Chronic prostatitis: symptoms and causes

inflammation of chronic prostatitis

Chronic prostatitis - inflammation of the prostate gland, which leads to a violation of its function.

Description of chronic prostatitis

Chronic prostatitis - inflammation of the prostate gland, which leads to a violation of its function. This disease is difficult to treat and is characterized by frequent relapses. There are two types of chronic prostatitis:

  1. Infectious, resulting from lesions caused by bacteria, infections or fungi.
  2. Congestive, developing with stagnation of prostate secretion and blood in its veins. The causes of congestive prostatitis are irregular sex life, sedentary work, tight underwear.

Chronic prostatitis is the most common urological disease in men of reproductive age.

There are several factors that affect the development of prostatitis:

  • weakening of the immune system associated with constant stress, nervous overload, smoking and excessive alcohol consumption, regular lack of sleep.
  • hormonal disorders?
  • sexually transmitted diseases.
  • untreated urinary tract infections;
  • sedentary life and sedentary work (especially for drivers).
  • work involving prolonged exposure to vibration, such as hammer or lathe work.

The disease significantly degrades the quality of life and leads to social and psychological problems. There is also a decrease in activity and impaired reproductive function.

Chronic prostatitis without proper treatment leads to a number of serious complications:

  • pyelonephritis and cystitis - due to infection in the urinary system.
  • cystitis - inflammation of the testicles and appendages.
  • adenoma and prostate cancer.
  • inflammatory processes in the nerves responsible for erectile function, leading to infertility.

Symptoms of chronic prostatitis

The development of the disease is mostly asymptomatic. Therefore, the detection of prostatitis is often associated with the diagnosis of suspected prostate cancer.

Some symptoms include:

  • weak pain and discomfort in the perineum, with projection to the rectum and sacrum, the duration of which is more than three months.
  • painful and premature ejaculation.
  • burning in perineum and urethra.
  • discomfort during defecation.
  • discharge from the urethra;
  • Sometimes there is painful difficulty urinating and urinary retention.
  • reduced potency, erection problems and lack of orgasm.
  • a state of depression;
  • high general fatigue.

Not all symptoms appear immediately. In general, chronic prostatitis is characterized by an undulating course of the disease, when the symptoms of the disease either increase, weaken or disappear completely. This greatly complicates the diagnosis and subsequent treatment.

symptoms of chronic prostatitis

Diagnosis of chronic prostatitis

Diagnosis for suspected chronic prostatitis includes:

  • asking the patient.
  • general urine and blood tests.
  • urine test with three glasses.
  • tests for the presence of genital infections.
  • culture of prostate secretion to determine the sensitivity of its microflora to various antibacterial drugs.
  • digital rectal examination of the prostate.
  • Ultrasound of pelvic organs and prostate.

In addition, the following may be assigned:

  • Urouriometry (measurement of the parameters of urine production).
  • biopsy of prostate tissue.
  • PCR (polymerase chain reaction) analysis of urethral swabs for the presence of chlamydia and mycoplasma.

Treatment of chronic prostatitis

The treatment method depends on many factors and is mainly aimed at eliminating the factors that lead to the appearance of chronic prostatitis:

  • the age of the patient;
  • stage of disease;
  • type of chronic prostatitis.

The effectiveness of the treatment directly depends on the diagnosis of the disease at the initial stage, compliance with the diet, increase and regularity of physical activity.

The main method of treatment for chronic prostatitis is a complex drug therapy based on the results of the culture of prostate secretion and urine. The duration of the course of treatment should be at least 4 weeks, with a continuation in case of positive dynamics until the infection is completely eliminated.

The drugs used to treat chronic prostatitis are divided into the following groups:

  • antibiotics and antibacterial drugs.
  • alpha-blockers (drugs that cause vasodilation and channels and regulate metabolism in the prostate gland).
  • anti-inflammatory drugs?
  • muscle relaxants and antispasmodics.
  • immunostimulants;
  • antidepressants;
  • vitamin complexes;
  • herbal extracts;
  • pain relievers?
  • drugs to improve microcirculation and reduce blood clotting.

An important place in the treatment of chronic prostatitis is occupied by prostate massage, which improves blood and lymph circulation, eliminates congestion and increases the patency of prostate ducts.

In recent years, the complex of therapeutic measures has been expanded with various physiotherapy methods:

  1. UHF therapy.
  2. Laser treatment (improves microcirculation and eliminates stagnant processes in the prostate gland).
  3. Rectal electrophoresis.
  4. Microwave hyperthermia.

Spa treatment is also featured, especially mud therapy and hot springs.

Surgical methods of treatment are used only in the last stage of the disease - hardening of the prostate. In this case transurethral resection of the bladder neck, prostate and testicular tubercle is performed.

Due to the lack of universal approaches to the treatment of chronic prostatitis, the main task of treatment is to eliminate the source of infection, normalize the immune background and restore the normal function of the prostate.

Prevention of chronic prostatitis focuses on eliminating the factors that lead to the development of the disease.

The risk of chronic prostatitis is reduced if the following conditions are met:

  • regular physical activity;
  • healthy sleep pattern;
  • Full diet?
  • regular sex life.