Prostatitis is diagnosed exclusively in men.This is one of the most common diseases of the male reproductive system;4 out of 5 men will experience symptoms of prostatitis at least once in their lives.
Typically, men aged 20–40, at their peak sexual activity, are susceptible to prostatitis.Chronic prostatitis was diagnosed in 10 men.It is characterized by periods of exacerbation and remission and masquerades as several other diseases.
Symptoms of chronic prostatitis
Symptoms of chronic prostatitis include:
- Discomfort and pain in the lower abdomen, accompanied by periodic contractions that do not resolve within a quarter or so.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.
- Urinating 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 2 types of chronic prostatitis: bacterial and bacterial.
Bacterial (infectious) prostatitis occurs with constant alternation of exacerbations and sudden remissions, while prostatic secretions contain infection and bacteria.
In this case, neighboring 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.
Usually the disease manifests as follows:
- Frequent and painful urination.
- Burning in the urethra.
- Premature ejaculation.
- Small mucus discharge from the urethra.
- Severe sexual dysfunction.
All this greatly affects the performance and mental state of a man, leading to long-term depression and neurasthenia.
Chronic bacterial prostatitis is a disease where bacteria are not found in prostatic secretions.This form is very difficult to diagnose, as evidenced by the numerous reviews from men on various forums.Choosing a suitable treatment regimen is also very difficult.
Important
Until now, doctors are facing many unclear factors about the origin of this disease.This greatly complicates the treatment process.
Even ultrasound and laboratory examination of secretions may not show the presence of an inflammatory process.According to the recommendations of the Association of Urologists, the main signs of bacterial prostatitis are identified:
- Appears in middle-aged men.
- Prolonged pain in the pelvis and groin.
- Urinary function is impaired and frequent urination occurs.
- 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 symptoms:
- Discharge - a man feels cutting pain in the groin, scrotum and pubic area.
- Having problems with erection and rapid ejaculation.
- Alternative - the patient complains of discomfort in the groin, scrotum and pubic area.
- There is a feeling of frequent urination and rapid ejaculation during sex.
- Hyperplasia - the patient notes frequent urination with a weak stream, a constant feeling of incomplete emptying of the bladder.And vice versa, ejaculation becomes difficult and slow.
- Scarring changes - at this stage, prostate tissue begins to thicken.The patient complains of discomfort in the pelvic and pubic areas, frequent urge to urinate with a thin stream of water, and incomplete urination.The erection is very weak or completely absent, ejaculation is almost impossible, and the orgasm is weak and without a vivid impression.Prostatitis progresses to chronic prostatitis in unstable remission, in which pain is constant and remission occurs within only a few hours.
Regarding classification, people often use the US NIH classification, which divides the disease into types: acute and chronic bacterial, chronic without signs of inflammation and congestion, as well as histological.
Causes and causes of chronic prostatitis in men
Despite the fact that most people have some of the bacteria that cause chronic prostatitis, only a few get sick.How can one explain the development of such a disease in a particular case?
Experts determine the occurrence 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:
- Blood stagnation in the prostate due to a sedentary lifestyle;
- unstable sex life;
- Clothes are uncomfortable and quite tight;
- frequent hypothermia;
- injuries, as well as infections of various organs of the genitourinary system;
- poor nutrition;
- constant state of stress;
- regularly drink alcohol and smoke.
Diagnosis begins with a conversation with the patient, who must accurately and completely tell what is bothering him.The doctor must find out why the patient has chronic prostatitis, find out all possible causes and symptoms, how they manifest.The doctor will tell you everything down to the smallest detail;This will determine how accurately the diagnosis will be made and how effective and comprehensive treatment will be prescribed.
Next, you need to palpate and send the secretions for bacteriological analysis, which can determine the presence of infection and determine the bacteria's resistance to drugs.
