What is purulent prostatitis

Prostatitis – the disease itself is extremely unpleasant. It gives a lot of anxiety to men: about 30% are affected by it. Moreover, not only adults, but also young people – at the age of 20 years. Accompanied by difficulty urinating, pain, decreased erectile function.

The disease can have different degrees of severity – acute, chronic. The most severe and most dangerous of them is purulent prostatitis. What to do if you are faced with it? This article is about existing treatments and prevention measures.

What is the danger of inflammation

The disease indicates the presence in the body of pathogenic flora, which penetrated through the urethra and caused inflammation. Most often, the purulent form appears from infections, Escherichia or Pseudomonas aeruginosa, staphylococcus aureus.

In addition, a complication of the usual form of the disease occurs due to weak immunity and insufficient sexual hygiene. As you might guess from the name, this form is accompanied by the formation of pus flowing to the gland . The organ is greatly enlarged. Pain increases several times, there is an increase in temperature.

This form is very dangerous, as the diseased microflora spreads throughout the body through the circulatory system. If timely treatment is not carried out, you can get infertility, acute urinary retention, cystitis, liver and kidney failure (it threatens to be fatal).

How the disease spreads

Infection can enter the prostate in several ways and for various reasons:

  • Ascending (from the urination canal);
  • Descending (from the kidneys and bladder);
  • Hematogenous (by blood, after complicated sinusitis, pneumonia, furunculosis). The most rare;
  • Lymphogenic (inflammation in the intestine provokes the development of purulent prostatitis. Disperses throughout the body through the lymphatic vessels);
  • Canalicular (spread through the excretory ducts. It enters through the canal that connects the prostate and testicles);
  • Mechanical (any injuries, bruises and ruptures. In combination with inflammation, it provokes purulent prostatitis).


The symptoms of purulent prostatitis are pronounced in men, so it is impossible not to notice the signs. Each stage is accompanied by its own symptoms, but there are a few common ones:

  • Frequent, painful urination, urinary retention;
  • Temperature increase;
  • The presence of purulent discharge;
  • Weakness, drowsiness;
  • poor appetite;
  • Problems with defecation.

catarrhal stage

This form, in which there is inflammation of the surface tissues of the gland. A small amount of pus may appear in the urine. There is burning in the urethra. It usually appears after the flu, tonsillitis or SARS. At this stage, subject to timely detection and proper therapy, it is possible to improve health in 5-7 days.

You can watch:

  • Frequent urination, pain, feeling of full bladder even after going to the toilet;
  • Spasms of the bladder;
  • Feeling that the anus is bursting;
  • Pain during ejaculation;
  • Vividly weakened potency.

The catarrhal form is often confused with cystitis, so the visit to the doctor is delayed.


It appears if the catarrhal form of the disease is not treated. Pus forms in the follicles of the prostate, lingers there. Spreads to deeper tissues. The gland increases in size, becomes covered with purulent masses, which, due to pressure, seep through the follicles. A man feels a pulling pain in the lower part of the vertebra, perineum. Together with urine, pus and secretions of the gland come out. After treatment, long non-healing scars appear on the walls of the follicle.

The previous signs are joined by:

  • An increase in body temperature up to 38 C;
  • Fatigue, drowsiness, decreased performance.

Parenchymal (or diffuse)

There is extensive swelling. The pain intensifies, as does the amount of discharge. Going to the toilet is more and more difficult, as if there is something superfluous in the rectum. It is impossible to sit still for a long time. If this stage is not treated, the urine will become cloudy, urination and defecation will be infrequent and painful, and mucus may begin to flow from the anus.

Chills, fever

The discharge of pus sometimes happens not only at the parenchymal stage, but also at other stages. The mass is thick, has a yellow or greenish tint.


  • Rapid and significant rise in temperature;
  • The spread of toxins throughout the body due to suppuration;
  • Spasms of the bladder intensify, pain is given in the lower back, perineum.

