Acute Prostatitis Staging

1. In the first phase, that of follicular prostatitis, the prostate gland has increased volume because of the inflammatory congestion, red, of increased consistency. Through the holes of the excretory ducts, when pressure is applied, a mucous-purulent or lightly sanguinolent liquid is expelled. Numerous acini (The prostate gland is comprised of 30–50 glands arranged in acini, which empty into the prostatic urethra) turn into small abscesses, because of the closure of the excretory duct. While the contents of these acini turned into micro-abscesses can still be expelled, the purulent moulds of these ducts appear in the urine of the ill person in the as comma-shaped fibres. Untreated, follicular prostatitis can turn chronic and evolve towards abscess.

2. The tissue surrounding the acini is also also infiltrated with leucocytes. When the prostatic inflammation is extending massively into this tissue, we have a prostatic abscess stage , whose volume can range from that of a pea and up to the size of a mandarin. The abscess communicates with the urethra through the holes of the glands opening in the posterior urethra. The ejaculatory ducts, which traverse the prostate, could be distroyed by this suppurating process. Untreated, the abscess could open towards the urethra or the rectum or could infiltrate the surrounding tissues, evolving towards a periprostatic phlegmon. [phlegmon (phleg·mon) (fleg´mon) [Gr. phlegmone] a spreading, diffuse inflammatory reaction to infection with microaerophilic streptococci)]

3. In the periprostatitis stage , the tissues surrounding the prostate are cought in the inflammatory process and from this point, the infiltration can extend in to the surrounding regions, determining purulent collections, phlegmons, which tend to diffuse into the perineum, the ischiorectal holes and the buttocks region and can even provoke a septicemia, the worst possible complication of prostatitis.