Prostatitis is diagnosed only in men. It is one of the most common among male reproductive system diseases, with 4 out of 5 men experiencing symptoms of prostatitis at least once in their lifetime.
Typically, prostatitis affects men aged 20–40 years at the peak of their sexual activity. One in 10 men will be diagnosed with chronic prostatitis. It is characterized by periods of exacerbation and remission and is like a number of other diseases.
Symptoms of chronic prostatitis include the following:
- Feelings of discomfort and pain in the lower abdomen, with periodic cramps that do not go away for a quarter or so. The pain may appear in the lower back, legs, scrotum, anus. Especially painful when urinating and ejaculating.
- The ability of the penis to have an erection is reduced and the sex drive is weaker. First, premature ejaculation develops, and over time, on the contrary, ejaculation practically does not occur, which 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 is sometimes impaired.
There are 2 types of chronic prostatitis: bacterial and bacterial.
Bacterial (infectious) prostatitis occurs with a continuous alternation of exacerbations and sharp remissions, while infection and bacteria are found in the bile of the prostate gland.
In this case, nearby organs such as urethra, bladder neck, vas deferens may also be affected and the disease manifests in different ways as a result. 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 mucus discharge from the urethra.
- Serious sexual dysfunction.
All of these greatly affect the man's ability to work and mental state, thereby leading to depression, prolonged nervous breakdown.
Chronic bacterial prostatitis is a disease in which no bacteria are found in the secretions of the prostate gland. This form is difficult to diagnose, as evidenced by the numerous male reviews on various forums. It is also very difficult to find the right treatment regimen.
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 tests of secretions may not reveal the presence of an inflammatory process. According to the recommendations of the European Association of Urologists, the main signs of bacterial prostatitis are distinguished:
- It occurs in middle-aged men.
- Persistent pain in the pelvic area and in the groin.
- Violation of 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 various signs:
- Discharge - a man feels cutting pain in the groin, scrotum and pubic area.
- Problems with erection and rapid ejaculation are observed.
- Alternative - the patient complains of discomfort in the groin, scrotum and pubic area.
- Frequent urge to urinate and rapid ejaculation during intercourse.
- Prolapse - the patient reports frequent urination with weak flow, a constant sensation of not completely emptying the bladder. And vice versa, ejaculation becomes difficult and slow.
- Skin changes - at this stage, prostate tissue begins to thicken. The patient complains of pelvic and pubic discomfort, frequent urination with a thin and unrelenting stream. Erections are very weak or nonexistent, ejaculation becomes almost impossible, and orgasms are weak, with no vivid impressions. Prostatitis transitions to a stage of chronic prostatitis in unstable remission, in which constant pain is observed and is relieved only for a few hours.
For classification, it is common to use the US NIH classification, which divides the disease into categories: acute and chronic bacterial, chronic without signs of inflammation and congestion, as well as histologically.
Factors and causes of chronic prostatitis in men
Despite the fact that there are several bacteria that cause chronic prostatitis in the body of most people, 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 the conditions that affect the development of the disease.
The most common causes of chronic prostatitis in men include:
- stagnant blood in the prostate gland due to a sedentary lifestyle;
- unstable sex life;
- uncomfortable and rather narrow clothes;
- frequent hypothermia;
- trauma, as well as infection of various organs of the genitourinary system;
- Malnutrition;
- constant stress;
- regularly drink alcohol and smoke.
Diagnosis begins with a conversation with the patient, who must accurately and completely say what worries him. The doctor must find out why the patient develops chronic prostatitis, find out all the possible causes and symptoms, how they manifest. The doctor should tell everything down to the smallest detail, depending on the accuracy will make a diagnosis and prescribe a comprehensive and effective treatment method.
Next, you need palpation and bile transfusion to analyze the bacteria, so you can identify the presence of foci of infection and find out the bacteria's resistance to antibiotics.
Attention
Palpation is performed by the urologist through the rectum. This procedure makes it possible to find out the size and tenderness of your prostate gland. Probing may also reveal hemorrhoids, adenomas, or prostate cancer. Prostate ultrasound will provide accurate data on the condition of the organ.
Determination of PSA blood levels helps rule out or confirm the presence of adenomas and prostate cancer.
If the urologist suspects the presence of a tumor, they will have to take pieces of prostate tissue for a biopsy, the results of which will show its presence or absence.
