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Может развиваться первично (как самостоятельная патология) или вторично (как исход острого простатита) [8](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_urology/prostatic-abscess)[12](https://yandex.ru/health/turbo/articles?id=7729). \n\nВыделяют две основные формы абсцесса простаты [1](https://mc21.ru/articles/abstsess-prostaty-diagnostika-lechenie-i-profilaktika/): \n1. **Острый** — быстро развивающееся заболевание с ярко выраженными симптомами [1](https://mc21.ru/articles/abstsess-prostaty-diagnostika-lechenie-i-profilaktika/). \n2. **Хронический** — развивается постепенно на фоне длительного воспаления в предстательной железе [1](https://mc21.ru/articles/abstsess-prostaty-diagnostika-lechenie-i-profilaktika/). Симптомы менее выражены, могут включать периодическое повышение температуры, дискомфорт в области промежности и проблемы с мочеиспусканием [1](https://mc21.ru/articles/abstsess-prostaty-diagnostika-lechenie-i-profilaktika/).\n\n\n\n## Причины\nНекоторые причины абсцесса предстательной железы: \n* **Инфекции мочевыводящих путей** — при неадекватном или несвоевременном лечении заболевание распространяется на ткань предстательной железы [1](https://mc21.ru/articles/abstsess-prostaty-diagnostika-lechenie-i-profilaktika/). \n* **Осложнения урологических процедур** — инвазивные манипуляции на простате (трансректальная биопсия, трансуретральная резекция, катетеризация мочевого пузыря) способствуют проникновению инфекции в ткань железы [1](https://mc21.ru/articles/abstsess-prostaty-diagnostika-lechenie-i-profilaktika/). \n* **Обструкция мочевыводящих путей** — препятствие оттоку мочи (доброкачественная гиперплазия простаты, стриктуры уретры, камни мочевого пузыря) способствует застою секрета в протоках простаты и создаёт условия для размножения бактерий [1](https://mc21.ru/articles/abstsess-prostaty-diagnostika-lechenie-i-profilaktika/).\n\n## Симптомы\nНекоторые симптомы абсцесса предстательной железы: \n* резкая пульсирующая боль в промежности и прямой кишке [1](https://mc21.ru/articles/abstsess-prostaty-diagnostika-lechenie-i-profilaktika/)[8](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_urology/prostatic-abscess); \n* симптомы общего интоксикации организма, такие как озноб и лихорадка [1](https://mc21.ru/articles/abstsess-prostaty-diagnostika-lechenie-i-profilaktika/); \n* затруднённое мочеиспускание и дефекация [1](https://mc21.ru/articles/abstsess-prostaty-diagnostika-lechenie-i-profilaktika/)[8](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_urology/prostatic-abscess). \n\nПри неблагоприятном течении и отсутствии грамотной терапии абсцесс осложняется попаданием гнойных выделений в брюшную полость, мошонку или уретру [1](https://mc21.ru/articles/abstsess-prostaty-diagnostika-lechenie-i-profilaktika/).\n\n## Диагностика\nПри подозрении на абсцесс простаты проводят следующие исследования: \n* **Пальцевое исследование предстательной железы** — выполняется осторожно из-за высокой болезненности простаты [2](https://www.MedCentrServis.ru/disease/abscess-predstatelnoy-jelezy/). \n* **Трансректальное УЗИ (ТРУЗИ) простаты** — определяют размеры предстательной железы, а также размер и локализацию абсцесса [2](https://www.MedCentrServis.ru/disease/abscess-predstatelnoy-jelezy/). \n* **Посев содержимого абсцесса** — помогает определить чувствительность патогенных микроорганизмов к антибиотикам [2](https://www.MedCentrServis.ru/disease/abscess-predstatelnoy-jelezy/).\n\n## Лечение\nВыбор лечения зависит от того, насколько выражена патология [4](https://urosechenov.ru/blog/abstsess-predstatelnoy-zhelezyi-abstsess-prostatyi/): \n* **Если гнойники небольшого размера**, возможно применение консервативных методов — медикаментозная терапия [4](https://urosechenov.ru/blog/abstsess-predstatelnoy-zhelezyi-abstsess-prostatyi/). \n* **Если патология запущена**, требуется хирургическое вмешательство — операция по вскрытию абсцесса и тщательное очищение воспалённых участков [4](https://urosechenov.ru/blog/abstsess-predstatelnoy-zhelezyi-abstsess-prostatyi/). \n\n**Домашнее лечение недопустимо** — пациента размещают в стационар, где подбирают терапию в зависимости от результатов анализов [3](https://medcentr-Sochi.ru/urolog/abscess-predstatelnoj-zhelezy.html).","linksData":[{"sourceId":1,"url":"https://mc21.ru/articles/abstsess-prostaty-diagnostika-lechenie-i-profilaktika/","shownUrl":"https://mc21.ru/articles/abstsess-prostaty-diagnostika-lechenie-i-profilaktika/","title":"Абсцесс предстательной железы: симптомы, диагностика и лечение","shortUrl":"mc21.ru","isTranslated":false,"description":"","greenUrl":"mc21.ru"},{"sourceId":2,"url":"https://www.MedCentrServis.ru/disease/abscess-predstatelnoy-jelezy/","shownUrl":"https://www.MedCentrServis.ru/disease/abscess-predstatelnoy-jelezy/","title":"Абсцесс предстательной железы: причины, симптомы, диагностика, лечение и профилактика","shortUrl":"MedCentrServis.ru","isTranslated":false,"description":"","greenUrl":"MedCentrServis.ru"},{"sourceId":3,"url":"https://medcentr-Sochi.ru/urolog/abscess-predstatelnoj-zhelezy.html","shownUrl":"https://medcentr-Sochi.ru/urolog/abscess-predstatelnoj-zhelezy.html","title":"Абсцесс предстательной железы: что это такое, симптомы, причины и лечение у врача уролога в МКЦ «Проксима» (г. 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