If you feel the need to urinate but can’t, you need to see a specialist quickly! This indicates compression of the urethra, and urinary retention threatens to infect the kidneys.


At this stage:

  • The temperature jumps to 40 C and above;
  • The pains become excruciating and almost unbearable;
  • There is nausea, vomiting, dizziness, a sharp decline in strength;
  • A large amount of pus is discharged from the urethra.

There is a danger of suppuration getting into the scrotum, abdominal cavity.

Conservative methods of therapy

Of the most simple and painless methods, a course of antibiotics, the use of enemas, suppositories and sitz baths are distinguished.

Broad-spectrum antibiotics are the mainstay of the disease. Used in large quantities. The drugs are administered intramuscularly, intravenously or into the prostate itself. To relieve pain – suppositories with analgesics and microclysters (they help dissolve small pockets of pus). Sitz baths also help relieve pain, and also promote the penetration of drugs into the intestine, and then into the gland.

Together with medicines, folk remedies can be used (only after agreement with the attending physician).

  1. Grind 250 g of pumpkin seeds, mix with a glass of honey. From the mixture, make balls about 2 cm in size and eat 2 pieces daily – in the morning and in the evening. Keep the medicine in the refrigerator.
  2. Pour chopped parsley seeds with half a liter of boiling water and leave for a couple of hours. Drink three tablespoons.
  3. Chop aspen bark (200 g) with a knife, pour into impenetrable glassware. Pour 400 ml of vodka and put in a dark place for 10 days. After – strain. Before use 1 tsp . infusion dilute 1 tsp . water. Consume twice a day.

In no case should you massage the prostate gland! This can lead to rupture of abscesses!

Surgical intervention

The operation is prescribed only if there is an abscess of the prostate. An incision is made in the perineum or rectum to gain access to suppuration. It is pierced and a drain is installed to remove the contents. The operation takes a short time, under local anesthesia.

After that, the man should be under the supervision of a doctor for a few more days. Within two weeks after the procedure, antibiotic therapy is indicated (as a rule, it is already carried out at home).


This disease is dangerous in itself, but in the most advanced cases, complications may occur:

  1. Abscess – pus accumulates in “capsules”. There is a clear distinction between healthy and diseased tissue. If the abscess breaks through, the pus can enter the urination canal, the rectum. Perhaps the development of extensive purulent inflammation of the small pelvis;
  2. Paraprostatitis – inflammation that forms near the prostate, which appears after the breakthrough of the abscess;
  3. Paraproctitis – inflammation of the tissue around the rectum. Fistulas may form;
  4. Paracystitis is inflammation around the bladder. There is swelling around it, an increase in temperature;
  5. Sepsis is an extremely dangerous complication. Pus enters the bloodstream, septic shock, impaired blood supply and urine formation are possible. Often ends in death.


To prevent the occurrence of prostatitis, it is strongly recommended to follow preventive measures:

  • Physical exercise;
  • Healthy sexual activity;
  • Timely treatment of infections;
  • Avoid hypothermia;
  • Lingerie made from natural fabrics that will not squeeze the organs;
  • Go to the toilet on time
  • Healthy food;
  • Compliance with intimate hygiene;
  • Annual examination by a urologist.

Expert opinion

Urologists remind that even the initial stage of the disease greatly affects the quality of sexual life. It should be treated immediately, without delaying the trip to the doctor. The main problem is that men prefer self-treatment to treatment with a urologist. Many, having learned how positively massage affects prostatitis, begin to conduct sessions. This threatens with serious complications.


Purulent prostatitis is a severe and dangerous form of the disease. It requires medication and sometimes surgery. At the first signs, you need to contact a urologist to determine the stage of the disease.

With timely treatment, relief of symptoms can be observed within a week. If treatment is neglected, pus will spread throughout the body, causing circulatory disorders, which is often fatal. It is much easier to follow preventive measures than to treat the disease. In addition, a healthy prostate guarantees a stable erection and long sexual intercourse.

event_note March 19, 2022

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