Chronic prostatitis - symptoms and treatment

Experts call the prostate gland the most vulnerable organ in men. The most common inflammation of the prostate, causing the patient a lot of discomfort. If the inflammatory process lasts more than 3 months, we can talk about a chronic form of the disease. The problem of how to treat chronic prostatitis is faced by every third member of the stronger sex. It is possible to cure the disease, but this will require qualified medical care. You should not delay the complex treatment of chronic disease, as it provokes the appearance of adenoma and prostatic hyperplasia, as well as reduced erectile function.

What is meant by diagnosis

Usually men are reluctant to listen to their own well-being, so the inflammatory process in the prostate gland takes a long time. The danger of the disease lies in the fact that it can be completely asymptomatic. Urethritis develops first, and if you do not seek medical attention, complications cannot be avoided. Over time, men develop chronic prostatitis, the symptoms and treatment of which are individual. Forms of chronic prostatitis:

> zxtable border = "1" cellpadding = "0" >name Diagnosis infectious It occurs due to damage to the prostate gland by viruses, fungi or bacteria. It is detected by laboratory analysis of blood and urine. stagnated It occurs with pelvic pain, most often chronic. The symptoms of the congestive form are sometimes similar to the signs of an inflammatory process. Asymptomatic There are no clinical signs of inflammation, so the man may not visit a doctor for a long time. It is possible to identify the disease only by examination of the prostate gland.

Many men are diagnosed with congestive chronic prostatitis (non-infectious etiology). Inflammation in this case affects the secretion of the prostate and veins.

Reasons for the appearance

The causes of chronic prostatitis are different:

• Prolonged abstinence from intimacy or too active sexual life;
• The presence of several perineal injuries (while riding or cycling);
• Irrational menu (lack of nutrients and excess of fried, fatty and smoked foods);
• Recurrent genital infection;
• Decreased immunity;
• Diseases of the urogenital organs;
• Inactive and sedentary lifestyle;
• Too tight and tight underwear;
• Interrupted coitus;
• history of phimosis;
• Anal sex without additional protection (condom).

The disease affects both the elderly and middle-aged and even young men:

1. During inactive sex, prostatitis occurs due to stagnation of the secretion of the prostate gland.
2. Athletes are at risk because they lift weights and are prone to prostate microtrauma.
3. Long-distance drivers suffer from blood stasis in the pelvic organs.
4. Winter fishing enthusiasts are at risk due to constant hypothermia of the body.

Among the common male diseases, chronic prostatitis is about 20%. Every fifth patient who consults a doctor suffers from a chronic form of the disease. The disease "rejuvenates" because modern boys are indiscriminate, do not think about their own safety. In order not to be puzzled how to get rid of chronic prostatitis, it is enough to take care of basic protection against sexually transmitted diseases.

It is worth considering the fact that the chronic form of the disease leads to erectile dysfunction of the penis and reduced sexual satisfaction during ejaculation. On this basis, fear of intimacy, irritability, self-doubt begin. All this further leads to sexual neurosis.

Ways of infection

Doctors note two ways of contracting an infectious form of prostatitis:

1. Urinary (ascending). Specific microorganisms enter the prostate through the urethra. The secretion of the prostate gland is usually sterile, no bacteria will be found during the examination. There are cases when microorganisms live in the human body, but their concentration is not sufficient for the development of the disease. If the microflora is disturbed, the infection of the organ begins, which leads to the development of inflammation. Do not rule out the risk of infection and damage to neighboring organs when a man suffers from hemorrhoids or cystitis. In this case, dangerous microorganisms enter the prostate through the lymphogenic pathway.
2. Hematogenous. The causative agent of the infection enters the prostate through the blood. The diseases that can provoke this type of infection are diverse: acute influenza, caries and others. If there is concomitant venous congestion in the prostate gland, there is a high risk of chronic prostatitis, which will take a long time to treat.

Urologists have identified two predisposing factors that lead to hematogenous infection:

1. Congenital. Anatomical features of the prostate, including changes in the structure of muscle tissue or disorders of the circulatory system.
2. Acquire. Causes of chronic prostatitis include genital trauma, thirst for alcohol, prolonged smoking, history of infectious diseases and frequent hypothermia.

The danger of ignoring the disease lies in the fact that at this stage the symptoms of chronic prostatitis in men are most often absent or insignificant. The patient believes that the disease can be cured with the help of folk remedies, but these methods are ineffective. Treatment regimens are prepared only by a specialist after a thorough examination and collection of the necessary information.

