Herpetic prostatitis, symptoms and treatment of herpes prostatitis. Prostatitis from herpes: the mechanism of occurrence of the herpetic form of the disease, symptoms and treatment How to treat prostatitis caused by herpes

Herpetic prostatitis, symptoms and treatment of herpes prostatitis. Prostatitis from herpes: the mechanism of occurrence of the herpetic form of the disease, symptoms and treatment How to treat prostatitis caused by herpes

16.02.2022 Diets

Infectious inflammation of the prostate occurs in approximately 30% of cases. In the early stages, the disease is asymptomatic. It is characterized by acute inflammation and a rapid transition to a chronic form.

Herpes and prostatitis are a dangerous combination. The disease in the later stages cannot be cured. Drug therapy is reduced to eliminating the exacerbation and preventing the recurrence of the disease.

Herpes in the prostate gland - causes and symptoms

The difference between viruses of the Herpesviridae family is an acute course and the almost complete absence of manifestations in the early stages. There are several groups of infectious agents. Most often, people become infected orally (HSV-1) and during sexual intercourse (HSV-2).

Viruses of each class have a difference in etiology. The second type is transmitted exclusively during sex with an infected person. With HSV-1, the usual herpes on the lips of a partner, with an unfavorable development, causes genital lesions and causes prostatitis.

Herpesviridae enters the prostate through the urethra, gastrointestinal tract, or blood. The virus does not have its own cellular structure. For reproduction, it needs a suitable material, which is microscopic particles of healthy body tissues.

Herpesviridae modifies cells to suit itself. Over time, the changes become global, but are not yet manifested by inflammation and symptoms.

The impetus for the development of herpes prostatitis gives a sudden weakening of the immune system. A transferred infectious disease, hypothermia, SARS and influenza - all this leads to a sudden exacerbation. Inflammation is manifested by pronounced symptoms:

Herpes rashes in the perineum are a sign of an attack by the immune system of the Herpesviridae virus.
General weakness and malaise, subfebrile body temperature.
Dysuric disorders - due to infectious inflammation, the size of the prostate increases. From tissue swelling, the volume of the urethral canal decreases. Frequent urge to urinate and acute urinary retention are signs of herpes in prostatitis.
Unpleasant sensations - itching and cramps in the urethral canal and anus.

Herpesviridae gradually mutates and integrates into the human nervous system. After the metamorphoses that have occurred, it will not be possible to completely cure the inflammation of the gland and get rid of the disease forever. A man with an advanced stage of infection should be prepared for frequent and constant relapses.

The main reason for the appearance of herpes in men is a weakened immune system. In the normal state, the body successfully resists a viral infection.

Can prostatitis cause herpes?

Yes, there is such a possibility. Infection occurs for several reasons:

Prolonged inflammation of the prostate causes a severe blow to the health of the body. The immune system, exhausted by the fight against the disease, is unable to cope with the next virus that has entered the body.
Prostatitis can provoke genital herpes for another reason. Often, antibiotic therapy is used in the treatment of inflammation. Taking drugs kills bacteria along with healthy immune cells. The protective functions of the body weaken, which creates the prerequisites for infection.

The Herpesviridae virus develops in a latent form for a long time, without showing symptoms. When the prerequisites appear, it instantly attacks the body, causing acute inflammation.

Can herpes cause prostate inflammation?

If the infection has entered the prostate gland, the development of acute pathologies is a matter of time. The lesion, depending on the volume of tissues involved in the pathology and manifestations, is divided into three groups:

Catarrhal - the process affects exclusively the mucous membrane. Symptomatic manifestations are insignificant or completely absent.
Follicular - in this case, the prostatitis caused by herpes affects the lobes of the gland. The lesion is critical, there are pronounced symptoms, pain, dysuric disorders, problems with defecation.
Diffuse - inflammation affects the entire prostate as a whole. The negative effect of genital herpes on the prostate gland is expressed in the appearance of abscesses that form into one extensive abscess. Requires surgical treatment. Possible severe intoxication of the body, up to death.

Urologists agree that although a viral lesion of the prostate is rarely diagnosed, it poses a significant threat to a man. Having sex, kissing a woman suffering from Herpesviridae is dangerous.

The entry of the virus into the body triggers the mechanism for the development of serious pathological changes. Genital herpes after its appearance and in the presence of contributing factors (weakened immunity) can easily cause prostatitis in a severe recurrent form.

What is the danger of herpes caught in the prostate

The virus develops latently for a long time. At this stage, it is easy to cure and completely remove from the glandular tissues. Unfortunately, the first signs of infection appear after the active attack of Herpesviridae on the human body. There is little time left for inflammation to become chronic. The chances of recovery are drastically reduced. The prognosis of therapy is generally unfavorable.

Complications with the defeat of glandular tissues with herpes and the effect on the prostate are as follows:

Frequent relapses of the disease.
The development of a purulent abscess.
Deterioration of erection.
Decreased sex drive.
Infertility.

Herpes, as the cause of prostatitis, is dangerous because the disease is recurrent. Any stress, hypothermia, colds can result in acute inflammation of the glandular tissues.

How to remove the herpes virus from the prostate

Self-medication and alternative medicine methods are useless. For recovery, a competent therapeutic approach, taking antiviral and immunomodulatory drugs is important.

Medically Herpesviridae is treated as follows:

Diclafenac, Nise - drugs of the NSAID group. Relieve inflammation and relieve pain.
Anciclovir, Kagocel, Arbiddol, Ingoverin - antiviral drugs. The choice of drug depends on the etiology of infection - what was the basis of the infection.
Ingaron, Viferon - immunomodulating agents. Essential for recurrent genital herpes. Without activating the body's own defenses, therapy will be useless.

Depending on the symptoms, the urologist will prescribe medications to improve urination, painkillers.

The patient needs to tune in to long-term treatment of prostatitis caused by the herpes virus. Changing eating habits and maintaining personal hygiene, regular check-ups with a doctor, following the recommendations of a urologist will reduce the likelihood of relapse and help achieve a stable remission.

Herpes is a disease prone to spread over the surface of the body and mucous membranes. It can be identified by a characteristic rash in the form of clustered blisters with a clear liquid inside.

This pathology is considered one of the most common. The causative agent of the disease is HSV - the herpes simplex virus, which is in the body of almost every inhabitant of the world. In 90% of people, the disease is asymptomatic.

Most often, the virus affects such areas of the body:

epidermis;
visual organs;
mucous membrane of the genitals;
brain and nervous system.

There are several types of herpes:

Simple type 1, familiar to many manifestations in the form of blisters on the lips.
Simple type 2, which mainly affects the genitals.
Type 3, in which chickenpox and shingles develop.
4 types - a virus that provokes infectious mononucleosis.
Type 5 - cytomegalovirus.

There are also theories that the infection may be involved in the development of schizophrenia.

The most common type is herpes of the first type, which is considered "colds". It is followed by pathology of the second type, associated with diseases of the genitals.

After the initial penetration into the body, the virus is sent to the sensitive nerves and stored in them in a latent form, it will not be possible to completely get rid of it. But you can prevent its activation.

In medical practice, this pathology is rare, but recorded cases allow us to talk about the complexity and rapid development of this form. A vivid clinical picture of the acute form manifests itself almost from the first days of the development of the disease and delivers a lot of discomfort and pain.

The disease most often affects men, whose immunity is weakened by chronic diseases, infectious processes and the influence of other negative factors. The lack of timely therapy can lead to irreversible consequences in the functions of the genitourinary system. Treatment of this disease should be carried out exclusively under the supervision of a specialist who can control the dynamics of the disease and adjust therapy.

Prostatitis belongs to the category of inflammatory diseases accompanied by edema and hyperemia of the prostate in men. The age group of risk is 25-55 years. One of the rare types of pathology is herpetic prostatitis. This disease manifests itself due to the activity of the herpes virus, which is normally present in the nerve cells of the human body and is activated under favorable conditions in the weakest places on the body or mucous membranes.

Herpes of the prostate is a dangerous pathology, as it is characterized by the following features:

inexpressive symptoms of the initial stages;
severe discomfort and unpleasant sensations of the later stages;
easy transfer to other parts of the body if personal hygiene is not observed;
rapid spread deep into the body with the transition to a chronic, relapsing form in the absence of adequate and timely treatment.

