Experts call the prostate gland the most vulnerable organ in men. The most common inflammation of the prostate, causing the patient a lot of discomfort. If the inflammatory process lasts more than 3 months, we can talk about the chronic form of the disease. The problem of how to treat chronic prostatitis is faced by every third representative of the stronger sex. It is possible to cure the disease, but this will require qualified medical assistance. You should not delay the complex treatment of a chronic disease, because it provokes the appearance of adenoma and prostate hyperplasia, as well as a decrease in erectile function.
What is meant by diagnosis
Usually, men are not inclined to listen to their own well-being, so the inflammatory process in the prostate gland takes on a protracted form. The danger of the disease lies in the fact that it can be completely asymptomatic. First, urethritis develops, and if you do not seek medical help, complications cannot be avoided. Over time, chronic prostatitis is formed in men, the symptoms and treatment of which are individual. Forms of chronic prostatitis:
| Name | Diagnostics |
|---|---|
| infectious | It occurs due to damage to the prostate gland by viruses, fungus or bacteria. It is revealed by means of a laboratory analysis of blood and urine. |
| stagnant | It proceeds with pain in the pelvic area, most often it is chronic. Symptoms of a congestive form are sometimes similar to signs of an inflammatory process. |
| Asymptomatic | There are no clinical manifestations of inflammation, which is why a man may not see a doctor for a long time. It is possible to identify the disease only when examining the prostate gland. |
Many men are diagnosed with congestive chronic prostatitis (non-infectious etiology). Inflammation in this case affects the secret of the prostate and veins.
Reasons for the appearance
The causes of chronic prostatitis are varied:
- Prolonged abstinence from intimacy or too active sex life;
- The presence of several perineal injuries (when riding or cycling);
- Irrational menu (lack of nutrients and excess of fried, fatty and smoked foods);
- Repeated infection of the genital organs;
- Reduced immunity;
- Diseases of the urogenital organs;
- Inactive and sedentary lifestyle;
- Too tight and tight underwear;
- Coitus interruptus;
- Phimosis in history;
- Anal sex without additional protection (condom).
The disease affects both the elderly and men of middle and even young age:
- With an inactive sexual life, prostatitis occurs due to stagnation of the secretion of the prostate gland.
- Athletes are at risk because they lift weights and are prone to microtrauma of prostate tissue.
- Drivers of long-distance flights suffer from stagnation of blood in the pelvic organs.
- Fans of winter fishing are at risk due to constant hypothermia of the body.
Among the common male diseases, chronic prostatitis is about 20%. Every fifth patient who consults a doctor suffers from a chronic form of the disease. The disease is "getting younger" because modern guys are promiscuous, not thinking about their own safety. In order not to puzzle over how to get rid of chronic prostatitis, it is enough to take care of elementary protection against sexually transmitted diseases.
It is worth thinking about the fact that the chronic form of the disease leads to a violation of the erection of the penis and a decrease in sexual satisfaction during ejaculation. On this basis, fear of intimacy, irritability, self-doubt begin. All this further leads to neuroses on sexual grounds.
Ways of infection
Doctors note two ways of infection with an infectious form of prostatitis:
- Urinogenic (ascending). Specific microorganisms through the urethra enter the prostate. The secret of the prostate gland is normally sterile, no bacteria will be detected during the examination. There are cases when microorganisms live in the body of a man, but their concentration is not enough for the development of the disease. If the microflora is disturbed, infection of the organ begins, which entails the development of inflammation. Do not exclude the risk of infection and damage to neighboring organs, when a man suffers from hemorrhoids or cystitis. In this case, dangerous microorganisms enter the prostate through the lymphogenous pathway.
- Hematogenous. The causative agent of infection enters the prostate through the bloodstream. The diseases that can provoke this type of infection are varied: acute influenza, caries, etc. If in parallel there is venous congestion in the prostate gland, there is a high risk of chronic prostatitis, the treatment of which will take a long time.
Urologists identify two predisposing factors that lead to hematogenous infection:
- Congenital. Anatomical features of the prostate, including changes in the structure of muscle tissue or disorders in the circulatory system.
- Acquired. The causes of chronic prostatitis include trauma to the genital organs, craving for alcohol, prolonged smoking, a history of infectious diseases and frequent hypothermia.
The danger of ignoring the disease lies in the fact that at this stage the symptoms of chronic prostatitis in men are most often absent or insignificant. The patient believes that the disease can be cured with the help of folk remedies, but these methods are ineffective. Treatment regimens are made only by a specialist after a thorough examination and collection of the necessary information.
