Prostatitis is diagnosed exclusively in men.It is one of the most common diseases among diseases of the male reproductive system;4 out of 5 men have experienced prostatitis symptoms at least once in their life.
Most often, men aged 20-40 are prone to prostatitis at the peak of their sexual activity.Chronic prostatitis is diagnosed in every 10 men.It is characterized by periods of exacerbation and remission, as well as masking of many other diseases.
Symptoms of chronic prostatitis
Symptoms of chronic prostatitis include:
- Unpleasant feeling and aching pain in the lower abdomen, with intermittent spasms that do not last a quarter or more.Pain may occur in the lower back, legs, scrotum and anus.It becomes especially painful during urination and ejaculation.
- The erection of the penis deteriorates and the sexual desire weakens.First, premature ejaculation develops, and over time, on the contrary, ejaculation practically does not occur;this is very difficult to achieve.
- Urination becomes painful and incomplete.There is always a feeling that the bladder is not completely empty.
- A man's quality of life deteriorates significantly.
There are two types of chronic prostatitis: bacterial and abacterial.
Bacterial (infectious) prostatitis occurs with a constant alternation of acute 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.
Most often, the disease manifests itself as follows:
- Frequent and painful urination.
- Burning in the urethra.
- Premature ejaculation.
- A small mucous discharge from the urethra.
- Severe sexual dysfunction.
All this greatly affects a man's performance and mental state, leading to long-term depression and neurasthenia.
Abacterial chronic prostatitis is a disease in which no bacteria are found in the secretions 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 have faced many unclear factors in the origin of the disease.This greatly complicates the treatment process.
Even ultrasound and laboratory examination of sputum cannot reveal the presence of the inflammatory process.According to the recommendations of the Association of Urological Specialists, the main signs of abacterial prostatitis can be identified:
- Appears in middle-aged men.
- Prolonged pain in the pelvic area 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 - a man feels cutting pain in the groin, scrotum and vulva.
- There are problems with erection and accelerated ejaculation.
- Alternative solution - the patient complains of discomfort in the groin, scrotum and pubic bone.
- The urge to urinate and rapid ejaculation are common during sexual intercourse.
- Proliferation - the patient notices frequent urination with a weak flow, a constant feeling of an incompletely emptied bladder.Ejaculation, on the contrary, will be difficult and slow.
- Scar changes - at this stage, the prostate tissue begins to thicken intensively.The patient complains of discomfort in the pelvis and pubic area, frequent urge to urinate in a thin stream and incomplete emptying.Erection is very weak or completely absent, ejaculation becomes almost impossible, orgasm is weak, without vivid impressions.Prostatitis enters the stage of unstable remission chronic prostatitis, in which constant pain is observed and remission occurs only for a few hours.
As for the classification, it is customary to use the American NIH classification, which divides the disease into types: acute and chronic bacterial, chronic, without signs of inflammation and stagnation, and 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 all people, only a few people get sick.How can the development of such a disease be explained in a given case?
Experts determine the occurrence of chronic prostatitis not only on the basis of the presence of infection in the body, but also on the basis of the conditions influencing 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 clothes;
- frequent hypothermia;
- injuries and infections of various organs of the urogenital system;
- poor nutrition;
- a constant state of stress;
- 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 developed chronic prostatitis, find out all possible causes and symptoms, how they manifest.The doctor must tell you everything, down to the smallest detail;it determines how correctly the diagnosis is made and the effective and comprehensive treatment.
Then you need to palpate and submit the discharge for bacteriological analysis, through which you can determine the presence of infections and determine the resistance of bacteria to antibiotics.
Attention
The urologist performs the palpation through the rectum.This procedure makes it possible to determine the size and pain of the prostate.Hemorrhoid, adenoma or prostate cancer can also be detected by palpation.Ultrasound of the prostate provides accurate information about the state of the organ.
Determining the blood PSA level makes it possible to exclude or confirm the presence of adenoma and prostate cancer.
If the urologist suspects the presence of a tumor, he 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, various methods are used to treat the disease.
Treatment with antibiotics.In this case, macrolide antibiotics and tetracycline are used.
Only the attending physician can correctly choose the medicine, its dose and the duration of the treatment.
Usually, the drugs are taken for 10-15 days.After that, repeated examinations are carried out, based on the results of which the doctor determines whether the patient has recovered or whether further treatment is required.
Prostate massage is necessary so that prostate secretion does not stagnate and microcirculation develops.This greatly contributes to a quick recovery.
However, massage is prohibited in case of acute prostatitis, hemorrhoids and rectal fissures.
Massage is usually prescribed as an adjunctive 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.Enemas with mud and mineral waters rich in hydrogen sulphide are also effective.
Herbs are used to further stimulate the patient's recovery and are always used in combination with other methods.
In some cases, surgical intervention may be necessary if the urethra is severely narrowed or the presence of abscesses or prostate adenoma is detected.
Important
Diagnosis and treatment must be carried out in a medical facility, under the constant supervision of qualified doctors.
If you see a doctor in time, you can achieve a quick recovery.Long-term remission is observed after starting treatment.We can speak of complete recovery when all the symptoms of the disease disappear and the laboratory tests show good results.
The most popular questions from patients about chronic prostatitis
How can chronic prostatitis be cured quickly and effectively with folk remedies?
The treatment can be carried out with folk remedies.The most popular in folk medicine is the use of infusions of chamomile, yarrow, and sage.These microinjections are very good at relieving inflammation in the prostate gland.
To prepare such a micro-enema, take two tablespoons of chamomile and pour 100 grams of herbs.boiling water For the treatment, you can also use horse chestnut peel, which is filled with alcohol and kept in a dark place for 10 days.
Onion decoction also helps.Finely chop two large onions and pour boiling water into a half-liter jar.Wrap the pot in a terry towel and let it cook for 2 hours.After that, you have to drink 50 grams of the concoction every hour.
How can impotence be cured with chronic prostatitis?
Impotence can also be cured at home if a series of measures are followed.
It is necessary to choose the right drugs that help fill the corpora cavernosa of the penis with blood.But before that, you need to consult a urologist.
It is necessary to modify the diet and the diet.You should not eat fatty or testosterone-lowering foods.You should 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 in this respect.The legs must also be swung.This helps to contract the muscles of the anus and perineum.
How long does it take to treat chronic prostatitis and how can you get rid of it forever?
Antibiotic therapy lasts 1-3 months depending on the advanced stage of the disease.If necessary, further treatment with low-dose antibiotics can be prescribed.Lipophilic antibiotics are best able to cope with this task.
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 sharp exacerbations of the disease, which are replaced by remission.When the pain subsides, it becomes easier, and the man decides that he can solve this problem on his own, instead of quickly going to a urologist.However, delay does not help here, since with each exacerbation the inflammation increases.
Inflammation can affect nearby organs, leading to cystitis, pyelonephritis and vesiculitis.As a result, a man may develop infertility.
What antibiotic should I take for chronic prostatitis?
Several penicillins are commonly used.Tetracycline antibiotics are often prescribed to treat mycoplasma and chlamydia.
Fluoroquinolones are very effective and penetrate the prostate tissue well.Macrolides accumulate well in the tissues 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, it is better to refrain from sex so as not to infect your partner.Although you can use a condom.Sex is simply necessary, because when excited, blood rushes into the prostate gland and it begins to contract.In addition, during ejaculation, the pelvic muscles contract strongly, which can be 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 tighten and occasionally relax the scrotum.
Each time you urinate, pause the flow a little, so the bladder sphincter hardens.Such high-quality exercises allow good circulation of blood through the veins of the prostate, as well as strengthen the body's metabolic processes.