The first signs of prostatitis in men can occur at a young age, and without quality medical care the disease can turn latent (latent) and progresses with minor symptoms: discomfort with urination and intercourse, pain in the episiotomy and lower back. If these symptoms are ignored, chronic prostatitis gets worse, and treatment is difficult and lasts longer.
An experienced urologist will tell you what chronic prostatitis means and how dangerous it can be. Even a single episode of inflammation, if not effectively treated, can lead to a severe recurrence.
Causes of chronic prostatitis
Chronic prostatitis is the result of poor quality treatment of an acute inflammatory process. Men often neglect their health or simply hesitate to contact a specialist. As a result, the disease progresses.
A urologist who professionally treats the prostate gland. He will tell you what chronic prostatitis in men is, why it happened, and how unpredictable it is. The therapist will correctly identify etiological factors. This directly affects the effectiveness of the applied treatments. Many people do not know what chronic prostatitis is, that it is caused by certain infectious pathogens (E. coli, streptococci, staphylococci, fungi) and some factors are just the mechanism of activation.
Factors that influence
Prostatitis-causing agents are microbiological agents: Pseudomonas aeruginosa, staphylococcus aureus, Escherichia coli. But the cause of chronic prostatitis can be related to the following susceptible factors:
- reduced immunity;
- hypothermia;
- genital organ injury;
- stress;
- drinking alcohol and food that is too spicy;
- obstruction in the pelvic region;
- constipation;
- smoking, chronic intoxication of the body with destructive substances;
- sedentary lifestyle;
- presence of foci of chronic infection;
- venereal disease.
Long term exposure to one or more factors most likely leads to the progression of chronic prostatitis in men. The disease occurs in all ages, young men with a history of venereal disease, other inflammatory processes of the prostate gland and organs of the urinary system often acquired.
Men tend to delay seeing specialists. Often the wife initiates the consultation of the urologist. If the husband has chronic prostatitis, he should be treated immediately. If not, you can start the course of the disease, which will turn into a severe chronic form and begin to cause complications.
Symptoms
The sign of remission of chronic prostatitis in men is almost absent. The mild pain syndrome is permanent, but the discomfort is moderate. After hypothermia, prolonged abstinence, chronic prostatitis may worsen, symptoms increase gradually depending on the state of the man.
Whenever an exacerbation characterizes chronic prostatitis in men:
- severe and painful in the perineum;
- signs of intoxication;
- a urinary disorder;
- irradiation causes pain in the penis or anus;
- asymmetrical prostate and painful palpation;
- chills, weakness, fever.
Typically, pain increases at the beginning and at the end of urination. Discomfort usually occurs in the rectum, sacrum, and penis. Pain syndrome also appears after intimate contact, it is particularly acute during sperm secretion. Urinating during remission may not be painful but more often. At the same time, there was a difficulty in starting the microphone.
The flow of urine becomes interrupted, feeling the bladder is not exhausted. In the morning there is a burning sensation in the urethra. Fibrous form is usually found in morning urine. This means that the inflammatory process is chronic.
Affects sexual performance
Male potency problems often arise against the background of a prolonged inflammatory process, which disrupts the function of the prostate gland, reduces libido and can even cause infertility. With such complications, chronic prostatitis occurs - the cause of erectile dysfunction is often associated with a slow inflammatory and inflammatory process. Until pathogens are eliminated, the effect of the pathogen cannot be reversed.
Diagnosis of chronic prostatitis
A comprehensive diagnosis will help to determine the features of the process and the causes of chronic prostatitis in men. First of all, experts appoint rectal examination of the prostate gland. During the procedure, the therapist determines the clarity of the lines and boundaries of the organ, the degree of pain. In the future, ultrasound is performed to identify specific functional and structural changes.
TRUZI
Prostate ultrasound (TRUS) is a safe, informative way to visualize the major structures of the prostate gland and nearby genital organs. Studies are done both through the abdominal wall and through the rectum - through the rectum. In the case of difficult urination, the therapist further examines the bladder and determines the amount of remaining urine.
Diagnostic ultrasound allows you to choose the most effective treatment for chronic prostatitis in men, as well as evaluate the effectiveness of the methods already used. The lack of exposure to radiation into the body allows for the regular use of ultrasound as required by a particular clinical situation.