Warning Signs
Symptoms of chronic prostatitis are different, depending on the stage of the disease and its form:
| The form | signs |
|---|---|
| Bacterial (infectious) | Feeling of weakness, chills, fever, muscle pain, pain in the lower abdomen (may be aggravated by intercourse and prolonged abstinence), pain when urinating, weak jet pressure when urinating, frequent urination at night. Pain can be observed in the thighs, perineum and rectum, which is why signs of chronic prostatitis are mistaken for hemorrhoids. |
| Bacterial specific | All of the above signs are observed, to which may be added discharge from the urethra, resembling mucus. |
| abacterial | The symptoms of congestive prostatitis are hard to ignore because of the intense pain. It is localized in the perineum and thighs. Discomfort is felt in the head of the penis. The pain is aggravated by the interruption of sexual intercourse, as well as by prolonged abstinence from intimacy. |
The consequences of chronic prostatitis depend on the duration of the disease:
- Adenoma;
- Oncology;
- Sclerosis of the prostate and bladder neck;
- Erectile dysfunction;
- Infertility;
- Decreased testosterone levels.
The danger of the disease lies not only in the fact that prostatitis can be confused with another disease. If the acute phase passes, the symptoms of chronic prostatitis disappear and treatment is not carried out. The man no longer worries about his health and does not go to the doctor. However, there comes a time when the signs begin to seriously annoy and interfere with normal life, but the disease has already passed into a protracted phase. Treatment of congestive prostatitis will take much longer if the diagnosis of the disease was not at the first stage.
Diagnosis
Symptoms of other diseases are very similar to those of chronic prostatitis. Is it possible to cure the disease without examinations? It is unlikely, because only an accurate diagnosis will determine the form and stage of development of prostatitis. Discomfort can be caused by:
- tuberculosis;
- adenoma;
- Tumor.
Only a complete examination can confirm or exclude the diagnosis. There are two types of research:
- Instrumental;
- Laboratory.
After talking with the patient and taking an anamnesis, the urologist or andrologist will ask you to take a series of tests:
- General urine analysis;
- General blood analysis;
- Analysis of prostate secretion;
- Blood test for PSA.
A urine sample is taken three times to obtain more accurate data on the change in composition in it:
- epithelial cells;
- Leukocytes;
- Pathogenic pathogens of infections;
- Nonspecific bacteria.
Doctors know what chronic prostatitis is and how difficult it is to diagnose. The modern method of transrectal ultrasound (TRUS) allows you to do this accurately:
- A device with an ultrasound probe is carefully inserted into the patient's anus.
- Since the prostate is tightly attached to the wall of the rectum, the specialist has a good opportunity to study the prostate gland in detail and make an accurate diagnosis.
Conventional ultrasound allows you to determine the change in the density of the prostate, its size, the presence of fibrous foci, abscesses and calculi.
Before curing chronic prostatitis, the doctor must double-check the diagnosis. In case of the slightest doubt, he can refer the patient to an MRI or CT scan to rule out the presence of a tumor focus. If a man has infravesical obstruction, an x-ray will be needed to determine the cause of the disease.
Conservative treatments
The treatment regimen for chronic prostatitis is prescribed only by a professional urologist and is selected individually. The doctor takes into account the cause of the disease, the duration of the disease and such a factor as an aggravating pathology. If congestive or infectious prostatitis is at an early stage, treatment may be with medication:
- Antibiotic therapy. Prostatitis is curable with antibacterial drugs if the bacterial agent is detected in prostate secretions or urine. The inflammation should be pronounced. The course lasts no more than 2 months, and the price of chronic prostatitis treatment depends on the drugs prescribed. The dosage of each drug is prescribed individually, and self-medication is fraught with complications. Reviews after treatment of prostatitis with antibiotics are not always positive, but there are reasons for this. Sometimes the symptoms persist at the end of the course, although the infection was defeated.
- Elimination of symptoms. For the treatment of chronic prostatitis in men, drugs are often used that stop pain. The course of therapy may also include the use of antidepressants to reduce anxiety levels.
- Alpha blockers. A course of these medications is prescribed if the doctor has diagnosed bladder muscle hypertonicity or increased intraurethral pressure. However, the drugs are ineffective if the patient has pelvic floor myodystrophy or impaired muscle innervation.
- hormone therapy. It is carried out on the basis of the results of a hormonal examination. Androgens and antiandrogens are used.
