Chronic prostatitis: causes, signs, methods of therapy, prevention

Chronic prostatitis is a complex pathology of the prostate gland, provoking a violation of the structure and work of the organ. This disease is characterized by pain in the pelvic organs, problems with urination, disorders in the sexual sphere. To cope with the pathology and prevent the occurrence of its relapses, you need to consult a doctor in a timely manner. In difficult situations, it will not be possible to do without surgical intervention.

The reasons

A key cause of chronic prostatitis is infection with bacterial microorganisms. Pathogens can enter the organ through infected urine or travel up the urethra.

In the chronic form of the disease, the infection acts as a provoking factor. Moreover, the disease can persist even after the elimination of bacteria. Primary inflammation of the prostate leads to disturbances in the innervation of the organ and triggers the autoimmune process. As a result, many men are faced with abacterial prostatitis, in which the infection cannot be detected.

It should be borne in mind that bacteria live in the body of every man, but they do not always cause the development of prostatitis.

The emergence of a chronic form of the disease is associated with a number of factors. These include the following:

• Deterioration of the immune system as a result of hypothermia, lifestyle disorders and other factors.
• Congestion in the pelvic organs - circulatory disorders may be associated with chronic constipation, insufficiently active lifestyle.
• Lack of systematic sexual intercourse.
• Chronic infections in the body - sinusitis, tonsillitis and other diseases.
• History of genital infections.
• Inflammation of the genitourinary system.
• Permanent traumatic damage to the prostate gland - they can be associated with increased stress on the muscle tissue of the perineum and other reasons.
• Disorders in the diet.
• Bad habits.

As the pathology progresses, it becomes chronic. This is due to the lack of timely therapy.

Classification

Urologists distinguish several types of prostatitis, each of which is characterized by certain features:

1. Infectious- the cause of the disease is bacterial microorganisms that penetrate the prostate. In most cases, chronic prostatitis is caused by chlamydia. This type of disease often causes reproductive disorders.
2. Non-infectious- it is not possible to establish the exact causes of such prostatitis. Often, the provoking factor is disturbances in the structure of the prostate, which causes compression of the bladder. This provokes frequent urine emissions. In addition, autoimmune damage to organ tissue can be the cause of problems.
3. Stagnant- its development leads to insufficient emptying of the prostate and the accumulation of excess blood. When stagnation occurs, the development of the inflammatory process is observed.
4. Asymptomatic- is not accompanied by any manifestations and does not provoke discomfort.
5. Chronic Pelvic Pain Syndrome- in this case, the inflammatory process is accompanied by constant discomfort in the perineal region.

Symptoms

To cure chronic prostatitis, you need to identify the pathology as early as possible. At the initial stages of development, the disease has an asymptomatic course. Therefore, many men are in no hurry to see a doctor.

With such a diagnosis, the nervous system suffers first of all. The patient has increased irritability, apathy, sleep disturbance, fatigue, general weakness. Often, men with this diagnosis complain of a deterioration in appetite.

In addition, the characteristic symptoms of chronic prostatitis include the following:

1. Frequent urination.
2. Aching pain sensations. They are given to the area of the rectum, perineum and groin. Also, many men experience constant discomfort in the scrotum and head of the penis. Often there is a pain syndrome in the sacrum area.
3. Pain when urinating. Particularly severe discomfort is felt at the beginning and end of the emptying of the bladder.
4. Trembling and excessive sweating. This is due to the fact that the prostate is part of the endocrine system.
5. Skin discoloration. This occurs locally - in the projection of the area of pain.
6. Allocation of a small amount of secretion from the penis. This is due to the weakening of the tone of the prostate. When the diseased gland is strained, it cannot hold a certain part of the contents.
7. Sexual Disorders. Chronic prostatitis has problems with erection and ejaculation. With a decrease in testosterone synthesis, a loss of libido is observed.

Any signs of chronic prostatitis are grounds for seeking medical attention. If this is not done in time, it will not be possible to cope with the pathology.

Diagnostics

To identify the pathology, the help of a urologist is needed. The specialist will perform the following procedures:

• Patient interview- will help to identify pain and discomfort.
• Palpation of the prostate- carried out through the anus.
• Groin examination- allows you to detect rash, skin irritation, secretion.
• Collection of prostate secretions.

These manipulations provoke tangible discomfort, and sometimes cause pain. However, they are very important in determining an accurate diagnosis.

