Experts call the prostate gland the most vulnerable organ in men. The most common inflammation of the prostate, causing the patient a lot of discomfort. If the inflammatory process lasts more than 3 months, we can talk about the chronic form of the disease. The problem of how to deal with chronic prostatitis is addressed by every third representative of the stronger sex. It is possible to cure the disease, but this will require specialized medical help. You should not delay the complex treatment of a chronic disease, because it causes the appearance of adenoma and prostatic hyperplasia, as well as reduced erectile function.
What does diagnosis mean?
Usually, men do not tend to listen to their own well-being, so the inflammatory process in the prostate gland takes a prolonged form. The risk of the disease lies in the fact that it can be completely asymptomatic. First, urethritis develops and if you do not seek medical help, complications can not be avoided. Over time, men develop chronic prostatitis, the symptoms and treatment of which are individual. Forms of chronic prostatitis:
| Name | Diagnostics |
|---|---|
| infectious | It occurs due to damage to the prostate gland by viruses, fungi or bacteria. It is revealed through laboratory analysis of blood and urine. |
| stationary | It progresses with pain in the pelvic area, most of the time it is chronic. The symptoms of a congested form are sometimes similar to the signs of an inflammatory process. |
| Asymptomatic | There are no clinical manifestations of inflammation, so a man may not see a doctor for a long time. The disease can be detected only by examining the prostate gland. |
Many men are diagnosed with congestive chronic prostatitis (non-infectious). Inflammation in this case affects the secretion of the prostate and veins.
Reasons for appearance
The causes of chronic prostatitis vary:
- Prolonged abstinence from intimacy or a very active sex life.
- The presence of several perineal injuries (while riding or cycling).
- Unreasonable menu (lack of nutrients and excessive amount of fried, fatty and smoked foods).
- Recurrent genital infection.
- Decreased immunity?
- Diseases of the urogenital organs?
- Inactive and sedentary lifestyle.
- Very tight and tight underwear.
- Termination of intercourse?
- Phimosis in history?
- Anal sex without additional protection (condom).
The disease affects both the elderly and middle-aged and even young men:
- With an inactive sex life, prostatitis occurs due to stagnation of prostate gland secretion.
- Athletes are at risk because they lift weights and are prone to minor injuries to the prostate tissue.
- Drivers of long-haul flights suffer from stagnation of blood in the pelvic organs.
- Winter fishing enthusiasts are at risk due to the constant hypothermia of the body.
Among the common male diseases, chronic prostatitis is about 20%. Every fifth patient who consults a doctor suffers from a chronic form of the disease. The disease "gets younger" because modern types are asymptomatic, do not think about their own safety. In order not to wonder how to get rid of chronic prostatitis, it is enough to take care of the basic protection against sexually transmitted diseases.
It is worth considering the fact that the chronic form of the disease leads to a violation of the erection of the penis and a decrease in sexual satisfaction during ejaculation. On this basis, the fear of intimacy, irritability, self-doubt begins. All of this leads to further nerves for sexual reasons.
Ways of infection
Doctors note two ways of infection with an infectious form of prostatitis:
- Urogenous (ascending). Certain microorganisms enter the prostate through the urethra. The secretion of the prostate gland is normally sterile, no bacteria will be detected during the examination. There are cases where microorganisms live in a man's body, but their concentration is not enough for the development of the disease. If the microflora is disturbed, the infection of the organ begins, which leads to the development of inflammation. Do not rule out the risk of infection and damage to neighboring organs when a man suffers from hemorrhoids or cystitis. In this case, dangerous microorganisms enter the prostate through the lymphogenic route.
- Hematogenous. The causative agent of the infection enters the prostate through the bloodstream. The diseases that can cause this type of infection are various: acute flu, caries, etc. If there is also venous congestion in the prostate gland, there is a high risk of chronic prostatitis, the treatment of which will take a long time.
Urologists identify two predisposing factors that lead to hematogenous infection:
- Congenital. Anatomical features of the prostate, including changes in the structure of muscle tissue or circulatory disorders.
- Acquired. Causes of chronic prostatitis include trauma to the genitals, cravings for alcohol, prolonged smoking, a history of infectious diseases, and frequent hypothermia.
The danger of ignoring the disease lies in the fact that at this stage the symptoms of chronic prostatitis in men are often absent or insignificant. The patient believes that the disease can be cured with the help of folk remedies, but these methods are ineffective. Therapeutic regimens are performed only by a specialist after a thorough examination and collection of the necessary information.
