Chronic prostatitis is an inflammatory process that affects the tissues of the prostate and leads to the failure of its full functioning. The disease is one of the most common among disorders in the work of male genital organs.
The risk group is the male population between twenty and forty years old, during the peak of work, reproductive and sexual activity. Almost every tenth man, at least once in his life, has faced this sexual problem.
Chronic prostatitis is characterized by alternating periods of exacerbation and remission of disease symptoms. Under the signs of such a disease, many other problems are suitable not only for the genitourinary system, but also for other internal organs; therefore, when they do appear, it is important to immediately consult a qualified physician for diagnosis.
Chronic prostatitis develops over a long period of time. Often, this disorder occurs without any symptoms or with a slight expression of them, and is diagnosed during a random examination. It is difficult to treat, there is a possibility of frequent relapses.
Etiology
Infection routes:
- directly through the urethra;
- with a stream 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 progression of prostatitis. But still, 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 necessary for its activation. There are the following factors favorable to the progression of the disease:
- sedentary working conditions and sedentary lifestyle;
- frequent change of sexual partners;
- premature interruption of sexual intercourse, as a contraceptive;
- prolonged abstinence from sexual intercourse;
- tight underwear;
- hypothermia;
- other inflammation of the genitourinary system;
- all types of prostate lesions;
- 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);
- stagnant. It arises from prolonged sexual abstinence.
According to the stages of development, chronic prostatitis is divided into:
- exudative - accompanied by pain in the groin, scrotum, ejaculation is accelerated;
- alternative - the same signs are observed in the previous stage, but with a slight increase, in the form of frequent urge to urinate;
- proliferation - ejaculation decreases and the intensity of urinary flow decreases;
- scar changes - all of the above signs are inherent.
Symptoms
Chronic prostatitis is expressed by the following symptoms:
- pain and discomfort in the pelvic region, inguinal region, inner thighs, lasting three or more months;
- frequent urge to urinate;
- sharp pain at the end of need;
- painful erection;
- sometimes complete absence of ejaculation;
- sleep disorders;
- decreased work capacity;
- itching, feeling cold, or excessive sweating of the perineum;
- skin discoloration in the groin area;
- decreased sexual desire;
- nocturnal erections;
- loss of appetite;
- irritability;
- constant feeling of fatigue;
- slight increase in body temperature.
complications
Chronic prostatitis is often not expressed by any signs, which is why the patient is unaware of the problem and timely treatment does not occur. All this can lead to a number of complications.
Complications can be:
- male infertility;
- impotence;
- urinary incontinence;
- prostate cysts;
- cancerous prostate tumors.
Diagnosis
The diagnosis of such a disease is not difficult for a urologist. The doctor does:
- question the patient about pain or discomfort;
- general inspection of the groin area for rash, discharge, or irritation;
- digital examination of the prostate (through the rectal opening);
- collection of prostatic secretion.
These procedures are quite unpleasant and sometimes painful, but they are the most acceptable for diagnosing such a disease.
In addition, the patient must have:
- general analysis of urine;
- urethral swab;
- urine for bacterial research;
- three-glass urine sample;
- scraping to determine the causative agent of the disease.
Hardware diagnostics consists of:
- Ultrasound of the prostate - to determine the volume of the prostate, the presence of tumors or cysts;
- uroflowmetry - to determine the rate of urine output. In a healthy state, 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, while difficult to treat, is still possible, especially with timely detection.
The treatment of this disease consists of several steps:
- antibiotic therapy, which in most cases lasts several weeks, if necessary longer;
- course of therapeutic massage of the prostate - consists of fourteen visits to the doctor;
- elimination of prostate spasms, stagnation of urine and output of secretions from the gland with the help of certain groups of drugs that can only be prescribed by a specialist;
- physiotherapy, consisting of microwaves and laser therapy, various methods of ultrasound, mud therapy and enemas with water enriched with minerals and hydrogen sulfide;
- Phytotherapy. A good effect is the use of pumpkin seed essential oil;
- surgical medical intervention, which is addressed only when there are changes in the size of the urethra, in the case of abscesses or prostate adenoma.
Chronic prostatitis can be treated with folk remedies at home, but only when combined with the above methods. Such therapies can reduce pain when symptoms appear, as well as prevent disease recurrence.
At home, the course of the disease can be mitigated with:
- mixtures of honey and crushed pumpkin seeds;
- freshly squeezed juices from cucumber, beetroot and carrots. Use them at least five hundred milliliters a day;
- pear compote;
- decoction of parsley roots;
- shell of ripe chestnuts;
- celandine infusion;
- conifer baths, lasting no more than twenty minutes a day.
In addition, a special diet will help to 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, pepper;
- legumes;
- cabbage;
- milk and dairy products.
Preventive actions
To prevent chronic prostatitis, men should follow a few simple rules:
- if possible, avoid strong 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 clothes and not too tight. This is especially true for underwear;
- having sex without frequent change of partner;
- get rid of long abstinence from sexual intercourse;
- consult a doctor in a timely manner if you suspect the presence of diseases of Organs genital organs of any kind;
- lead a healthy lifestyle, giving up all bad habits;
- normalize the mode and composition of food consumed. It is best to eat small meals, five or six times a day. Introduce a lot of fresh fruits, vegetables, meat in the diet;
- do daily physical exercise.
The implementation of such simple recommendations will save a man from the occurrence of such a problem as chronic prostatitis. After all, preventing it is much easier than curing it.