The herpes virus can also infect the prostate.

Pathology is poorly understood, therefore there are no standards of treatment and clear causes of the disease. It is known that it is possible to cure acute viral inflammation of the prostate, but it is impossible to completely get rid of the herpes virus in the body.

Any self-medication is fraught with serious complications. Only a doctor can prescribe the correct treatment. This will eliminate the disease quickly and without a trace.

According to the characteristics of clinical forms, the herpes type of prostatitis in men is divided into two types:

damage to the lower part of the urogenital canal, prianal zone, rectal ampulla;
damage to the upper part of the genital tract.

Causes

Pathological lesion of the prostate of viral origin is considered an insufficiently studied disease among clinicians. Herpes prostatitis occupies a special niche in modern urology. Despite this, there are a number of clinical situations that can provoke viral diseases of the prostate. Among the main ones are:

viral diseases (ARVI, influenza, acute respiratory infections and others);
human papilloma virus;
emotional instability;
stress and mental illness;
decreased immune defense for a number of reasons.

Herpetic prostatitis can also occur in a number of numerous unexplained causes. The main causative agents of the inflammatory process in the prostate of a viral nature are herpes type I, II or V, cytomegalovirus. The difficulty of detecting the disease in time lies in the long incubation period of the disease. Treatment usually begins when skin lesions appear. In the presence of a burdened clinical history, leading to a pathological decrease in immunity, the course of the disease is the most severe.

The causative agents of infectious prostatitis are viruses:

flu;
rubella
herpes of the second type;
cytomegalovirus;
human papillomas;
after respiratory diseases.

Many people are carriers of the herpes virus, however, with the proper functioning of the immune system, it can remain in a “sleeping” state throughout life. To activate these non-cellular infectious agents, the slightest malfunction of the immune system is enough. Any organ can be affected by a virus, and the prostate gland is no exception.

It follows that the indirect causes of prostate herpes may be:

SARS;
papillomavirus infection;
any other disease, the consequence of which is a failure in the functioning of the immune system.

The direct causative agents of this disease include directly the herpes virus and cytomegalovirus. Regardless of which type of protozoan organisms caused the disease, diagnosing it at the initial stage is quite problematic.

It develops in most cases against the background of the underlying viral disease, so the primary clinical manifestations are poorly expressed. The rate of development of pathology is directly dependent on the state of the immune system, and the stronger it is, the longer the time will pass before the onset of vivid symptoms of prostatitis. In people with severe immunodeficiency, this period may take only a few hours.

Provoke herpetic prostatitis can be a viral infection, immunity failure, stress.

any viral infection in the form of OVRI, influenza, papillomavirus infection;
a strong decrease in the efficiency of the immune system;
constant stressful situations.

The causative agents of this form of inflammation of the prostate are strains such as:

herpes simplex type I and II;
cytomagalovirus or herpes type V.

There are acute and chronic forms of the course. The difficulty of timely detection of infection of the body with a pathogen lies in the absence of typical signs for a long time in the form of a characteristic blistering rash on the skin and mucous membranes of the external genital organs, the anus, although the virus is already fully activated and is harmful.

It is possible to become infected with a primary viral infection of herpes even in infancy, but when protected by maternal antibodies, the virus will go into a latent form and settle in the nerve ganglia. Only with a combination of certain circumstances and the occurrence of provoking factors, it is activated. Against the background of reduced immunity, herpes passes along the nerve fibers to the upper layers of the skin and mucous membranes, instantly multiplying and causing specific symptoms of the disease.

The herpes virus that struck a man with a diagnosed immunodeficiency is the most dangerous, since the herpes infection acquires a generalized form, affecting not only the prostate, but all tissues, systems and organs of the body.

transferred acute illness;
passive lifestyle;
irregular sex life;
related diseases.

Classic causes that cause inflammation of any type can become an impetus for the development of the disease. Stagnation and low physical activity lead to infection of the prostate gland. In addition, the cause of inflammation can be hypothermia and herpes lesions of the genital organs. To identify the disease and its type, it is necessary to undergo an examination in stationary conditions.

Doctors note that this type of disease often occurs after a cold. A simple respiratory infection can become the root cause of the development of inflammation of the prostate gland. Any other viral pathology that occurs in the body acutely or chronically can also become an impetus. Moreover, inflammation of the prostate can become a complication of these diseases.

Provoking factors that cause herpes of the prostate gland can be:

sexually transmitted infections (for example, papilloma and others);
herpes;
flu and colds;
SARS.

The infection that has already entered the body becomes stronger and spreads, which leads to the disease.

The disease can be caused by a specific virus:

if the disease is caused by herpes itself, there are cases of frequent relapses. The first attack is characterized by the most severe treatment compared to the following;
human papilloma virus. The causative agent is characterized by the appearance of papillomas. There are almost no symptoms, the diagnosis is established after the patient has passed a smear test.
rubella. If the disease is caused by this virus, then there will be such characteristic signs as: redness, swollen lymph nodes, sore throat. There are rashes on the body.

There are factors that provoke its appearance:

The age of the man is over 30-35 years old.
Smoking, alcohol and other bad habits.
The presence in the body of diseases in the chronic stage.
Frequent change of sexual partners.
Excessive passion for spicy, salty, fatty.
Irregular sex life.
emotional stress.

Clinical picture

During the course of the disease, not all symptoms may always occur. Sometimes viral inflammation proceed atypically. For example, subfebrile temperature may occur, while there will be no other manifestations of the disease.

The disease can develop at lightning speed or slowly. All clinical symptoms can appear in just a few days, or they can occur one after another within 1 year. In each person, the disease proceeds with individual characteristics.

The danger of this type of disease

Any virus is very difficult to treat. Herpes infection localized on the prostate requires complex and long-term treatment. Lack of therapy leads to a lot of problems. At the initial stage, this type practically does not make itself felt. In the terminal stage, all the classic symptoms are present in an enhanced form. They bring a lot of pain to a person.

A viral infection quickly spreads to different areas, thereby causing other diseases. It easily comes back, it is impossible to completely cure the virus (in small quantities it will always be present in the blood). This type of inflammation of the prostate is one of the most intractable. It is impossible to completely get rid of this infection, but the right exposure suppresses any of its signs.

Very often, herpes prostatitis is confused with the usual one, while conducting the wrong therapy. The herpes virus is difficult to treat and difficult to diagnose, so a person must undergo examinations in special clinics that can quickly and accurately identify this type.

Provoking factors

By itself, inflammation of the prostate gland can arise from the negative impact, as a result of an improper lifestyle for a dozen years. Experts identified the so-called risk groups. In these groups are people who are more prone to the occurrence of pathology. Among them are:

office workers;
drivers;
teachers.

The risk group includes any person who leads a sedentary lifestyle. Among other provoking factors is disordered sex life. Too frequent sexual intercourse with different girls is harmful to men's health. First, it leads to infections (including herpes). Secondly, frequent sexual intercourse irritates the prostate, which leads to inflammation.

How to restore men's health?

In order to defeat viral prostatitis, it will take a lot of effort, because this will require not only taking medication, but also a reassessment of life priorities. And the first thing to start with is to eliminate external factors that negatively affect the state of the immune system.

In other words, it is necessary for the period of treatment:

give up bad habits (tobacco, alcohol);
balance the diet as much as possible;
adjust the daily routine;
avoid stressful situations.

Ignoring these simple rules can adversely affect the duration of therapy, and in some cases, nullify its result. As for drug treatment, the complex of drugs is prescribed individually, depending on the individual characteristics of the patient and, of course, the severity of the disease.

In addition, during treatment, patients are prescribed plenty of fluids to remove toxins from the body and improve the therapeutic effect. If the inflammatory process in the gland is also complicated by stagnation, then the patient may be prescribed a course of massage and physiotherapy to improve blood circulation in the organ.

Symptoms

Pronounced clinical symptoms are more pronounced in the primary acute process or during exacerbations of the chronic form of the disease. The intensity of the signs of prostatitis depends on many factors, ranging from the age of the patient to the characteristics of his medical history. Among the most characteristic are:

increased body temperature (persistent high rates);
headaches, up to migraines;
muscle weakness;
suppression of the emotional state;
pain during urination, up to severe dysuria;
burning sensation in the urethral lumen and perineum;
pulling pains in the lower abdomen, radiating to the lumbar region;
pain during intercourse, during ejaculation.

