Prostatitis is diagnosed exclusively in men.This 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.
Most often, men aged 20-40 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 masquerading as a number of other diseases.
Symptoms of chronic prostatitis
Symptoms of chronic prostatitis include the following:
- Discomfort and pain in the lower part of the abdomen, with periodic spasms that do not pass within a quarter or longer.Pain can occur in the lower back, legs, scrotum and anus.It becomes especially painful during urination and ejaculation.
- 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 significantly deteriorates.
There are 2 types of chronic prostatitis: bacterial and abacterial.
Bacterial (infectious) prostatitis occurs with a constant alternation of sharp exacerbations and remissions, while prostate secretions contain infection and bacteria.
In this case, nearby organs can also be affected, such as the urethra, bladder neck and vas deferens, which is why the disease manifests itself in different ways.An accurate diagnosis can be made after a thorough examination.
Most often, the disease manifests itself in the following way:
- Frequent and painful urination.
- Burning in urethra.
- Premature ejaculation.
- A small mucous discharge from the urethra.
- Serious sexual dysfunction.
All of this greatly affects a person's performance and mental state, leading to long-term depression and neurasthenia.
Abacterial chronic prostatitis is a disease in which there are no bacteria in the secretion of the prostate.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 right treatment regimen.
Important
Until now, doctors are faced with many unclear factors of 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 signs of abacterial prostatitis are identified:
- It occurs in middle-aged men.
- Prolonged pain in the pelvis and groin area.
- Urinary function disorder 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 are manifested by different symptoms:
- Exudative - a man feels a 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 a frequent urge to urinate and rapid ejaculation.
- Proliferation - the patient records frequent urination with a weak stream, a constant feeling of an incompletely emptied bladder.And ejaculation becomes, on the contrary, difficult and slow.
- Scar changes - in this phase, the prostate tissue begins to thicken intensively.The patient complains of discomfort in the pelvic and pubic area, the frequent need 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 vivid impressions.Prostatitis passes into the stage of chronic prostatitis of unstable remission, in which constant pain is observed and remission occurs only for a few hours.
Regarding the 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 chronic prostatitis microbes are present in the body of almost every person, only a few get sick.How to explain the occurrence of such a disease in a specific case?
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 are:
- stagnation of blood contained 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 state;
- 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 must find out why the patient got chronic prostatitis, find out all possible causes and symptoms, how they manifest.The doctor should tell you everything down to the smallest detail;this will determine how accurate the diagnosis will be and effective and comprehensive treatment will be prescribed.
Then it is necessary to palpate and submit the secretion for bacteriological analysis, through which the presence of infections can be determined and the resistance of the bacteria to antibiotics can be determined.
Attention
Palpation is performed by a urologist through the rectum.This procedure makes it possible to determine the size and pain of the prostate.When palpated, hemorrhoids, adenoma or prostate cancer can also be detected.Ultrasound of the prostate will provide accurate information about the state of the organ.
Determining the level of PSA in the blood makes it possible to rule out or confirm the presence of adenomas and prostate cancer.
If the urologist suspects the presence of a tumor, he will have to submit pieces of prostate tissue for a biopsy, which will show its presence or absence.
Treatment of chronic prostatitis is a complex and long-term process.Today, various methods are used to treat this disease.
Treatment with antibiotics.In this case, macrolide antibiotics and tetracycline are used.
Only a doctor can correctly choose the drug, its dosage and duration of treatment.
Medicines are usually taken for 10-15 days.After that, repeated tests are performed, on the basis of which the doctor will determine whether the patient has been cured 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 additional 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 waters rich in hydrogen sulfide are also effective.
Herbal medicine is used as an additional stimulation 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 the presence of an abscess or prostate adenoma is detected.
Important
Diagnosis and treatment should be carried out in a medical facility under the constant supervision of qualified doctors.
By timely consultation with a doctor, you can achieve a quick cure.Once treatment is started, there will be long-term remission.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 cure chronic prostatitis with folk remedies?
Treatment can be carried out using folk remedies.In folk medicine, the most popular use is infusions of chamomile, yarrow and sage.These micro enemas very well alleviate the inflammation that occurs in the prostate.
To prepare such a microenema, take two tablespoons of chamomile and pour 100 grams of the plant.boiling water Horse chestnut bark can also be used for treatment, which is poured with alcohol and kept for 10 days in a dark place.
Onion decoction also helps.It is necessary to finely chop two large onions and pour boiling water over them in a half liter jar.The jar is wrapped in terry cloth and left to stand for 2 hours.Then, 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 number of measures are followed.
It is necessary to choose appropriate drugs that will help to fill the cavernous body of the penis with blood.But before that, a consultation with a urologist is required.
It is necessary to adjust the diet and go on a diet.You should not eat fatty foods or foods that lower testosterone.You should eat porridge and lean meat, drink juices and green tea.
Also, don't forget about physical activity.Walking and jogging in the fresh air are very effective in this regard.You also have to swing your legs.This stimulates contraction of the muscles of the anus and perineum.
How long is the treatment of 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 low doses of antibiotics may be prescribed.Lipophilic antibiotics cope best with this task.
To forget about 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 sharp exacerbations of the disease, which are replaced by remissions.When the pain subsides, it becomes easier and the man decides that he can deal with this problem on his own, instead of quickly contacting a urologist.However, delaying here will not help, 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 develop infertility.
What antibiotics should I take for chronic prostatitis?
Certain penicillins are often used.Tetracycline antibiotics are often prescribed for mycoplasmas and chlamydia.
Fluoroquinolones are very effective and penetrate the 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, then it is better to refrain 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 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 physical activity.You can constantly tighten and relax the scrotum from time to time.
Every time you urinate, stop the flow a little, this way the bladder sphincter will be hardened.Such high-quality exercises will enable good blood circulation through the veins of the prostate, as well as strengthen metabolic processes in the body.