Warning signs
The symptoms of chronic prostatitis are different, depending on the stage of the disease and its form:
| The figure | signs |
|---|---|
| Bacterial (infectious) | Feeling of weakness, chills, fever, muscle aches, lower abdominal pain (may be aggravated by contact and prolonged abstinence), pain when urinating, weak jet pressure when urinating, frequent at night. Pain can be seen in the thighs, perineum and rectum, which is why the signs of chronic prostatitis are perceived as hemorrhoids. |
| Especially for bacteria | All the above signs are observed, to which can be added secretions from the urethra, which looks like mucus. |
| bacterial | The symptoms of congestive heart disease are difficult to ignore due to the intense pain. It is located in the perineum and thighs. The discomfort is felt in the head of the penis. The pain is aggravated by the cessation of sexual intercourse, as well as by prolonged abstinence from intimacy. |
The consequences of chronic prostatitis depend on the duration of the disease:
- Adenoma?
- Oncology?
- Hardening of the prostate and neck of the bladder.
- Erectile dysfunction;
- Infertility;
- Decreased testosterone levels.
The risk of the disease is not limited to the fact that prostatitis can be confused with another disease. If the acute phase passes, the symptoms of chronic prostatitis disappear and treatment is not carried out. The man is no longer worried about his health and does not go to the doctor. However, there comes a time when the signs begin to bother severely and interfere with normal life, but the disease has already passed into a prolonged phase. Treatment of congestive prostatitis will take much longer if the diagnosis of the disease was not in the early stages.
Diagnosis
The symptoms of other diseases are very similar to those of chronic prostatitis. Is it possible to cure the disease without examinations? It is unlikely, because only an accurate diagnosis will determine the form and stage of development of prostatitis. Discomfort can be caused by:
- tuberculosis;
- adenoma?
- Volume.
Only a complete examination can confirm or rule out the diagnosis. There are two types of research:
- Organic;
- Laboratory.
After talking to the patient and receiving a history, your urologist or andrologist will ask you to have a series of tests:
- General urine analysis?
- General blood test?
- Prostate secretion analysis?
- Blood test for PSA.
A urine sample is taken three times to obtain more accurate data on the change in composition in it:
- epithelial cells;
- Leukocytes?
- Pathogens Infectious pathogens?
- Non-specific bacteria.
Doctors know what chronic prostatitis is and how difficult it is to diagnose. The modern method of corrective ultrasound (TRUS) allows you to do this accurately:
- An ultrasound catheter is carefully inserted into the patient's anus.
- Since the prostate is firmly attached to the rectal wall, the specialist has a good opportunity to study the prostate gland in detail and make an accurate diagnosis.
Conventional ultrasound allows you to determine the change in prostate density, its size, the presence of fibrous foci, abscesses and stones.
Before treating chronic prostatitis, the doctor should re-check the diagnosis. In case of any doubt, he can refer the patient to MRI or CT scan to rule out the presence of a tumor focus. If a man has subcutaneous obstruction, he will need an x-ray to determine the cause of the disease.
Conservative treatments
The treatment regimen for chronic prostatitis is prescribed only by a professional urologist and is selected individually. The doctor takes into account the cause of the disease, the duration of the disease and such a factor as an aggravating pathology. If congestive or infectious prostatitis is at an early stage, treatment can be with medication:
- Antibiotic treatment. Prostatitis can be treated with antibacterial drugs if the bacterial agent is detected in prostate or urine secretions. The inflammation must be intense. The course does not last more than 2 months and the price of the treatment of chronic prostatitis depends on the prescription drugs. The dosage of each drug is prescribed separately and self-medication is fraught with complications. Reviews after treating prostatitis with antibiotics are not always positive, but there are reasons for this. Sometimes the symptoms persist at the end of the course, even though the infection has been defeated.
- Elimination of symptoms. For the treatment of chronic prostatitis in men, pain-relieving drugs are often used. The course of treatment may also include the use of antidepressants to reduce stress levels.
- Alpha inhibitors. A number of these drugs are prescribed if your doctor has diagnosed hypertension of the bladder muscles or increased intraurethral pressure. However, medications are ineffective if the patient has pelvic floor myodystrophy or a muscle nerve disorder.
- hormone therapy. It is performed based on the results of a hormonal test. Androgens and antiandrogens are used.