Herpetic prostatitis often provokes problems with bowel movements in men. The act is accompanied by soreness, a feeling of tension in the anus and rectum. Primary infection with adequate therapy is fully cured. With secondary exacerbations of the pathological process, the clinical situation is rarely amenable to medical control due to the weak severity of typical symptoms. Complications of the disease occur precisely against the background of chronic prostatitis, for example, infertility, erectile dysfunction up to absolute impotence.

Viral prostatitis has common features of the course, regardless of which pathogen is the cause. But some viruses leave a special imprint on the course of the disease, thanks to which it is possible to differentiate between different pathogens.

General symptoms

Problems with the urinary system:

painful urination, especially in diffuse and follicular forms;
a small amount of urine;
frequent trips to the toilet, night trips are characteristic of the defeat of the herpes virus;
urinary retention;
pain or heaviness over the pubic area;
irradiation of pain in the perineum or thigh.

Problems in sexual life:

sluggish erection;
loss of feeling of orgasm;
premature ejaculation;
pain along the urethra.

Irritability and increased anxiety.
Violation of defecation processes due to an enlarged prostate gland.
Pain in the abdomen, flatulence due to compression of the intestine by a gland.

Herpetic prostatitis is characterized by the appearance on the skin surface of the genital organs:

puffiness;
redness;
vesicles with serous or purulent contents;
the appearance of ulcers;
for the first inflammation caused by the herpes virus, general intoxication signs will be observed:

increase in overall temperature;
malaise;
headache.
With prostatitis caused by herpes, frequent relapses are characteristic, but the first attack of the disease is more severe than subsequent ones. Relapses often occur at first, then stop or have an asymptomatic course.
If condylomas or papillomas appear in the genital area, then prostatitis can be caused by the human papillomavirus. For accurate diagnosis, it is necessary to conduct a cytological examination of a smear or the contents of the prostate gland. The course is asymptomatic. The diagnosis is made on the basis of swabs taken.
Prostatitis caused by cytomegalovirus has an acute onset, vivid symptoms of intoxication of the body, vomiting and swollen lymph nodes are possible.
Prostatitis caused by the rubella virus is characterized by the appearance of rashes on the body, sore throat, swollen lymph nodes.

The acute course of a viral lesion of the prostate is manifested by the following clinical picture:

Strong headache;
general weakness, malaise;
urinary dysfunction in the form of urinary retention and pain during the act of its emission;
severe pain in the lower abdomen, radiating to the lower back;
burning sensation in the genitals and perineum.

Gradually, urination becomes more frequent, brings severe pain and a feeling of an empty bladder. Additionally, defecation is disturbed.

If the herpetic form of prostatitis occurs against the background of influenza or SARS, the prognosis is optimistic. The disease ends with a complete recovery. But with secondary bacterial infection against the background of a serious decrease in immunity, complications and aggravation of the course are possible.

Failures in urination, fever, pain are symptoms of herpetic prostatitis.

In half of the cases, the acute form of prostatitis provoked by herpes turns into a chronic pathology. Relapses of this form are asymptomatic, so they are not treated properly. As a result, there is a risk of developing infertility with a violation of spermatogenesis and the loss of the ability of sperm to fertilize an egg.

Symptoms of chronic herpetic inflammation of the prostate during an exacerbation are as follows:

urinary dysfunction;
feeling of constant burning, itching in the problem area;
strong, paroxysmal pain in the perineum, genitals with a return to the lower back and increased during intercourse;
sexual dysfunction in the form of a weak erection, lack of orgasm, early uncontrolled ejaculation.

During the course of herpes prostatitis, a lot of symptoms occur, but only in the terminal stage. At the initial stage, there are practically no manifestations. Symptoms are characteristic and classic, the following phenomena can be distinguished:

problems with urination;
pain in the perineum;
temperature;
lack of libido;
burning sensation during urination (especially with the addition of urethritis).

Among the characteristic symptoms that are usually characteristic only of viral prostatitis, severe itching and high fever can be distinguished. If the disease is acute, the person may suffer from a severe fever. In the absence of therapy, the disease becomes chronic or complicated. In the first case, all symptoms fade away, and in the second case, they become aggravated.

Herpetic prostatitis is a rare inflammatory disease of viral origin and sexually transmitted. The causative agent of the disease is the herpes virus of the second type, which, once penetrated into the prostate gland, remains there for a long time. Symptoms of prostate herpes are not always pronounced, so treatment is sometimes belated.

A disease-causing agent invisible to the eye can hide, remain unnoticed for a long time and is shown in all its glory at the slightest decrease in immunity.

Herpetic prostatitis is difficult to treat and is often the cause of male infertility. What is the insidiousness of the Herpes virus and why chronic herpes of the prostate is difficult to treat.

"Creeping Ailment"

Herpes virus Herpes is a generalized concept that combines at least eight types of viruses into this group. The most common:

Type 1 HSV-1, causes blistering rashes in the nasolabial region.
Type 2 HSV-2, genital (genital), affecting the genitals and groin area.

The Herpes virus knows how to camouflage and adapt well, therefore it is currently considered one of the most common on earth. Experts in the field of virology suggest that almost the entire population of the planet is carriers of one type or another of the Herpes virus, without even knowing it.

Infection with genital herpes is extremely simple, through unprotected sexual contact, an aggressive microscopic agent from the carrier is introduced into the body of its partner.

Nomadism from one body to another occurs imperceptibly, once in a new place, the virus begins to actively “seize the territory”, while it rapidly multiplies at the site of introduction and spreads by blood to neighboring organs.

Blisters of genital herpes may appear on the skin near the penis

The external manifestation of a herpes infection, or genital herpes, in men is the result of a primary infection or a manifestation of a still latent disease. Against the background of weakened immunity, after respiratory diseases and hypothermia, she declares herself with a “herpetic bouquet”:

Bubble rash and sores on the penis, scrotum, groin and perineum.
Swelling, burning and severe itching in the affected area.
Pain and difficulty urinating.
Enlarged inguinal lymph nodes.
An increase in temperature and a deterioration in well-being.

The genital form is primary or recurrent. The disease may not manifest itself for a long time, so some men live without even knowing about it. Meanwhile, the virus continues to safely reside in the body, and if the immune system fails, it begins to multiply exponentially, affecting neighboring tissues and organs.

From outside to inside

The infection affects not only the external genital organs of a man, it quietly spreads inside and can cause herpetic urethritis (inflammation of the urethra wall) or urethroprostatitis. Symptoms:

Pain in the penis and perineum.
Pain when passing urine, burning, painful ejaculation.
The appearance of purulent discharge from the urethra, sometimes with mucus.
The foreskin sticks together due to inflammatory plaque.
Urination is sharply disturbed, urine is often excreted in drops.
General deterioration in the background of intoxication and high temperature.

Urethroprostatitis is a viral inflammation of the urethra and prostate gland. Has a relapsing course and severe symptoms. A neglected disease is fraught with acute urinary retention, which is an emergency condition when the patient needs urgent medical care.

With untimely treatment, there is a high risk of aggravating the process and spreading inflammation to the entire prostate gland, which can lead to a number of complications, impotence and male infertility. The cause of herpes lesions of the genitourinary system can be past viral diseases: cytomegalovirus infection, influenza and acute respiratory infections.

Cytomegaloviruses may pave the way for prostate herpes virus

Analyzes for diagnostics

It is rather difficult to detect damage to the prostate by a viral agent due to the rarity of the disease. Often, viral prostatitis is diagnosed during an examination for symptoms of another disease (urinary dysfunction, cramps, burning, and soreness) by an andrologist, nephrologist, or infectious disease specialist. Especially difficult in terms of detecting an ailment is the situation when there is a transferred viral infection (ARVI, acute respiratory infections, influenza).

blood test (biochemical);
urine (general, sterility, urine biochemistry);
secretion of the prostate.

Only if the DNA of the virus is found in these biological materials, it can be stated that the prostate is affected by herpes. Treatment of prostatitis is carried out only under the supervision of a specialized specialist, since the features of the genesis of herpetic prostatitis have not been studied and are not clear.