Warning signs

The symptoms of chronic prostatitis vary depending on the stage of the disease and its form:

> zxtable border = "1" cellpadding = "0" >The form signs Bacterial (infectious) Feeling of weakness, chills, fever, muscle aches, lower abdominal pain (may worsen during intercourse and prolonged abstinence), pain when urinating, weak pressure of the jet when urinating, frequent urination at night. Pain can be observed in the thighs, perineum and rectum, which is why the signs of chronic prostatitis are mistaken for hemorrhoids. Bacterial specific All of the above signs are observed, to which mucus-like discharge from the urethra may be added. abacterial The symptoms of stagnant prostatitis are difficult to ignore due to the severe pain. Localized in the perineum and thighs. There is discomfort in the head of the penis. The pain is exacerbated by interruption of sexual intercourse, as well as prolonged abstinence from intimacy.

The consequences of chronic prostatitis depend on the duration of the disease:

• adenoma;
• oncology;
• Sclerosis of the prostate and bladder neck;
• Erectile dysfunction;
• Infertility;
• Decreased testosterone levels.

The danger of the disease lies not only in the fact that prostatitis can be confused with another disease. If the acute phase passes, the symptoms of chronic prostatitis disappear and treatment is not carried out. The man no longer worries about his health and does not go to the doctor. But there comes a time when the symptoms begin to seriously irritate and interfere with normal life, but the disease has already passed into a long phase. Treatment of stagnant prostatitis will take much longer if the diagnosis of the disease was not in the first stage.

Diagnosis

The symptoms of other diseases are very similar to those of chronic prostatitis. Is it possible to cure the disease without examinations? It is unlikely, because only an accurate diagnosis will determine the form and stage of development of prostatitis. Discomfort can be caused by:

• tuberculosis;
• adenoma;
• Tumor.

Only a complete examination can confirm or rule out the diagnosis. There are two types of research:

• Instrumental;
• laboratory.

After talking to the patient and taking a medical history, the urologist or andrologist will ask you to do a series of tests:

• general urine analysis;
• general blood test;
• Analysis of prostate secretion;
• Blood test for PSA.

A urine sample is taken three times to obtain more accurate data on the change in its composition:

• epithelial cells;
• leukocytes;
• Pathogenic pathogens of infections;
• Nonspecific bacteria.

Doctors know what chronic prostatitis is and how difficult it is to diagnose. The modern method of transrectal ultrasound (TRUS) allows you to do this exactly:

1. A device with an ultrasound probe is carefully inserted into the patient's anus.
2. Because the prostate is firmly attached to the wall of the rectum, the specialist has a good opportunity to examine the prostate gland in detail and make an accurate diagnosis.

Conventional ultrasound allows you to determine the change in prostate density, its size, the presence of fibrous foci, abscesses and stones.

Before treating chronic prostatitis, the doctor must re-check the diagnosis. At the slightest suspicion, he can direct the patient to MRI or CT to rule out the presence of a tumor focus. If the man has infravesical obstruction, an X-ray will be needed to determine the cause of the disease.

Conservative treatments

The treatment regimen for chronic prostatitis is prescribed only by a professional urologist and is chosen individually. The doctor takes into account the cause of the disease, the duration of the disease and such a factor as aggravating pathology. If stagnant or infectious prostatitis is in the early stages, treatment may be with drugs:

1. Antibiotic therapy. Prostatitis is treated with antibacterial drugs if the bacterial agent is found in the secretions of the prostate or urine. Inflammation should be severe. The course lasts no more than 2 months, and the cost of treatment of chronic prostatitis depends on the prescribed medication. The dosage of each drug is prescribed individually, and self-medication is fraught with complications. Feedback after treatment of prostatitis with antibiotics is not always positive, but there are reasons for this. Sometimes the symptoms continue at the end of the course, even though the infection has been defeated.
2. Elimination of symptoms. Pain-relieving drugs are often used to treat chronic prostatitis in men. The course of therapy may also include the use of antidepressants to reduce anxiety levels.
3. Alpha blockers. The course of these drugs is prescribed if the doctor has diagnosed hypertension of the muscles of the bladder or increased intraurethral pressure. However, the drugs are ineffective if the patient has pelvic floor myodystrophy or impaired muscle innervation.
4. hormone therapy. It is performed based on the results of hormonal examination. Androgens and antiandrogens are used.
5. Vitamin therapy. In case of irrational nutrition the deficiency of nutrients is filled due to the vitamin-mineral complex. Experts do not recommend replacing it with popular supplements, as "mannequins" will not help in any way.
6. Normalize uric acid levels. Regulatory treatments for chronic prostatitis are effective only in the presence of prostate stones.
7. Immunostimulants. Prostatitis is treated in this way only in laboratory-proven immunodeficiency.

