Prostatitis is diagnosed exclusively in men.It is one of the most common diseases of the male reproductive system;4 out of 5 men have experienced symptoms of prostatitis at least once in their life.
Most often, men aged 20 to 40 years old, at the peak of sexual activity, are susceptible to prostatitis.Chronic prostatitis is diagnosed in every 10 men. It is characterized by periods of exacerbation and remission and masquerades as a number of other diseases.
Symptoms of chronic prostatitis
Symptoms of chronic prostatitis include:
- Discomfort and aching pain in the lower abdomen, with periodic cramps that do not go away in a quarter or more.Pain may appear in the lower back, legs, scrotum and anus.It becomes particularly painful during 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;this becomes very difficult to achieve.
- Urination becomes painful and incomplete.There is always a feeling of incomplete emptying of the bladder.
- A man's quality of life deteriorates significantly.
There are 2 types of chronic prostatitis: bacterial and abacterial.
Bacterial (infectious) prostatitis occurs with a constant alternation of exacerbations and sharp remissions, while the secretion from the prostate contains infection and bacteria.
In this case, neighboring organs, such as the urethra, bladder neck and vas deferens, can also be affected, which is why 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.
- Severe sexual dysfunction.
All this greatly affects the performance and mental state of a man, which leads to long-term depression and neurasthenia.
Chronic abacterial prostatitis is a disease in which no bacteria are found in the prostate secretion.This form is very difficult to diagnose, as evidenced by numerous reviews of men on various forums.It is also very difficult to choose the right treatment regimen.
Important
Until now, doctors are faced with many unclear factors regarding the origin of this disease.This greatly complicates the treatment process.
Even ultrasound and laboratory tests of secretions may not show the presence of an inflammatory process.According to the recommendations of the Association of Specialists in Urology, the main signs of abacterial prostatitis are identified:
- Appears in middle-aged men.
- Prolonged pain in the pelvic region and groin.
- Impaired urinary function and frequent urgency.
- Erectile dysfunction and pain during ejaculation.
- Chronic congestive prostatitis: exacerbation and remission
- Chronic congestive prostatitis is characterized by several stages of development, which are manifested by different symptoms:
- Exudative - a man feels cutting pain in the groin, scrotum and pubis.
- There are problems with erection and accelerated ejaculation.
- Alternative - the patient complains of discomfort in the groin, scrotum and pubis.
- There is a frequent urge to urinate and rapid ejaculation during sexual intercourse.
- Overgrowth - the patient notices frequent urination with a weak stream, a constant feeling of incompletely emptied bladder.And on the contrary, ejaculation becomes difficult and slow.
- Changes in the scar - at this stage the prostate tissue begins to thicken intensively.The patient complains of discomfort in the pelvic and pubic region, frequent urges to urinate with a thin stream and incomplete emptying.The erection is very weak or completely absent, 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 lasts only a few hours.
As for the classification, it is customary to use the American 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 some chronic prostatitis microbes are present in the body of almost every person, only a few get sick.How can we explain the development of such a disease in a particular case?
Experts determine the occurrence of chronic prostatitis not only by the presence of an infection in the body, but also by the conditions that influence 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 clothing;
- frequent hypothermia;
- injuries, as well as infections of various organs of the genitourinary system;
- poor diet;
- constant state of stress;
- drink and smoke frequently.
The diagnosis begins with a conversation with the patient, who must say precisely and completely what is bothering him.The doctor must find out why the patient developed chronic prostatitis, know all the possible causes and symptoms, how they manifest themselves.The doctor must tell you everything down to the smallest detail;this will determine the extent to which the diagnosis will be correctly made and effective and comprehensive treatment will be prescribed.
Next, you need to palpate and subject the secretion to bacteriological analysis, thanks to which you can determine the presence of infections and determine the resistance of bacteria to antibiotics.
Attention
Palpation is carried out by a urologist through the rectum.This procedure allows you to know the size and pain of the prostate.On palpation, hemorrhoids, adenoma or prostate cancer can also be detected.An ultrasound of the prostate will provide accurate data on the condition of the organ.