- Vitamin therapy. With irrational nutrition, the deficiency of nutrients is replenished due to the vitamin-mineral complex. Experts do not recommend replacing it with popular dietary supplements, since "dummies" will not help in any way.
- Normalization of uric acid levels. Methods of treating chronic prostatitis with the help of regulators are effective only in the presence of stones in the prostate gland.
- Immunostimulants. Prostatitis is treated in this way only with laboratory-proven immunodeficiency.
Answering the question whether chronic prostatitis is curable, we can safely say that recovery comes quickly with a correctly prescribed complex.
Operative method of treatment
Usually the disease does not require surgical intervention, except when the complication poses a threat to the health and even life of the patient. Modern surgery practices endoscopic intervention in order to reduce the risks and damage to health. Surgery is indispensable for:
- adenoma;
- Sclerosis of the seed tubercle;
- Stones in the prostate;
- Sclerosis of the prostate.
Effective treatment of chronic prostatitis allows you to do without surgery if a man seeks medical advice on time. Do not forget that at the stage of exacerbation of the disease, surgical intervention cannot be performed. The need for such a cardinal method of treatment is determined only by the surgeon after studying the overall clinical picture.
Other treatments
Often, men are worried about whether chronic prostatitis can be cured in a non-drug way. The doctor can really prescribe other methods:
- Massage. Do not forget about contraindications and the fact that only a small area of the prostate is available for massage. If there are hyperplastic changes in the prostate gland, a course of massage can lead to acute urinary retention. This, in turn, provokes the further spread of inflammation and the development of sepsis. Massage is also prohibited in the presence of venous stasis, prostate cysts and stones in the prostate gland. If you need to get rid of a stagnant secret, it is better to free the prostate naturally through ejaculation.
- Special gymnastics. It is used to strengthen the bladder and lengthen the intervals between urination. Improving the tone of the sphincter and bladder allows you to set a break between urges to the toilet up to 5 hours. Gymnastics is ineffective for neurodystrophic changes and myofascial syndrome.
- Muscle stimulation. With a reduced tone of the pelvic floor muscles, magnetic therapy, phonophoresis, transrectal ultrasound or electrical stimulation are used.
- Instillation. It is practically not used in modern medicine, since the infusion of medicines into the urethra is accompanied by pain and does not cure prostatitis. The consequences of such treatment can be disastrous.
It is more expedient to ask an andrologist or urologist about how to treat congestive prostatitis with folk remedies. Popular videos on the Internet are full of videos about the qualitative use of alcohol tinctures and pumpkin seeds, but no method can replace drug therapy. How much the disease is treated is also determined only by the doctor, and not by the heroes on YouTube.
Useful exercises
A simple set of exercises will improve blood microcirculation in the pelvic area. They can be performed in the morning instead of the usual exercise:
- Fix the legs shoulder-width apart, raise your arms up and connect at the back of the head. Inhale - slowly sit down and spread your knees to the sides, exhale - return to the starting position.
- Connect the legs together, hands freely lower along the body. Bend your left leg at the knee, lifting it as high as possible. Repeat the same with the right leg. Run 10 approaches.
- Squat down, palms down. Inhale - slowly rise, spread your arms to the sides. Exhale - return to the starting position.
- Lie on your stomach, after placing a small ball under it (no larger than a tennis ball). Focus on the floor and roll the ball on the floor with your stomach. Run 7 approaches.
- Lie on your back, bending your knees. Clamp the ball between them. Inhale - squeeze your knees, exhale - relax. Do 3 sets, eventually increasing the number of repetitions up to 9 times.
- Sit on the floor, focusing on your hands. Place a ball under your buttocks. Try to roll it on the floor with the help of the buttocks and genitals.
Help in the fight against the disease and Kegel exercises, which are useful not only for women, but also for men.
Likely Forecasts
Instead of looking for information on how to live with chronic prostatitis, it is more useful to make an appointment with a specialist. With timely access to a doctor and a reasonably selected course of therapy, you can improve your health. The question of whether chronic prostatitis can be completely cured cannot be answered unambiguously. It all depends on what methods the doctor prescribed, and how accurately the patient follows his recommendations.
Experts are very cautious in making predictions regarding the further course of the disease. Is chronic prostatitis treated with a guarantee? Complete recovery was noted only in rare cases, since most often the disease goes into the form of a protracted remission. Normalization of urine and blood parameters is noted, symptoms completely disappear. However, without following the advice of a doctor, the disease can again cause discomfort and complications.