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 experienced symptoms of prostatitis at least once in their life.
Most often, men aged 20-40 are susceptible to prostatitis at the peak of their sexual activity.One in ten men is diagnosed with chronic prostatitis.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:
- Malaise and aching pain in the lower abdomen with periodic cramps that do not go away within a quarter or more.Pain can occur in the lower back, legs, scrotum, and anus.It becomes particularly painful when urinating and ejaculating.
- Penile erection worsens and sexual desire decreases.Firstly, premature ejaculation develops, and over time, on the contrary, ejaculation practically ceases to occur;This will be very difficult to achieve.
- Urination becomes painful and incomplete.There is always the feeling of incomplete bladder emptying.
- A man's quality of life deteriorates significantly.
There are two types of chronic prostatitis: bacterial and nonbacterial.
Bacterial (infectious) prostatitis occurs with a constant alternation of severe exacerbations and remissions, while the prostatic secretion contains infections and bacteria.
In this case, surrounding organs such as the urethra, bladder neck and vas deferens can also be affected, which is why the disease manifests itself in different ways.After a thorough examination, an accurate diagnosis can be made.
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 severely affects a man's performance and psychological state, leading to long-term depression and neurasthenia.
Nonbacterial chronic prostatitis is a disease in which no bacteria are found in the prostate secretion.This form is very difficult to diagnose, as evidenced by numerous reviews from men on various forums.It is also very difficult to choose the right treatment regimen.
Important
To date, doctors are faced with many unclear factors in the development of this disease.This significantly complicates the treatment process.
Even ultrasound and laboratory studies of secretions may not show the presence of an inflammatory process.According to the recommendations of the Association of Urological Specialists, the main signs of abacterial prostatitis are identified:
- Occurs in middle-aged men.
- Persistent pain in the pelvic area and groin.
- Impaired urinary function and frequent urge to urinate.
- Erectile dysfunction and pain during ejaculation.
- Chronic congestive prostatitis: exacerbation and remission
- Chronic congestive prostatitis is characterized by several stages of development, which are manifested by different symptoms:
- Exudative - a man feels a sharp pain in the groin, scrotum and pubic area.
- Erection problems and accelerated ejaculation occur.
- Alternative – the patient complains of discomfort in the groin, scrotum and pubic area.
- During sexual intercourse there is a frequent urge to urinate and rapid ejaculation.
- Proliferation – the patient notes frequent urination with a weak stream, a constant feeling of an incompletely emptied bladder.And ejaculation, on the contrary, becomes difficult and slow.
- Scarring changes – at this stage the prostate tissue begins to thicken intensively.The patient complains of discomfort in the pelvic and pubic areas, frequent urge to urinate with a thin stream and incomplete emptying.The erection is very weak or absent, ejaculation becomes almost impossible and the orgasm is weak, without vivid sensations.Prostatitis passes into the stage of chronic prostatitis with unstable remission, in which constant pain is observed and remission occurs only for a few hours.
For classification, it is customary to use the US NIH classification, 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
Despite the fact that some microbes of chronic prostatitis are present in the body of almost every person, few get sick.How can the development of such a disease be explained in individual cases?
Experts determine the occurrence of chronic prostatitis not only by the presence of infection in the body, but also by the conditions that affect the development of the disease.
The most common causes of chronic prostatitis in men include:
- Blood congestion in the prostate caused by a sedentary lifestyle;
- unstable sex life;
- uncomfortable and rather tight clothing;
- frequent hypothermia;
- Injuries and infections of various organs of the urogenital system;
- poor diet;
- constant state of stress;
- frequent drinking and smoking.
Diagnosis begins with a conversation with the patient, who must say exactly and completely what is bothering him.The doctor must find out why the patient developed chronic prostatitis, find out all possible causes and symptoms and how they manifest themselves.The doctor should tell you everything down to the smallest detail;This determines how correctly the diagnosis will be made and effective and comprehensive treatment will be prescribed.
Next, you need to palpate the secretion and subject it to bacteriological analysis, which allows you to determine the presence of infections and the resistance of bacteria to antibiotics.