Answering the question whether chronic prostatitis is treatable, we can safely say that recovery comes quickly with a properly prescribed complex.

Surgical method of treatment

The disease usually does not require surgery, except when the complication poses a threat to the health and even life of the patient. Modern surgery practices endoscopic intervention to reduce risks and damage to health. Surgery is indispensable for:

• adenoma;
• Sclerosis of the seminal tubercle;
• Prostate stones;
• Prostate sclerosis.

Effective treatment of chronic prostatitis allows you to cope without surgery if the man seeks medical help in time. Remember that at the stage of exacerbation of the disease can not be performed surgery. The need for such a cardinal method of treatment is determined only by the surgeon after studying the overall clinical picture.

Other treatments

Men often worry about whether chronic prostatitis can be cured in a non-drug way. The doctor may indeed prescribe other methods:

1. Massage. Do not forget about the contraindications and the fact that only a small part of the prostate is available for massage. If there are hyperplastic changes in the prostate gland, the course of massage can lead to acute urinary retention. This in turn provokes the further spread of inflammation and the development of sepsis. Massage is also prohibited in the presence of venous stasis, prostate cysts and prostate stones. If you need to get rid of a stagnant secretion, it is better to release the prostate naturally through ejaculation.
2. Special gymnastics. It is used to strengthen the bladder and prolong the intervals between urination. Improving the tone of the sphincter and bladder allows you to set a break between urges to the toilet up to 5 hours. Gymnastics is ineffective in neurodystrophic changes and myofascial syndrome.
3. Muscle stimulation. In case of reduced pelvic floor muscle tone, magnetic therapy, phonophoresis, transrectal ultrasound or electrical stimulation are used.
4. Instillation. It is practically not used in modern medicine, as the infusion of drugs into the urethra is accompanied by pain and does not cure prostatitis. The consequences of such treatment can be catastrophic.

It is more appropriate to ask an andrologist or urologist how to treat congestive prostatitis with folk remedies. Popular videos on the Internet are full of videos about the quality use of alcoholic tinctures and pumpkin seeds, but no method can replace drug therapy. How much the disease is treated is also determined only by the doctor and not by the characters on YouTube.

Useful exercises

A simple set of exercises will improve blood microcirculation in the pelvic area. They can be performed in the morning instead of the usual exercises:

1. Fix your legs shoulder-width apart, raise your arms up and connect them to the back of your head. Inhale - slowly sit down and spread your knees to the side, exhale - return to starting position.
2. Tie your legs together, hands down freely along the body. Bend your left leg at the knee, raising it as high as possible. Repeat with the right foot. Follow 10 approaches.
3. Squat, palms down. Inhale - slowly rise, spread your arms to the side. Exhale - return to starting position.
4. Lie on your stomach after placing a small ball under it (no bigger than a tennis ball). Focus on the floor and roll the ball on the floor with your stomach. Follow 7 approaches.
5. Lie on your back, bending your knees. Squeeze the ball between them. Inhale - bend your knees, exhale - relax. Do 3 sets, eventually increasing the number of repetitions to 9 times.
6. Sit on the floor, focusing on your hands. Place a ball under the buttocks. Try rolling it on the floor with your buttocks and genitals.

Help in the fight against the disease and Kegel exercises, which are useful not only for women but also for men.

Probable forecasts

Instead of looking for information on how to live with chronic prostatitis, it is more useful to make an appointment with a specialist. With timely access to a doctor and a reasonably selected course of therapy you can improve your health. The question of whether chronic prostatitis can be completely cured cannot be answered unequivocally. It all depends on what methods the doctor has prescribed and how exactly the patient follows his recommendations.

Experts are very cautious in making predictions about the further course of the disease. Is chronic prostatitis treated with a guarantee? Complete recovery is noted only in rare cases, as most often the disease passes in the form of prolonged remission. There is a normalization of the parameters of urine and blood, the symptoms completely disappear. However, without following a doctor's advice, the disease can again cause discomfort and complications.