Check for prostate secretion and ureteroscopy
Prostate gland secretes after urination and gland massage. The study of biological materials allows you to determine the pathogenic microflora, the level of leukocytes and the number of lecithin particles. This method helps you to classify the nature of the pathological process, to understand how a man should be treated and what medicines to use. The diagnosis is not accompanied by a feeling of pain, it is easily felt by a man.
In the case of impaired urinary function, hematuria and erectile dysfunction, endoscopy should be done. This procedure allows you to evaluate the urethra and come up with specific treatment with endoscopic equipment.
Additional research method
Additional diagnostic methods are used to clarify the clinical picture, determine the exact cause of the inflammatory process. Chronic prostatitis must be differentiated from a nerve bladder and other similar diseases with similar symptoms. Specialist appoints diagnostic methods of electromyography, urodynamics. They allow the qualitative differentiation of chronic inflammation from other diseases.
Chronic prostatitis often leads to hyperplasia, proliferation of glandular tissues, development of adenomas and malignant tumors. To rule out a cancerous process, it is necessary to perform a PSA diagnosis. This approach involves the determination of the level of prostate-specific antigens, with an increase in which one might suspect growth of malignant cells. To clarify the nature of the identified formations, a prostate biopsy is required, followed by a study of the morphology of the given material.
Possible Complications
Chronic prostatitis significantly reduces a man's quality of life. The prolonged process of inflammatory processes, in one way or another, disrupts reproductive function, impairs libido and threatens various infectious complications. The most unpleasant consequences of the disease are impotence and fertility disorders. Inflammation constantly changes the tissues of the prostate gland, contributes to their proliferation, hormonal abnormalities, early onset of menopause, and the development of adenomas.
The chronic course of the disease can lead to incontinence, stone formation, and prostate cysts. As the disease progresses, prostate sclerosis will develop. This condition is the last stage of prostatitis. The body accumulates collagen with the formation of dense tissue. Narrow urethra, problem of potency. Such changes are characteristic of benign prostatic hyperplasia, which at any time can lead to malignant cell growth and the formation of cancerous tumors.
Features of treatment
Chronic prostatitis is not easily cured. But it is possible to recover or transition the pathology to a period of prolonged remission. The effectiveness of medical procedures depends on the time spent seeking medical help.
A man must strictly adhere to the recommendations of his attending physician, avoiding the impact of susceptible factors: hypothermia, scrotum injuries, sexually transmitted diseases, stress. It is important to remember that even a trivial viral infection can exacerbate the disease with the appearance of severe pain and disruption of the urinary system.
Drug treatment
Bacterial prostatitis is treated with antibiotics. They are prescribed for several weeks. To increase the patient's comfort for life, against the main acute symptoms, nonsteroidal anti-inflammatory drugs are used. Adrenergic blockers are effective for restoring the urodynamics, regular flow of the prostate gland and reducing muscle tension in the gland. Prostate blockage combined with acupuncture effectively copes with even severe pain syndrome.
If a man is concerned about the chronic inflammatory process, a sedative or sedative can be used. But these drugs should be prescribed by qualified specialists who understand the specific clinical situation.
Physiotherapy
Physiotherapy using drug electrophoresis, ultrasound therapy and magnetotherapy. Acupuncture is also used in conjunction with blockade pain relievers. In addition, a special therapeutic bath, enemas and drops should be used in the urethra. Drops are great for chronic inflammatory processes.
This technique ensures that a large number of agents penetrate directly into the pathological focus. High concentrations of the drug maintained for a long time. This allows you to effectively cope with the slow infection. The drug must be kept for 30-40 minutes, limiting urination.
Surgical treatment
In cases where conservative techniques and physiotherapy are ineffective or not feasible, surgical treatment must be performed. It is mainly required to remove urethral constrictions. In the case of prostatic sclerosis, prostatectomy is done with endoscopic technique. This method is used if the patient has severe concomitant diseases of internal organs that do not allow classical prostatectomy.
In the case of recurrent foreskin stenosis due to a chronic infectious process, circumcision treatment should be performed. Operations are carried out as directed and only under urological conditions.
Prognosis
The prognosis of the disease is determined by the timeliness and effectiveness of prescribed treatment, duration of treatment of the inflammatory process, the age of the man and the presence of several simultaneous disorders. If the prescriptions are followed, taking preventive measures, including normalizing intimacy and preventing sexually transmitted diseases, it is possible to reduce the number of recurrences per year and transition to sex. prolonged remission.