Determination of the PSA level in the blood makes it possible to exclude or confirm the presence of an adenoma and prostate cancer.
If the urologist suspects the presence of a tumor, he will need to submit pieces of prostate tissue for a biopsy, which will show its presence or absence.
Treatment of chronic prostatitis is a complex and lengthy process.Today, various methods are used to treat this disease.
Treatment with antibiotics.In this case, macrolide antibiotics and tetracycline are used.
Only the attending physician can correctly select the drug, its dosage and duration of treatment.
Usually, medications are taken for 10 to 15 days.After which repeated tests are carried out, based on the results of which the doctor will determine whether the patient is cured or whether additional treatment is required.
Prostate massage is necessary so that prostatic secretions do not stagnate and microcirculation occurs.This greatly contributes to rapid recovery.
However, massage is prohibited for acute prostatitis, hemorrhoids and rectal fissures.
Massage is usually prescribed as a complementary therapy to antibiotic treatment.
Physiotherapy is prescribed to improve the condition of prostate tissue, thereby accelerating the healing process.
Laser therapy and ultraphoresis are used for treatment.The use of mud and enemas with mineral waters rich in hydrogen sulfide are also effective.
Herbal medicine is used as an additional stimulation for the patient's recovery and is always used in combination with other methods.
In some cases, surgical intervention may be indicated if the urethra is severely narrowed or the presence of an 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 consulting a doctor in time, you can achieve rapid recovery.Once treatment is started, long-term remission will be observed.We can speak of complete recovery when all symptoms of the disease disappear and laboratory tests show good results.
The most frequently asked 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 traditional medicine, the most popular is the use of infusions of chamomile, yarrow and sage.These microenemas very well relieve the inflammation that occurs in the prostate.
To prepare such a microenema, take two tablespoons of chamomile and pour 100 grams of the herb.boiling water You can also use horse chestnut peels for treatment, which are filled with alcohol and stored for 10 days in a dark place.
An onion decoction is also useful.You need to finely chop two large onions and pour boiling water over them in a half-liter jar.The pot is wrapped in a terry towel and left to infuse for 2 hours.Then every hour you need to drink 50 grams of decoction.
How to cure impotence with chronic prostatitis?
Impotence can be cured at home if a set of measures is followed.
It is necessary to choose suitable drugs that will help fill the corpora cavernosa of the penis with blood.But before that, a consultation with a urologist is necessary.
It is necessary to adjust your diet and follow a diet.You should not eat fatty foods or foods that reduce testosterone.You need to eat porridge and lean meat, drink fruit juices and green tea.
Don’t forget about physical activity either.Walking and light running in the fresh air are very effective in this regard.You also need to swing your legs.This promotes contraction of the muscles of the anus and perineum.
How long does it take to treat chronic prostatitis and how to get rid of it permanently?
Antibiotic therapy lasts 1 to 3 months, depending on the advanced stage of the disease.If necessary, additional treatment with small doses of antibiotics may be prescribed.Lipophilic antibiotics cope best with this task.
To forget about this problem forever, you need to change your lifestyle, eat right, avoid hypothermia and give your 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 solve this problem on his own, instead of quickly turning to a urologist.However, 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 may develop infertility.
What antibiotics should I take for chronic prostatitis?
A number of penicillins are often used.Tetracycline antibiotics are often prescribed for mycoplasma and chlamydia.
Fluoroquinolones are very effective and penetrate well into prostate tissues.Macrolides accumulate well in prostate tissues and quickly eliminate toxins.
Is it possible to have sex with chronic prostatitis?
If the disease is caused by an infection, it is better 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.In addition, 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 physical activity.You can constantly tense and relax your scrotum from time to time.
Every time you urinate, stop the flow a little, this way the bladder sphincter will harden.Such high-quality exercises will allow blood to circulate well in the veins of the prostate and strengthen metabolic processes in the body.