Prostatitis is diagnosed exclusively in men.This is one of the most common diseases among male reproductive system diseases;4 out of 5 men have experienced symptoms of prostatitis at least once in their life.
Most often, men aged 20-40 years at the peak of their sexual activity are prone to prostatitis.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
Symptoms of chronic prostatitis include the following:
- Discomfort and aching pain in the lower abdomen, with periodic cramps that do not go away in a quarter or longer.Pain may appear in the lower back, legs, scrotum, and anus.It becomes very painful when urinating and ejaculating.
- Erectile dysfunction 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 continuous alternation of sharp exacerbations and remissions, while prostatic secretions contain infection and bacteria.
In this case, nearby organs, such as the urethra, bladder neck, and vas deferens, may 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 discharge of mucus from the urethra.
- Serious sexual dysfunction.
All this greatly affects the performance and mental state of a man, which leads to long-term depression and neurasthenia.
Chronic abacterial prostatitis is a disease in which no bacteria are found in the prostate secretions.This form is very difficult to diagnose, as evidenced by numerous comments from men on various forums.It is also very difficult to choose the right treatment regimen.
Important
Until now, doctors are faced with many unclear factors about 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 Urologists, the main signs of abacterial prostatitis are identified:
- Appears in middle-aged men.
- Prolonged pain in the pelvis and groin area.
- Urinary function is impaired and often urgent.
- 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 - a man feels cutting pain in the groin, scrotum and genital area.
- There are problems with erection and accelerated ejaculation.
- Alternative - the patient complains of discomfort in the groin, scrotum and pubis.
- There is a frequent urge to urinate and rapid ejaculation during sexual intercourse.
- Proliferation - the patient notes frequent urination with a weak flow, a constant feeling that the bladder is not completely emptied.And ejaculation becomes, on the contrary, difficult and slow.
- Scar changes - at this stage, the prostate tissue begins to thicken intensively.Patients complain of discomfort in the pelvic and genital areas, a frequent urge to urinate with a thin stream and incomplete emptying.Erection is very weak or absent at all, ejaculation becomes almost impossible, and orgasm is weak, without any obvious effect.Prostatitis passes the stage of chronic prostatitis of unstable remission, where 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 everyone, only a few get sick.How can one 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 conditions that influence the development of the disease.
The most common causes of chronic prostatitis in men include:
- blood stagnation contained in the prostate caused by an inactive lifestyle;
- unstable sex life;
- uncomfortable and rather tight clothing;
- frequent hypothermia;
- injuries, as well as infections of various organs of the genitourinary system;
- poor nutrition;
- constant stressful situations;
- frequent drinking and smoking.
Diagnosis begins with a conversation with the patient, who must tell exactly and completely what is bothering him.The doctor must know why the patient has chronic prostatitis, know all possible causes and symptoms, how they manifest.The doctor should tell you everything down to the smallest detail;this will determine how correct the diagnosis will be made and effective and comprehensive treatment prescribed.
Next, you need to palpate and submit secretions for bacteriological analysis, where you can determine the presence of infection and determine the resistance of bacteria to antibiotics.
Attention
Palpation is carried out by a urologist through the rectum.This procedure makes it possible to know the size and pain of the prostate.When palpated, hemorrhoids, adenomas or prostate cancer can also be detected.Ultrasound of the prostate will provide accurate data on the state 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 the urologist suspects the presence of a tumor, he needs to submit a piece of prostate tissue for a 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 and tetracycline antibiotics are used.
Only the attending physician can correctly choose the drug, dosage and duration of treatment.
Medicines are usually taken for 10-15 days.After that repeated tests are taken, based on 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 secretion does not stagnate and microcirculation occurs.This greatly contributes to a quick 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 tissue, thereby speeding up the healing process.
Laser therapy and ultraphoresis are used for treatment.The use of mud and enemas with mineral water rich in hydrogen sulfide is also effective.
Herbal medicine 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 very narrow or the presence of an abscess or prostate adenoma is detected.
Important
Diagnosis and treatment should be carried out in a medical institution under the constant supervision of a qualified doctor.
By consulting a doctor on time, you can achieve a quick recovery.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 using folk remedies.In folk medicine, the most popular is the use of infusions of chamomile, yarrow, and sage.This microenema is very good at relieving inflammation that occurs in the prostate gland.
To prepare such a microenema, take two spoons of chamomile and pour 100 grams of herbs.boiling water You can also use horse chestnut skin for treatment, which is filled with alcohol and kept for 10 days in a dark place.
Onion broth 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 with a terry towel and left to brew for 2 hours.Then, every hour you need to drink 50 grams of decoction.
How to cure impotence with chronic prostatitis?
Impotence can be cured at home if a set of steps is followed.
It is necessary to choose the appropriate drug that will help fill the corpora cavernosa of the penis with blood.But before that, a consultation with a urologist is required.
It is necessary to adjust your diet and follow a diet.You should not eat fatty foods or foods that reduce testosterone.You need to eat porridge and lean meat, drink juice and green tea.
Also, don't forget about physical activity.Light walking and running in the fresh air is very effective in this regard.You also need to swing your legs.This promotes contraction of the anal and perineal muscles.
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 advanced stage of the disease.If necessary, additional treatment with small doses of antibiotics can be prescribed.Lipophilic antibiotics cope with this task well.
To forget this problem forever, you need to change your lifestyle, eat right, avoid hypothermia and rest your body.
Why is chronic prostatitis dangerous?
Chronic prostatitis is characterized by a sharp exacerbation of the disease, which is replaced by remission.When the pain subsides, it becomes easier and the man decides that he can deal with this problem himself, instead of quickly turning to a urologist.However, delay will not help here, because with each aggravation the 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 I take for chronic prostatitis?
A number of penicillins are often used.Tetracycline antibiotics are often prescribed for mycoplasmas and chlamydia.
Fluoroquinolones are very effective and penetrate well into the prostate tissue.Macrolides accumulate well in the tissue 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, then it is better to stay away from sex so as not to infect the partner.Although you can use a condom.It is only necessary to have sex, because when aroused, blood flows 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 constantly tense and relax your scrotum from time to time.
Every time you urinate, stop the flow a little, this way the bladder sphincter will harden.Such high-quality training will allow blood to circulate well through the veins of the prostate, as well as strengthen metabolic processes in the body.