It is problematic to detect and identify the viral etiology of prostate inflammation. After all, herpetic prostatitis is quite rare, so even doctors without a comprehensive laboratory study cannot detect it. Especially if the "culprits" were influenza viruses or SARS. It is a little easier to diagnose prostate pathology caused directly by herpes.

In such cases, in addition to the symptoms described above, there are characteristic painful rashes on the mucous membranes of the genital organs. But even such obvious signs of the disease must be confirmed by the results of laboratory tests, because even if the herpes virus has become the main cause, the disease can be complicated by concomitant bacterial infections.

Therefore, before the doctor prescribes a course of therapeutic measures, the patient must contact the laboratory and pass:

analysis of urine and prostatic juice to detect the DNA of viruses;
a blood test for the presence of antibodies to the virus.

Only after receiving the results of the research can we talk about making the correct diagnosis and selecting medications for effective treatment.

To determine the activity of the herpes virus, biological material is taken from the patient, such as:

blood, urine, saliva;
sperm;
discharge of the urethra and herpetic vesicles (if any).

Several diagnostic methods are used to determine the DNA of the virus in the selected biomaterial:

ELISA test for the detection of antibodies to the virus, but the problem is that they are present in almost every person;
PCR test is the most accurate method for determining the herpes strain;
artificial cultivation of herpes from an infected cell culture is an experimental technique that is still inaccessible due to high cost.

An accurate diagnosis is made after the detection of virus DNA in semen or a secret taken from the prostate. An exacerbation may be preceded by herpetic eruptions on the genitals, but often the disease proceeds subclinically. To make a diagnosis in this case, an assessment of the level of leukocytosis in the secreted prostate substance is used. When the prostate gland becomes inflamed according to the herpetic type, the amount of lecithin grains in the sample is reduced.

Diagnostic procedures are very important for all therapy. They allow you to determine the type of infectious agent and select the appropriate treatment. Diagnostics can be carried out only in stationary conditions. If symptoms associated with pelvic pain and problems with urination appear, a person should immediately seek help from a specialist.

Usually a complete examination and classic tests (blood, urine) are performed. Additionally, specialized research methods are used:

a smear is taken;
analysis of prostate juice;
an ultrasound examination of the perineum is performed;
semen and urine are examined.

Herpes is very difficult to diagnose, since each person has a certain type of this disease. The most accurate method for determining the type of disease is the PCR test. For this type of study, a secret from the prostate gland is required. The analysis allows you to accurately determine the type of herpes pathology.

This ailment requires high-precision diagnostics, since all its symptoms are similar to a bacterial lesion of the prostate, while classical methods and drugs will not be able to affect the disease.

Sometimes you need to contact urology centers to establish a diagnosis. Men can try to get rid of chronic prostatitis for a long time, while the therapy will be completely wrong, which is why it is so important to diagnose using the most modern methods.

To determine the source of the virus, you need to pass laboratory tests.

There are several types of procedures to make a diagnosis:

ELISA analysis. A somewhat unreliable diagnostic method, since it can only diagnose the presence of antibodies, which are present in the body of almost every patient who has had the disease.
Polymerase chain reaction analysis. The result of this study is recognized as the most reliable at the moment.
Isolation of the herpes virus in an infected cell culture. The method is very costly, it is interesting only from the point of view of scientific analysis.

How does infection occur

The virus begins to grow, getting into the prostate gland and multiplies in the cells of the body. Infecting a cell, it leaves it and enters a new one, where the vegetation process continues. Not all cells can survive after infection.

As a result of the inflammatory process that began inside the male body, the prostate gland becomes larger, swells, and hurts. As a result of the fact that the gland has become larger, there are difficulties in the process of urination. The problem occurs due to the narrowing of the urination channel.

Herpes is most quickly transmitted through sexual intercourse. In this case, herpetic prostatitis is especially acute and has more pronounced symptoms. It slowly enters the sacral plexus, where it remains until the end of the patient's life.

Treatment tactics

The most favorable prognosis for primary infection and timely access to a doctor. Unfortunately, it is impossible to guarantee a complete cure for herpes. Modern drugs can only temporarily muffle the symptoms of herpes, significantly extend the period of remission up to persistent improvements in the condition (up to several years).

The main drugs for herpetic prostatitis are antiviral drugs:

Acyclovir (200 mg up to 4-5 times a day);
Farmciclovir (250 mg up to 3-4 times a day);
Valaciclovir (500 mg up to 2-3 times a day).

Relief of painful conditions occurs through painkillers, and dysuria can be corrected with diuretic drugs (Diuver, Hypothiazid, Furosemide). With the addition of parallel inflammatory processes in the urinary tract, doctors prescribe a course of uroseptic drugs (Furamag, Furagin). The course of treatment should be prescribed by a doctor, especially in the presence of concomitant pathologies of the urinary tract.

Frequent drinking is prescribed.
When determining viral etiology, drugs are prescribed that destroy the virus:

to combat herpes, drugs of the Acyclovir group are effective, which are available in tablet form and in the form of ointments. For a quick recovery, it is better to take pills that have a systemic effect;
for inflammation after influenza or acute respiratory infections, drugs against viruses and interferon stimulants are prescribed:

"Kagocel";
"Rimantadine";
"Arbidol";
"Ingavirin";
"Cycloferon".

Alpha-blockers improve urination, because they help to weaken the tone of the bladder, making it easier to urinate:

"Focusin";
"Tamsulosin";
"Omsulozin".

Prostate massage is carried out in the hospital by a doctor, but this issue is decided by a specialist. There is an opinion that massage can contribute to the spread of infection, and it is also believed that massage helps to absorb substances.
Physiotherapy treatment aimed at improving blood circulation in the body and a speedy recovery. Influenced by heat, light and strengthening elements.
Immunomodulatory treatment is prescribed for any type of inflammation in order to increase the body's resistance:

"Interferon";
"Viferon";
"Grippferon";
"Ingaron".

Papillomas and warts can be removed in a hospital or at home if medications are available:

"Verucacid";
nitrogen removal;
removal by electrocoagulation;
laser removal.

Prostatitis can be chronic and acute. An acute course may resemble cystitis in a patient, so you need to contact a urologist when the first symptoms appear. A neglected course will lead to infertility and other complications, neoplasms are possible. Do not delay the visit to the doctor, there is nothing more valuable than your health!

To get rid of herpes on the genitals, drugs from the group of nucleoside analogues are considered the most effective. Examples are Famciclovir, Acyclovir. Medicines are prescribed only by a doctor. For independent use, "Acyclovir" in the form of an ointment is suitable. Tablets are endowed with a large number of side effects, therefore, they require careful selection of dosage.

Additionally, the following drugs are prescribed:

"Amixin";
"Viferon";
"Imunofan";
"Likopid".

In certain cases, treatment is based on the long-term use of Valtrex simultaneously with immunocorrective rectal suppositories. But there is no standard therapeutic scheme for the treatment of patients with herpetic prostatitis, since the pathology requires an individual approach.

Therapy of herpetic prostatitis should be prescribed by a doctor, self-medication is fraught with aggravation of the disease.

abundant drinking regime;
complete rest and bed rest;
diversion of urine through a catheter with urinary dysfunction;
taking antiviral agents - "Acyclovir", "Valacyclovir", "Famciclovir".

Treatment of the chronic form of herpetic inflammation of the prostate consists in taking immunomodulators, antiviral and restorative drugs.

At this stage in the development of medicine, experimental studies are underway to develop a vaccine against herpes. Therefore, you can only protect yourself from the disease by observing preventive measures.

Therapy of the disease is quite complicated, for each person his own treatment is selected. Each organism has individual traits, so the same technique can work differently on two different people. You will also need to pay attention to the type of herpes infection in order to select the appropriate antiviral agent.

The therapy is aimed at two fronts: strengthening the immune system and fighting the virus. Both components are very important. The disease can only be suppressed with the help of immunity. Simple treatment with pills will not bring results or will give a short-term effect. An antiviral agent is usually used, which has a wide spectrum of action. This is often done when it is not possible to accurately determine the type of herpes, but there is evidence of the presence of some strain.