Danger
Palpation is carried out by a urologist through the rectum.This procedure makes it possible to find out the size and pain of the prostate.Palpation can also detect hemorrhoids, adenomas or prostate cancer.An ultrasound examination of the prostate provides accurate data about the condition of the organ.
Determination of the PSA level in the blood allows exclusion or confirmation of 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 a biopsy that will show the presence or absence of a tumor.
Treatment of chronic prostatitis is a complex and time-consuming process.Nowadays, 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 select the drug, its dosage and duration of treatment.
Usually the medication is taken for 10-15 days.Repeated tests are then carried out, based on which the doctor decides whether the patient is cured or whether additional treatment is required.
A prostate massage is necessary so that the prostate secretions do not stagnate and microcirculation is created.This contributes significantly to a quick recovery.
However, massage is prohibited for acute prostatitis, hemorrhoids and rectal fissures.
Massage is usually prescribed as an additional therapy to antibiotic treatment.
Physiotherapy is prescribed to improve the condition of the prostate tissue and thereby accelerate the healing process.
Laser therapy and ultraphoresis are used for treatment.The use of mud and enemas with mineral water rich in hydrogen sulfide are also effective.
Herbal medicines serve as an additional stimulus for the patient's recovery and are always used in combination with other methods.
In some cases, surgery may be indicated if the urethra is severely narrowed or abscesses or prostate adenomas are detected.
Important
Diagnosis and treatment should be carried out in a medical facility under the constant supervision of qualified doctors.
By consulting a doctor in a timely manner, you can achieve a quick cure.Once treatment is started, long-term remission is observed.One can speak of a 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 quickly and effectively cure chronic prostatitis with folk remedies?
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 are very effective at relieving inflammation that occurs in the prostate.
To prepare such a microenema, take two tablespoons of chamomile and pour 100 grams of the herb into it.boiling water For treatment, you can also use horse chestnut peel, which is filled with alcohol and kept in a dark place for 10 days.
Boiling the onion 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.Then you need to drink 50 grams of the decoction every hour.
How to cure impotence with chronic prostatitis?
Impotence can be cured at home if a number of measures are followed.
It is necessary to select appropriate drugs that will help fill the erectile tissue of the penis with blood.However, a consultation with a urologist is required beforehand.
It is necessary to adjust your diet and go on a diet.You should not eat fatty foods or foods that lower testosterone levels.You need to eat porridge and lean meat, drink juices and green tea.
Also, don't forget about physical activity.Walking and light running in the fresh air are very effective.You also need to swing your legs.This promotes contraction of the anus and perineum muscles.
How long does chronic prostatitis treatment take and how to get rid of it forever?
Depending on the advanced stage of the disease, antibiotic therapy lasts 1-3 months.If necessary, additional treatment with small doses of antibiotics can be prescribed.Lipophilic antibiotics cope with this task best.
To forget about 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 sharp exacerbations of the disease, which are replaced by remissions.When the pain subsides, it becomes easier and the man decides to deal with this problem on his own instead of quickly contacting a urologist.However, a delay does not help here, as the inflammation increases with each exacerbation.
Inflammation can affect nearby organs and lead to cystitis, pyelonephritis, and vesiculitis.As a result, a man may develop infertility.
Which antibiotics should I take for chronic prostatitis?
A number of penicillins are commonly used.Tetracycline antibiotics are often prescribed for mycoplasma and chlamydia.
Fluoroquinolones are very effective and penetrate well into the prostate tissue.Macrolides accumulate well in the tissues of the prostate and quickly remove toxins.
Is sex possible with chronic prostatitis?
If the disease is caused by an infection, it is better to avoid sex so as not to infect your partner.Although you can use a condom.It is simply necessary to have sex, because when aroused, blood rushes to the prostate and it begins to contract.In addition, the pelvic muscles contract strongly during ejaculation, which is considered a good self-massage.
Prevention of chronic prostatitis in men and its features
Prevention of chronic prostatitis in men requires a healthy lifestyle and daily exercise.You can constantly tense your scrotum and relax it from time to time.
If you interrupt the flow of urine a little every time you urinate, the bladder sphincter will harden.Such high-quality exercises allow good blood circulation through the veins of the prostate and strengthen metabolic processes in the body.