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 between the ages of 20 and 40 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 a number of other diseases.
Symptoms of chronic prostatitis
Symptoms of chronic prostatitis include the following:
- Discomfort and aching pain in the lower abdomen, with periodic cramps which do not disappear within a quarter or more.Pain may appear 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, practically no ejaculation occurs;this becomes very difficult to achieve.
- Urination becomes painful and incomplete.There is always a feeling of incomplete emptying of the bladder.
- The quality of a man's life deteriorates significantly.
There are 2 types of chronic prostatitis: bacterial and abacterial.
Bacterial (infectious) prostatitis occurs with a constant alternation of acute exacerbations and remissions, while prostatic secretion contains infections and bacteria.
In this case, nearby organs, such as the urethra, bladder neck and vas deferens, can 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.
- Small mucous discharge from the urethra.
- Severe sexual dysfunction.
All this greatly affects a man's performance and mental state, which leads to long-term depression and neurasthenia.
Chronic abacterial prostatitis is a disease in which no bacteria are found 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 about the origin of this disease.This significantly 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 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 different stages of development, which manifest themselves with different symptoms:
- Exudate: A man feels sharp 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 pubic area.
- During sexual intercourse there is a frequent need to urinate and rapid ejaculation.
- Proliferation: the patient notices frequent urination with a weak stream, a constant sensation of an incompletely emptied bladder.And ejaculation becomes, on the contrary, difficult and slow.
- Changes in the scar: At this stage, the prostate tissue begins to thicken intensely.The patient complains of discomfort in the pelvic and pubic area, frequent need to urinate in a thin stream and incomplete emptying.The erection is very weak or completely absent, ejaculation becomes almost impossible, and the orgasm is weak, without vivid impressions.Prostatitis passes to the stage of chronic prostatitis of unstable remission, in which constant pain is observed and remission occurs only for a few hours.
As for 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 microbes of chronic prostatitis are present in the body of almost all people, only a few get sick.How can one explain the development of such a disease in a particular case?
Experts determine the onset 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:
- stagnation of the blood contained 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 genitourinary system;
- poor nutrition;
- constant stressful state;
- drinking and smoking frequently.
The diagnosis begins with a conversation with the patient, who must accurately and completely tell what bothers him.The doctor must find out why the patient developed chronic prostatitis, find out all possible causes and symptoms, how they manifest themselves.The doctor should tell you everything in detail;this will determine the correctness of the diagnosis and the prescription of an effective and complete treatment.
Subsequently, it is necessary to palpate and subject the secretion to bacteriological analyses, through which it is possible to determine the presence of infections and determine the resistance of the bacteria to antibiotics.
Attention
Palpation is performed by a urologist through the rectum.This procedure allows you to find out the size and pain of the prostate.Hemorrhoids, adenoma or prostate cancer may also be detected on palpation.An ultrasound of the prostate will provide accurate data on the condition of the organ.
Determining the PSA level in the blood allows you to exclude or confirm the presence of prostate adenoma and cancer.
If the urologist suspects the presence of a tumor, he will have to subject pieces of prostate tissue to a biopsy, which will demonstrate 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 select the drug, dosage and duration of treatment.
Usually the drugs are taken for 10-15 days.After that, repeated tests are carried out, based on the results of which the doctor will determine whether the patient is cured or whether further treatment is necessary.
Prostate massage is necessary so that prostatic secretions do not stagnate and microcirculation occurs.This contributes greatly to a quick recovery.
However, massage is prohibited in cases of 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 muds and enemas with mineral waters rich in hydrogen sulphide 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, surgery may be indicated if the urethra is severely narrowed or if the presence of abscesses or prostatic adenoma is detected.
Important
Diagnosis and treatment should be carried out in a medical institution under the constant supervision of qualified doctors.
By consulting a doctor in time, you can get a quick cure.Once treatment is started, long-term remission will be observed.We can talk about complete recovery when all the 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.These microenemas very well relieve the inflammation that occurs in the prostate gland.
To prepare such a microenema, take two tablespoons of chamomile and pour 100 grams of herb.boiling water For treatment, horse chestnut peel can also be used, which is filled with alcohol and stored for 10 days in a dark place.
An onion decoction 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 brew for 2 hours.So, every hour you need to drink 50 grams of decoction.
How to cure impotence with chronic prostatitis?
Impotence can be treated at home if you follow a series of measures.
It is necessary to choose suitable drugs that will help fill the corpora cavernosa of the penis with blood.But first a consultation with a urologist is necessary.
You need to adapt your diet and go on a diet.You should not eat fatty foods or foods that deplete testosterone.You need to eat porridge and lean meat, drink juices and green tea.
Also, don't forget about physical activity.In this regard, walking and light running in the open air are very effective.You also have to swing your legs.This promotes the contraction of the muscles of the anus and perineum.
How long does it take to cure 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 may be prescribed.Lipophilic antibiotics perform this task better.
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 strong exacerbations of the disease, which are replaced by remissions.When the pain decreases, it becomes easier, and the man decides that he can deal with this problem on his own, instead of quickly turning to a urologist.However, the delay here will not help, since with each exacerbation the inflammation will increase.
The inflammation can affect nearby organs, causing cystitis, pyelonephritis and vesiculitis.As a result, a man may develop infertility.
What antibiotics should I take for chronic prostatitis?
Numerous 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 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 abstain 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 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 may constantly contract and relax your scrotum from time to time.
Each time you urinate, interrupt the flow slightly, this will cause the bladder sphincter to harden.Such high-quality exercises will allow blood to circulate well through the veins of the prostate, as well as strengthen metabolic processes in the body.