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Signs of chronic prostatitis in men may be familiar to many of the stronger sex due to the prevalence of the disease. The inflammatory process is able to proceed both imperceptibly for the patient, and with pronounced symptoms. It may depend on the characteristics of the organism, the causes that caused the pathology, the age of the person. Most of the manifestations occur at the acute rather than the chronic stage; prostatitis is more often diagnosed at it.
Together with it, diseases such as prostate adenoma or urethritis, vesiculitis can be detected. All of them have the same sources of origin and can flow from one to another. Therefore, during treatment, it is necessary to be very careful and try to prevent the appearance of concomitant ailments from the very first days. It is necessary to consult a doctor at the slightest symptom, because. chronic prostatitis manifests itself in this way - little by little, almost imperceptibly.
The main symptoms of prostatitis
Prostatitis is an inflammatory disease that affects the prostate gland, located in the small pelvis of men. According to the nature of development, it is divided into 2 stages: acute and chronic. Usually, the acute form appears first, and without treatment it becomes chronic. At the same time, most of the symptoms disappear and the patient begins to think that he has recovered, while the inflammatory process continues to develop in the prostate.
By international classification prostatitis refers to long-term diseases, in some patients it cannot be overcome at all and the man remains to maintain the disease at the stage of remission.
The chronic form does not make itself felt much, so many simply do not pay attention to their state of health or stop minor pains with pills. But the very first provoking factor can bring the signs of chronic prostatitis into the active phase, when all the main symptoms manifest themselves simultaneously - pain, erectile dysfunction and dysuria. Together, they accurately indicate that a man has this particular ailment, doctors can accurately diagnose even without tests and examinations.
Pain syndrome
In chronic prostatitis, it can hurt in various areas of the small pelvis and even beyond. At the same time, the pains themselves can be of a different nature - cutting, aching, dull, short-term and long-term. They can reach such strength that the patient will have a psychological barrier to going to the toilet or having sexual intercourse. But still, with inflammation at the chronic stage, they are not strong and almost do not interfere with everyday life. They can get stronger when:
- Increased physical activity
- Strong stress
- Intimacy, especially during ejaculation
- long abstinence from sex
- hypothermia
- After drinking alcohol
Most often, the pain syndrome is present in the genital area, but you can feel it in the lower back, buttocks, anus, inner thighs, legs. This happens because through the prostate gland passes big number nerve endings in various organs of the genitourinary system, but she herself never hurts. The pain does not depend on the time of day, it can last a couple of minutes one day, and not disappear for hours on another.
Worst of all, when it is felt in the kidney area, because. this means a violation of their work (usually due to the accumulation of urine in the bladder and poisoning the body with the poisons that it forms as it accumulates). When pain is felt in the legs, this means that inflammation is already present on the entire surface of the prostate, but this is dangerous only when the prostatitis is bacterial in nature due to the likelihood of reactive arthritis.
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Erectile dysfunction with prostatitis is also one of the most common phenomena, and it is because of it that men try to get rid of the disease as quickly as possible. Problems in bed can also lead to a doctor faster than others, because to get rid of sexual impotence or to improve hormonal levels, drugs are needed that are sold only by prescription. Signs of exacerbation of chronic prostatitis in this case are manifested in the form of pain during sex, premature or delayed ejaculation, discomfort in the groin after intercourse. Sometimes the erection is not strong enough for intercourse, sometimes there is none at all.
There may also be signs such as the erasure of orgasm, its absence, disruption of the reproductive system. With prostatitis in men, the problem often arises of the inability to conceive a child, because. sperm at this time has a small amount of spermatozoa, and those that are are inactive due to the abnormal composition of the seminal fluid. This is due to the fact that the secretion of the prostate is a source of fructose, which gives sperm energy. Some influence goes on the psychological state of the patient, tk. violated hormonal background. A man becomes aggressive and irritable, easily depressed due to sexual failure.
urinary disorder
Violation of the process of urination can be a sign of chronic prostatitis and BPH (benign prostatic hyperplasia), as well as some other ailments. This symptom appears due to squeezing of the enlarged gland of the bladder and urinary tract, which pass through its tissues. What are the typical manifestations of the disease:
- Private calls to the toilet
- Difficulty in urination, manifested in a thin stream, urine output drop by drop, the need to strain a lot for this
- Pain when emptying
- Feeling of incomplete emptying of the bladder
- The presence of blood or pus in the urine
You can add here a change in the color or smell of urine, which may indicate various infections or oncology. Dysuria does not appear immediately, for this it is necessary that the inflammatory processes spread throughout the prostate. If you do not cope with this symptom, the likelihood of urinary incontinence or its acute retention is high.
Other symptoms
In addition to the above symptoms, the clinical picture of prostatitis may contain other manifestations. These include high fever and weakness, excessive sweating. At the chronic stage, the temperature usually does not rise above 37 degrees, but during the period of exacerbation it reaches 40. Headaches, nausea and vomiting, and body aches may be present.
Causes of pathology
The causes of chronic prostatitis in more than 50% of cases are congestion in the pelvis. They can arise due to excess weight or low mobility of the patient, as a result of which blood begins to linger in the small pelvis. Sooner or later, this leads to inflammation. It also affects the long absence of intimate relationships, tk. because of this, seminal fluid stagnates in the prostate itself. It becomes an excellent breeding ground for pathogenic microflora, which quickly causes inflammation.
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The risk group for the disease includes men with a sedentary job, suffering from diseases circulatory system who smoke and abuse alcohol. Inflammation of the prostate can be affected by:
- Injuries of the small pelvis, operations performed on it
- Weakened immunity
- Frequent constipation
- The presence of foci of infection in any organ (even caries can cause prostatitis)
- Improper nutrition
Before starting treatment, you need to find out exactly what caused the inflammatory reactions in order to get rid of them forever. Read more about the diagnosis of the disease below.
