Chronic prostatitis is an inflammatory process that affects the tissues of the prostate gland and leads to failure of its full function. The disease is one of the most common disorders of the male genitalia.
The risk group is the male population from twenty to forty years of age, during the peak of childbirth, reproductive and sexual activity. Almost every tenth man at least once in his life experienced such a sexual problem.
Chronic prostatitis is characterized by alternating periods of exacerbation and remission of the symptoms of the disease. Under the signs of such a disease, many other problems are suitable not only with the urogenital system, but also with other internal organs, so when they occur, it is important to immediately consult a specialist doctor for diagnosis.
Chronic prostatitis develops over a long period of time. Quite often, this disorder occurs without the manifestation of symptoms or with their slight expression and is diagnosed during a random examination. It is difficult to treat, there is a possibility of frequent relapses.
Rationale
Routes of infection:
- directly through the urethra.
- with flow of infected urine.
- with the movement of blood or lymph.
- transmission of infection from neighboring organs.
In every male body there are pathogenic microorganisms that can cause the development of prostatitis. However, 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 the pathology, but favorable conditions are required for its activation. There are the following favorable factors for the progression of the disease:
- sedentary working conditions and 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 urogenital system.
- all types of prostate injuries.
- Bad Habits;
- very fatty and high-calorie foods.
- constant stress.
varieties
In the medical field, 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).
- stationary. It results from prolonged sexual abstinence.
According to the developmental stages, chronic prostatitis is divided into:
- exudative - accompanied by pain in the groin, scrotum, ejaculation accelerates.
- alternative - the same signs are observed as in the previous stage, but with a slight addition, in the form of frequent urge to urinate.
- proliferation - ejaculation slows down and the volume of urine flow decreases.
- cyclic changes - all of the above signs are inherent.
Symptoms
Chronic prostatitis is manifested by the following symptoms:
- pain and discomfort in the pelvic area, in the groin, inside the thighs, lasting three or more months.
- frequent urge to urinate.
- acute pain at the end of the need.
- painful erection;
- sometimes complete absence of ejaculation.
- Sleep disorder;
- reduction of working capacity;
- itching, feeling cold or excessive sweating of the perineum.
- discoloration of the skin in the groin.
- decrease in sexual desire;
- night erections;
- loss of appetite;
- irritable?
- constant feeling of fatigue;
- slight increase in body temperature.
Complications
Chronic prostatitis often does not show any signs, so the patient ignores the problem and does not receive timely treatment. All of these can lead to a number of complications.
Complications can be:
- male infertility;
- inability;
- urinary incontinence;
- cysts in the prostate;
- prostate cancer.
Diagnostics
Diagnosing such a disease is not difficult for a urologist. The doctor does:
- asking the patient about pain or discomfort.
- general inspection of the inguinal area for rashes, discharge, or irritation.
- digital examination of the prostate gland (through the rectal opening).
- collection of prostate secretions.
These procedures are quite unpleasant and sometimes painful, but they are the most acceptable for the diagnosis of such a disease.
In addition, the patient should submit:
- general urinalysis;
- Smear from the urethra;
- urine for bacterial research.
- urine sample with three glasses.
- scraping to determine the causative agent of the disease.
Material diagnosis consists of:
- Prostate ultrasound - to determine the size of the prostate gland, the presence of tumors or cysts.
- urometry - to determine the rate of urine outflow. In healthy condition, the movement is - fifteen milliliters per second, with chronic prostatitis - less than ten.
- CT;
- biopsy.
Without performing all the above diagnostic methods, the doctor will not be able to determine how to treat chronic prostatitis.
Treatment
Chronic prostatitis, although difficult to treat, is still possible, especially with early detection.
The treatment of this disease consists of several stages:
- antibiotic treatment, which in most cases lasts several weeks, if necessary, longer.
- course of therapeutic massage of the prostate gland - consists of fourteen visits to the doctor.
- elimination of prostate spasms, 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 methods, mud therapy and enemas with water enriched with minerals and hydrogen sulfide.
- herbal medicine. A good result is the use of essential oil of pumpkin seeds.
- surgery, which is treated only when there are changes in the size of the urethra, in case of abscesses or adenoma of the prostate.
Chronic prostatitis can be treated with folk remedies at home, but only when combined with the above methods. Such treatments can reduce pain when symptoms occur, as well as prevent recurrence of the disease.
At home, the course of the disease can be mitigated by:
- mixtures of honey and crushed pumpkin seeds.
- freshly squeezed juices from cucumber, beetroot and carrots. Use at least five hundred milliliters a day.
- Pear compote;
- decoction of parsley roots;
- peel of ripe chestnuts;
- selandine injection;
- coniferous baths, lasting no more than twenty minutes a day.
Also, a special diet will help speed up the recovery process, providing for the reduction or complete rejection of certain foods:
- fatty and rich broths of meat, fish and mushrooms.
- hot sauces and spices;
- onion, garlic, horseradish, radish, chili pepper.
- legumes;
- cabbage;
- milk and dairy products.
Precautions
To prevent chronic prostatitis, men should follow a few simple rules:
- if possible, avoid intense and prolonged hypothermia of the body.
- try to warm up every two hours with sedentary or sedentary work.
- for constipation, use special means with a laxative effect.
- wear only comfortable, not too tight clothes. This is especially true for underwear.
- to have sex without frequent change of partner.
- get rid of long abstinence from sex.
- consult a doctor in time if you suspect the presence of genital diseases of any nature.
- lead a healthy lifestyle, giving up all bad habits.
- normalization of the way and composition of the food consumed. It is best to eat small meals, five or six times a day. Include plenty of fresh fruits, vegetables, meat in your diet.
- do daily physical exercise.
Applying 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 treating it.