In addition, to detect chronic prostatitis, you need to pass the following tests:

1. bacteriological examination of urine;
2. clinical analysis of urine;
3. three-glass urine sample;
4. urethral smear;
5. scraping - helps to identify the causative agent of the disease.

Hardware tests are an obligatory part of the diagnostics:

• Ultrasound of the prostate - helps determine the size of the gland, identify tumor formations or cysts;
• Uroflowmetry - allows you to assess the rate of urine excretion;
• CT scan;
• Biopsy.

Treatment

It is very problematic to completely eliminate chronic prostatitis. This is due to the fact that many men go to the doctor too late. But with complex therapy, it is possible to achieve a stable remission.

To cope with the disease, you need to choose a whole range of methods that affect the inflamed focus. To choose a treatment regimen for chronic prostatitis, you need to take into account the following features:

• the patient's age;
• symptoms of the disease;
• stage of inflammation;
• the state of the immune system.

If the chronic form of the disease has caused complications, the doctor may recommend surgery. However, most often, the therapy of the disease includes the following components:

1. taking antibiotics;
2. normalization of blood flow in the pelvic organs and elimination of edema in the prostate;
3. symptomatic therapy;
4. the use of anti-inflammatory drugs;
5. the use of folk recipes;
6. correction of the diet.

A complete treatment course helps to achieve stable results and improve the patient's condition. However, the effectiveness of therapy largely depends on the patient's mood.

Drug therapy

If the cause of the pathology is bacterial microorganisms, doctors must prescribe antibacterial agents. They must be taken until the level of pathogenic bacteria normalizes. Quite often it takes a long time.

It should be borne in mind that with a non-infectious form of the disease, the use of antibiotics is strictly prohibited. They will cause serious harm to the body and cause immunodeficiency.

When choosing a specific drug, the doctor should take into account the following features:

• composition of pathogenic microflora;
• the risk of unpleasant consequences;
• the body's sensitivity to drugs;
• duration and methods of application;
• the possibility of combining drugs with other methods of therapy.

Symptomatic treatment for chronic prostatitis depends on the manifestations of the disease. The clinical picture may differ depending on the form of the disease.

However, inflammation of the prostate is always accompanied by urinary disorders. In these situations, patients are prescribed alpha blockers. Such funds ensure the normalization of the genitourinary organs.

An essential part of therapy is strengthening the immune system. To prevent autoimmune aggression, immunomodulators are often used. To increase the body's defenses, products containing zinc or echinacea can be used. It is also helpful to take pumpkin seeds. All these substances successfully cope with pathogenic bacteria.

In addition to such therapy, vitamin complexes are necessarily prescribed. Such funds start the process of cell repair and increase resistance to pathogenic bacteria.

Anti-inflammatory therapy involves the use of drugs to fight inflammation.Most often, rectal suppositories are prescribed, which include the following components:

• Morpholinium-methyl-triazolyl-thioacetate - helps to normalize tissue repair;

• Ichtammol - helps to improve blood flow;
• Propolis - suppresses the inflammatory process and helps to strengthen the immune system.

With an increase in temperature parameters, NSAIDs can be used. These funds are highly effective.

Physiotherapy

Physiotherapy methods for the treatment of chronic prostatitis can quickly improve the patient's condition and obtain stable results. There are many effective methods that benefit from this diagnosis. The main ones are listed below.

Thermal impact

Under the influence of warm water, it is possible to relieve inflammation of the affected tissues.Therefore, men with such a diagnosis are advised to systematically take warm baths.It should be borne in mind that the water should not be too hot.

Medicinal plants or sea salt can be added to the water. To stop inflammation and cope with pain, decoctions of calendula or chamomile are suitable. Sage also has an excellent effect.

During the procedure, blood circulation improves, pus is removed and metabolic processes are restored. People with such a diagnosis need to systematically take such baths.

Electrotherapy

In this case, an electrical effect is used to combat prostatitis. The most effective method is electrophoresis. Also, doctors often prescribe inductothermy of the perineal zone. With the help of this effect, it will be possible to cope with the discomfort in the prostate in about 70% of cases.

It is important to take into account that the therapy of chronic pathology will not give quick results. In some situations, physiotherapy treatment takes several weeks or even months. However, the result is worth it. Therefore, it is so important to strictly adhere to medical recommendations and not to stop treatment ahead of time.

