Prostatitis is diagnosed only in men.It is one of the most common diseases among the diseases of the male reproductive system;4 out of 5 men have experienced symptoms of prostatitis at least once in their life.
Often, men aged 20-40, who are at the peak of their 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 pass for a quarter of an hour or longer.Pain can appear in the back, legs, scrotum and anus.It is especially painful during urination and defecation.
- Penile erection worsens and sexual desire weakens.First, early ejaculation develops, and over time, on the contrary, ejaculation practically does not occur;this is very difficult to achieve.
- Urination becomes painful and incomplete.There is always a feeling of incomplete emptying of the bladder.
- The man's quality of life deteriorates significantly.
There are 2 types of chronic prostatitis: bacterial and bacterial.
Bacterial (infectious) prostatitis occurs with acute exacerbations and constant changes of remissions, and the prostatic secretion contains infection and bacteria.
At this time, nearby 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.
Often the disease manifests itself as follows:
- Frequent and painful urination.
- Burning in the urethra.
- Premature ejaculation.
- A small mucous discharge from the urethra.
- Serious sexual dysfunction.
All this greatly affects the performance and mental state of a person, which leads to long-term depression and neurasthenia.
Abacterial chronic prostatitis is a disease in which no bacteria are found in prostate secretions.It is very difficult to diagnose this form, as evidenced by numerous reviews of men on various forums.Choosing the right treatment regimen is also very difficult.
Important
Until now, doctors are faced with many unclear factors in 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 Urological Specialists, the main symptoms of abacterial prostatitis are determined:
- It appears in middle-aged men.
- Long-term pain in the pelvic region and groin.
- Urinary dysfunction 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, manifested by various symptoms:
- Exudative - a man feels cutting pain in the groin, scrotum and pubic area.
- There are problems with erection and accelerated ejaculation.
- Alternative - the patient complains of discomfort in the groin, scrotum and pubis.
- During sexual intercourse, there is frequent urination and rapid ejaculation.
- Proliferation - the patient notes frequent urination with a weak flow, a constant feeling of an incompletely emptied bladder.And ejaculation, on the contrary, is difficult and slow.
- Scar changes - at this stage, the prostate tissue begins to thicken intensively.The patient complains of discomfort in the pelvis and groin area, frequent urge to urinate with a thin stream, and incomplete ejaculation.Erection is very weak or absent at all, ejaculation becomes almost impossible, and orgasm is weak without vivid impressions.Prostatitis goes into the stage of chronic prostatitis of unstable remission, during which constant pain is observed and remission occurs in just 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 inflammatory and congestive symptoms, as well as histological.
Factors and causes of chronic prostatitis in men
Although some germs of chronic prostatitis are present in the body of almost every person, only a few get sick.How to explain the development of such a disease in a certain situation?
Experts determine the occurrence of chronic prostatitis not only by the presence of infection in the body, but also by the conditions affecting the development of the disease.
The most common causes of chronic prostatitis in men are:
- stagnation of blood 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;
- poor nutrition;
- constant stressful situation;
- frequent drinking and smoking.
The diagnosis begins with a conversation with the patient, who must tell exactly and completely what is bothering him.The doctor should find out why the patient developed chronic prostatitis, find out all possible causes and symptoms, how they manifest themselves.The doctor must explain everything to you down to the smallest detail;this will determine how correctly the diagnosis will be made and effective and comprehensive treatment will be prescribed.
Next, you need to palpate and submit secretions for bacteriological analysis, through which you can determine the presence of infections and determine the resistance of bacteria to antibiotics.
Attention
Palpation is performed by a urologist through the rectum.This procedure allows you to study the size and pain of the prostate.When palpated, hemorrhoids, adenoma or prostate cancer can also be detected.Ultrasound of the prostate will give accurate information about the state of the organ.
Determining the level of PSA in the blood allows you to exclude or confirm the presence of adenoma and prostate cancer.
If the urologist suspects the presence of a tumor, he will have to submit pieces of prostate tissue for biopsy, which will show its presence or absence.
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, macrolide antibiotics and tetracycline are used.
Only the attending physician can correctly choose the drug, its dosage and duration of treatment.
Medicines are usually taken for 10-15 days.After that, repeated tests are carried out, based on the results, the doctor determines whether the patient has recovered or whether additional treatment is required.
Prostate massage is necessary so that prostate secretion is not stagnant and microcirculation occurs.It helps a lot in quick recovery.
However, massage is prohibited for acute prostatitis, hemorrhoids and rectal fissures.
Massage is usually prescribed as an adjunctive therapy to antibiotic treatment.
Physiotherapy is prescribed to improve the condition of the prostate tissue and thereby speed up the healing process.
Laser therapy and ultraphoresis are used for treatment.The use of mud and enemas with mineral waters rich in hydrogen sulfide is also effective.
Herbal medicines are used as an additional stimulus for the patient's recovery and are always used in combination with other methods.
In some cases, if the urethra is severely narrowed or an abscess or prostate adenoma is found, surgery may be indicated.
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 a quick recovery.Long-term remission will be observed after starting treatment.We can talk about complete recovery when all symptoms of the disease disappear and laboratory tests show good results.
The most popular questions of patients about chronic prostatitis
How to quickly and effectively treat chronic prostatitis with folk remedies?
Treatment can be carried out with folk remedies.Chamomile, yarrow, and sage infusions are the most popular in folk medicine.These microenemas very well eliminate the inflammation that occurs in the prostate gland.
To prepare such a microinfusion, take two spoons of chamomile and pour 100 grams of grass.boiling water For treatment, you can also use horse chestnut bark filled with alcohol and stored in a dark place for 10 days.
A decoction of onions also helps.Chop two large onions into small pieces and pour boiling water in a half-liter jar.The jar is wrapped in a terry towel and allowed to brew for 2 hours.Then you need to drink 50 grams of decoction every hour.
How to treat impotence with chronic prostatitis?
Impotence can be treated at home if a number of measures are followed.
It is necessary to choose suitable drugs that will help fill the cavernous body of the penis with blood.But before that, a consultation with a urologist is required.
You need to adjust your diet and maintain a diet.You should not eat fatty foods or foods that reduce testosterone.You should eat porridge and lean meat, drink juices and green tea.
In addition, do not forget about physical activity.Walking in the fresh air and light jogging are very effective in this regard.You also need to swing your legs.It helps to contract the muscles of the anus and perineum.
How long does it take to treat chronic prostatitis and how to get rid of it forever?
Antibiotic therapy lasts 1-3 months, depending on the stage of development of the disease.If necessary, additional treatment with small doses of antibiotics may be prescribed.Lipophilic antibiotics cope with this task best.
To forget 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 acute exacerbation of the disease, replaced by remissions.When the pain subsides, the work becomes easier, and the man quickly decides that he can deal with this problem on his own, instead of going to a urologist.But the delay will not help here, because with each exacerbation the inflammation will increase.
Inflammation can affect nearby organs and cause cystitis, pyelonephritis and vesiculitis.As a result, a man can 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 the prostate tissue well.Macrolides accumulate well in the tissues of the prostate gland and quickly remove toxins.
Is it possible to have sex with chronic prostatitis?
If the disease is caused by an infection, it is better to avoid sexual intercourse in order not to infect your partner.You can use a condom though.You just need to have sex, because when you wake up, blood flows to the prostate gland and it begins to shrink.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 consists of a healthy lifestyle and daily exercise.You can constantly tense and relax your scrotum.
Each time you urinate, stop the flow a little, this way the bladder sphincter will tighten.Such high-quality exercises will allow blood to circulate well through the veins of the prostate gland, as well as strengthen metabolic processes in the body.