Chronic prostatitis is an inflammatory process that affects the tissues of the prostate, leading to its failure to function properly. The disease is one of the most common disorders in the work of the male genital organs.
The risk group is the male population aged twenty to forty years during their peak labor, reproductive and sexual activity. Almost every tenth man faced such a sexual problem at least once in his life.
Chronic prostatitis is characterized by alternating periods of exacerbation and remission of the symptoms of the disease. Among the signs of such a disease, many other problems are appropriate not only with the genitourinary system, but also with other internal organs. Therefore, when they occur, it is important to immediately consult a qualified doctor for diagnosis.
Chronic prostatitis develops over a long period of time. Very often this disorder occurs without any manifestation of symptoms or with a slight expression of them and is diagnosed during a casual examination. It is difficult to treat, there is a possibility of frequent relapses.
etiology
Ways of infection:
- directly through the urethra;
- with a stream of infected urine;
- with the movement of blood or lymph;
- Transmission of infection through neighboring organs.
In every male body there are pathogenic microorganisms that can provoke the progression of prostatitis. Despite this, not all men have such a dangerous and unpleasant disease. This means that not only the pathogenic microflora, although it is the main cause of the development of pathology, but also favorable conditions are required for its activation. For the course of the disease there are the following favorable factors:
- sedentary working conditions and a sedentary lifestyle;
- frequent change of sexual partners;
- premature cessation of sexual intercourse as a contraceptive;
- prolonged abstinence from sexual intercourse;
- tight underwear;
- hypothermia;
- other inflammations of the genitourinary system;
- all types of prostate injuries;
- Bad habits;
- too greasy and high-calorie food;
- constant stress.
sorts
In medicine, the following classification of chronic prostatitis is common:
- infectious process caused by a bacterium;
- the disease is not bacterial in nature;
- asymptomatic (regardless of the infectious process);
- stagnates. It arises from prolonged sexual abstinence.
According to the stages of development, chronic prostatitis is divided into:
- exudative - accompanied by pain in the groin, scrotum, ejaculation is accelerated;
- alternatively - the same signs are observed as in the previous stage, but with a slight addition in the form of frequent urges to urinate;
- proliferation - ejaculation slows down and the intensity of the stream of urine decreases;
- Scar changes - all of the above signs are inherent.
symptoms
Chronic prostatitis is manifested by the following symptoms:
- pain and discomfort in the pelvic area, groin, inner thighs that lasts for three months or more;
- frequent urge to urinate;
- sharp pain at the end of the need;
- painful erection;
- sometimes complete absence of ejaculation;
- sleep disturbance;
- decrease in working capacity;
- itching, feeling cold, or excessive sweating of the perineum;
- discoloration of the skin in the groin area;
- decrease in sexual desire;
- nocturnal erections;
- loss of appetite;
- Irritability;
- constant feeling of tiredness;
- slight increase in body temperature.
complications
Chronic prostatitis often does not manifest itself with any signs, which is why the patient is unaware of the problem and timely treatment is not provided. All of this can lead to a number of complications.
Complications can be:
- male infertility;
- Impotence;
- urinary incontinence;
- cysts in the prostate;
- Cancerous tumors of the prostate.
diagnosis
Diagnosing such a disease is not difficult for a urologist. The doctor does:
- questioning the patient about pain or discomfort;
- general groin examination for rashes, discharge, or irritation;
- digital examination of the prostate (through the rectal opening);
- Collection of prostate secretions.
These procedures are quite uncomfortable and sometimes painful, but the most acceptable for diagnosing such a disease.
In addition, the patient must submit:
- general urinalysis;
- swab from the urethra;
- urine for bacterial research;
- three-glass urine sample;
- Scratching to determine the causative agent of the disease.
The hardware diagnosis consists of:
- Ultrasound of the prostate - to determine the volume of the prostate, the presence of tumors or cysts;
- Uroflowmetry - to determine the rate of urine outflow. In a healthy state, the movement is - fifteen milliliters per second, with chronic prostatitis - less than ten;
- CT;
- Biopsy.
Without all of the above diagnostic methods, the doctor cannot determine how to treat chronic prostatitis.
treatment
Chronic prostatitis, while difficult to treat, is still possible, especially if caught early.
Treatment of this disease consists of several stages:
- Antibiotic therapy, which usually lasts several weeks, possibly longer;
- Course of therapeutic massage of the prostate - consists of fourteen visits to the doctor;
- elimination of spasms of the prostate, stagnation of urine and outflow of secretions from the gland with the help of certain groups of drugs that can only be prescribed by a specialist;
- Physiotherapy consisting of microwave and laser therapy, various ultrasound procedures, fango therapy and enemas with water enriched with minerals and hydrogen sulfide;
- herbal medicine. A good effect has the use of essential oil from pumpkin seeds;
- surgical medical procedure that is only addressed in the case of changes in the size of the urethra, abscesses or prostate adenomas.
Chronic prostatitis can be treated at home with folk remedies, but only in combination with the above methods. Such therapies can relieve pain when symptoms appear and prevent the disease from recurring.
At home, the course of the disease can be mitigated by:
- mixtures of honey and crushed pumpkin seeds;
- freshly squeezed cucumber, beet and carrot juices. Use them at least five hundred milliliters a day;
- Pear compote;
- decoction of parsley roots;
- shell of ripe chestnuts;
- infusion of celandine;
- Coniferous baths lasting no more than twenty minutes a day.
Also, a special diet will help speed up the recovery process and ensure the reduction or complete rejection of certain foods:
- fatty and rich meat, fish and mushroom broths;
- hot sauces and condiments;
- onion, garlic, horseradish, radish, chili pepper;
- Legumes;
- cabbage;
- Milk and milkproducts.
preventive measures
To prevent chronic prostatitis, men should follow a few simple rules:
- If possible, avoid severe and prolonged hypothermia of the body.
- try to warm up with sedentary or sedentary work every two hours;
- in case of constipation, use special means with a laxative effect;
- Wear only comfortable clothing that is not too tight. This is especially true for underwear;
- having sex without frequent partner changes;
- get rid of long abstinence from sexual relations;
- timely consult a doctor if you suspect the presence of diseases of the genital organs of any kind;
- Lead a healthy lifestyle and give up all bad habits.
- Normalize the type and composition of the food eaten. It is better to eat small meals five or six times a day. Introduce a large amount of fresh fruits, vegetables and meat into the diet.
- do physical exercise every day.
The implementation of such simple recommendations will save a man from the appearance of such a problem as chronic prostatitis. After all, avoiding it is much easier than curing it.