Chronic prostatitis is an inflammatory disease of the prostate, characterized by changes in organic tissues and functional disorders of the prostate, male reproductive system and urinary system.
The prostate is a tubular alveolar gland found only in men. This gland is involved in sperm production and is located below the bladder around the beginning of the urethra. Chronic prostatitis in men can occur due to infection of the prostate gland by the bladder through the blood and lymph vessels of the pelvis or otherwise. Although the presence of an infection may not cause illness or disability, it usually does not go away for a man without a trace. Currently, the man notices a decrease in penile stiffness, sexual dysfunction during sex and urinary disorders.
Chronic prostatitis does not threaten a man's life, but it can still cause psychological discomfort and worsen family relationships. It should also be noted that, according to experts, chronic prostatitis, ie its early treatment, can lead not only to the development of serious complications, but also to prostate cancer. Indeed, in addition to infection, there are several other factors that predispose to chronic prostatitis. However, the manifestation and worsening of chronic prostatitis have different peculiarities.
Stages of chronic prostatitis
Although there is still no specificity for the development of chronic prostatitis, experts distinguish the following types:
- Acute bacterial prostatitis
- II bacterial prostatitis. It is found more often.
- III years non-bacterial prostatitis is a complex of symptoms of chronic pelvic pain, lasting more than 3 months.
- Class III A is a type of inflammatory form of chronic prostatitis with an increased white blood cell level during prostate secretion.
- III B is a non-inflammatory form of chronic prostatitis without an increased level of leukocytes and pathogens in prostate secretion.
- Type IV is diagnosed as asymptomatic chronic prostatitis, which causes no pain and is detected randomly based on the results of prostate secretion analysis or biopsy.
The frequency and causes of this type of chronic prostatitis are not yet known. As for the reasons for the development of other types of the disease, it should be noted here that they may be due to the penetration of various infectious microorganisms into the ureter, as well as the violation of various functions in the male body.
Preventive methods of prostate inflammation
Chronic prostatitis requires long-term treatment. Therefore, it is better to take precautionary measures to avoid it. To do this, the patient will only need to make some adjustments to his lifestyle, which will not only be beneficial to the general state of health, but will also alleviate this disease. Therefore, first of all, the following prevention rules must be observed:
- try to follow a healthy lifestyle.
- completely exclude spicy foods from the diet.
- do not abuse alcohol.
- playing sports, including exercise that helps strengthen muscles and improve blood circulation to the pelvic organs.
- Take yoga classes at will.
- observe methods of prevention and treatment of infectious diseases;
- elimination of pelvic congestion and immediate treatment of rectal diseases.
- exclude excessive masturbation.
- Try to have a regular but at the same time safe sex life.
- avoid hypothermia
- Do not sit on cold surfaces.
- during sedentary work, warm up more often.
In addition to these precautions, men should take into account the fact that chronic prostatitis manifests itself insignificantly. Therefore, if a man notices discharge when urinating or defecating, and also suffers from mild pain, then in this case it is worth consulting a doctor immediately. It is also worth remembering that the course of treatment should be carried out strictly under the supervision of a specialist without any neglect. In addition, the choice of drugs during treatment with antibiotics is made according to the individual condition of the patient and only after special studies. Prescription medications should not be stopped, and even more, extra medications should not be taken without a prescription. Do not delay your doctor's appointment. By searching our site, you can easily find a clinic that is suitable for both your location and pricing policy.
Causes of inflammation of the prostate
Chronic prostatitis is considered in medicine as a multiethnic disease. In addition to the penetration of the infection into the urinary organs, it can occur and recur due to the occurrence of neurocerebral and hemodynamic disorders, as well as the weakening of the immune system and autoimmune, hormonal or biochemical processes. Inflammation of the prostate can develop in the context of diseases such as:
- depression;
- neurogenic bladder dysfunction
- reflex sympathetic dystrophy.
- inflammatory processes of neighboring organs located
- hypertrophy of the bladder neck
- prostate adenoma
- stenosis of the urethra
- diseases of the rectum.
Given these factors, the following reasons are attributed to the risk of developing prostate inflammation:
- A sedentary lifestyle, especially in a sitting position, implies a dysfunction of the blood supply to the pelvic organs.
