Prostatitis is diagnosed exclusively in men.This is one of the most common diseases of the male reproductive system;4 out of 5 men have had symptoms of prostatitis at least once in their lives.
Most often, men aged 20 to 40, 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.
Chronic prostatitis symptoms
Symptoms of chronic prostatitis include the following:
- Discomfort and pain in the lower abdomen, with periodic cramps that do not disappear within a quarter or more.Pain may appear in the lower back, legs, scrotum and anus.It becomes especially painful when urinating and ejaculating.
- 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 acute remissions, while prostate secretions contain infection and bacteria.
In this case, 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 complete 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 a man's performance and mental state, which leads to prolonged depression and neurasthenia.
Chronic nonbacterial prostatitis is a disease in which no bacteria are found in prostate secretions.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 correct treatment regimen.
Important
Until now, doctors face 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 Urology Specialists, 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 manifest themselves with different symptoms:
- Exudative - the man feels a cutting pain in the groin, scrotum and pubic area.
- There are erection problems and accelerated ejaculation.
- Alternative - the patient complains of discomfort in the groin, scrotum and pubic area.
- There is a frequent urge to urinate and rapid ejaculation during sexual intercourse.
- Proliferation - the patient notes frequent urination with a weak stream, a constant feeling of an incompletely empty bladder.And ejaculation becomes, on the contrary, difficult and slow.
- Scar changes - at this stage, the prostate tissue begins to thicken intensively.The patient complains of discomfort in the pelvic and pubic region, frequent urge to urinate in a thin stream and incomplete emptying.The erection is very weak or completely absent, ejaculation becomes almost impossible and the 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 occurs for only a few hours.
As for classification, the US NIH classification is usually used, 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
Although some chronic prostatitis microbes are present in almost everyone's body, only a few become sick.How to explain the development of such a disease in a particular case?
Experts determine the occurrence of chronic prostatitis not only by the presence of 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 very tight clothes;
- frequent hypothermia;
- injuries, as well as infections of various organs of the genitourinary system;
- poor nutrition;
- constant stressful state;
- drinking and smoking frequently.
The diagnosis begins with a conversation with the patient, who must accurately and completely tell what bothers him.The doctor must find out why the patient developed chronic prostatitis, find out all possible causes and symptoms, how they manifest themselves.The doctor must tell you everything in the smallest detail;this will determine how correctly the diagnosis will be made and how effective and comprehensive treatment will be prescribed.
Next, it is necessary to palpate and submit the secretion for bacteriological analysis, through which it is possible to determine the presence of infections and determine the resistance of the bacteria to antibiotics.
Attention
Palpation is performed by a urologist through the rectum.This procedure allows you to discover the size and pain of the prostate.When palpated, hemorrhoids, adenoma or prostate cancer can also be detected.An ultrasound of the prostate will provide accurate data on the condition of the organ.
Determining the PSA level in the blood makes it possible to exclude or confirm the presence of adenoma and prostate cancer.
If the urologist suspects the presence of a tumor, he or she must 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, several methods are used to treat this disease.
Antibiotic treatment.In this case, macrolide antibiotics and tetracycline are used.
Only the attending physician can correctly select the medicine, its dosage and duration of treatment.
Typically 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 needed.
Prostate massage is necessary so that prostate secretions do not stagnate and microcirculation occurs.This greatly contributes to a speedy recovery.
However, massage is prohibited for acute prostatitis, hemorrhoids and rectal fissures.
Massage is often prescribed as additional 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.
Phytotherapy is used as an additional stimulus 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 if the presence of abscesses or prostate adenoma is detected.
Important
Diagnosis and treatment must be carried out in a medical institution under the constant supervision of qualified doctors.
By consulting a doctor in time, you can achieve a quick cure.Once treatment is started, long-term remission will be observed.We can talk about complete recovery when all symptoms of the disease disappear and laboratory tests show good results.
The most popular questions from patients about chronic prostatitis
How to cure chronic prostatitis with folk remedies quickly and effectively?
Treatment can be carried out with folk remedies.In folk medicine, the most popular is the use of infusions of chamomile, yarrow and sage.These microenemas relieve inflammation that occurs in the prostate gland very well.
To prepare this microenema, take two tablespoons of chamomile and pour 100 grams of the herb.boiling water You can also use horse chestnut peel for treatment, which is filled with alcohol and stored for 10 days in a dark place.
An onion decoction also helps.You need to finely chop two large onions and pour boiling water over them in a half-liter jar.The jar is wrapped in a terry towel and left to infuse for 2 hours.So, every hour you need to drink 50 grams of the decoction.
How to cure impotence in chronic prostatitis?
Impotence can be cured at home if a set of measures are followed.
It is necessary to choose suitable medicines 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 go on a diet.You should not eat fatty foods or foods that reduce testosterone.You need to eat porridge and lean meat, drink juices and green tea.
Also, don't forget about physical activity.Walking and light jogging outdoors 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 forever?
Antibiotic therapy lasts from 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 fulfill this task best.
To forget about this problem forever, you need to change your lifestyle, eat well, avoid hypothermia and give your body rest.
Why is chronic prostatitis dangerous?
Chronic prostatitis is characterized by acute exacerbations of the disease, which are replaced by remissions.When the pain subsides, it becomes easier and the man decides he can deal with the problem on his own rather than quickly seeing a urologist.However, delaying will not help here, as with each exacerbation the inflammation will increase.
Inflammation can affect nearby organs, causing cystitis, pyelonephritis and vesiculitis.As a result, a man may develop infertility.
What antibiotics should I take for chronic prostatitis?
Various penicillins are often used.Tetracycline antibiotics are often prescribed for mycoplasmas and chlamydia.
Fluoroquinolones are very effective and penetrate prostate tissue well.Macrolides accumulate well in prostate tissues and quickly remove toxins.
Is it possible to have sex with chronic prostatitis?
If the disease is caused by an infection, it is best 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 excited, blood rushes to the prostate gland and it begins to contract.Furthermore, during ejaculation, the pelvic muscles contract strongly, which is considered a good self-massage.
Prevention of chronic prostatitis in men and its features
Preventing chronic prostatitis in men involves a healthy lifestyle and daily exercise.You may constantly tense and relax your scrotum from time to time.
Each time you urinate, pause the flow a little, this way the bladder sphincter will become hardened.These high-quality exercises will allow blood to circulate well through the prostate veins, as well as strengthen the body's metabolic processes.