After treatment, a special set of preventive measures is observed, which allows you to prevent remission and forget about prostatitis forever. You will need to radically change your lifestyle, as well as remove possible provoking factors.

One of the most important parts of the whole treatment is taking medications. Antiviral and stimulating tablets, suppositories, ointments are usually used. The most popular option is to use Acyclovir tablets along with rectal immunostimulating suppositories. Improving local immunity is an integral part of the entire treatment. Specific means are selected by a specialist based on the results of the diagnosis and the individual characteristics of the person.

In severe cases, the pathology will need to be treated in a hospital. This can happen if the function of urination is completely impaired, and also if the person is in serious condition. The most important thing is to restore the protective functions of the body. Inpatient treatment is carried out until the moment when the person becomes better. The acute condition usually resolves within 1 week. After that, you will need to follow all the recommendations of the doctor in order to properly complete therapy.

Local preparations play a big role in getting rid of herpes inflammation. Do not avoid the use of rectal suppositories, as they deliver the active substance directly to the site of inflammation. For quick relief of severe symptoms, topical remedies are best.

Physiotherapy

Most often, the disease occurs in acute-chronic form. This means that it is characterized by an undulating course, attacks and remissions occur. In such cases, physiotherapy is applied, which are designed to improve the condition of a person, as well as remove many provoking factors.

Among the many physiotherapy procedures, the most popular is prostate massage. It allows you to fight the stagnant process, which is one of the causes of infectious inflammation. Massage is carried out by a specialist, before its use, diagnostics are carried out for contraindications.

To alleviate the condition, procedures can be used:

electrophoresis;
magnetotherapy.

The urologist is engaged in the selection of physiotherapy. Only he will be able to determine the appropriateness of the use of physiotherapy procedures. Usually they are used at the time of remission of the disease, to consolidate the result and prevent the return of acute symptoms.

ethnoscience

Traditional medicine is ready to offer several ways to speed up recovery. Basically, home methods help by stimulating the immune system. Various decoctions of berries and herbs, as well as vegetable and fruit juices, can be used.

Perfect for restoring immune functions - Rosehip. It is necessary to brew 40 g of dry leaves in 1 liter of water, leave the broth for 9-10 hours. Take it 3-4 times a day, 100 ml.

Many people know that spicy and spicy foods stimulate the protective functions of the body through irritation of receptors. It is worth eating garlic or ginger to improve the functioning of the immune system. These two components have a lot of advantages, they improve appetite and metabolic processes.

Folk remedies do not have side effects, so they will perfectly complement general therapy. Their effectiveness has been proven by time, but you should not make them the basis of your treatment. Doses of conventional drugs should not be reduced.

During the treatment of prostatitis, it is necessary to abandon all bad habits. If a person is sick with an acute form, then you need to give up sexual intercourse, if chronic, then on the contrary, you will need to have a regular sex life.

A healthy lifestyle is very important, as it directly affects the immune system and the general condition of the body. It is important to follow a diet that excludes spicy and fatty foods. You will also need to add physical activity, especially lower body exercises. Increased blood circulation in the lower region of the body helps fight the disease.

It is worth noting that all actions are applied during remission or in chronic course. The acute form requires other methods. In case of severe damage, you must observe:

bed rest;
fluid intake rates;
food rich in vitamins.

A severe course requires perseverance from a person, you will need to use a lot of tablets without gaps. It is necessary to complete the full course of therapy, since interrupted treatment leads to remission with complications.

From outside to inside

Chills and fever.
Severe pain in the lower abdomen and perineum.
A sharp deterioration in well-being, weakness.
Headache and back pain.
Problems with urination and defecation.

According to the nature of the spread of a viral infection and the degree of damage to the prostate gland, herpetic prostatitis is:

Superficial (catarrhal).
Follicular (focal).
Parenchymal (diffuse).

Herpetic superficial prostatitis is the mildest form of the disease, in which there is no pain syndrome. Of all the symptoms, it should be noted a feeling of heaviness in the perineal region, especially in the sitting position.

Duration of therapy

Many people are interested in the duration of treatment. This indicator depends on many factors. It should be understood that it will not be possible to quickly get rid of the disease. You need to set yourself up for long-term therapy, during which all norms will be observed.

Depending on the severity of the course of the pathology, the healing process can take either a month or several months. To prevent the return of the disease, you must always end therapy, even if all symptoms and manifestations have disappeared.

The therapy is considered completed at the moment when a person does not feel negative manifestations, and also during the examination, there is no herpes in the tests. After defeating the disease, a person must use a special set of preventive actions to consolidate the result.

Preventive actions

Wrong lifestyle, bad habits, autoimmune pathologies contribute to the development of herpes. Prevention of herpetic prostatitis is reduced to the elimination of factors provoking the disease. Others include:

observance of regularity in sexual relations;
exclusion of tobacco, alcohol;
timely access to a doctor for the proper treatment of colds;
selectivity in sexual partners;
therapeutic exercises aimed at strengthening the pelvic muscles.

If possible, you can take a course of supportive physical therapy to improve overall muscle tone. Every man needs to visit a urologist-andrologist from the age of 25-30. Self-discipline and the ability to feel your own body will allow you to get rid of many health problems even at the stage of their formation.

Sources: medicalnewstoday.com, ncbi.nlm.nih.gov,
health.harvard.edu.

To protect yourself from the development of herpetic prostatitis or control the course of the disease in the presence of a virus, you must adhere to the rules of prevention.

These include:

minimizing emotional and nervous overstrain;
giving up alcohol and smoking;
proper diet and diet;
having a permanent intimate partner;
using a condom during intercourse with an unfamiliar partner.

It is desirable for a man to avoid hypothermia and improve immunity in order to prevent the activation of the herpes virus in the body. It is useful to perform gymnastic exercises that strengthen the muscles of the small pelvis.

A disease-causing agent invisible to the eye can hide, remain unnoticed for a long time and is shown in all its glory at the slightest decrease in immunity. Hypothermia, a cold or stress in a man can cause herpetic chronic prostatitis, the symptoms of which, to put it mildly, are unpleasant, and diagnosis and treatment are not an easy task. Herpetic prostatitis is difficult to treat and is often the cause of male infertility. What is the insidiousness of the Herpes virus and why chronic herpes of the prostate is difficult to treat.

As you know, it is impossible to cure herpes. With the help of modern drugs, only a stable remission can be achieved, the duration of which largely depends on the person himself.

In order not to end up in the hospital with a diagnosis of viral prostatitis and enjoy all the joys of life in full, it is necessary to set life priorities correctly, paying attention to sports and a healthy lifestyle.

Against the background of an infection, a weak immune system, and severe stress in men, the risk of developing a pathology such as herpetic prostatitis increases. This disease belongs to the category of viral and rarely occurs. The inflammatory process in the prostate gland, provoked by the herpes simplex virus, is insidious in that it tends to transform an acute pathology into a chronic, recurrent form.

Herpes of the prostate is a rare viral disease.

Effective measures to prevent herpes lesions of the prostate gland are:

keeping the genitals in perfect cleanliness;
proper hand and body hygiene;
health monitoring;
proper, nutritious nutrition;
giving up bad habits (smoking, alcohol abuse);
avoidance of casual, unprotected contacts, promiscuity;
seeking the help of specialists for any suspicious symptoms in the form of a violation of the functions of the genital organ or urinary canals;
avoidance of stress, depression;
strengthening immunity;
conducting preventive courses of physiotherapy on the pelvic organs;
strengthening the muscles of the small pelvis.

After a successful cure, you need to follow some rules that will allow you to forget about exacerbations forever. Prevention can begin to be performed right during treatment, but it will be possible to use all actions only after a complete cure.

Usually, preventive actions are understood as a set of measures that prevent the return of any disease. By preventing prostatitis, a person simultaneously avoids many other pathologies. Performing prevention, it is possible to improve the general condition of the body and regain tone and cheerfulness.

Prevention consists of three parts: nutrition, training and regular examinations. Diets and physical activity do not cause questions in people, but many neglect the examination. Regular body checks allow you to identify any disease at an early stage and quickly get rid of it.

Inspection should be carried out at least once a year. A man should not avoid visiting a urologist. Checking the prostate is just as important as checking the heart and other internal organs. It is also important to control blood counts, since even the slightest inflammation will affect the performance.

