Prostatitis is diagnosed exclusively in men. It is one of the most common diseases among diseases of the male reproductive system, 4 out of 5 men have encountered symptoms of prostatitis at least once in their life.
Most often, prostatitis affects men between the ages of 20 and 40 at the height of their sexual activity. Chronic prostatitis is diagnosed in 10 men. It is characterized by periods of exacerbation and remission and passes itself off as a number of other diseases.
Symptoms of chronic prostatitis include the following manifestations:
- Discomfort and aching pains in the lower abdomen, with periodic cramps that do not go away for a quarter or more. Pain can appear in the lower back, legs, scrotum, anus. It is especially painful to become with urination and ejaculation.
- Penile erection worsens and sexual desire weakens. First, premature ejaculation develops, and over time, on the contrary, ejaculation practically does not occur, it becomes very difficult to achieve it.
- Urination becomes painful and incomplete. There is always a feeling of incomplete emptying of the bladder.
- A man's quality of life sometimes deteriorates.
There are 2 types of chronic prostatitis: bacterial and abacterial.
Bacterial (infectious) prostatitis occurs with a constant alternation of acute exacerbations and remissions, while infection and bacteria are in the secret of the prostate.
In this case, neighboring organs, such as the urethra, bladder neck, vas deferens, can also be affected, and therefore the disease manifests itself in different ways. An accurate diagnosis can be made after a thorough examination.
Most often, the disease manifests itself as follows:
- Frequent and painful urination.
- Burning in the urethra.
- Premature ejaculation.
- Small mucous discharge from the urethra.
- Serious disorders of sexual function.
All this greatly affects the working capacity and mental state of a man, which leads to prolonged depression and neurasthenia.
Abacterial chronic prostatitis is a disease in which bacteria are not found in the secretion of the prostate. This form is very difficult to diagnose, as evidenced by numerous reviews of men in various forums. It is also very difficult to find the right treatment regimen.
Important
Until now, doctors are faced with many unclear factors of the origin of this disease. This greatly complicates the treatment process.
Even ultrasound and laboratory tests of the secretion may not show the presence of an inflammatory process. According to the recommendations of the European Association of Urologists, the main signs of abacterial prostatitis are distinguished:
- It appears in middle-aged men.
- Prolonged pain in the pelvic region and in the groin.
- Violation of the function of urination and frequent imperative urges.
- Erectile dysfunction and pain during ejaculation.
- Chronic congestive prostatitis: exacerbation and remission
- Chronic congestive prostatitis is characterized by several stages of evolution, which are manifested by their different signs:
- Exudative - a man feels a cutting pain in the groin, scrotum and in the pubic area.
- Erection problems and accelerated ejaculation are observed.
- Alternative - the patient complains of discomfort in the groin, scrotum and pubis.
- There are frequent urges to urinate and rapid ejaculation during sex.
- Proliferation - the patient notes frequent urination with a weak stream, a constant feeling of not completely emptying the bladder. And ejaculation becomes, on the contrary, difficult and slow.
- Scarring changes - at this stage the tissues of the prostate begin to thicken intensely. The patient complains of discomfort in the pelvic and pubic area, frequent urge to urinate with a thin stream, and incomplete emptying. Erection is very weak or non-existent, ejaculation becomes almost impossible, and orgasm is weak, without vivid impressions. Prostatitis passes into the stage of chronic prostatitis of unstable remission, in which constant pain is observed and remission occurs only for a few hours.
As for the classification, it is customary to use the US NIH classification, which divides the disease into types: acute and chronic bacterial, chronic without signs of inflammation and congestive, as well as histological.
Factors and causes of chronic prostatitis in men
Despite the fact that there are chronic prostatitis microbes in the body of almost everyone, only a few get sick. How to explain the development of such a disease in a particular case?
Experts determine the occurrence of chronic prostatitis not only by the presence of infection in the body, but also by conditions that affect the development of the disease.
The most common causes of chronic prostatitis in men include:
- stagnation of blood contained in the prostate, caused by a sedentary lifestyle;
- unstable sex life;
- uncomfortable and rather tight clothes;
- frequent hypothermia;
- injuries, as well as infections of various organs of the genitourinary system;
- malnutrition;
- constant stress;
- drink and smoke frequently.
The diagnosis begins with a conversation with the patient, who must say precisely and completely what worries him. The doctor should find out why the patient developed chronic prostatitis, find out all possible causes and symptoms, how they manifest. The doctor should tell everything to the smallest detail, it will depend on the accuracy of the diagnosis and the prescription of an effective and comprehensive treatment.
Then you need to palpate and convey the secret of bacteriological analysis, thanks to which you can determine the presence of infections and find out the resistance of bacteria to antibiotics.
Warning
Palpation is performed by the urologist through the rectum. This procedure helps to know the size and pain of the prostate. During probing, hemorrhoids, adenoma or prostate cancer can also be detected. Ultrasound of the prostate will provide accurate data on the state of the organ.
