The first signs of prostatitis in men can occur at a young age, and if quality medical treatment is not given, the disease can turn into latent (latent) form and persist with minor symptoms: discomfort during urination andintercourse, pain in the perineum and lower back. If you do not notice these symptoms, chronic prostatitis lasts, the treatment is more difficult and longer.
An experienced urologist will tell you what chronic prostatitis means and how dangerous it is. Even an inflammation without effective treatment can cause the transition of the disease to a severe recurrent form.
Causes of chronic prostatitis
Chronic prostatitis is the result of poor quality acute inflammatory process treatment. Men are often careless about their health or just hesitant to contact a specialist. As a result, the disease persists.
A urologist treats the prostate professionally. He will tell you what is chronic prostatitis in men, why it appears and how it is unpredictable. Experts will determine the etiological factors accurately. This directly affects the effectiveness of the treatment methods used. Many do not know where chronic prostatitis comes from, it is caused by certain infectious pathogens (E. coli, streptococci, staphylococci, fungi), and some factors are just triggering mechanisms.
Predisposing factors
The causative agents of prostatitis are microbial agents: Pseudomonas aeruginosa, staphylococcus aureus, Escherichia coli. But the cause of chronic prostatitis can be attributed to the following predisposing factors:
- decreased immunity;
- hypothermia;
- genitourinary organ injury;
- pressure;
- drinking alcohol and foods that are too spicy;
- congestion in the pelvic area;
- constipation;
- smoking, chronic intoxication of the body with harmful substances;
- inactive lifestyle;
- presence of chronic infection focus;
- sexually transmitted diseases.
Prolonged exposure to one or more predisposing factors causes the development of chronic prostatitis in men. The disease occurs at any age, young men with a history of venereal disease, other infectious processes of the prostate gland and organs of the urinary system often suffer.
Men tend to procrastinate by referring to an expert. Often the wife is the initiator of the urologist consultation. If the husband has chronic prostatitis, treatment should be started immediately. Otherwise, you can start the disease, which will turn into a severe chronic form and start complicating.
Signs of Disease
Signs of chronic prostatitis in remission men are almost completely absent. Minor pain syndrome remains, but the discomfort is mild. After hypothermia, prolonged abstinence, chronic prostatitis can worsen, symptoms increasing depending on the man’s condition.
Each time an exacerbation occurs, the typical symptoms of chronic prostatitis in men appear:
- weight and pain in the perineum;
- signs of body intoxication;
- urinary disorders;
- irradiation of pain in the penis or anus;
- prostate is asymmetrical and painful during throbbing;
- chills, weakness, fever.
Its special feature is that the pain gets stronger at the beginning and end of urination. Unpleasant sensations are usually given to the rectum, sacrum and penis. Pain syndrome also appears after intercourse, especially acute during sperm excretion. Urination during remission may not be painful, but it is usually more frequent. At the same time, there is difficulty in starting the microphone.
Urine flow becomes intermittent, there is a feeling of incomplete bladder emptying. In the morning there is a burning sensation in the urethra. Filament formation is often found in morning urine. This means that the inflammatory process is chronic.
Effects on sexual performance
Men's potential problems often arise against the background of protracted inflammatory processes, which interfere with prostate function, reduce libido and can even lead to infertility. With such complications, chronic prostatitis occurs - the cause of erectile dysfunction is often associated with a contagious process and slow inflammation. Until the causative agent of the disease is eliminated, the effects of predisposing factors are not eliminated, the potential will not be restored.
Diagnosis of chronic prostatitis
Comprehensive diagnostics will help determine the course characteristics and causes of chronic prostatitis in men. First of all, the specialist prescribes a rectal examination of the prostate gland. During the procedure, the specialist determines the clarity of the contours and boundaries of the organ, the degree of pain. In the future, ultrasound is performed to identify specific functional and structural changes.
TRUZI
Prostate ultrasound (TRUS) is a safe and informative method to describe the main structure of the prostate and nearby urogenital organs. The study was performed both through the abdominal wall and transrectally - through the rectum. If it is difficult to urinate, the specialist also examines the bladder and determines the residual urine.
Ultrasonographic diagnostics allows you to choose the most effective treatment for chronic prostatitis in men, as well as evaluate the effectiveness of the methods that have been used. The absence of radiation exposure to the body makes it possible to use ultrasound as often as needed by certain clinical situations.