Attention
Palpation is performed by a urologist through the rectum.This procedure makes it possible to find out the size and level of pain of the prostate.Palpation can also detect hemorrhoids, adenoma or prostate cancer.Ultrasound of the prostate will provide accurate data about the condition of the organ.
Determining the level of PSA in the blood helps to rule out 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 biopsy, the results of which will show its presence or absence.
Treatment of chronic prostatitis is a complex and time-consuming process.Today, there are many different methods used to treat this disease.
Treatment is with antibiotics.In this case, macrolide and tetracycline antibiotics are used.
Only the attending physician can correctly choose the drug, dosage and duration of treatment.
Usually the drug is taken for 10-15 days.Then repeat tests are performed, based on the results of which the doctor will determine whether the patient is cured or requires additional treatment.
Prostate massage is necessary so that prostatic secretions do 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 often prescribed as an adjunct to antibiotic treatment.
Physiotherapy is prescribed to improve the condition of prostate tissue, thereby accelerating the healing process.
Laser and ultrasound therapy are used for treatment.The use of mud and enemas with mineral water rich in hydrogen sulfide is also effective.
Herbal medicine is used as an additional stimulant to help the patient recover 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 must be performed in a medical facility under the constant supervision of qualified physicians.
By consulting a doctor promptly, you can achieve a quick cure.After starting treatment, long-lasting 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 common questions asked by 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 reduce the inflammation that occurs in the prostate.
To prepare such a micro-enema, take two spoons of chamomile and pour 100 grams of herbs.boiling water You can also use horse chestnut shells for healing, which are filled with alcohol and left for 10 days in a dark place.
Decoction of onions is also effective.You need to chop two large onions and pour boiling water into a half-liter jar.The jar is wrapped in a cotton towel and left to incubate for 2 hours.After that, every hour you need to drink 50 grams of decoction.
How to treat impotence due to chronic prostatitis?
Impotence can be cured at home if certain measures are followed.
It is necessary to choose appropriate drugs to help fill the cavernous body of the penis with blood.But before that, it is necessary to consult a urologist.
It is necessary to adjust your diet and follow a diet.You should not eat fatty foods or foods that reduce testosterone.You need to eat porridge and lean meat, drink juice and green tea.
Also, don't forget about physical activity.In this regard, light walking and running in the fresh air are very effective.You also need to swing your legs.This promotes contraction of the anal and perineal muscles.
How long does it take to treat chronic prostatitis and how to get rid of the disease permanently?
Antibiotic therapy lasts 1–3 months, depending on the stage of disease progression.If necessary, additional treatment with small doses of antibiotics may be prescribed.Lipophilic antibiotics can best solve this task.
To forget this problem forever, you need to change your lifestyle, eat moderately, avoid hypothermia and give your body rest.
Why is chronic prostatitis dangerous?
Chronic prostatitis is characterized by exacerbation of the disease, which is replaced by remission.As the pain subsided, things became easier and the man decided that he could deal with the problem himself instead of rushing to a urologist.However, delay will not help here, because with each exacerbation, inflammation will increase.
Inflammation can affect nearby organs, leading to cystitis, pyelonephritis, and vesicular inflammation.As a result, a man may become infertile.
What antibiotics should I use for chronic prostatitis?
Several commonly used penicillins.Tetracycline antibiotics are often prescribed for mycoplasmas and chlamydia.
Fluoroquinolones are very effective and penetrate well into prostate tissue.Macrolides accumulate well in the tissues of the prostate and quickly eliminate toxins.
Is it possible to have sex with chronic prostatitis?
If the disease is caused by an infection, it is best to abstain from sex to avoid infecting your partner.Although you can use condoms.It is simply necessary to have sex, because when excited, blood rushes to the prostate and it begins to contract.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 includes a healthy lifestyle and daily exercise.From time to time you can continuously tense and relax your scrotum.
Each time you urinate, pause the flow for a moment, so the bladder sphincter will stiffen.Such high-quality exercises will allow good blood circulation through the veins of the prostate, as well as enhance metabolic processes in the body.