Diagnosis of the disease
To confirm the presence of prostatitis and find out what caused it, doctors perform quite a few different tests and examinations. You can see the signs of chronic prostatitis on ultrasound or by blood and urine tests. Informative will be analyzes of seminal fluid. But first of all, the urologist does a digital examination to assess the condition of the prostate - whether the touch brings pain, what size it is, what texture. How they help various methods diagnostics:
- Blood and urine tests. Help to see the presence of the inflammatory process, the presence of pathogenic microorganisms
- Prostate secretion analysis. It determines the state of the organ, whether there are pathogenic agents in it, how to deal with them. Can detect cancer
- ultrasound. Assesses the condition of the prostate, the degree of constriction of the urethra, pressure on the bladder
- Tomography. It is done when malignant neoplasms are suspected, it helps to determine chronic inflammation if it was caused by congestion, because. can't be detected by analysis.
After receiving all the necessary information, a course of treatment is built, which will be individual for each patient.
Treatment of inflammation of the prostate
Treatment of signs of chronic prostatitis in men can take quite a long period of time, because. inflammation at this stage usually has time to spread over the entire surface of the gland. Some changes in the organ (scarring of tissues or the formation of cavities due to an abscess) cannot be corrected, so the patient will only have to live with impaired prostate activity. Therapy of prostatitis includes the following items: taking medications, attending physiotherapy, maintaining proper nutrition and exercise exercise. With the permission of the doctor, various non-standard techniques can be added to them:
- Apitherapy
- Mud therapy
- Folk remedies
- hot baths
- Hirudotherapy, etc.
The use of drugs is one of the most effective ways fight the symptoms of prostatitis. They cope within a couple of hours, a variety of drugs allows you to choose them for any patient. However, they also have a negative side in the form of side effects. Antibiotics, alpha-blockers, NSAIDs, vasodilators, vitamins, herbal preparations, etc. are used to eliminate the disease. The first group - antibacterial agents - can only be used for those patients whose tests have determined the presence of pathogenic microflora in the prostate gland.
For the rest, they will only harm the immune system and can cause an easier infection in the prostate. Antibiotics are used strictly in the quantities indicated by the doctor, the course of treatment lasts no more than 2 weeks. After that, the analysis is repeated and, if pathogens are present in the tissues of the organ, the drug can be changed to a more powerful one. Non-steroidal anti-inflammatory drugs act directly on the focus of inflammation, regardless of what caused it. They are very effective, but cause many unwanted reactions.
To help the body cope with the disease faster, it is worth being outdoors more, avoiding stress, and getting enough sleep.
The rest of the medicines are for the most part designed to deal with only one symptom. For example, analgesics eliminate pain, and alpha-blockers and muscle relaxants remove urination disorders. Treatment of signs of chronic prostatitis is not complete without physiotherapy. They help improve the absorption of active substances from tablets, improve the metabolism of affected tissues, and help restore the prostate. The doctor may refer the man to galvanization, electrophoresis, magnetotherapy, or prostate massage.
Be sure to follow a balanced diet for the treatment of prostatitis, because. many products can harm or worsen the patient's condition. It is worth giving up coffee, smoked meats, convenience foods, fast food, legumes, spicy and salty. Physical exercises are necessary to prevent stagnation of blood and lymph, as well as to improve blood circulation.
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Chronic prostatitis- one of the most common diseases among men of mature age. Inflammation of the prostate significantly reduces the quality of life, causing psychosomatic and sexual disorders. The lack of sufficient information about the nature of this disease makes the treatment of chronic prostatitis a difficult task that requires a lot of patience from both the patient and his doctor.
Prostatitis is an inflammatory and degenerative lesion of the prostate gland.
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The American National Institutes of Health (NIH USA) has developed and proposed the following classification chronic prostatitis:
- chronic bacterial prostatitis;
- chronic non-bacterial prostatitis (with and without signs of inflammation);
- chronic asymptomatic prostatitis.
Modern andrologists adhere to this classification in the diagnosis and treatment of inflammatory diseases of the prostate. Separately allocated acute prostatitis. Knowing which category the identified pathology belongs to, the doctor will be able to choose the optimal therapy regimen and achieve significant success in treating the disease.
Causes and risk factors
The division into bacterial and non-bacterial chronic prostatitis is not accidental. Various causes of the disease determine the tactics of treatment and largely affect the outcome of the disease.
Chronic bacterial prostatitis
Chronic bacterial prostatitis occurs in 10-15% of patients. The direct cause of the development of the disease is the penetration into the prostate of pathogenic and opportunistic flora. By definition, the prostate gland is free of bacteria. Infection of the prostate is possible through the urethra, as well as hematogenous and lymphogenous routes. During the examination, the following microorganisms are most often detected:
- coli (up to 95%);
- Proteus;
- klebsiella;
- pseudomonas.
Representatives of gram-positive flora (staphylococci, streptococci) are quite rare. In some cases, the growth of two or more microorganisms (mixed infection) is noted. Possible infection with pathogenic flora (chlamydia, gonococci, etc.).
Most of the microorganisms detected during the examination are representatives of the normal microflora. Under normal conditions, they do not harm the body and exist peacefully on the mucous membranes of the urinary system and digestive tract. Under certain conditions, the growth and reproduction of conditionally pathogenic flora occurs, which leads to inflammation of the prostate tissues and the appearance of all symptoms of the disease.
Risk factors development of chronic bacterial prostatitis:
- non-compliance with personal hygiene;
- hypothermia;
- genital trauma;
- inflammatory diseases of the urinary system;
All this leads to a decrease in local and general immunity and the natural reproduction of conditionally pathogenic flora in the prostate. It is not excluded the introduction of infection through the urethra in inflammatory diseases of the genital tract. The likelihood of developing prostatitis increases with the existing,.
Chronic non-bacterial prostatitis
There are several theories of the occurrence of this form of the disease:
- Theory of chemical inflammation. The reflux of urine into the prostate during urination leads to the deposition of urate and the development of inflammation. Urethro-prostatic reflux is promoted by narrowing of the urethra () and other developmental anomalies.
- immune theory. The version is based on autoimmune damage to prostate tissue as a result of exposure to bacterial antigens. The hereditary predisposition to this form of pathology is considered.
- neurogenic theory. Violation of innervation in the pelvic area provokes and leads to the development of prostatitis.
In the development of non-bacterial prostatitis, the following also deserve special attention: risk factors:
- long sedentary work;
- sedentary lifestyle;
- bad habits;
- stress and emotional overload;
- prolonged sexual abstinence (see).
