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 disorders of the male genitalia.
The risk group is the male population from twenty to forty years, in the period of the greatest childbirth, reproductive and sexual activity. Almost every tenth man has faced such a sexual problem at least once in his life.
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 with the genitourinary system, but also with other internal organs, so when they occur, it is important to immediately consult a qualified doctor for diagnosis.
Chronic prostatitis develops over a long period of time. This disorder often occurs without any symptoms or with their mild expression, and is diagnosed by random examination. It is difficult to treat, there is a possibility of frequent recurrences.
Etiology
Routes of infection:
- directly through the urethra;
- with a jet of infected urine;
- with movement of blood or lymph;
- transmission of infection from adjacent organs.
There are pathogenic microorganisms in every male body that can cause the progression of prostatitis. But still, not all men have such a dangerous and unpleasant disease. This means that not only is the pathogenic microflora, although the main cause of the development of pathology, favorable conditions are needed for its activation. There are the following favorable factors for disease progression:
- sedentary working conditions and sedentary lifestyle;
- frequent change of sexual partners;
- premature termination of sexual intercourse, such as contraception;
- prolonged abstinence from sexual intercourse;
- tight underwear;
- hypothermia;
- other inflammations of the genitourinary system;
- all types of prostate injuries;
- bad habits;
- too fatty and caloric foods;
- constant stress.
Sorte
The following classification of chronic prostatitis is common in the medical field:
- infectious process caused by bacteria;
- the disease is not bacterial in nature;
- asymptomatic (regardless of the infectious process);
- stagnant. It occurs due to 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;
- alternatively - the same signs are observed as in the previous stage, but with a slight addition, in the form of a frequent urge to urinate;
- proliferation - ejaculation slows down and the intensity of urinary flow decreases;
- cicatricial 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 disorder;
- reduction of working ability;
- itching, cold or excessive sweating of the perineum;
- skin discoloration in the groin area;
- reduction of sexual desire;
- nocturnal erections;
- loss of appetite;
- irritability;
- constant feeling of tiredness;
- mild increase in body temperature.
Complications
Chronic prostatitis is often not expressed by any signs, which is why the patient is not aware of the problem, and there is no timely treatment. All this can lead to numerous 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 works:
- examining the patient for pain or discomfort;
- general examination of the groin area for rash, discharge or irritation;
- digital examination of the prostate (through the rectal opening);
- collecting prostate secretions.
These procedures are quite uncomfortable and sometimes painful, but are most acceptable for diagnosing such a disease.
In addition, the patient will need to provide:
- general urine analysis;
- urethral swab;
- urine for bacterial research;
- a three-cup urine sample;
- scraping to determine the cause of the disease.
Hardware diagnostics consists of:
- Prostate ultrasound - to determine the volume of the prostate, the presence of tumors or cysts;
- uroflowmetry - to determine the rate of urine outflow. In a healthy state, the movement is - fifteen milliliters per second, in chronic prostatitis - less than ten;
- CT;
- biopsy.
Without carrying out 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 timely detection.
Treatment of this disease consists of several stages:
- antibiotic therapy, which in most cases lasts several weeks, if necessary longer;
- course of therapeutic prostate massage - consists of fourteen visits to the doctor;
- elimination of prostate cramps, stagnation of urine and outflow of secretions from the gland with the help of certain groups of drugs that can be prescribed only by a specialist;
- physiotherapy, which consists of microwave and laser therapy, various ultrasound methods, mud therapy and enemas with water enriched with minerals and hydrogen sulfide;
- herbal medicine. A good effect is the use of essential oil from pumpkin seeds;
- surgical medical intervention, which is accessed only when there is a change in the size of the urethra, in the case of abscess or prostate adenoma.
Chronic prostatitis can be treated with folk remedies at home, but only in combination with the above methods. Such therapies can reduce pain when symptoms occur, as well as prevent recurrence of the disease.
At home, the course of the disease can be mitigated:
- mixtures of honey and crushed pumpkin seeds;
- freshly squeezed cucumber, beet and carrot juices. Use at least five hundred milliliters a day;
- Pear compote;
- decoction of parsley root;
- ripe chestnut bark;
- celandine infusion;
- coniferous baths, which last no more than twenty minutes a day.
Also, a special diet will help speed up the recovery process, ensuring a reduction or complete rejection of certain foods:
- fatty and rich soups of meat, fish and mushrooms;
- hot sauces and spices;
- garlic, garlic, horseradish, radish, chili pepper;
- legumes;
- cabbage;
- milk and dairy products.
Preventive actions
To prevent chronic prostatitis, men should follow a few simple rules:
- if possible, avoid severe and prolonged hypothermia of the body;
- try to warm up every two hours by sitting or sitting work;
- for constipation use special laxatives;
- wear only comfortable, not too tight clothes. This is especially true for underwear;
- have sex without frequent partner changes;
- get rid of long-term abstinence from sexual intercourse;
- consult a doctor in a timely manner if you suspect the presence of genital diseases of any nature;
- lead a healthy lifestyle, give up all bad habits;
- normalize the manner and composition of food consumed. It is better to eat small meals, five or six times a day. Introduce a large amount of fresh fruits, vegetables, meat into the diet;
- do physical exercise every day.
Applying such simple recommendations will save a man from the occurrence of such a problem as chronic prostatitis. After all, avoiding it is much easier than curing it.