Using the classic advice of a doctor, as well as undergoing regular examinations, you can forget about many recurrent diseases for a long time.

Many men are interested in what to do to prevent the development of the disease. Many experts believe that prostatitis occurs only in adulthood. This is partly true, but the herpes type can occur at a time when a person is in a state of immunodeficiency.

Have a regular sex life, if this is not possible - masturbate. An important point is protection during sexual intercourse, herpes can be transmitted sexually.
Pass scheduled checks, if any symptom associated with prostatitis appears - undergo unscheduled examinations.
Dress warmly and try not to overcool the pelvic area.
Avoid a sedentary lifestyle if the work is related to the office or driving, try to move whenever possible, it is advisable to completely change the field of activity.
Being in the risk zone (sedentary lifestyle, age over 40), a person should carry out prevention more carefully.

In order to avoid the appearance of herpes prostatitis, or control its course, it is necessary to adhere to the following measures:

Avoid emotional stress.
Observe moderation during physical activity.
Avoid hypothermia.
Have a permanent partner for intimacy.
Form the correct diet.
Use condoms during intercourse.

Be healthy!

Forecast

With timely access to a specialist, herpetic prostatitis does not cause serious complications and is completely stopped. The disease is difficult to diagnose, so it is worth contacting professional urological clinics, especially if high-precision PCR tests are not performed in a regular clinic.

If a person neglects treatment or an incorrect diagnosis is made, the disease will continue to spread. Viral urethritis, balanoposthitis and even cystitis will occur. This will lead to serious problems. It will be difficult to cure concomitant diseases. In general, the disease is treated quite easily, the main thing is to make the correct diagnosis. Diagnosis in the treatment of this type of disease is the most important part.

Herpetic prostatitis is a rare disease of the genitourinary system of a man of sexually mature age, but dangerous for its complications. It is necessary to understand in detail what the disease is, what are the causes and symptoms, modern methods of treatment.

The concept and causes of herpetic prostatitis

Herpetic prostatitis is an infectious inflammation of the prostate in men caused by the herpes virus. The main danger of pathology is its rapid transition to a recurrent chronic form that is difficult to treat.

The causative agents of infection can be strains of cytomegalovirus or herpes simplex types I and II. Even in infancy, a man can get a primary viral infection of this kind, which in a latent form will be in his nerve ganglia for many years and wait for favorable conditions for development. The main reason for the activation of the herpes virus is a strong failure in the immune system of a man. Factors contributing to a decrease in immunity should be considered:

prolonged stressful condition;
any viral infection (flu, SARS, herpes).

Under favorable conditions, the herpes virus, which is in the body of a man in a latent state, is activated and passes through the nerve fibers into the upper layers of the skin and mucous membranes.

There it actively multiplies, causing specific signs of acute or chronic herpetic prostatitis. The rate of development of the disease largely depends on the state of immunity. After the restoration of weakened immunity, the herpes virus again passes into a passive state and remains in the human nervous system.

Herpes prostatitis can be easily spread through sexual contact or after complications from some sexually transmitted diseases.

In order to timely contact a specialist for the appointment of effective treatment, it is necessary to know the clinical picture of the disease well.

Symptoms of herpetic prostatitis

With herpes prostatitis, the symptoms, depending on the forms of the course of the disease, can vary significantly - from asymptomatic manifestations to a vivid clinical picture. Doctors distinguish 3 common forms of pathology:

catarrhal;
follicular;
parenchymal.

The clinical picture of catarrhal prostatitis is characterized by a mild character. The disease in the initial stages may be asymptomatic. As it develops, the patient begins to show the following symptoms:

feeling of heaviness in the perineum;
frequent nighttime urination;
discomfort in the pelvic area after urination.

The follicular form is often a complication of superficial prostatitis, in which separate foci of infectious inflammation form on the prostate gland. Symptoms in this case have a vivid manifestation in the form of:

The most complex form of this disease is parenchymal herpes of the prostate, characterized by the course of an acute purulent process in the male organ.

The resulting pus clogs the excretory ducts of the gland, which disrupts the normal outflow of secretions. As a result, the prostate increases in size, becomes tense. There is a compression of the urethra, invasion of the intestinal lumen. Signs of pathology are:

severe pain in the abdomen, in the perineum, passing into the femoral region;
complete or partial cessation of urination;
violation of waste gases and the process of defecation;
high body temperature;
feverish state;
intense thirst.

If the cause of this prostatitis was the influenza virus or SARS, then with proper treatment, the prognosis is very favorable. When the herpes virus is the culprit of the disease, the acute form often turns into an intractable chronic pathology.

With chronic herpes prostatitis, sexual dysfunction occurs with increased pain after intercourse. Symptoms intensify in the acute phase of the disease and subside somewhat during remission. Serious complications of this pathology should be considered impotence and infertility.

Diagnosis of herpetic prostatitis

To prescribe an effective treatment for herpetic prostatitis, it is necessary to correctly diagnose. It is often difficult to detect a viral infection of the prostate gland.

First, the specialist conducts a detailed conversation with the patient who turned to him and a visual examination of the sore spot. Often in the genital area you can see the distribution of characteristic skin rashes.

To carry out diagnostic measures, it is necessary to take biological material from a patient:

blood;
urine;
saliva;
sperm;
prostatic juice from the urethra;
discharge from herpetic vesicles, etc.

Using such modern research methods as ELISA, PCR, artificial production of the herpes virus from an infected cell, the presence of herpes virus DNA is determined in the selected biomaterial. These research methods have the only drawback - high cost.

An accurate diagnosis for prostatitis of this type is made only after the detection of the herpes virus in the biological material of the patient. At the same time, the presence of a complication in the form of a concomitant secondary bacterial infection is determined.

Traditional treatment of herpes prostatitis

Treatment for herpes prostatitis should be comprehensive, directed:

to fight the herpes virus;
to eliminate the main symptoms;
to get rid of a secondary bacterial infection (if necessary);
to improve the patient's immunity.

The basis of the treatment of herpes prostate is the use of antiviral drugs. The following showed good results:

Acyclovir;
Penciclovir;
Famciclovir;
Valaciclovir.

With characteristic skin rashes, the drug Acyclovir is used in the form of an ointment. Antiviral drugs have a negative effect on the reproduction of the virus.

What antibiotics and when are prescribed for the treatment of herpes prostatitis? Often the disease can be complicated by the addition of a bacterial infection of various etiologies. In this case, the use of antibacterial drugs is indispensable. These include drugs with high penetrating power:

Amoxiclav;
Tetracycline;
Ofloxacin;
and etc.

In particularly difficult cases, the doctor may prescribe the simultaneous administration of several antibiotics from different groups.

One of the conditions for a successful recovery is the appointment of general strengthening drugs and immunomodulators used to increase the patient's immunity. Among them are common:

Amiksin;
Imunofan;
Interferon;
Likopid and others.

The patient is prescribed special vitamin complexes, minerals, etc. To restore immunity, it is important to lead a healthy and active lifestyle.

One of the most common symptoms of herpetic prostatitis is urination dysfunction. To eliminate this symptom, the doctor organizes urine diversion in stationary conditions. For this purpose, a catheter is used. To restore the process of urination, you will need alpha-blockers:

Tamsulosin;
Omsulosin;
Focusin.

A patient with this pathology should adhere to a plentiful drinking regime to eliminate intoxication of the body. A course of physiotherapy and a special therapeutic massage will help improve blood circulation in the prostate.

To prevent the occurrence of severe irreversible complications, treatment should be carried out under the supervision of a specialist.

Prevention of herpetic prostatitis

Preventive measures are aimed at preventing herpetic prostatitis in men, which is dangerous for its negative consequences. The implementation of simple recommendations will help prevent the occurrence of prostate herpes:

It is no secret that the main means of protection against many ailments, in particular against prostate herpes, is to strengthen the immune system. To do this, you should reconsider your lifestyle, paying attention to a healthy diet, a positive attitude, physical exercises.

Conclusion on the topic

The appearance of prostate herpes can take any man by surprise. In order to protect yourself from this unpleasant disease, which is fraught with dangerous complications, it is necessary to keep the immune system in order, have one sexual partner and undergo regular examinations for various diseases.

