Prostatitis is diagnosed exclusively in men. This is one of the most common diseases among diseases of the male reproductive system, 4 out of 5 men have experienced symptoms of prostatitis at least once in their lives.
Often, prostatitis affects men aged 20-40 years at the peak of their sexual activity. Chronic prostatitis is diagnosed in every 10 men. It is characterized by periods of exacerbation and remission and masquerades as several other diseases.
Symptoms of chronic prostatitis include the following manifestations:
- Discomfort and aching pain in the lower abdomen, with periodic cramps that do not go away for a quarter or longer. Pain can appear in the lower back, legs, scrotum, anus. It is very painful to be with urination and ejaculation.
- Penile erections get worse and sexual desire gets weaker. First, premature ejaculation develops, and over time, on the contrary, ejaculation practically does not occur, it becomes very difficult to achieve.
- Urination becomes painful and incomplete. All the while there is 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 continuous alternation of sharp deterioration and remission, while infections and bacteria are found in the secretions of the prostate.
In this case, nearby organs, such as the urethra, bladder neck, vas deferens, may also be affected, and therefore the disease manifests itself in different ways. An accurate diagnosis can be made after a thorough examination.
Often, the disease manifests itself as follows:
- Frequent and painful urination.
- Burns in the urethra.
- Premature ejaculation.
- Small mucus discharge from the urethra.
- Serious disorders of sexual function.
All this greatly affects the work capacity and mental state of a man, leading to prolonged depression and neurasthenia.
Chronic abacterial prostatitis is a disease in which bacteria are not found in the secretions of the prostate. This form is very difficult to diagnose, as evidenced by the many male reviews on various forums. It is also very difficult to find the right treatment regimen.
important
To date, doctors are faced with many factors that are not clear about the origin of the disease. This greatly complicates the treatment process.
Even ultrasound and laboratory tests of secretions may not show the presence of inflammatory processes. According to the recommendations of the European Urological Association, the main symptoms of abacterial prostatitis are distinguished:
- It appears in middle -aged men.
- Prolonged pain in the pelvic area and in the groin.
- Violation of urinary function 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 development, which are indicated by different symptoms:
- Exudative - a man feels pain cutting in the groin, scrotum and in the genital area.
- Problems of erection and accelerated ejaculation are noted.
- Alternative - the patient complains of discomfort in the groin, scrotum and pubis.
- There is a frequent urge to urinate and rapid ejaculation during intercourse.
- Proliferation - the patient records frequent urination with poor flow, constant feeling of not emptying the bladder completely. And ejaculation becomes, on the contrary, difficult and slow.
- Cicatricial changes - at this stage, the prostate tissue begins to thicken intensively. Patients complain of discomfort in the pelvic and genital areas, frequent urge to urinate with a thin stream and incomplete emptying. Erections are very weak or non -existent, ejaculation becomes almost impossible, and orgasm is weak, with no obvious effect. Prostatitis passes the stage of unstable remission chronic prostatitis, in which persistent pain is observed and remission occurs only for a few hours.
As for classification, it is customary to use the US NIH classification, which divides diseases into types: acute and chronic bacterial, chronic without signs of inflammation and congestion, as well as histological.
Factors and causes of chronic prostatitis in men
Despite the fact that there are several microbes of chronic prostatitis in the body of almost everyone, only a small number are sick. How can one explain the development of such a disease in a particular case?
Specialists determine the incidence of chronic prostatitis not only by the presence of infection in the body, but also by conditions that influence the development of the disease.
The most common causes of chronic prostatitis in men include:
- blood stasis, contained in the prostate, caused by an inactive lifestyle;
- unstable sex life;
- uncomfortable and rather narrow clothing;
- frequent hypothermia;
- injuries, as well as infections of various organs of the genitourinary system;
- Malnutrition;
- constant stress;
- frequent drinking and smoking.
Diagnosis begins with a conversation with the patient, who must tell accurately and completely what is troubling him. Doctors must know why patients suffer from chronic prostatitis, know all the possible causes and symptoms, how they manifest themselves. The doctor should tell everything to the smallest detail, it will depend on how the diagnosis will be made correctly and effective and comprehensive treatment will be prescribed.
Next, you need to dig in and pass the secret for bacteriological analysis, thanks to you to determine the presence of infection and find out the resistance of bacteria to antibiotics.