- local hypothermia of the body
- frequent constipation
- Irregular sexual intercourse or sudden exercise
- chronic infections
- previous sexually transmitted diseases. In particular, their delayed treatment.
- improper diet
- lack of sleep?
- chronic stress.
In addition, chronic non-bacterial prostatitis can be caused by the formation of myocardial activation sites during illness, injury, and pelvic surgery.
Chronic symptoms of prostatitis
The symptoms of chronic prostatitis do not bother the man much. Inflammation of the prostate occurs suddenly. The patient may be disturbed by acute pain in the perineum and groin area and may also experience pain when urinating and defecating, accompanied by discharge from the urethra. All of these signs of chronic prostatitis can be accompanied by fever, chills and fever. Most of the time, these symptoms are intermittent. Also, chronic prostatitis can be expressed in the form of complications of sexually transmitted diseases. During the course of the disease, the patient may experience discomfort when urinating, pain in the perineum, and the manifestation of rejection. Chronic inflammation of the prostate leads to erectile dysfunction and delayed ejaculation.
The inflammatory process of the prostate moves deep into the urinary system, which can lead to cystitis and pyelonephritis. Most often, these exacerbations end in inflammation of the testicles and appendages, which leads to infertility, which requires long-term treatment. Therefore, you should not delay going to the doctor. Early diagnosis and treatment are required. It is important to remember that chronic prostatitis can be cured if the disease is not caused.
Diagnoses of chronic prostatitis
As a rule, the doctor can diagnose this or that type of chronic prostatitis based on the complaints indicated by the patient or after the examination. First, the specialist feels the prostate and then recommends that the patient have a laboratory study of the urine culture tank and prostate secretion. This diagnosis allows you to determine the further treatment of chronic prostatitis. In addition, the urologist can apply diagnostic methods such as:
- Structural ultrasound, which allows you to determine the size and volume of the prostate, as well as to detect the presence of tumors.
- Determination of the urethral pressure profile makes it possible to find the cause of urological disorders and pelvic floor muscle functions.
- microscopic examination of the urethral mucosa, which helps to determine the presence of a specific flora that causes infectious diseases. X-ray of the prostate.
- MRI of the pelvic organs, which helps to differentiate with prostate cancer, as well as the detection of a non-inflammatory type of bacterial prostatitis.
- determination of the state of humoral and cellular immunity in prostate secretion. This type of research helps not only to diagnose the category of inflammatory process of the prostate, but also to resolve the issue of the method that can be used to treat chronic prostatitis.
Chronic treatment of prostatitis
Chronic prostatitis is considered an insidious and complex disease, its treatment method requires a comprehensive approach. Urologists use treatments such as:
- antibiotic therapy, in which drugs are prescribed that destroy the hidden microorganisms of the infection. The patient takes these medications for several weeks. In the absence of the proper effect, antibiotics can be replaced with another group of drugs.
- Physiotherapy may include exposure to electromagnetic, ultrasound and laser waves, which greatly increases the effectiveness of antibiotic therapy.
- Laser magnetic therapy has anti-congestion effect and improves blood microcirculation in the pelvic organs.
- Structural prostate massage is the most painful and unpleasant method of treatment, but at the same time the most effective. It is based on the elimination of inflammatory secretion by pressing it with one finger.
- darsonvalization;
- electrophoresis with drugs.
- hormone therapy
- Transdermal electrosurgery This method of treatment can be used only in the case of complications which, in addition to violations of the process of urination or reproductive function in a man, have led to the appearance of sclerosis of the prostate and bladder neck. If, after surgery, a worsening of the chronic inflammatory process is observed, then in this case, the patient can remove all the remaining glands.
- Immune correction aims not only to eliminate the infection, but also to completely eliminate its recurrence. This method of treatment involves the normalization of the lifestyle, which implies an active lifestyle, regular walks, adherence to daily treatment and proper nutrition.
- Spa treatment.
In addition, the prescribed treatment for chronic prostatitis may include a visit to an immunologist and additional special tests. If discontinuation of this or that treatment does not guarantee complete destruction of the prostatitis infection, therefore, there is a possibility of recurrence. For the treatment of chronic prostatitis, the patient should strictly follow all the recommendations of the doctor and follow the prescribed course of treatment until the end.