Prostatitis is diagnosed only in men.It is one of the most common disorders of the male reproductive system; four out of five men experience symptoms of prostatitis at least once in their lives.
Most commonly, men aged 20-40 are prone to prostatitis during the peak period of sexual activity.One in 10 men is diagnosed with chronic prostatitis.It is characterized by periods of exacerbations and remissions and masquerades as many other illnesses.
Symptoms of chronic prostatitis
Symptoms of chronic prostatitis include:
- Discomfort and pain in the lower abdomen with periodic cramping that does not go away for a quarter or more.Pain may occur in the lower back, legs, scrotum, and anus.It is especially painful during urination and ejaculation.
- Penile erection worsens and libido decreases.First, premature ejaculation occurs, and over time, on the contrary, ejaculation does not actually occur; this becomes difficult to achieve.
- Urination becomes painful and incomplete.There is always a feeling of incomplete bladder emptying.
- The man's quality of life decreases significantly.
There are two types of chronic prostatitis: bacterial and nonbacterial.
Bacterial (infectious) prostatitis occurs with episodes of acute exacerbations and remissions, and the prostate secretions contain infection and bacteria.
In this case, nearby organs such as the urethra, bladder neck, and vas deferens may also be affected, which is why the disease presents in different ways.An accurate diagnosis can be made after a thorough examination.
Most commonly, this disease manifests itself as:
- Frequent and painful urination.
- Burning sensation in urethra.
- Premature ejaculation.
- A small amount of mucus is discharged from the urethra.
- Severe sexual dysfunction.
All this greatly affects a man's work performance and mental state, leading to long-term depression and neurasthenia.
Nonbacterial chronic prostatitis is a disease in which bacteria are not found in prostate secretions.This form is difficult to diagnose, as evidenced by the large number of comments from men on various forums.Choosing the right treatment option can also be difficult.
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Until now, doctors have faced many unknowns about the origins of the disease.This makes the treatment process very complicated.
Even ultrasound and laboratory examination of secretions may not reveal the presence of an inflammatory process.According to the recommendations of the Association of Urological Specialists, the main symptoms of non-bacterial prostatitis are:
- It mostly occurs in middle-aged men.
- Chronic pain in the pelvic area and groin.
- Impaired urinary function and frequent urinary urgency.
- Erectile dysfunction and pain during ejaculation.
- Chronic congestive prostatitis: exacerbations and remissions
- Chronic congestive prostatitis has several stages of development and presents with different symptoms:
- Exudative - Men experience a tingling sensation in the groin, scrotum and pubic area.
- There are problems with erections and accelerated ejaculation.
- Another option - patients complain of discomfort in the groin, scrotum, and pubic areas.
- Frequent urinary urgency and rapid ejaculation during intercourse.
- Proliferation - The patient notices frequent urination and weak urine flow, with a persistent feeling that the bladder is not completely empty.Instead, ejaculation becomes difficult and slow.
- Scar Changes – During this stage, the prostate tissue begins to thicken dramatically.The patient complained of discomfort in the pelvic and pubic areas, frequent urination, urgency and incomplete urination.The erection is very weak or disappears completely, ejaculation is almost impossible, and the orgasm is weak and without vivid impressions.Prostatitis enters the chronic prostatitis phase of unstable remission, in which persistent pain is observed and relief occurs only for a few hours.
As for classification, it is customary to use the US NIH classification, which divides the disease into: acute and chronic bacterial, chronic without signs of inflammation and congestion, and histological types.
Factors and causes of chronic prostatitis in men
Although almost everyone has some microorganisms responsible for chronic prostatitis in their bodies, only a few people develop the disease.How to explain the occurrence of this disease in specific cases?
Experts determine that the occurrence of chronic prostatitis depends not only on the presence of infection in the body, but also on the conditions that influence the development of the disease.
The most common causes of chronic prostatitis in men include:
- A sedentary lifestyle causes stagnation of blood in the prostate;
- Unstable sex life;
- Uncomfortable and rather tight clothing;
- Frequent hypothermia;
- Injuries and infections of various organs of the genitourinary system;
- malnutrition;
- persistent state of stress;
- Frequent drinking and smoking.
Diagnosis begins with a conversation with the patient, who must tell him accurately and completely what is bothering him.The doctor must find out why the patient is suffering from chronic prostatitis and find out all the possible causes and symptoms and how they manifest themselves.The doctor should tell you everything, even the smallest details; this will determine how correct the diagnosis is and the development of an effective and comprehensive treatment.
Next, you will need to palpate and submit the secretions for bacteriological analysis, which will allow you to determine whether an infection is present and determine the bacteria's resistance to antibiotics.
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Palpation is performed through the rectum by a urologist.This procedure can find out the size and pain of the prostate.On palpation, hemorrhoids, adenomas, or prostate cancer can also be detected.A prostate ultrasound will provide accurate data on the condition of this organ.
