Prostatitis is diagnosed exclusively in men.It 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 years at the peak of their sexual activity are susceptible to prostatitis.Chronic prostatitis is diagnosed in every 10 men.It is characterized by periods of exacerbation and remission and is disguised 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 intermittent spasms that do not disappear within a quarter or more.Pain may 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.
- The man's quality of life deteriorates significantly.
There are 2 types of chronic prostatitis: bacterial and abacterial.
Bacterial (infectious) prostatitis occurs with a constant alternation of sharp exacerbations and remissions, while prostatic discharge contains infection and bacteria.
In this case, neighboring organs can also be affected, such as the urethra, the neck of the bladder and the 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 as follows:
- Frequent and painful urination.
- Burning in urethra.
- Premature ejaculation.
- A small mucous discharge from the urethra.
- Serious sexual dysfunction.
All this significantly affects the working capacity and mental state of the person, which leads to prolonged depression and neurasthenia.
Abacterial chronic prostatitis is a disease in which no bacteria are found in the prostate secretion.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.
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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 Urology Specialists, the main signs of abacterial prostatitis are identified:
- Occurs in middle-aged men.
- Persistent pain in the pelvis and groin area.
- Impaired urinary function and frequent urges.
- 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 - the man feels a cutting pain in the groin, scrotum and pubic area.
- He has problems with erection and premature ejaculation.
- Alternative - the patient complains of discomfort in the groin, scrotum and pubis.
- During intercourse, there is a frequent urge to urinate and rapid ejaculation.
- Proliferation - the patient notes frequent urination with a weak stream, a constant feeling of an incompletely emptied bladder.And ejaculation becomes, on the contrary, difficult and slow.
- Scars - at this stage, the prostate tissue begins to thicken intensively.The patient complains of discomfort in the pelvis and pubis, frequent urges to urinate with 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 into the stage of chronic prostatitis with unstable remission, in which constant pain is observed and remission occurs only in 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 every person, only a few get sick.How can the development of such a disease be explained in a particular case?
Specialists determine the appearance of chronic prostatitis not only by the presence of an infection in the body, but also by the conditions that influence the development of the disease.
The most common causes of chronic prostatitis in men include:
- 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;
- a constant state of stress;
- frequent drinking and smoking.
The diagnosis begins with a conversation with the patient, who must accurately and completely tell what is bothering him.The doctor must understand why the patient developed chronic prostatitis, understand all possible causes and symptoms, how they manifest.The doctor must tell you everything down to the smallest detail;this will determine how correctly the diagnosis will be made and effective and comprehensive treatment will be prescribed.
After that, you need to palpate and send the secretion for bacteriological analysis, through which you can determine the presence of infections and determine the resistance of bacteria to antibiotics.
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Palpation is performed by a urologist through the rectum.This procedure allows to determine the size and pain of the prostate.During palpation, hemorrhoids, adenoma or prostate cancer can also be detected.Ultrasound of the prostate will give accurate data about the state of the organ.
Determination of the level of PSA in the blood allows to exclude or confirm the presence of adenoma and prostate cancer.
If the urologist suspects the presence of a tumor, he will have to send pieces 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 antibiotics and tetracycline are used.
Only the attending physician can correctly choose the drug, its dosage and the duration of treatment.
Medicines are usually taken for 10-15 days.After that, repeated tests are done, based on the results of which the doctor will determine whether the patient is cured or additional treatment is needed.
Prostate massage is necessary so that prostatic secretion does not stagnate and microcirculation occurs.This greatly contributes to the rapid recovery.
But massage is prohibited in 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.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 recovery of the patient 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 abscesses or prostate adenoma is detected.
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Diagnosis and treatment must be carried out in a medical facility under the constant supervision of qualified doctors.
By consulting a doctor on time, you can achieve a quick cure.After starting treatment, 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.These micro enemas 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 the herb over them.boiling water For treatment, you can also use horse chestnut bark, which is poured with alcohol and kept for 10 days in a dark place.
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 boil for 2 hours.After that, every hour you need to drink 50 grams of the decoction.
How to treat impotence with chronic prostatitis?
Impotence can be cured at home if a complex of measures is followed.
It is necessary to choose appropriate drugs that will help fill the cavernous bodies of the penis with blood.But before that, a consultation with a urologist is necessary.
You need to adjust your diet and go on a diet.You should not eat fatty foods or foods that reduce testosterone.You should eat porridge and lean meat, drink juices and green tea.
Also, don't forget about physical activity.Very effective in this regard are walks and light running in the fresh air.You should also swing your legs.This encourages 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 cope best with this task.
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 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 himself, instead of quickly turning to a urologist.However, slowing down will not help here, since with each exacerbation the inflammation will increase.
Inflammation can affect nearby organs, leading to cystitis, pyelonephritis and vesiculitis.As a result, a person can develop infertility.
What antibiotics should I take for chronic prostatitis?
A number of penicillins are often used.Tetracycline antibiotics are often prescribed for 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, 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 with excitement, blood rushes to the prostate gland and it begins to shrink.In addition, 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 be hardened.Such high-quality exercises will allow blood to circulate well through the veins of the prostate, as well as enhance metabolic processes in the body.