Attention
Palpation is performed by a urologist through the rectum. This procedure makes it possible to find out the size and pain of the prostate. When investigated, hemorrhoids, adenomas or prostate cancer can also be detected. Prostate ultrasound will provide accurate data on the condition of the organ.
Determining the level of PSA in the blood makes it possible to exclude or confirm the presence of adenomas and prostate cancer.
If a urologist suspects the presence of a tumor, they will need to take a piece of prostate tissue for a biopsy, which will indicate 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 of the macrolide and tetracycline groups were used.
Only the attending physician can choose the right medication, dosage and duration of treatment.
Usually the drug is taken for 10-15 days. Thereafter, repeated tests are given, according to the results of which the doctor will determine whether the patient has recovered or whether additional treatment is needed.
Prostate massage is necessary so that prostate secretions do not stagnate and 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 an adjunct therapy to antibiotic treatment.
Physiotherapy is prescribed to improve the condition of the prostate gland tissue, which causes the healing process to be accelerated.
For treatment, laser therapy and ultraforesis are used. It is also effective to use mud, enemas with mineral water rich in hydrogen sulfide.
Phytotherapy is used as an additional stimulus to the patient’s recovery and is always used in combination with other methods. Various herbal remedies are used for treatment.
In some cases, surgical intervention may also be indicated if the urethra is very narrow, the presence of an abscess or prostate adenoma is detected.
important
Diagnosis and treatment should be carried out in a medical facility under the constant supervision of a qualified physician.
By contacting a doctor on time, you can achieve a speedy healing. Starting treatment, there will be long -term remission. You can talk about complete recovery when all the symptoms of the disease are gone, and laboratory tests show good results.
The most popular question from patients about chronic prostatitis
How to cure chronic prostatitis with folk remedies quickly and effectively?
Treatment can be carried out with the help of folk remedies. In folk medicine, the most popular is the use of infusions of chamomile, yarrow, and sage. These microclysters are very good at relieving inflammation that occurs in the prostate gland.
To prepare such a microclyster, take two tablespoons of chamomile and pour 100 gr of grass. boiling water. Also, for treatment, you can use horse chestnut bark, which is poured with alcohol and stored for 10 days in a dark place.
Onion decoction also helps. It is necessary to finely chop two large onions and pour them with boiling water in a half -liter jar. The jar is wrapped in a terry towel and left to brew for 2 hours. Then every hour you need to drink 50 grams of soup.
How to cure impotence in chronic prostatitis?
Impotence can be cured at home, subject to a set of steps.
It is necessary to choose the appropriate medication that will help fill the body of the penis cave with blood. But before that, a consultation with a urologist is required. Modern drugs to increase potency with the active ingredient sildenafil have a good effect.
It is necessary to adjust the diet and go on a diet. You should not eat fatty foods and foods that lower testosterone. It is necessary to lean on cereals and lean meats, drink juices and green tea.
Also, don’t forget about physical activity. Walking and running lightly in the fresh air are very effective in this regard. You also need to do a swing with your feet. This helps shrink the anal and perineum muscles.
How long is chronic prostatitis treated and how to get rid of it forever?
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 cope with this task well.
To forget about this problem forever, you need to change your lifestyle, eat right, not be too cold and give the body a rest.
Why is chronic prostatitis dangerous?
Chronic prostatitis is characterized by a sharp exacerbation of the disease, which is replaced by remission. When the pain subsided, it became easier and the man decided that he could deal with the problem on his own, instead of quickly contacting a urologist. However, the delay will not help here, because with each exacerbation of inflammation will increase.
Inflammation can affect nearby organs, leading to cystitis, pyelonephritis, and vesiculitis. As a result, a man may experience infertility.
What antibiotics should be taken for chronic prostatitis?
Often some penicillin is used. Tetracycline antibiotics are often prescribed for mycoplasmas and chlamydia.
Fluoroquinolones are very effective and penetrate prostate tissue well. Macrolides accumulate well in prostate tissue and quickly remove toxins.
Is it possible to have sex with chronic prostatitis?
If the disease is caused by an infection, then it is better to abstain from sex so as not to infect your partner. Although you can use a condom. It is only necessary to have sex, because when aroused, the blood rushes to the prostate gland, 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 characteristics
Prevention of chronic prostatitis in men involves a healthy lifestyle and daily exercise. You can always tighten and relax the scrotum from time to time.
Each time you urinate, stop the flow a little, thus the bladder sphincter will harden. Such high -quality exercise will allow blood to circulate properly through the prostate veins, as well as improve metabolic processes in the body.