Chronic prostatitis is an inflammatory disease of the prostate, which is characterized by changes in organic tissue and functional disorders of the prostate, male reproductive system and urinary tract.
The prostate is a tubular alveolar gland found only in men. This gland is involved in the production of sperm and is located below the bladder, at the beginning of the urethra. Chronic prostatitis in men can occur due to infection in the prostate of the bladder through blood and lymphatic vessels in the pelvis or otherwise. Although the presence of an infection may not cause illness or impotence, it usually does not pass on to man without a trace. At the moment, the man is observing a decrease in the hardness of the penis, sexual dysfunction during sex and urinary disorders.
Chronic prostatitis does not threaten a man's life, but it can still cause psychological distress and deterioration in family relationships. It should also be noted that, according to experts, chronic prostatitis, namely its early treatment, can lead not only to the development of serious complications, but also to prostate cancer. In fact, in addition to infection, there are a number of other factors that predispose to chronic prostatitis. However, the manifestation and exacerbation of chronic prostatitis have different specificities.
Stages of chronic prostatitis
Although there is still no single specificity for the development of chronic prostatitis, experts distinguish the following types:
- I acute bacterial prostatitis;
- II prostatitis of bacterial genesis. It is most commonly found;
- Chronic non-bacterial prostatitis III is a complex of symptoms of chronic pelvic pain, lasting more than 3 months;
- category III A is a type of inflammatory form of chronic prostatitis with an increase in the level of leukocytes in prostate secretion;
- III B is a non-inflammatory form of chronic prostatitis without an increase in the level of leukocytes and pathogens in prostate secretion;
- Type IV is diagnosed as asymptomatic chronic prostatitis, which does not cause pain and is detected accidentally based on the results of the analysis of prostate secretion or biopsy.
The frequency and causes of this category 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 a violation of various functions in the man's body.
Preventive methods of prostate inflammation
Chronic prostatitis requires long-term treatment. Therefore, it is better to follow preventive measures to avoid it. For this, the patient will only need to make some adjustments to their lifestyle, which will not only be beneficial for their general health, but will also alleviate this disease. Therefore, in the first place, the following prevention rules must be observed:
- strive to lead a healthy lifestyle;
- completely exclude spicy foods from the diet;
- do not abuse alcohol;
- playing sports, including exercises that help strengthen muscles and improve blood circulation in Organs pelvic organs;
- attend yoga classes at will;
- observe methods of prevention and treatment of infectious diseases;
- eliminate pelvic congestion and promptly treat rectal diseases;
- excludes excessive masturbation;
- try to have a regular sex life, but at the same time be safe;
- avoid hypothermia;
- does not sit on cold surfaces;
- during sedentary work, warm up more often.
In addition to these preventive measures, men should take into account the fact that chronic prostatitis manifests itself in an insignificant way. Therefore, if a man observes discharge during urination or defecation, and also feels mild pain, in this case, it is worthwhile to consult a doctor immediately. It is also worth remembering that the course of treatment must be carried out strictly under the supervision of a specialist, without any carelessness. In addition, the selection of drugs during antibiotic therapy is done according to the individual condition of the patient and only after carrying out special studies. The intake of prescription drugs should not be stopped and, moreover, additional drugs should not be taken without a doctor's prescription. Do not delay your doctor's consultation. By searching our website, you can easily find a clinic suitable for both location and pricing policy.
Causes of prostate inflammation
Chronic prostatitis in medicine is positioned as a polyethiological disease. In addition to the penetration of the infection into Organs ureteral organs, it can occur and relapse due to the appearance of neurovegetative and hemodynamic disorders, in addition to weakening of the immune system and autoimmune, hormonal or biochemical processes. Inflammation of the prostate can develop in the context of diseases such as:
- neurogenic bladder dysfunction;
- reflex sympathetic dystrophy;
- inflammatory processes of localized nearby organs;
- hypertrophy of the bladder neck;
- prostate adenoma;
- narrowing of the urethra;
- diseases of the rectum.