Measuring PSA levels in the blood can rule out or confirm the presence of adenomas and prostate cancer.
If the urologist suspects the presence of a tumor, he will have to submit pieces of prostate tissue for biopsy to show the presence or absence of the tumor.
Treatment of chronic prostatitis is a complex and time-consuming process.Today, there are various methods used to treat this disease.
Treat with antibiotics.In this case, macrolide antibiotics and tetracyclines are used.
Only the attending physician can correctly select the drug, dose and duration of treatment.
Usually the medication needs to be taken for 10-15 days.Repeat examinations are then performed, and based on the results, the doctor will determine whether the patient has been cured or whether further treatment is needed.
Prostate massage is necessary so that prostate secretions do not stagnate and microcirculation occurs.This helps a lot for quick recovery.
However, massage is prohibited for patients with acute prostatitis, hemorrhoids, rectal fissure, etc.
Massage is often given as an add-on to antibiotic treatment.
Physical therapy is used to improve the condition of the prostate tissue, thereby speeding up the healing process.
Laser therapy and ultrasound therapy are used for treatment.Enemas using mud and mineral water rich in hydrogen sulfide are also effective.
Herbal medicines are used as an additional stimulus for patient recovery and are always used in conjunction with other methods.
In some cases, surgical intervention may be necessary if the urethra is severely narrowed or if an abscess or prostate adenoma is detected.
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Diagnosis and treatment should be performed in a medical facility under the ongoing supervision of a qualified physician.
By promptly consulting a doctor, rapid recovery can be achieved.Once treatment is initiated, long-term relief is observed.We can talk about full recovery when all symptoms of the disease disappear and laboratory tests show good results.
The most frequently asked questions about chronic prostatitis patients
How to quickly and effectively cure chronic prostatitis with folk remedies?
It can be treated with folk remedies.In folk medicine, the most popular are the use of infusions of chamomile, yarrow and sage.These micro-enemas are great for relieving the inflammation that occurs in the prostate.
To prepare this micro-enema, take two tablespoons of chamomile and pour 100 g of the herb.Boiled water can also be treated with horse chestnut bark, filled with alcohol and kept in a dark place for 10 days.
Onion soup can also help.You need to chop two large onions and pour boiling water into a half-liter jar.Wrap the jars in a terry towel and cook for 2 hours.Then, you need to drink 50 grams of decoction every hour.
How to treat chronic prostatitis and impotence?
Impotence can be cured at home if a series of measures are taken.
It is necessary to choose the right drug to help the corpus cavernosum of the penis fill with blood.But before that, a consultation with a urologist is required.
It is necessary to adjust your diet and go on a diet.You should not eat fatty foods or foods that reduce testosterone.You need to eat porridge and lean meat, drink juice and green tea.
Also, don’t forget physical activity.Walking and light running in the fresh air are very effective in this regard.You also need to swing your legs.This promotes contraction of the anal and perineal muscles.
How long does it take to treat chronic prostatitis and how to get rid of it for good?
Antibiotic treatment lasts 1-3 months, depending on the advanced stage of the disease.If necessary, additional treatment may be given with low-dose antibiotics.Lipophilic antibiotics are best suited for this task.
To forget this problem forever, you need to change your lifestyle, eat right, avoid hypothermia and give your body rest.
Why is chronic prostatitis dangerous?
Chronic prostatitis is characterized by acute exacerbations of the disease followed by remission.When the pain subsided, things became easier and the man decided he could handle the problem on his own rather than quickly turning to a urologist.However, delay does not help here because with each exacerbation, inflammation increases.
Inflammation can affect nearby organs, leading to cystitis, pyelonephritis, and seminal vesiculitis.As a result, men may suffer from infertility.
What antibiotics should be taken for chronic prostatitis?
Various penicillins are frequently used.Tetracycline antibiotics are commonly used to treat mycoplasma and chlamydia.
Fluoroquinolones are very effective and penetrate well into prostate tissue.Macrolides accumulate well in prostate tissue and clear toxins quickly.
Can you have sex with chronic prostatitis?
If the disease is caused by an infection, it's best to avoid sex to avoid passing it on to your partner.Although you can use condoms.Having sex is necessary because when sexually aroused, blood rushes to the prostate and it begins to contract.Also, during ejaculation, the pelvic muscles contract strongly, which is considered a good self-massage.
Prevention and characteristics of chronic prostatitis in men
Preventing chronic prostatitis in men requires a healthy lifestyle and daily exercise.You can continue to tense and relax your scrotum from time to time.
Each time you urinate, pause briefly so your bladder sphincter can stiffen.This high-quality exercise will allow good circulation of blood in the prostate veins and strengthen metabolic processes in the body.