The determination of the PSA level in the blood makes it possible to exclude or confirm the presence of adenoma and cancer of the prostate.
If the urologist suspects the presence of a tumor, he will have to take pieces of prostate tissue for a biopsy, which will show its presence or absence.
The treatment of chronic prostatitis is a complex and time-consuming process. Today, various methods are used to treat this disease.
Treatment with antibiotics. In this case, antibiotics from the group of macrolides and tetracycline are used.
Only the attending physician can choose the right drug, its dosage and duration of treatment.
Usually the drugs are taken for 10-15 days. After that, repeated tests are administered, based on the results of which the doctor will determine whether the patient has recovered or whether further treatment is required.
Prostate massage is necessary so that the secretion of the prostate does not stagnate and its microcirculation occurs. This is very conducive to a speedy recovery.
However, massage is prohibited for acute prostatitis, hemorrhoids and rectal fissures.
Massage is usually prescribed as a complementary treatment to antibiotic treatment.
Physiotherapy is prescribed to improve the condition of the prostate tissues, due to which the healing process is accelerated.
For treatment, laser therapy and ultraphoresis are used. It is also effective to use mud, enemas with mineral waters rich in hydrogen sulfide.
Herbal medicine is used as an additional stimulation to the patient's recovery and is always used in combination with other methods. Various herbal remedies are used for the treatment.
In some cases, surgery may also be indicated if the urethra is very narrowed, the presence of abscess or prostate adenoma is detected.
Important
Diagnosis and treatment should be carried out in a medical institution under the constant supervision of qualified doctors.
By contacting a doctor in time, you can achieve rapid recovery. When starting treatment, there will be a long-term remission. You can talk about complete recovery when all the symptoms of the disease disappear and laboratory tests show good results.
The most popular questions from patients about chronic prostatitis
How to quickly and effectively cure chronic prostatitis with folk remedies?
Treatment can be carried out using folk remedies. In folk medicine, the most popular is the use of infusion of chamomile, yarrow and sage. These microclysters relieve the inflammation that occurs in the prostate very well.
To prepare such a microclyster, take two tablespoons of chamomile and pour 100 gr of grass. boiling water. Also, for treatment, you can use the skin of horse chestnut, which is poured with alcohol and kept for 10 days in a dark place.
An onion decoction also helps. It is necessary to finely chop two large onions and pour them with boiling water into a half-liter jar. The jar is wrapped with a terry towel and left to infuse for 2 hours. Then every hour you need to drink 50 grams of broth.
How to cure impotence in chronic prostatitis?
Impotence can be cured at home, subject to a set of measures.
It is necessary to choose appropriate drugs that will help fill the cavernous bodies of the penis with blood. But before that, a consultation with a urologist is essential. Modern drugs to improve potency with the active ingredient sildenafil have a good effect.
It is necessary to adjust the diet and follow a diet. You cannot eat fatty foods and foods that reduce testosterone. It is necessary to rely on cereals and lean meat, drink juices and green tea.
Also, don't forget about physical activity. Walking and light running in the fresh air are very effective in this regard. You also need to do swings with your legs. This helps contract the muscles of the anus and perineum.
How long is chronic prostatitis treated and how to get rid of it permanently?
Antibiotic therapy lasts 1-3 months, depending on the neglect of the disease. If necessary, additional treatment with small doses of antibiotics may be prescribed. Lipophilic antibiotics best cope with this task.
To forget about this problem forever, you need to change your lifestyle, eat right, not overcool and give the body rest.
Why is chronic prostatitis dangerous?
Chronic prostatitis is characterized by strong exacerbations of the disease, which are replaced by remissions. When the pain subsides, it becomes easier, and the man decides that he can deal with this problem on his own, instead of quickly contacting a urologist. However, the delay will not help here, because with each exacerbation the inflammation will increase.
Inflammation can affect nearby organs, leading to cystitis, pyelonephritis, and vesiculitis. As a result, a man can develop infertility.
What antibiotics to take for chronic prostatitis?
Often used a number of penicillins. Tetracycline antibiotics are often prescribed for mycoplasmas and chlamydia.
Fluoroquinolones are very effective and penetrate prostate tissue well. Macrolides accumulate well in the tissues of the prostate and quickly eliminate toxins.
Is it possible to have sex with chronic prostatitis?
If the disease is caused by an infection, it is best to abstain from sex so as not to infect your partner. Although you can use a condom. It is simply necessary to have sex, because when aroused, blood rushes to the prostate and it begins to contract. Also, during ejaculation, the pelvic muscles contract strongly, which is considered a good self-massage.
Prevention of chronic prostatitis in men and its features
Prevention of chronic prostatitis in men involves a healthy lifestyle and daily exercise. You can constantly strain and relax the scrotum from time to time.
With each urination, stop the jet a little, so the sphincter of the bladder will somehow harden. Such high-quality exercises will allow blood to circulate well through the veins of the prostate and improve metabolic processes in the body.