These risk factors provoke the development of congestion in the prostate, lead to impaired microcirculation in the pelvic organs. The microbial factor plays a role only at the initial stages of the development of the disease. In the future, its value decreases, and autoimmune processes and trophic disorders in the tissues of the prostate gland come to the fore.
According to statistics, 85-90% of men have non-bacterial chronic prostatitis (not directly associated with infection with pathogenic or opportunistic bacteria).
Symptoms
Chronic prostatitis occurs mainly in men aged 25-40 years. With age, the likelihood of developing the disease increases. In old age, inflammation of the prostate gland is often combined with adenoma - a benign tumor of the prostate.
signs chronic prostatitis:
- dull aching pain in the lower abdomen;
- irradiation of pain in the groin, scrotum, perineum, lower back, sacrum;
- increased discomfort during intercourse and during bowel movements.
Very common urination disorders:
- frequent urination;
- excretion of urine in small portions;
- the appearance or intensification of pain during urination;
- sluggish and intermittent urine stream.
The last symptom is characteristic of prostate adenoma, which often occurs against the background of chronic prostatitis.
With a long course of the disease, disorders in the sexual sphere are noted:
- decreased libido;
- deterioration of erection;
- reduction in the duration of sexual intercourse;
- pulling pains in the lower abdomen after ejaculation;
- lack of spontaneous morning erection.
Chronic prostatitis is one of the leading causes of erectile dysfunction, in which a man cannot achieve and maintain an erection sufficient for a full sexual intercourse. Such a condition significantly disrupts the course of life, can cause depression and other psycho-emotional disorders.
Chronic asymptomatic prostatitis occurs without any clinical manifestations. The disease is discovered by chance during examination by a urologist. Although there are no symptoms, inflammation of the prostate gland can lead to serious complications, erectile dysfunction and other health problems.
Complications
Running prostatitis provokes the development of such conditions:
- prostate abscess;
- cystitis and pyelonephritis (inflammation of the bladder and kidneys);
- vesiculitis (inflammation of seminal vesicles);
- erectile dysfunction;
- infertility.
The sooner the disease is detected and treatment is started, the greater the chance of a favorable outcome of the disease.
Diagnostics
The following methods are used to detect chronic prostatitis:
Urologist examination
At a personal appointment, the doctor focuses on the patient's complaints. Be sure to examine the external genitalia, and carried out. On palpation, the doctor evaluates the size and shape of the gland. In the case of chronic prostatitis, the organ will be somewhat enlarged in size. The procedure is combined with taking for microbiological research.
Four glass sample
The main method to identify the inflammatory process in the prostate and distinguish it from other diseases. The collection of material takes place in several stages. In the morning, after 5-6 hours of abstinence from the toilet, a man urinates in two jars - for the first (initial) and for the second (middle) portion of urine. In the first portion, the contents of the urethra are washed off, in the second - the bladder. The third portion of urine is collected after prostate massage and allows you to assess the condition of the prostate gland. Separately, the secret of the prostate gland is collected for bacteriological culture.
In the analysis of urine, two parameters are evaluated: the number of leukocytes and erythrocytes. In diseases of the prostate, the level of leukocytes rises in the third portion of urine. Normally, their number does not exceed 10 in the field of view.
Microbiological research
When conducting a three-cup sample, not only the number of leukocytes is estimated, but material is also taken for bacteriological seeding. If chronic prostatitis is suspected, the doctor is especially interested in the third portion of urine. Based on the results of the examination, the doctor can identify the causative agent of the disease and select the optimal antibiotic therapy.
Of diagnostic value is the detection of opportunistic bacteria in a titer of more than 10 3 CFU / ml or the detection of unambiguously pathogenic microorganisms in any quantity.
Bacteriological culture of prostate secretion
Bacteriological culture of prostate fluid makes it possible to assess the nature of the process (infectious or not) and determine the type of pathogen
Before taking the third portion of urine during prostate massage, the doctor takes the allocated secret for bacteriological examination. The result obtained also allows you to determine the diagnosis and treatment tactics.
Diagnostic criteria for chronic bacterial prostatitis:
- Detection in the third portion of urine or prostate secretion of opportunistic microorganisms in a titer above 10 3 CFU / ml.
- Detection in the third portion of urine or prostate secretion of opportunistic bacteria, the number of which is significantly (10 times) higher than in the second portion of urine.
- Detection in the third portion of urine or prostate secretion of pathogenic microorganisms.
ultrasound
Ultrasound examination allows you to assess the size of the organ and identify concomitant pathology. Often, chronic prostatitis is combined with.
Principles of treatment
The goal of therapy for chronic prostatitis is to eliminate the inflammatory process, activate blood flow and improve the nutrition of the organ. If pathogenic or opportunistic microorganisms are detected in high titer, they are eliminated. Particular attention is paid to the correction of lifestyle and stimulation of the body's defenses.
Medical treatment
For the treatment of chronic prostatitis, the following are used: medicines:
- selected according to the identified pathogen.
- Anti-inflammatory drugs to reduce inflammation and relieve pain.
- Means that facilitate urination (relaxing the muscles of the urethra and stimulating the outflow of urine.).
- Drugs that increase blood flow in the pelvic organs.
The choice of antibiotic will depend on the identified pathogen. When choosing a drug, one should take into account its ability to penetrate the hematoprostatic barrier and accumulate in the tissues of the prostate gland. These conditions correspond to funds from the group of fluoroquinolones. Macrolides and tetracyclines are also used to treat chronic prostatitis.
Upon receipt of the results of bacteriological examination and confirmation of the bacterial nature of the disease, treatment continues for up to 4-6 weeks. This approach allows not only to get rid of the causative agent of the disease, but also to prevent the recurrence of prostatitis.
Unfortunately, antibiotic therapy is not always effective. Many microorganisms safely exist in the prostate secretion for a long time and become resistant to antibiotics. Bacteria form special biofilms and form colonies of microorganisms covered with a complex polysaccharide structure. Antibacterial drugs for the most part are not able to penetrate this biological barrier, which significantly reduces the effectiveness of the therapy. This problem can be avoided by the use of modern antibiotics, which can not only penetrate the prostate tissue and heat up in it, but also pass through biofilms and infect bacteria that are under such serious protection.
