Prostatitis is diagnosed exclusively in men. It is one of the most common diseases of the male reproductive system, with 4 out of 5 men experiencing symptoms of prostatitis at least once in their lifetime.
Prostatitis most commonly affects men in their 20s and 40s at the peak of their sexual activity. Chronic prostatitis is diagnosed in all 10 men. It is characterized by a period of exacerbation and remission, as well as masking of many other diseases.
Symptoms of chronic prostatitis include:
- Feeling uncomfortable and aching pains in the lower abdomen with intermittent cramps that do not go away for a quarter or more. Pain may occur in the lower back, legs, scrotum, anus. It is especially painful when accompanied by urination and ejaculation.
- Penile erections deteriorate and sexual desire weakens. First, premature ejaculation develops, and over time, on the contrary, ejaculation is virtually non-existent, which is 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 sometimes deteriorates.
There are two types of chronic prostatitis: bacterial and bacterial.
Bacterial (infectious) prostatitis occurs with a constant alternation of sharp exacerbations and remissions, while infection and bacteria are found in the secret of the prostate.
In this case, nearby organs such as the urethra, bladder neck and iron deferens may also be affected, so the disease manifests itself in different ways. The exact diagnosis can be made after a thorough examination.
The most common manifestations of the disease are:
- Frequent and painful urination.
- Burning in the urethra.
- Premature ejaculation.
- Small mucous secretions from the urethra.
- Severe sexual dysfunction.
All of this greatly affects a man’s ability to work and mental state, leading to prolonged depression and neurasthenia.
Abacterial chronic inflammation of the prostate is a disease in which bacteria are not found in the secretion of the prostate. This form is very difficult to diagnose, as evidenced by the many opinions about men in various forums. It is also very difficult to find the right treatment regimen.
Important
So far, doctors have faced a number of unclear factors regarding the origin of the disease. This makes the treatment process very difficult.
Even ultrasound and laboratory examination of the secretions cannot detect the presence of an inflammatory process. According to the recommendations of the European Association of Urologists, the main signs of inflammatory prostatitis can be distinguished:
- Appears in middle-aged men.
- Prolonged pain in the pelvic region and groin.
- Violation of the function of urination and frequent coercive urges.
- Erectile dysfunction and pain during ejaculation.
- Chronic congestive prostatitis: exacerbation and remission
- Chronic congestive prostatitis is characterized by several stages of development, manifested by different signs:
- Exudative - the man feels pain in the groin, scrotum and pubic body.
- Erectile dysfunction and accelerated ejaculation are observed.
- Alternative - The patient complains of discomfort in the groin, scrotum and vulva.
- Urinary stimuli and rapid ejaculation are common during intercourse.
- Proliferation - the patient experiences frequent urination with poor flow, a constant feeling that he is not emptying the bladder completely. On the contrary, ejaculation will be cumbersome and slow.
- Cicatricial changes - at this stage the tissues of the prostate thicken intensely. The patient complains of discomfort in the pelvis and pubic area, frequent urination in a thin stream, and incomplete discharge. Erection is very weak or non-existent, ejaculation becomes almost impossible, orgasm is weak without vivid impressions. Prostatitis progresses to the stage of unstable remission of chronic prostatitis, in which constant pain is observed and remission occurs for only a few hours.
As for classification, the U. S. NIH classification is used, which divides the disease into types: acute and chronic bacterial, without chronic inflammation and congestion, and histological.
Factors and causes of chronic prostatitis in men
Although microbes in chronic prostatitis are found in almost every human body, few get sick. How can the development of such a disease be explained in a particular case?
Experts determine the incidence 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 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;
- malnutrition;
- constant stress;
- frequent drinking and smoking.
The diagnosis begins with a conversation with the patient, who must tell you exactly and completely what you are worried about. The doctor must find out why the patient developed chronic prostatitis, find out all the possible causes and symptoms, how they manifest. The doctor has to tell you everything down to the smallest detail, it depends on how correctly the diagnosis is made and prescribing effective and comprehensive treatment.
You will then need to feel and pass on the secret of the bacteriological analysis, which will allow you to determine the presence of infections and find out the resistance of the bacteria to antibiotics.
Attention
The palpation is performed by the urologist through the rectum. This procedure allows you to determine the size and pain of your prostate. Hemorrhoids, adenomas or prostate cancer can also be detected during probing. An ultrasound of the prostate provides accurate information about the condition of the organ.
Determining the level of PSA in the blood makes it possible to rule out or confirm the presence of adenoma and prostate cancer.
If the urologist suspects the presence of a tumor, he or she should take pieces of prostate tissue for biopsy to show its presence or absence.