Laser therapy

Numerous studies have confirmed the effectiveness of the use of laser exposure in the fight against pathology. The technique does not take much time and does not cause pain.

This treatment is performed when the bladder is half full. This will help to flush out the prostate secretions in the urine. During the procedure, the patient should lie on his back and relax. Through a layer of gauze, a laser effect is exerted on the perineum. This is done through the skin or intrarectally.

Other methods

There are many other techniques that can help you achieve great results:

1. Ultrasonic exposure.Under the influence of high-frequency vibrations that cannot be heard, it is possible to successfully cope with prostatitis. They also help with prostate adenoma;
2. Phonophoresis.In this case, the therapeutic effect is achieved through a combination of the effect on the body of ultrasound exposure and medications that are administered during the procedure;
3. Magnetotherapy.A constant magnetic field can be applied to eliminate chronic inflammation in the prostate. A low frequency field is also often used;
4. Microwave therapy.In this case, a high frequency electromagnetic field is applied;
5. Darsonvalization.In such a situation, a pulsed current of high frequency and voltage is applied;
6. Galvanization.When using this technique, the therapeutic effect is achieved due to the action of a direct current of low voltage and low frequency;
7. UHF.With this method, the capacitor plates are brought to the damaged tissue. The therapeutic effect is achieved through the action of an electric field.

Folk recipes

To make the traditional therapy of the disease more effective, you can use effective folk recipes. The most effective means include the following:

• Pumpkin seeds.At the first manifestations of the disease, you need to start eating 30 seeds per day. A great option would be balls made from honey and pumpkin. To do this, 500 g of raw seeds must be crushed with a meat grinder and mixed with 200 g of honey. Make balls the size of a medium hazelnut from the composition. You need to eat 1-2 balls daily.
• Pumpkin flour.The seeds need to be chopped with a blender. As a result, they should acquire the consistency of a powder. Consume 2 large spoons 30 minutes before meals. Drink the composition with water. This is one of the most effective treatments for prostatitis. To prevent relapses of the disease, you need to take 1 course during the year.
• Aspen bark.In order for it to give the desired results, it is important to properly prepare the raw materials. The bark should be harvested at the end of April before the first leaves appear. The composition must be well dried and crushed. Then take a dish with a capacity of 1 liter and fill it by a third with bark. Fill the remaining space with water. Insist 2 weeks, then strain well. Drink 1 large spoonful of infusion 3 times a day.
• Curly parsley.For the treatment of chronic prostatitis, the seeds and root of the plant are used. It is also very beneficial to consume parsley juice. This should be done 30 minutes before meals. Some people grind the seeds of the plant into a powder. Then they should be poured with boiling water and kept on the stove for another quarter of an hour.
• Garlic.To make a medicinal tincture, you need to take 5 cloves of garlic, add 500 ml of boiling water and leave for a day. Then filter the composition and drink 50 g. This should be done every day before meals.

In order for folk remedies to bring the desired results, you must adhere to the following recommendations:

1. During the period of therapy, lead a healthy lifestyle;
2. Homemade recipes are very useful to complement with massage;
3. Be sure to tune in for a long period of therapy;
4. Do not be afraid of side effects. Most of the ingredients in such products successfully cleanse the body and remove harmful substances from it.

If unpleasant symptoms appear during the period of therapy, you should definitely consult a doctor. The course of treatment usually lasts a month. In some situations, longer therapy may be required. It is very important to complete the treatment.

Physiotherapy

The key reason for the development of prostatitis is the violation of blood flow in the pelvic organs. This is what becomes the provoking factor of stagnation. To improve blood flow, you need to activate it through physical activity. This is the most effective method for treating congestive prostatitis. With a bacterial infection, exercise is unlikely to bring tangible results.

To eliminate the symptoms of chronic prostatitis, it is helpful to do the following exercises:

1. Squats.This is one of the most effective therapies. You need to squat deeply - only this will give tangible results. You need to do 100 of these exercises per day. If it is difficult to do this right away, you can divide the movements into 3 approaches. With the appearance of pain in the legs on the next day, one can judge about the weakness of the muscle tissues of the legs and unsatisfactory blood flow in the pelvic organs.
2. Scissors.Each leg needs to make 20 such movements.
3. Raising the legs.This exercise should be done while lying on your back. Up to 20 repetitions must be done at a time.