Non-drug therapy
Among non-drug methods of treatment, special attention is paid to. The procedure stimulates the blood supply to the prostate gland, eliminates congestion and facilitates the excretion of secretions. The combination of massage and long-term use of antibacterial drugs is the main way to save a man from the unpleasant symptoms of chronic prostatitis.
How does chronic prostatitis affect potency?
Chronic inflammation of the prostate threatens the development of erectile dysfunction. With this pathology, there is a decrease in sexual desire, the frequency and strength of erections decrease, orgasms become painful. In advanced cases, sexual life becomes impossible.
Can chronic prostatitis be cured without antibiotics?
Antibacterial therapy is considered one of the key treatments for chronic prostatitis. In most cases, it is impossible to cope with the disease without antibiotics.
Is it possible to cure chronic prostatitis with folk remedies?
Get rid of chronic prostatitis by methods alone traditional medicine will not work. To achieve the optimal effect, complex treatment is carried out using antibiotics, herbal preparations, anti-inflammatory drugs and methods of physiotherapy.
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Prolonged inflammation of the prostate gland, periodically aggravated, is called chronic prostatitis. A constant inflammatory process directly affects the functioning of the prostate.
Chronic prostatitis is the most common pathology in men, which is observed in almost 30% of the stronger sex.
Chronic prostatitis.
Classification of chronic prostatitis
- Acute course of prostatitis.
- Bacterial chronic prostatitis.
- Chronic prostatitis is not of a bacterial nature. Accompanied by chronic pelvic pain syndrome - symptoms that are not associated with the presence of infection. Lasts three months or more.
- III A - chronic prostatitis with the presence of an inflammatory component (causative agents of infection and leukocytes were found in the secretion of the prostate).
- III B - chronic prostatitis with no inflammatory component (pathogens and leukocytes were not found in the prostate).
- Chronic prostatitis is asymptomatic (no symptoms in the presence of leukocytes in the secretion of the prostate).
The risk of disease is increased in people
- Who lead an irregular intimate life, and also practice coitus interruptus as a way to prevent unwanted pregnancy.
- Office workers and drivers (a sedentary lifestyle causes stagnation of blood in the pelvis).
- Who wear tight underwear.
- Having alcohol and nicotine dependence.
The reasons
Bacterial prostatitis
Bacterial prostatitis.
- hereditary predisposition.
- Regular hypothermia.
- Prolonged abstinence.
- Untimely emptying of the bladder.
- Sedentary lifestyle.
- Diseases of the genitourinary system (urethritis, pyelonephritis, cystitis).
- Sexually transmitted diseases: chlamydia, gonorrhea, trichomoniasis.
Not bacterial inflammation
Venous stasis in the pelvis, provoked by a sedentary lifestyle.
- Stagnation of blood in the veins, provoked by a sedentary lifestyle.
- Wearing tight pants, underwear or shorts.
- Congestion caused by constant compression of the perineum.
- Irregular sex life. Sexual intercourse increases blood circulation in the veins of the prostate.
- Alcohol, nicotine, drug addiction.
- Sedentary lifestyle.
Symptoms
Painful syndrome in the lower abdominal cavity.
- Weak urine stream, discomfort during urination.
- Sensation of an empty bladder.
- Sharp intermittent pain.
- Painful syndrome in the lower abdominal cavity.
- Pain in the perineum radiating to the scrotum.
- Decreased libido, weak erection, rapid ejaculation. Morning involuntary erection periodically disappears, or is absent altogether.
- After intimacy, aching pain in the head of the penis may appear, which disappears after about half an hour.
Complications
Violations of potency (irregular erection, impotence, weak ejaculation, or its complete absence, etc.).
Diseases that provoke the development of chronic prostatitis:- Vesiculitis (inflammation of the appendages, seminal vesicles, testicles).
- Violations of potency (irregular erection, impotence, weak ejaculation, or its complete absence, etc.).
- Infertility. The cause may be complications of diseases or psychological problems.
- Cancer of the prostate. The number of free radicals in chronic prostatitis can increase, which can trigger the growth of cancer cells.
- Sclerosis of the prostate. Changing the size and compaction of the tissues of the body affects its work. Regular retention of urine in the bladder, malfunctioning of the urethra are the main causes of pathology.
- Psychological problems. Decreased libido, erectile dysfunction and other signs of chronic prostatitis lead to the fact that a man's self-esteem decreases, and he is in constant stress. The patient may experience depression, nervous breakdowns, irritability, etc.
Diagnostics
If symptoms are present, diagnosing chronic prostatitis is not difficult. With an asymptomatic course of the pathology, in addition to the standard examination or questioning of the patient, the use of additional research methods is required: laboratory and instrumental. It is imperative to determine the state of the patient's immune and nervous systems. 
Questionnaires and questionnaires allow you to get complete information about the patient's health status, pain intensity, urination disorders, ejaculation, erection and psycho-emotional mood.
Laboratory diagnostics
Scraping from the urethra.
Methods of laboratory diagnostics make it possible to determine the nature of chronic prostatitis: bacterial or abacterial, as well as to establish the type of pathogen as accurately as possible. If in the fourth urine sample or prostate secretion, the leukocyte count in the PZ is above 10, chronic inflammation of the gland is confirmed. If bacteria are not cultured with elevated leukocytes, the material is examined for the presence of STD pathogens (Sexually Transmitted Diseases).
- A smear from the urethra is examined in the laboratory for the presence of leukocytes, fungal, viral or bacterial flora.
- Scraping from the urethra is examined by PCR for the detection of pathological microorganisms, sexually transmitted.
- Conduct a microscopic examination of the secret of the prostate. The number of leukocytes, amyloid bodies, macrophages and Trousseau-Lallemand is counted. In addition, an immunological and bacteriological study is carried out, with the help of which the amount of non-specific antibodies is determined.
- Ten days after a rectal digital examination, blood is taken to determine the level of PSA in it. If the level exceeds 4.0 ng / ml, then the patient is prescribed a prostate biopsy to confirm or exclude the presence of a malignant tumor in the gland.
Instrumental diagnostics
Apparatus for ultrasound.
