertility
Properly selected treatment for CBP is successful in most cases; favorable prognosis for the disease is mainly defined by keeping stuck to doctor’s prescription and being an optimist.
To prevent CP of bacterial nature, it is necessary to rely on constant sex partner, healthy lifestyle, and exercising. If possible, avoid excessive heat loss and see your urologist on regular basis.