Many are accustomed to associate herpes with sores that appear in the mouth area. But there are other, more serious consequences of the virus entering the body. Herpetic prostatitis is a fairly rare inflammatory disease that affects men. But if there are symptoms resembling a pathology, you need to urgently seek help from a doctor. Ignoring the signs of the disease can lead to serious health problems for a man.

Herpes is a disease prone to spread over the surface of the body and mucous membranes. It can be identified by a characteristic rash in the form of clustered blisters with a clear liquid inside.

Most often, the virus affects such areas of the body:

epidermis;
visual organs;
mucous membrane of the genitals;
brain and nervous system.

There are several types of herpes:

Simple type 1, familiar to many manifestations in the form of blisters on the lips.
Simple type 2, which mainly affects the genitals.
Type 3, in which chickenpox and shingles develop.
4 types - a virus that provokes infectious mononucleosis.
Type 5 - cytomegalovirus.

There are also theories that the infection may be involved in the development of schizophrenia.

The most common type is herpes of the first type, which is considered "colds". It is followed by pathology of the second type, associated with diseases of the genitals.

The disease often occurs in the carrier without showing signs, but at the same time he transmits the virus to people with whom he comes into contact.

Herpetic prostatitis

Herpetic prostatitis, which is also called prostate herpes, develops due to penetration into the body during unprotected sexual contact of a specific virus. The problem is compounded by the fact that the symptoms of herpes may not appear, and the damage to the prostate will worsen in the meantime. For this reason, the disease is detected late and therapeutic measures are untimely.

Reasons for the development of pathology

Herpes of the prostate, the virus of which is in the body, begins to develop under the influence of provoking factors. It could be the flu, a cold, or other infections, such as sexually transmitted infections. The development of the disease is more likely in men over 30 who have:

bad habits;
irregular intimate life;
indiscriminate change of sexual partners;
various chronic pathologies;
a large number of spicy, salty and fatty foods on the menu;
constant physical activity;
stress and emotional instability.

If a man has strong immunity, the infection remains in a passive state. With the weakening of the protective forces, for example, after an illness, the herpes virus, "settled" in the body, is able to become more active. It quickly spreads to the mucous membranes and various organs. With immunodeficiency, all systems of the human body are affected in this case.

Manifestations of the disease

The disease is characterized by development in acute and chronic form. Depending on this, the symptoms of herpes differ. The course of the acute type is marked by such signs:

high temperature rises, fever;
general malaise of the body;
obsessive headaches;
dysfunction of the urinary tract;
severe pain in the lower abdomen, radiating to the lower back;
burning sensation in the groin, on the genitals.

Urinary dysfunction begins with a delay in urinary excretion and discomfort associated with the process of excretion of urine. Later, the urge to urinate becomes more frequent, it is accompanied by sharp pains and a feeling that the bladder has not been emptied. Often associated with a violation of defecation.

Chronic herpes prostatitis during the period of exacerbation is manifested by the following symptoms:

disorder of the urinary process;
constant itching and burning in the perineum;
rashes on the external genitalia;
powerful bouts of pain in the lower abdomen and genitals, aggravated during sex.

A man may not be aware of the presence of the virus, but prostate herpes often causes sexual dysfunction. It manifests itself in the form of a weak erection, lack of orgasms, rapid uncontrolled ejaculation.

Possible consequences

The infection affects both the external organs of the male genitourinary system and the internal ones. Often, penetrating into the human body, the virus provokes the development of herpetic urethritis, also known as urethroprostatitis.

This is a viral inflammation of the urethra and prostate. Urethroprostatitis is characterized by frequent relapses and severe symptoms. In advanced form, the disease is fraught with acute urinary retention. A man cannot cope with this problem without the help of doctors.

In 50% of cases, acute inflammation of the prostate gland, provoked by herpes, becomes chronic. It often recurs and can eventually cause a man to develop infertility.

This occurs in connection with a violation of spermatogenesis and the potential loss of spermatozoa of their ability to fertilize an egg.

How to make a diagnosis

If there are problems with urination and pain, a man should consult a doctor who will prescribe tests to determine the cause of what is happening. For studies that detect the herpes virus and determine its activity, the patient must pass biological materials:

urine;
blood;
semen;
nonspecific discharge of the urinary duct;
discharge from herpetic "pimples" (if any).

These biomaterials are used for specific diagnosis of the herpes virus. It includes:

There is also a modern experimental method for the artificial cultivation of herpes from the resulting infected cell, which will help track the development of the infection. But it is rarely used due to its high cost.

Physicians can determine a specific diagnosis only after examining semen or a substance taken from the prostate gland to detect virus DNA. A study is also being made of the level of leukocytosis in the fluid secreted by the prostate, in which, in the presence of specific inflammation, the content of lecithin grains decreases.

Methods for the treatment of acute and chronic forms

Herpes prostatitis has a viral nature, so the main therapy involves the use of antiviral drugs. In severe cases, a bacterial infection may join the initial infection, and then the patient must be additionally treated with antibiotics.

Treatment of the acute form of herpes prostatitis is most often performed on an outpatient basis, but severe cases require the patient to be in a urological hospital. In parallel, agents that strengthen the immune system, special suppositories and ointments are used. In case of complications, the installation of a urinary catheter may be necessary to remove the accumulated urine.

Specific treatment of inflammation of the prostate caused by herpes of the second type is carried out by such drugs:

"Valacyclovir";
"Acyclovir";
"Famciclovir".

These and similar agents stop viruses from replicating (reproducing) and are taken in tablet form. It is recommended to lubricate the external genital organs with ointments that contain interferon:

"Viferon";
"Gerpferon", a combination drug with interferon, acyclovir and lidocaine.

Such ointments have an antiviral and analgesic effect.

Another element of therapy can be immunocorrective rectal suppositories, for example, Valtrex.

If the patient has papillomas, they are removed by one of the following methods:

with the help of special preparations;
with the use of nitrogen;
using a laser;
electrocoagulation procedure.

It is important that a man understands that only a doctor can correctly determine the treatment regimen for a disease. Lack of therapy, as well as an independent choice of drugs, can lead to the development of an advanced chronic form of prostatitis.

The patient is required to follow the instructions given by the doctor and a few simple rules:

rest and bed rest;
plentiful drinking - non-carbonated clean water;
healthy diet and daily routine.

During the period of inflammation in the prostate gland, it is desirable to refrain from sexual intercourse, and even more so to avoid frequent changes of sexual partners. Otherwise, there is a risk of developing dysfunction of the penis. If it is difficult to completely exclude such contacts, the act is permissible no more than twice a week, best of all with a permanent partner. It is mandatory to use contraception to prevent transmission of the virus (condom).

Preventive measures

To protect yourself from the development of herpetic prostatitis or control the course of the disease in the presence of a virus, you must adhere to the rules of prevention.

These include:

minimizing emotional and nervous overstrain;
giving up alcohol and smoking;
proper diet and diet;
having a permanent intimate partner;
using a condom during intercourse with an unfamiliar partner.

You may also be interested

Introduction to genital herpes and how to deal with it

Genital herpes is a lesion of the skin and / or mucous membranes in the genital area of an infectious nature (and in some episodes, other systems and organs), the causative agent of which is the herpes simplex virus. A feature of this disease is a tendency to a relapsing course.
Carriers of the virus are approximately 20% of the total population, while signs of genital herpes are detected only in 5%, while the rest of the symptoms are erased or completely absent.

Causes of infection

The causative agent of the disease is a representative of the group of human herpesviruses. Herpes simplex virus, abbreviated as HSV, type 1 mainly affects the face, head and neck, for the first time manifestations of pathology are noted in infancy in the form of gingivostomatitis (lesion of the inflammatory nature of the oral cavity) and by the age of 10, infection reaches 90%. At the same time, type 2 "prefers" the genital area and the perigenital zone. Therefore, infection with genital herpes occurs sexually through the transmission of HSV-2 (up to 80% of all episodes). However, due to the prevalence of oral-genital contact, exposure to HSV-1 or both types is possible.

The risk of transmission of genital herpes through contact with an infected partner averages up to 10% per year (in men, the risk of such "acquisition" is somewhat lower than in women). In the presence of manifestations (specific rashes), the risk of infection reaches 75% during traditional sexual contact.
After the virus enters the body through the skin or mucous membranes, it enters the ganglia (nodes, clusters) of nerve cells, where it remains until the moment of exacerbation when exposed to provoking factors.