TRUS of the gland allows you to identify the form and stage of the pathology. Ultrasound helps to exclude other diseases, monitor the effectiveness of the therapy used, determine the size of the prostate, the echo structure of the organ, as well as the density and uniformity of the seminal vesicles. Myography and urodynamic studies of the pelvic floor muscles help to identify neurogenic disorders that often accompany chronic prostatitis.
Treatment of chronic prostatitis
Medical
Folk remedies
- Pumpkin seeds. Raw pumpkin seeds are peeled. Use 20 pieces before meals three times a day, for three to four months.
- Camomile tea. It is recommended to cook daily in an amount sufficient for daily consumption. Put 30 g of chamomile in a bowl and pour boiling water (200 ml) over it. After insisting for half an hour, strain, carefully squeezing the flowers. The infusion is divided into equal parts and drunk per day. The tool eliminates pain and relieves inflammation in the male gland.
- 500 ml lime honey. Take 500 g of honey, aloe leaves and red wine. Combine honey, crushed aloe and wine in a glass bowl. Leave in the refrigerator for a week. Drink tincture in a teaspoon before meals.
- Infusion of celandine. Take a drop of juice for half a glass of boiled water. Drink the solution in the morning after breakfast. Increase the dosage by one drop daily. The maximum dose is 30 drops. Then reduce the dosage by one drop per day. At the end of the course, a two-week break is taken, after which the medicine can be taken again.
- Parsley juice. For the treatment of chronic prostate, parsley stems and leaves are finely chopped or ground in a mortar. Put the mass on gauze and strain the resulting juice. Take the medicine before meals, preferably 30 minutes before. The dose of juice per reception is one or two tablespoons. The frequency of administration is three times a day.
- Propolis. Propolis tincture on alcohol is taken for chronic prostatitis for six months. Grate 100 g piece of propolis on a fine grater. Pour the crushed mass with 200 ml of pure medical alcohol. Place the solution in a glass container and store for at least 10 days in a dark place, shaking every three days. Strain the tincture.
Pumpkin seeds.
Chamomile infusion.
Linden honey.
Infusion of celandine.
Parsley juice.
Propolis.
Candles made from propolis reduce inflammation in the gland, relieve pain and restore all the cells of the body. Freeze 7 grams of propolis and finely grate. Melt one hundred grams of goat fat and combine it with propolis. From the cooled mixture, make candles, 1.5 - 2 cm long.
Diet
Proper nutrition with inflammation of the prostate gland is the way to recovery.
You should not go to extremes with chronic prostatitis and exclude any products. Nutrition should be complete so that a man can receive all the necessary vitamins, minerals and nutrients. Dietary restrictions can lead to the fact that the gland will not receive the important elements necessary for its work. The diet of a patient with chronic prostatitis should consist of easily digestible foods so that the body does not spend a lot of effort on digesting food. Forces are needed by the body to fight pathology. It is not recommended to practice fasting without coordinating it with a specialist. Refusal of food will lead to a breakdown, which is unacceptable for a patient suffering chronic form prostatitis. Recommend to spend unloading days. Improper nutrition can disrupt the functioning of the prostate gland, so adjusting daily diet included in the therapy.
Surgical treatment
Surgical intervention is carried out only if the development of pathology poses a threat to the life and health of a man.
Endoscopic intervention – modern method surgical treatment, in which invasive intervention is minimized. Patient recovery is faster. indicated for blockage of the excretory and seminal ducts, sclerosis of the seminal tubercle. The operation is indicated for diagnosing sclerosis of the prostate and seminal vesicle, the presence of calcifications in the gland, adenoma. If during the operation the secret is thick, serous-purulent and viscous, then the gland is completely removed by electroresection, performing spot coagulation of the vessels and installing a trocar cystostomy. With an exacerbation of the pathology, surgical intervention is categorically contraindicated.Physiotherapy treatment
The doctor prescribes physiotherapy for prostatitis, based on factors such as the age of the patient, the form of the disease, and the presence of other serious diseases.
- Thermotherapy- with the help of specific equipment, controlled uniform heating of the male gland and urethra is performed. The procedure is carried out by the transuretal or transrectal method, when heating is carried out through the rectum or urethra. Thermal exposure enhances local arterial and capillary blood flow, increases the number of functionally active capillaries, enhances the protective properties of the body, stimulates the lymph outflow and removal of harmful particles to the maximum, optimizes local metabolism.
- laser therapy- the course of treatment is determined individually, depending on the form and stage of the pathology. On average, five to seven procedures are enough. They act on the organ through the skin or transrectally. Promotes speedy recovery and relief of symptoms.
- Needle ablation- outpatient minimally invasive intervention. Used to eliminate the symptoms of prostatitis.
Other treatments
Prostate massage.
- Prostate massage- helps to cure and prevent the development of the disease. The procedure is performed by a specialist using antiseptics and asepsis to prevent infection from entering the organ. It can cause acute urinary retention and the spread of inflammation (up to sepsis), if hyperplastic changes are observed in the organ. Massage is contraindicated in severe stagnation of blood in the veins, the presence of stones and cysts in the prostate. The best way rid the prostate of stagnant secret - natural ejaculation.
- Gymnastics for the bladder- with a weakening of the muscle tone of the bladder and its sphincter, urinary incontinence is observed. To eliminate these symptoms, special exercises are effective.
- Instillation- drugs are injected into the back of the urethra. To make the procedure painless, local anesthesia is performed. The specialist determines the number of sessions individually. May lead to complications.
Are they drafted into the army with prostatitis?
Prostatitis is not included in the list of diseases that are an obstacle to military service. A man is not subject to conscription only if he must undergo treatment in a hospital at least three times a year according to the testimony of a specialist.How to live with chronic prostatitis
Chronic prostatitis is not a sentence.
Men who regularly undergo treatment for chronic prostatitis lead a normal life. They do not have problems with ejaculation and erection. A man suffering from a chronic form of prostatitis may not limit his intimate life. If there is no discomfort or pain during intercourse, it will only not harm, but it will also be extremely useful! However, it is worth remembering that too active sexual life can lead to an exacerbation of the pathology. If the inflammation of the prostate has not spread to nearby internal organs, there should be no problems with conceiving children. If sperm is released during intercourse, conception is possible. It is advisable to undergo a semen analysis to determine the viability of the sperm.