Treating chronic prostatitis is a complex and time consuming process. Today, various methods are used to treat the disease.
Treatment with antibiotics. In this case, the antibiotic of the macrolide group and tetracycline are used.
Only your doctor can choose the right medicine, its dose and the duration of treatment.
The medication is usually taken for 10 to 15 days. Repeated tests are then performed to determine if the patient has recovered or if further treatment is needed.
Prostate massage is necessary to prevent the secretion of the prostate from stagnating and its microcirculation to take place. This is very conducive to rapid recovery.
However, massage is prohibited for acute prostatitis, hemorrhoids and rectal ruptures.
Massage is usually prescribed as an adjunct therapy to antibiotic treatment.
Physiotherapy is prescribed to improve the condition of the tissues of the prostate, as a result of which the healing process is accelerated.
Laser therapy and ultraophoresis are used for the treatment. Sludge enrichment with hydrogen sulfide-rich mineral waters is also effective.
Phytotherapy is used to further stimulate the patient's recovery and is always used in combination with other methods. Various herbs are used for treatment.
In some cases, surgery may be warranted if the urethra is very narrow and the presence of abscesses or prostate adenoma is detected.
Important
Diagnosis and treatment should be performed in a health care facility under the constant supervision of qualified physicians.
If you see a doctor in time, you can achieve a speedy recovery. Long-term remission occurs at the start of treatment. You can talk about a complete cure when all the symptoms of the disease have disappeared and the laboratory tests show good results.
Patients ’most popular questions about chronic prostatitis
How can folk remedies be used to cure chronic prostatitis quickly and effectively?
The treatment can be performed using folk remedies. Chamomile, yarrow and sage infusions are the most popular in folk medicine. These microclusters alleviate inflammation in the prostate gland very well.
To make such a microcluster, take two tablespoons of chamomile and pour 100 g of grass. boiling water. You can also use horse chestnut peel for the treatment, which is poured with alcohol and kept in a dark place for 10 days.
Onion decoction also helps. Two large onions should be finely chopped and poured into a half-liter bottle with boiling water. The dish is wrapped in a terry towel and allowed to cook for 2 hours. Then drink 50 grams of broth per hour.
How can impotence be cured in chronic prostatitis?
Impotence can also be cured at home, depending on a range of measures.
Appropriate medications should be selected to help fill the cavernous body of the penis with blood. But before that, a urologist's consultation is required. Modern drugs that increase the potency of sildenafil are effective.
Dietary changes and diet are required. You should not eat fatty foods and foods that lower testosterone levels. It is necessary to rely on cereals and lean meat, drink juices and green tea.
Also, don’t forget about physical activity. Walking and easy running in the fresh air is very impressive in this regard. You also have to rock your legs. This helps to contract the muscles of the anus and perineum.
How long is chronic prostatitis treated and how can you get rid of it forever?
Antibiotic therapy lasts for 1 to 3 months, depending on the neglect of the disease. If necessary, additional treatment with low-dose antibiotics may be prescribed. Lipophilic antibiotics are best able to cope with this task.
To forget about this problem forever, you need to change your lifestyle, eat right, not overcool, and relax your body.
Why is chronic prostatitis dangerous?
Chronic prostatitis is characterized by acute exacerbations of the disease, which are replaced by remission. When the pain is relieved, it becomes easier and the man chooses to deal with the problem on his own instead of contacting a urologist quickly. However, the delay does not help here, as inflammation increases with each exacerbation.
Inflammation can affect nearby organs, leading to cystitis, pyelonephritis and vesiculitis. As a result, a man may develop infertility.
What antibiotics should be taken in case of chronic prostatitis?
He often used many penicillins. Tetracycline antibiotics are often prescribed to treat mycoplasmas and chlamydia.
Fluoroquinolones are very effective and penetrate the tissues of the prostate well. Macrolides accumulate well in prostate tissues and quickly remove toxins.
Is sexual intercourse possible with chronic prostatitis?
If the disease is caused by an infection, it is better to abstain from sex so as not to infect your partner. Although condoms can be used. Sex is simply necessary because when agitated, the blood rushes into the prostate gland and begins to contract. In addition, during ejaculation, the pelvic floor muscles contract strongly, which is good for self-massage.
Prevention and characteristics of chronic prostatitis in men
Preventing chronic prostatitis in men involves a healthy lifestyle and daily exercise. You can constantly tighten and occasionally relax your scrotum.
With each urination, the flow must be stopped a little, so that the bladder sphincter becomes harder in some way. Such high-quality exercises allow good blood circulation through the prostate veins as well as enhance metabolic processes in the body.