The herpes virus is also localized and multiplies in the lymph nodes, spreads through the bloodstream throughout the body. HSV is able to infect specific cells of the immune system (lymphocytes, neutrophils, macrophages) and thereby seriously reduce cellular immunity.
The virus remains in the human body for life. Transmission to an uninfected partner is also possible during the absence of rashes.

Risk factors

Factors that provoke an exacerbation or contribute to infection include:
psycho-emotional stress;
diseases that occur with high temperature;
mucosal/skin injuries;
the presence of other infectious pathologies, including those transmitted mainly through sexual contact (syphilis, HIV, hepatitis, etc.);
exposure to UV, laser radiation;
overheating / hypothermia;
surgical/cosmetic procedures;
dermatitis;
promiscuous sexual activity, etc.

Symptoms and types of disease

Genital herpes in men can occur in several stages / stages:
primary infection (that is, infection of a person who has not been infected before) is:
o asymptomatic (otherwise called subclinical infection);
o with a limited area of damage - the virus is introduced into the local area;
o with the defeat of several sites - there are several "entrance gates".
latent (hidden) infection, in which the virus itself is present in the nerve nodes, but is not detected in the analyzes;
relapse, the development of signs of pathology after the previous stage (herpes is considered recurrent when the number of exacerbations per year is equal to or exceeds 6 episodes).
Signs of genital herpes vary depending on the type of disease.

In a typical form, the disease goes through three stages:
prodromal period (lasts about two days), accompanied by itching, tingling, burning, soreness;
rash period (from three days to a week), with the formation of groups of characteristic vesicles, the so-called vesicles, turning into erosion, with swelling and redness of the skin;
regression period, with the formation of crusts, and then temporarily pigmented areas (2 - 7 days).

Genital herpes in men most often affects the skin and / or mucous membranes of the foreskin, head. To date, in most episodes, the disease proceeds in atypical or oligosymptomatic forms, when characteristic formations (vesicles) are not noticeable. Puffiness, redness, discomfort in the affected area, cracks, small spots are revealed. Sometimes there is quite a strong pain, radiating to nearby organs and skin areas. Occasionally, the disease manifests itself only as a mild inflammatory redness (erythema). Since the period of the presence of the problem is shorter in duration than in the typical form, the patient may not even notice signs of illness in himself.

In difficult cases, the prostate gland (prostatitis), testicles (orchitis) and / or their appendages (epididymitis), urinary canal (urethritis), bladder (cystitis), seminal vesicles (vesiculitis) and other organs may be additionally affected. With herpetic urethritis, vesicles appear on the urethral mucosa, with urination, pain, burning are noted. It is possible to develop herpetic urethroprostatitis (in addition to the urethra, the virus also affects the prostate gland), proctitis (rectum / sigmoid colon).

In general, in healthy people, the recurrence of the disease proceeds easily and often disappears without any treatment, while in the presence of serious problems in the immune system (HIV, blood pathologies, lymphoma, leukemia, etc.), extensive skin areas, internal organs, etc. can be affected. d.

Diagnosis and detection of the disease

To confirm the herpes nature of the disease, an analysis of any biomaterial is carried out: semen, the contents of the vesicles, urine, blood, saliva, etc. Diagnostic methods include:
PCR (polymerase chain reaction) is the most accurate technique;
cultural study - when the virus itself is isolated directly (long, expensive, therefore more important in scientific research);
electron microscopy, cytological diagnostics - with the analysis of a smear-imprint from the area of rashes (stained and examined under a microscope);
ELISA (enzyme-linked immunosorbent assay) is applicable to a limited extent, since it allows only antibodies to be determined, which does not carry diagnostic value (the majority of the adult population has been in contact with herpesvirus throughout their lives and has the corresponding antibodies).

Antibodies to the herpes virus determine only:
to confirm primary infection;
with negative results of PCR / culture study and the simultaneous presence of symptoms;
if a partner has genital herpes;
in HIV-infected people;
in persons with casual frequent sexual intercourse, homosexuals (i.e. those who are at increased risk of HIV infection).

Herpes treatment

Existing methods of treatment do not allow to completely eliminate the herpes simplex virus from the body. The objectives of therapeutic intervention are to accelerate the healing of rashes, reduce the risk of recurrence, and reduce the release of the pathogen. Therefore, the answer to the question of how to treat genital herpes and whether it should be treated at all can only be given by a doctor.

The only group of drugs that are effective for therapy are abnormal nucleosides, which inhibit the production of viral RNA/DNA. Such antiviral drugs include systemic, oral, acyclovir-based drugs or more modern (and expensive) ones containing valaciclovir, famciclovir. Only local treatment (creams / ointments) for the disease is ineffective, but can be used as an additional measure to alleviate the patient's condition.

Taking drugs begins in the early stages of the disease (in the first two days). When the rash has not yet appeared, but only burning, soreness is felt, medications can prevent the formation of a rash. At later stages, these antiviral agents somewhat reduce the healing time. The dosage of the drug, the scheme of its use is determined / adjusted by the doctor, in most cases, starting with the appointment of acyclovir for a period of 10 days (5 times a day) in a situation with an initial episode of infection. In the presence of immunosuppressive (causing a decrease in immunity) conditions, dosages can be doubled against the standard ones.

With frequent relapses (recurrent course), they resort to the so-called "suppressive (otherwise suppressive) therapy" with the same drugs. Medications are taken daily for six months or more. Usually, after a year, the effectiveness of treatment is evaluated, monitoring the manifestation / absence of relapses after discontinuation of the drug. Patients with immunodeficiency states, some serious chronic pathologies are forced to undergo such therapy almost on an ongoing basis.

The doctor may recommend the use of drugs such as amixin, cycloferon, viferon, etc. However, these drugs do not have evidence of safety and efficacy in genital herpes and are not used in foreign medical practice (although some patients report relief of symptoms during therapy with these drugs).

Also, sometimes general strengthening agents, physiotherapy treatment are additionally prescribed. Traditional healers also offer their own methods in the fight against genital herpes, however, such measures can be resorted to only after consultation with the attending urologist and only in addition to the main treatment. Traditional medicine recommends:
daily use green onions with olive oil for a “vitamin” strengthening of the body;
drink echinacea tincture diluted with water;
make compresses on the affected area from a mixture of essential oils (lavender, eucalyptus, etc.) with water or from infusion of chamomile and propolis;
take baths with violet elixir;
apply a cut aloe leaf to the rash area;
make lotions from decoctions of oak bark, lemon balm, etc.

Complications

Complications of genital herpes in men are due to the development of bacterial inflammatory processes against the background of a decrease in the body's defenses provoked by herpes infection: prostatitis (prostate lesions), urethritis (urethra), vesiculitis (seminal vesicles) and others.

It is important to understand that due to the fact that genital herpes is most often infected sexually, there is a risk of simultaneous infection with pathogens and other pathologies, such as ureaplasma (ureaplasmosis), mycoplasma (mycoplasmosis), chlamydia (chlamydia), fungi (mycosis), gonococci (gonorrhea ), etc. According to the latest medical research, the presence of HSV-2 in the body increases the risk of infection with the immunodeficiency virus. The influence of HSV infection on the development of male infertility is discussed.

However, the most formidable situation in this disease is the transmission of the virus (primary infection) to a pregnant woman. The causative agent is able to provoke both the termination of the pregnancy itself and cause various fetal pathologies. In case of primary infection of a pregnant woman, the risk of infection of the fetus is 50% (with recurrence - less than 4%). In addition, herpes infection of newborns (infants become infected during childbirth) is fraught with death.

Prevention

There is no specific prevention of genital herpes. The main measures to prevent infection, in some cases - exacerbation of the disease, include:
condom use;
exclusion of casual sexual relations;
refusal of oral sex (especially when a partner is pregnant);
general strengthening activities;
identification and elimination of foci of chronic infection;
normalization of the psycho-emotional state;
healthy lifestyle.

An experimental vaccine "Gerpevac" has been developed, which has demonstrated a high level of protection for women from infection with genital herpes.

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