Prevention
Simple rules for the prevention of chronic prostatitis:- The chronic stage is always the result of late diagnosis, mistreatment, or undertreatment. acute prostatitis. Therefore, you need to regularly undergo a medical examination with a urologist.
- Protect the pelvic region from hypothermia and injury.
- Get rid of nicotine and alcohol addiction.
- To live an active lifestyle.
- Avoid stressful situations.
Chronic prostatitis called inflammation of the prostate gland, which men of all ages face. In most cases, chronic prostatitis is the result of exposure to Trichomonas and other sexually transmitted infections. In itself, inflammation of the gland is not terrible, but in the absence of effective treatment, it can lead to male infertility, impotence.
Chronic prostatitis occupies one of the leading places among the genital pathology of men of reproductive age. And, unfortunately, prostatitis is getting younger and younger. Currently, patients of urologists and andrologists are increasingly becoming men younger than 30 years of age.
What role does the prostate gland play in the body?
The prostate, shaped like a chestnut, is under bladder. It prevents seminal fluid from entering it, and also produces prostate secretion, an important component of sperm.
The most common cause of chronic inflammation of the prostate are infections and sexually transmitted pathogens (for example, Trichomonas). Also, the development of chronic prostatitis is greatly facilitated by a sedentary lifestyle. But prostatitis itself is not so terrible as the fact that this disease is a trigger for the occurrence of more severe diseases - male infertility, prostate adenoma.
The reasons for its appearance of the disease also include:
- frequent hypothermia;
- low immunity;
- hormonal disorders;
- the presence of a person's bad habits;
- injuries of the pelvic organs;
- sedentary lifestyle.
The causes of chronic prostatitis in men can be divided into two types:
- Infections. Enter the body different ways- through the urethra, with the flow of blood or lymph from foci of infection or inflamed organs in one's own body.
- Violation of blood circulation in the prostate gland or stagnation of its secretion that occur in the following cases:
- sexual abstinence for a long time;
- often interrupted sexual intercourse or unrealized excitement;
- defective ejaculation.
Stress, a sedentary lifestyle, and alcoholism can also contribute to chronic prostatitis. Exacerbation of chronic prostatitis is often observed after hypothermia, various infectious diseases, diet errors (too spicy food, alcohol).
The most common symptoms of chronic prostatitis are:
- feeling of discomfort or pain in the inguinal and suprapubic areas, perineum, scrotum, rectum, in the lumbosacral region;
- frequent and painful urge to urinate;
- pain in the lower abdomen (constant or at the time of urination);
- intermittent or sluggish urine stream;
- reduction in the duration of sexual intercourse, worsening of erection, decreased libido, premature ejaculation;
- periodic / permanent absence of morning erection (spontaneous);
- pain of a pulling nature in the head of the penis after ejaculation, which disappears on its own within half an hour.
Many men do not pay attention to the signs of chronic prostatitis, believing that the disease will pass by itself. However, it progresses, causing various complications: pyelonephritis, cystitis, vesiculitis. Over time, against the background of inflammation of the prostate, infertility and impotence develop.
Diagnosis of the disease
To identify the disease of chronic prostatitis in men, laboratory tests are needed. In most cases, this is an analysis of urine, ejaculate and prostate secretion. Also, to detect the disease, an ultrasound of the pelvic organs and the prostate gland is performed, and a digital rectal examination of the prostate will be performed.
Before starting treatment, a bacteriological culture of the prostate secretion will be carried out in the laboratory to determine the sensitivity of your microflora to various antibacterial drugs. Without this, treatment will be ineffective, and may lead to a complication of the disease.
Complications that can be caused by chronic prostatitis.
Running or untreated chronic prostatitis causes a lot of concomitant diseases that seriously complicate the life of a man:
- Vesiculitis - inflammation of the seminal vesicles, often accompanies prolonged abstinence and requires inpatient treatment.
- Abscess of the gland is a severe pathology requiring hospitalization.
- Sclerosis of the prostate - develops with a long course of prostatitis, and requires surgical treatment.
- Cysts and, as a consequence, prostate stones.
Treatment of chronic prostatitis
Treatment of chronic prostatitis should be carried out under the strict supervision of a physician. The best cure for chronic prostatitis is Prostatilen suppositories, as well as numerous antibacterial drugs, alpha-blockers and non-steroidal anti-inflammatory drugs.
Answering the question of how to treat chronic prostatitis, experts talk about antibacterial agents - cephalosporins, protected penicillins, fluoroquinolones. All of them eliminate the cause of the disease - a bacterial infection.
Alpha-blockers are drugs for chronic prostatitis, designed to relax the muscles of the urethra, facilitating the outflow of urine. In fact, they do not have a therapeutic effect, but only eliminate the unpleasant symptoms of inflammation.
Talking about how to cure chronic prostatitis, urologists do not forget to mention anti-inflammatory drugs that reduce the inflammatory process in the tissues of the prostate and reduce pain. The most common NSAIDs are Nimesulide, Meloxicam and Diclofenac.
If anti-inflammatory drugs do not cope with the task, hormonal drugs are connected to them - Prednisolone, Dexamethasone.
Table: Antibacterial drugs used in the treatment of chronic prostatitis
| A drug | Advantages | Flaws | Recommendations for use |
| Fluoroquinols | Excellent penetration into prostate tissue. Good bioavailability. Equivalence of oral and parenteral pharmacokinetics. Good activity against typical and atypical pathogens. |
Cross allergy. Phototoxicity. Influence on the central nervous system. |
Recommended for use. |
| Trimethoprim | Good penetration into prostate tissue. Does not require dosage selection. Good antimicrobial activity. |
Negative against Pseudomonas aeruginosa and enterobacteria. | Second line drug. |
| macrolides | Moderate activity against Gram-positive bacteria. Activity against atypical pathogens. Good penetration into prostate tissue. Low toxicity. |
Insufficient activity against gram-negative bacteria. | |
| Tetracyclines | Good activity against atypical pathogens. | Inactive against Pseudomonas aeruginosa. Insufficient activity against staphylococci, Escherichia coli. |
Used for specific pathogens. |
An effective cure for chronic prostatitis
The most effective medicine for chronic prostatitis, this drug is used individual demand among the potential clientele is Prostatilen. Given medicine is available in the form of suppositories (rectal suppositories) and ampoules (injections), the action of the drug is aimed at strengthening the walls of blood vessels and improving blood circulation at the micro level.