Examination of prostate secretion and ureteroscopy
Prostate secretions are collected after urination and gland massage. Biomaterial studies allow you to identify pathogenic microflora, determine leukocyte levels and number of lecithin granules. This method makes it possible to classify the nature of the pathological process, to understand how a man should be treated and what medications should be used. Diagnosis is not accompanied by a painful sensation, it is easily felt by a man.
If urinary tract function is impaired, blood in the urine and erectile dysfunction, it is recommended to undergo ureteroscopy. This procedure allows you to evaluate the urethra and perform specific treatments using endoscopic equipment.
Additional research methods
Additional diagnostic methods are used to clarify the clinical picture, to determine the true cause of the inflammatory process. Chronic prostatitis must be distinguished from neurogenic bladder and other similar diseases that have similar symptoms. Specialists prescribe electromyographic, urodynamic diagnostic methods. They allow a qualitative differentiation of chronic inflammation from other diseases.
Chronic prostatitis often causes hyperplastic processes, proliferation of glandular tissue, growth of adenomas and malignant neoplasms. To exclude the cancer process, PSA diagnostics should be performed. This method involves the determination of prostate-specific antigen levels, with an increase in which one can suspect the growth of malignant cells. To clarify the nature of the identified formation, a biopsy of the prostate gland needs to be performed, followed by a study of the morphology of the given material.
Possible complications
Chronic prostatitis significantly reduces a man's quality of life. Prolonged inflammatory processes, one way or another, disrupt reproductive function, weaken libido and threaten with various infectious complications. The most unpleasant consequences of the disease are impotence and reproductive disorders. Persistent inflammation alters the tissues of the prostate gland, contributing to their proliferation, hormonal abnormalities, early onset of menopause and adenoma growth.
Chronic this disease can cause urination, stones and cysts in the prostate. As the disease progresses, prostate sclerosis develops. This pathological condition is the final stage of prostate inflammation. The body collects collagen with the formation of dense tissue. The urethra narrows, there is a problem with the potential. Such changes are characteristic of benign prostatic hyperplasia, which can at any time lead to malignant cell growth and the formation of cancerous tumors.
Characteristics of treatment
Chronic prostate inflammation is not easily cured. But possible recovery or pathological transition to a prolonged degree of remission. The effectiveness of medical procedures depends on the punctuality of seeking medical help.
A man must strictly adhere to the recommendations of the attending physician, avoiding the action of predisposing factors: hypothermia, scrotal trauma, venereal disease, stress. It is important to remember that even superficial viral infections can exacerbate the disease with the onset of severe pain and disruption of the urinary system.
Drug therapy
Bacterial prostatitis is treated with antibiotics. They are prescribed for several weeks. To improve the patient's comfort of life, to cope with the main acute symptoms, non-steroidal anti-inflammatory drugs are used. Adrenergic blockers are effective in restoring urodynamics, periodic outflow of prostate secretions and relieving muscle tension in the glands. The paraprostatic blocker in combination with acupuncture effectively overcomes the intense pain syndrome.
If a man feels anxious against the background of a chronic inflammatory process, sedatives or sedatives can be used. But such a drug should be prescribed by a qualified specialist who is familiar with certain clinical cases.
Physiotherapy
Physiotherapy uses medical electrophoresis, ultrasound treatment, and magnetotherapy. Acupuncture is also used in combination with analgesic blockage. In addition, it is recommended to use a therapeutic sitz bath, enema and special healing into the urethra. Drip drug administration is good for chronic inflammatory processes.
This technique ensures that a large number of agents enter directly into the pathological focus. High drug concentrations remain for a long time. This allows you to overcome the slow infectious process. The drug must be stored for 30-40 minutes, limiting urination.
Surgical Treatment
If it is ineffective or impossible to use conservative techniques and physiotherapy, it is necessary to perform surgical treatment. Especially needed to relieve urethral tension. In case of prostate sclerosis, transurethral resection is performed using endoscopic techniques. This method is used if the patient has severe internal organ disease that is not possible for classical prostatectomy.
In the event of recurrent phimosis with a background of chronic infectious processes, it is recommended to perform circumcision therapy on the foreskin. The operation is performed according to the instructions and only in the urological department.
Prognosis of disease
The prognosis of the disease is determined by the timeliness and effectiveness of the prescribed treatment, the duration of treatment of the inflammatory process, the age of men and the presence of concomitant disorders. If medical prescriptions are followed, preventive measures are taken, including the normalization of intimate activities and the prevention of sexually transmitted diseases, it is possible to reduce the number of recurrences per year and transfer the disease to a state of prolonged remission.