- Vitamin therapy. With an unhealthy diet, the lack of nutrients is compensated due to the complex of vitamins and minerals. Experts do not recommend replacing it with popular dietary supplements, as "dummies" will not help in any way.
- Normalization of uric acid levels. Methods of treating chronic prostatitis with the help of regulators are effective only in the presence of stones in the prostate gland.
- Immunostimulants. Prostatitis is treated in this way only with laboratory-proven immunodeficiency.
Answering the question of whether chronic prostatitis is curable, we can safely say that recovery comes quickly with a properly prescribed complex.
Surgical method of treatment
Usually the disease does not require surgery unless the complication is a threat to the patient's health and even life. Modern surgery applies endoscopic intervention to reduce health risks and damage. Surgery is necessary for:
- adenoma?
- Hardening of the seed tubercle.
- Stones in the prostate;
- Prostate sclerosis.
Effective treatment of chronic prostatitis allows you to do without surgery if a man seeks medical advice in time. Do not forget that at the stage of disease exacerbation, surgery can not be performed. The need for such a basic method of treatment is determined only by the surgeon after studying the overall clinical picture.
Other treatments
Men are often worried about whether chronic prostatitis can be treated non-pharmacologically. Your doctor may actually prescribe other methods:
- Massage. Do not forget the contraindications and the fact that only a small area of the prostate is available for massage. If there are hyperplastic changes in the prostate gland, a massage course can lead to acute urinary retention. This, in turn, causes the inflammation to spread further and sepsis to develop. Massage in the presence of venous stasis, prostate cysts and stones in the prostate gland is also prohibited. If you need to get rid of a stagnant secretion, it is best to release the prostate naturally through ejaculation.
- Special gymnastics. Used to strengthen the bladder and lengthen the intervals between urination. Improving the tone of the sphincter and bladder allows you to set a break between impulses in the toilet for up to 5 hours. Exercise is ineffective for neurodystrophic changes and myoperitoneal syndrome.
- Muscle stimulation. With reduced pelvic floor muscle tone, magnetic therapy, phonophoresis, transrectal ultrasound or electrical stimulation are used.
- Instillation. It is practically not used in modern medicine, since the injection of drugs into the urethra is accompanied by pain and does not cure prostatitis. The consequences of such treatment can be devastating.
It is advisable to ask an andrologist or urologist about how to treat congestive prostatitis with folk remedies. Popular videos on the Internet are full of videos about the quality use of alcohol tinctures and pumpkin seeds, but no method can replace medication. How well the disease is treated is also determined only by the doctor and not by the heroes on YouTube.
Useful exercises
A simple set of exercises will improve the microcirculation of blood in the pelvic area. They can be performed in the morning instead of the usual exercise:
- Straighten your legs shoulder-width apart, raise your arms and attach them to the back of your head. Inhale - sit slowly and spread your knees to the side, exhale - return to the starting position.
- Connect the legs together, lower the arms freely along the body. Bend your left leg at the knee, raising it as high as possible. Repeat with the right foot. Perform 10 approaches.
- Sit squatting, palms down. Inhale - get up slowly, spread your arms sideways. Exhale - return to the starting position.
- Lie on your stomach after placing a small ball underneath (no bigger than a tennis ball). Focus on the floor and roll the ball on the floor with your stomach. Perform 7 approaches.
- Lie on your back, bending your knees. Tighten the ball between them. Inhale - tighten your knees, exhale - relax. Do 3 sets, eventually increasing the number of repetitions up to 9 times.
- Sit on the floor, focusing on your hands. Place a ball under your buttocks. Try rolling it on the floor with the help of your buttocks and genitals.
Help fight the disease and Kegel exercises, which are useful not only for women but also for men.
Possible Predictions
Instead of looking for information on how to live with chronic prostatitis, it is more helpful to make an appointment with a specialist. With timely access to a doctor and a reasonably chosen course of treatment, you can improve your health. The question of whether chronic prostatitis can be completely cured cannot be answered clearly. It all depends on the methods prescribed by the doctor and how accurately the patient follows his recommendations.
Experts are very careful in making predictions about the further course of the disease. Is chronic prostatitis treated with a guarantee? Complete recovery occurred only in rare cases, as most of the time the disease takes the form of prolonged remission. There is a normalization of the parameters of urine and blood, the symptoms disappear completely. However, without following the advice of a doctor, the disease can again cause discomfort and complications.