The effect of the use of the drug Prostatilen in chronic prostatitis:
- Improving the functionality of the prostate.
- Reducing congestion, reducing swelling of the internal organ of men.
- Reduction of severe symptoms of chronic prostatitis.
- Normalization of full blood circulation in the pelvic area, reducing the likelihood of blood clots in the blood vessels.
- Decrease in the concentration of leukocytes that infiltrate prostate tissue.
Methods of treatment of chronic prostatitis
In most cases, chronic prostatitis is successfully treated with conservative methods. But it should be remembered that therapy will bring a quick positive result when integrated approach. In addition, it is strongly recommended to reconsider the lifestyle - alcohol abuse, unbalanced diet, sedentary lifestyle and promiscuity, etc.
- prostate massage carried out manually through the anus. It is worth noting that the procedure is not very pleasant, but the effectiveness is very high.
- Physiotherapy procedures. Treatment of chronic prostatitis with thermal physiotherapy gives good results by improving microcirculation and absorption of drugs into tissues. Physiotherapeutic procedures include ultrasonic heating and irrigation with an antibacterial solution using enemas.
- Balneotherapy. In many sanatoriums, chronic prostatitis is successfully treated with balneotherapy methods, that is, with the help of mineral waters. For the treatment of patients with prostatitis, low-mineralized water is usually prescribed both inside and in the form of baths. The most famous balneological resorts where prostatitis is treated are Evpatoria, Saki, Truskavets, Morshyn, Zheleznovodsk.
- Diet therapy. You should start adhering to a special diet already at the first signs of prostatitis. First of all, you should give up alcoholic beverages, since ethyl alcohol irritates the prostate ducts, increasing pain and inflammation. It is also necessary to limit the intake of fatty meat in order to exclude the formation of cholesterol plaques and further deterioration of blood circulation. Legumes, mushrooms, offal, salty and spicy foods, tea and coffee, carbonated drinks, and pastries are prohibited.
The diet for chronic prostatitis should include foods rich in zinc (it is found in seafood and pumpkin seeds). It is recommended to eat as many vegetables as possible (except for those that contribute to gas formation - for example, cauliflower), dairy products, cereals and dried fruits.
Preventive measures
Chronic prostatitis in men usually does not develop if they are often outdoors, play sports. In addition, the prevention of chronic prostatitis is the rejection of bad habits and casual sex.
There are primary, aimed at preventing the occurrence of the disease, prevention and secondary, the task of which is to prevent the recurrence (exacerbation) of existing chronic prostatitis.
Primary prevention comes down to regular sexual intercourse, a balanced diet, adherence to a regimen of physical activity, timely and complete treatment of any infectious (purulent) diseases of the body and timely sanitation of the oral cavity.
Secondary prevention provides for regular examination by a urologist and preventive treatment - multivitamins, restorative drugs, sports.
As a drug for the prevention of prostate diseases, in particular chronic prostatitis, you can use Prostatilen suppositories.
It is a serious problem even for modern urology, since many questions regarding this disease still remain unclear. There is an opinion that chronic prostatitis is a pathology that implies that a person has a whole range of health problems, including tissue damage, functional disorders of the work of not only the prostate gland and urinary tract, but also other male organ systems.
Since there is no single characteristic of the concept of "chronic prostatitis", this negatively affects the diagnosis and treatment of the disease as a whole.
In order to make this diagnosis, a man must have pain in the perineum, in the pelvic area and in the organs of the genitourinary system for at least 3 months (USA, National Institute health). Signs such as urination disorder and detection of bacteria in secret are not prerequisites for making a diagnosis.
In this case, the process of inflammation in the tissues of the prostate gland must be confirmed by the data of histological studies of prostate tissues, or by microbiological analysis of the secret. Ultrasound examination allows you to clarify the nature of changes in the organ.
Epidemiology of chronic prostatitis
Statistics indicate that the disease is extremely common and is in first place among all diseases of the male reproductive system of an inflammatory nature. In addition, this pathology holds a leading position among all diseases that affect young men in general. We are talking about the representatives of the stronger sex up to 50 years. Average age patients - 43 years, while 30% of men until they reach 80 years of age will definitely suffer this pathology.
Up to 35% of all visits to the urologist in Russian Federation due to chronic prostatitis. Often the disease occurs with complications - it can be vesiculitis, dysuria, erectile dysfunction, inability to conceive a child, epididymitis. These and other complications occur according to various data in 7-36% of cases.
The causes of chronic prostatitis are varied. The disease occurs under the influence of infectious agents, while patients have neurovegetative, hemodynamic, immunological, hormonal disorders. It affects the reflux of urine into the prostate lobes, biochemical factors (disturbance of metabolic processes, and in particular salt metabolism), as well as disturbances in the functioning of growth factors responsible for the proliferation of living cells.
Experts identify the following provocateur factors that influence the formation of the disease:
Infections of the genitourinary system (non-compliance with the rules of personal hygiene, lack of a permanent sexual partner, refusal to protect, the presence of an infection in a partner);
Surgical interventions on the prostate without prior preparation with antibacterial agents;
Dysrhythmia of sexual life;
Regular hypothermia;
Bladder catheterization on an ongoing basis;
Physical inactivity.
The role of immunological disorders in the development of the disease should not be rejected. If there is an imbalance of immunocompetent factors, namely cytokines, then this directly affects the work of immunity.
Intraprostatic reflux of urine contributes to the development of chronic non-bacterial prostatitis.
Chronic abacterial prostatitis is associated with neurogenic disorders of the pelvic floor muscles, as well as those elements that are responsible for the functioning of the bladder wall, prostate and urethra.
Pelvic pain syndrome may be due to the fact that a man forms myofascial trigger points, which are located next to the prostate gland and the organs of the genitourinary system. Points that are the result of injuries, surgical interventions and some diseases can lead to pain in the perineum, pubis and nearby areas.
Symptoms of chronic prostatitis
The symptoms of chronic prostatitis are diverse, but the pain and discomfort that occurs in the pelvic area and lasts at least 3 months come to the fore.