Treatment of chronic prostatitis is a complex and time-consuming process. Today, many different methods are used to treat this disease.
Treatment with antibiotics. In this case, antibiotics of the group of macrolides and tetracyclines are used.
Only the attending physician can choose the correct medication, dose, and duration of treatment.
Usually the drugs are taken for 10-15 days. Then, repeat tests are given, according to the results of which the doctor will determine whether the patient has recovered or whether additional treatment is needed.
Prostate massage is necessary so that the secretion of the prostate gland does not stagnate and its microcirculation takes place. This is very beneficial for a quick recovery.
However, massage is prohibited for cases of acute prostatitis, hemorrhoids and rectal fissures.
Massage is often prescribed as an adjunct to antibiotic treatment.
Physiotherapy is prescribed to improve the condition of the tissues of the prostate gland, as a result of which the healing process is accelerated.
For treatment, laser therapy and ultra-electrophoresis are used. Using mud, enemas with mineral water rich in hydrogen sulfide are also very effective.
Phytotherapy is used as an additional stimulus to the patient's recovery and is always used in combination with other methods. Various herbal remedies are used for treatment.
In some cases, surgical intervention may also be indicated if the urethra is very narrow, an abscess or prostate tumor is found.
Important
Diagnosis and treatment should be carried out in a medical facility under the constant supervision of qualified physicians.
By contacting the doctor in time, you can get rid of the disease quickly. Starting treatment, the disease will be in long-term remission. You can talk about a full recovery when all the symptoms of the disease disappear, and the laboratory tests give good results.
The most common questions from patients about chronic prostatitis
How to cure chronic prostatitis by folk methods quickly and effectively?
Treatment can be carried out with the help of folk remedies. In folk medicine, the most common is the infusion of chamomile, yarrow and sage. These microparticles greatly reduce the inflammation that takes place in the prostate gland.
To prepare such a microclyster, take two tablespoons of chamomile and pour 100 gr of grass. hot water. Alternatively, for treatment, you can use the bark of horse chestnut, pour it with alcohol and keep for 10 days in a dark place.
The broth of onions also works. It is necessary to chop two large onions and pour boiling water into a half-liter jar. The jar is wrapped with a cotton towel and left to incubate for 2 hours. Then every hour you need to drink 50 grams of broth.
How to cure impotence in chronic prostatitis?
Impotence can be cured at home, depending on a number of measures.
It is necessary to choose the right drugs to help supply full blood to the cavernous bodies of the penis. But before that, it is necessary to consult a urologist. Modern medicine to increase potency with active ingredient sildenafil has a good effect.
It is necessary to adjust the diet and implement the diet. You cannot eat fatty foods and foods that lower testosterone. Need to eat cereals and lean meat, drink juice and green tea.
Also, don't forget about physical activity. Light walking and running in the fresh air is very effective in this regard. You also need to do a leg twist. This helps contract the muscles of the anus and perineum.
How long to treat chronic prostatitis and how to get rid of it permanently?
Antibiotic therapy lasts 1-3 months, depending on disease neglect. If necessary, additional treatment with small doses of antibiotics may be indicated. Lipophilic antibiotics best cope with this task.
To forget this problem forever, you need to change your lifestyle, eat in moderation, not too cold and give your body rest.
Why is chronic prostatitis dangerous?
Chronic prostatitis is characterized by exacerbations of the disease, which are replaced by episodes of remission. As the pain eased, things got easier and the man decided he could deal with the problem on his own, rather than quickly contacting a urologist. However, delaying won't help here, as with each exacerbation, inflammation increases.
Inflammation can affect nearby organs, leading to cystitis, pyelonephritis, and seminal vesicles. As a result, a man may become infertile.
What antibiotics do you take for chronic prostatitis?
Usually some penicillin is used. The antibiotic tetracycline is commonly prescribed for mycoplasmas and chlamydia.
Fluoroquinolones are very effective and penetrate well into prostate tissues. Macrolides accumulate well in prostate tissues and rapidly eliminate toxins.
Can I 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 condoms. Simply having sex is fine, because when aroused, blood rushes to the prostate gland, 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 features
Prevention of chronic prostatitis in men involves a healthy lifestyle and daily exercise. You can continuously stretch and relax your scrotum over time.
With each urinating, stop the flow a little, so the bladder sphincter will stiffen. Such high-quality exercises will help blood circulate well through the veins of the prostate gland, as well as increase metabolism in the body.