Massage is an effective method of combating prostatitis. It needs to be done several times a day. Thanks to this, it will be possible to cope with stagnation in the gland.

Surgical intervention

This method of therapy is used in extreme cases, when other methods do not allow you to cope with the disease. To combat chronic prostatitis, a special instrument is inserted through the urethra. With its help, part of the affected tissue is removed. Usually, with this diagnosis, transurethral resection of the prostate is used.

Thanks to this, it is possible to cope not only with chronic prostatitis. This technique is actively used to combat organ adenoma. In more complex situations, it is impossible to do without an open operation. In this case, after surgery, the patient will have scar defects on the skin.

Food

To eliminate chronic prostatitis, it is very important to eat right. With such a diagnosis, overeating and eating foods that do not go well with each other should be avoided. It is best to give up coffee, fatty meats, canned and pickled foods.

Alcoholic beverages also have a negative effect on prostate health. If you want to avoid constant exacerbations of the disease, you need to completely abandon the use of alcohol.

Complete smoking cessation is also important.Nicotine has a very bad effect on all organs, and the prostate is no exception.To cope with pathology, you need to eat right and walk more in the fresh air.

It is very important to make adjustments to your diet. Instead of fatty meats and sausages, you should eat a lot of fruits and vegetables. They have excellent taste and are of great benefit to the body.

Such nutrition reliably protects against harmful bacteria, which often cause inflammation in the genitals. After a few days of such nutrition, the state of health will noticeably improve.

Possible complications

If you do not start the therapy of pathology in time, it can cause dangerous complications. The main consequences of chronic prostatitis include the following:

1. Erectile dysfunction.In a man, the production of ejaculate decreases or its complete absence is observed. Potency also seriously deteriorates.
2. Violation of urination.
3. Cystitis.
4. Acute urinary retention.
5. Bladder strictures.In this case, the man cannot urinate at all.
6. Hemorrhoids.
7. Oncology.Such diseases develop with prolonged presence of chronic prostatitis.
8. Disturbances in the work of the nervous system.Many people face depression, excessive fatigue, and increased irritability. Also, men often experience a state of apathy.
9. Cicatricial lesions of the prostate. The inflammatory focus provokes a violation of the structure of the gland. Gradually, the tissues are replaced by scars. As a result, the work of the organ is seriously disrupted. These changes are called fibrosis.
10. Damage to the entire reproductive system.With advanced prostatitis, there is damage to the testicles and inflammation of the appendages. Vesiculitis often develops, which is a lesion of the seminal vesicles. As a result of these processes, reproductive functions are greatly reduced, and infertility develops in a person.

Prophylaxis

To avoid exacerbations of chronic prostatitis, you need to adhere to the following recommendations:

• Avoid hypothermia, do not sit on cold surfaces;
• Visit a urologist annually for examination;
• Do not tolerate the urge to urinate;
• Refuse alcoholic beverages during an exacerbation of the disease and do not consume a lot of alcohol during remission;
• If you need to sit for a long time every hour, do a warm-up - it should last at least 5 minutes;
• Have an active sex life, avoid long breaks;
• Use a prostate stimulant;
• Avoid injury to the perineum;
• Fight constipation.

Chronic prostatitis is a rather complex pathology that negatively affects a man's sexual activity and seriously impairs his quality of life. To cope with this violation, you need to consult a doctor in a timely manner and strictly follow all his recommendations. Only in this case it will be possible to obtain noticeable results.

Testimonials

Numerous reviews on the treatment of chronic prostatitis indicate that this disease can and should be fought.

• "When symptoms of prostatitis appeared, I did not immediately go to the doctor. All hesitated to say about his delicate problem. As a result, I had very serious problems that had to be solved for a long time. After about six months of complex therapy, I underwent a second examination. I am very glad that there is no trace of prostatitis. "
• "Prostatitis is a very unpleasant problem. It all started with severe hypothermia, pain in the lower back and in the prostate, discomfort when urinating. I endured for a long time. When I went to the doctor, I was already diagnosed with chronic prostatitis. It cannot be completely cured. Therefore, therapy was aimed at achieving stable remission. I want to tell all men not to delay the visit to the urologist. "
• "My husband was diagnosed with chronic prostatitis a year ago. This is a very serious medical condition that affects the quality of life and sexual activity. It took a long time to be treated. After about a few months of therapy, the situation improved markedly. However, it was not possible to completely cure the disease ".