In addition, men suffer from erectile dysfunction and urination disorders:
As for pain, they occur mainly in close proximity to the prostate gland, that is, in the perineum, but can radiate to the anus, to the inner surface of the thigh, scrotum, lower back, sacrum and inguinal zone. When pain occurs on one side and radiates to the testicle, most likely this is not a symptom of chronic prostatitis.
Libido suffers, erection does not occur at the moment when there are adequate conditions for this, but although certain sexual disorders are present, complete impotence is not observed.
Another symptom of chronic prostatitis is premature ejaculation. This is typical for initial stages the development of the disease. As the pathology progresses, ejaculation becomes, on the contrary, slow. Orgasm is often dim, devoid of richness and emotional color. The ejaculate loses its qualitative and quantitative characteristics.
The disease is characterized by irritative symptoms (increased urination at night, urgency, pain and burning sensation during bladder emptying, urinary incontinence). Ifravesical obstruction with bladder occlusion is less common.
The disease has an undulating course, the symptoms either weaken or become stronger, but they clearly indicate the presence of inflammation.
The following stages of development of chronic prostatitis can be distinguished:
exudative stage. A man experiences pain in the scrotum, in the groin, in the pubis. Urination becomes more frequent, there may be a feeling of discomfort at the end of intercourse. Erections can hurt.
alternative stage. The pains intensify, are localized mainly in the pubic region, in the groin and are given to the sacrum. Emptying the bladder most often goes without any difficulty, although it may occur more often than usual. Erection does not suffer.
proliferative stage. The stream of urine loses its strength, during an exacerbation of the disease, urination becomes more frequent. The erection is intense, but some slowing down of the reaction is possible.
Scar stage. Prostate tissue sclerosis occurs. In the pubic area, in the sacrum there is a feeling of heaviness. Urination becomes more frequent, the urge disturbs the man not only during the day, but also at night. Ejaculation may be completely absent, erection becomes weak.
One should not expect that the symptoms characteristic of a particular stage will be present in a strictly defined order and will arise in full. They may vary depending on the characteristics of the individual course of the disease. But pain, increased urination and functional erectile dysfunction will gradually increase.
At the same time, many men underestimate the severity of the disease until they encounter it. Meanwhile, studies show that the quality of life of people with this problem suffers no less than if they had suffered, Crohn's disease, or.
The classification of prostatitis was proposed in 1995 in the United States, developed by scientists from the National Institutes of Health:
Acute bacterial prostatitis - type 1 (5% of all diagnosed inflammation of the prostate gland).
Chronic bacterial prostatitis - type 2.
Abacterial prostatitis of chronic course - type 3. This prostatitis is also called chronic pelvic pain syndrome.
Inflammatory form (with a leukocyte jump in the discharge from the prostate) of chronic prostatitis - type 3A. Diagnosed among the total mass of chronic prostatitis in 60% of cases.
Non-inflammatory form (without leukocyte surge) of chronic prostatitis - type 3B. Diagnosed among the total mass of chronic prostatitis in 30% of cases.
Asymptomatic prostatitis - type 4.
Diagnosis of chronic prostatitis
Diagnosis of chronic prostatitis is not particularly difficult when there is a complex of symptoms (pain, urination disorders, sexual disorders). However, it happens that the pathology is asymptomatic, which requires additional research methods, in addition to the standard survey and examination of the patient. These are physical, laboratory, and instrumental methods. Be sure to study the immunological status of the patient, a neurological examination.
In addition, questionnaires and questionnaires have been developed that allow you to clarify the subjective feelings of the patient, give more complete information about the state of his health, about the strength of pain, about urinary disorders, erection, ejaculation, about the patient's psycho-emotional moods.
Often practicing urologists use the prostatitis symptom scale questionnaire developed by the American National Institutes of Health - this is the NIH-CPS questionnaire.
Laboratory diagnosis of chronic prostatitis
Laboratory diagnosis of chronic prostatitis allows you to distinguish between the abacterial and bacterial form of the disease, determine the type of pathogen and set the maximum accurate diagnosis. When the fourth urine sample, or prostate secretion, contains more than 10 leukocytes in the PZ, or bacterial associations, chronic inflammation of the prostate is confirmed in this case. If the number of leukocytes is increased, but the bacteria are not sown, the material should be examined for the detection of chlamydia and other STD pathogens in it.
Discharge from the urethra is sent to the laboratory to detect leukocytes, bacterial, fungal or viral flora, as well as mucus in it.
A scraping taken from the urethra is studied by PCR, which makes it possible to identify pathological sexually transmitted agents.
The secret of the prostate is sent for microscopic examination to count the number of leukocytes, macrophages, amyloid and Trousseau-Lallemand bodies. They also conduct its bacteriological study and immunological study, determine the level of nonspecific antibodies.
10 days after the digital rectal examination, blood is taken to determine the concentration of PSA in it. If the indicator exceeds 4.0 ng / ml, then the patient is recommended to undergo a prostate biopsy to exclude cancer.
Based on the results of the performed studies, a diagnosis is made.
Instrumental diagnosis of chronic prostatitis
Transrectal ultrasound examination of the gland makes it possible to clarify the form of the disease, its stage. With the help of ultrasound, it is possible to weed out other diagnoses, track the effectiveness of the therapy, visualize the size of the prostate, its echostructure (exclude the presence of cysts, stones, sclerotic changes, abscess), the density and uniformity of the seminal vesicles.
Urodynamic studies and myography of the pelvic floor muscles reveal neurogenic disorders and infravesical obstruction, which often accompanies chronic prostatitis.
Tomography, both computed and magnetic resonance, is used to make a differential diagnosis, in particular, with prostate cancer. In addition, these methods make it possible to identify existing disorders in the spinal column, in the pelvic organs.
Differential diagnosis of chronic prostatitis
Differential diagnosis of chronic prostatitis is of no small importance, since there is a risk that a man has a more serious disease.
So, the differential diagnosis is established with diseases such as:
Bladder dysfunction of neurogenic origin, complex regional pain syndrome, functional disorder of the detrusor-sphincter system, pseudodyssynergia;
Prostate adenoma, hypertrophic changes in the neck of the bladder, bladder stricture;