Given these factors, the following reasons are attributed to the risk of developing inflammation of the prostate:
- a sedentary lifestyle, especially in the sitting position, causes a dysfunction of the blood supply to the pelvic organs;
- local hypothermia of the body;
- frequent constipation;
- irregular sex or sudden exertion;
- chronic infections;
- previous sexually transmitted diseases. In particular, its late treatment;
- inadequate nutrition;
- lack of sleep;
- chronic stress.
In addition, chronic non-bacterial prostatitis can be caused by the formation of myofascial trigger points during the course of diseases, injuries and surgical interventions in Organs pelvic organs.
Symptoms of chronic prostatitis
The symptoms of chronic prostatitis do not bother man much. Inflammation of the prostate occurs suddenly. The patient may experience 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, fever and fever. Most of the time, these symptoms are intermittent. In addition, chronic prostatitis can be expressed in the form of complications from sexually transmitted diseases. During the course of the disease, the patient may experience discomfort when urinating, pain in the perineum, as well as secretion. Chronic inflammation of the prostate leads to erectile dysfunction and delayed ejaculation.
The inflammatory process of the prostate penetrates deeply into the urinary system, which can cause cystitis and pyelonephritis. Most of the time, these exacerbations end with inflammation of the testicles and appendages, which leads to infertility, requiring long-term treatment. Therefore, you should not postpone going to the doctor. Timely diagnosis and treatment are necessary. It is important to remember that chronic prostatitis can be cured if the disease is not triggered.
Diagnosis 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 palpates the prostate and then recommends that the patient do a laboratory study of the urine culture tank and prostate secretion. This diagnosis makes it possible to determine the additional treatment for chronic prostatitis. In addition, the urologist can apply diagnostic methods, such as:
- transrectal ultrasound, which allows determining the size and volume of the prostate, as well as identifying the presence of neoplasms;
- the determination of the urethral pressure profile allows to discover the cause of the urinary disorders and the functions of the pelvic floor muscles;
- microscopic examination of scraping of the mucous membrane of the urethra, which helps to determine the presence of a specific flora that causes infectious diseases; X-ray of the prostate;
- Magnetic resonance imaging of Organs pelvic organs, which helps to differentiate with prostate cancer, as well as to identify 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 the prostate inflammatory process, but also to resolve the question of which method can be used to cure chronic prostatitis.
Treatment of chronic prostatitis
Chronic prostatitis is considered an insidious and complex disease, the method of its treatment requires an integrated approach. Urologists use treatments such as:
- antibiotic therapy, during 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 appropriate effect, antibiotics can be replaced by another group of drugs;
- physiotherapy may include exposure to electromagnetic, ultrasonic and laser waves, which significantly increases the effectiveness of antibiotic therapy;
- magnetic laser therapy has an anti-congestive effect and improves the microcirculation of blood in Organs pelvic organs;
- Transrectal prostate massage is the most painful and uncomfortable treatment method, but at the same time the most effective. It is based on the elimination of inflammatory secretion by squeezing it with your finger;
- electrophoresis with drugs;
- hormonal therapy;
- transurethral electrosurgery. This treatment method can be used only in the case of complications that, in addition to violations of the urination process or reproductive function in a man, have led to the appearance of sclerosis of the prostate and bladder neck. If, after surgery, an exacerbation of the chronic inflammatory process is observed, then, in this case, the patient may have removed the rest of the gland;
- immunocorrection aims not only to eliminate the infection, but also to completely eliminate its reappearance. This treatment method implies the normalization of lifestyle, which implies an active lifestyle, regular walks, adherence to the daily diet and adequate food;
- Spa treatment.
In addition, the treatment prescribed for chronic prostatitis may include a visit to an immunologist and additional special tests. Since the end of this or that course of therapy does not guarantee the complete destruction of the prostatitis infection, therefore, there is a possibility that it will reoccur. To cure chronic prostatitis, the patient must strictly follow all the doctor's recommendations and follow the course of treatment prescribed until the end.