Chronic prostatitis is an inflammatory process that affects the tissues of the prostate gland and leads to the failure of its full functioning. The disease is one of the most common among disorders in the work of the male genitals.
The risk group is the male population from twenty to forty years old, during the peak of their birth, reproduction and sexual activity. Almost every tenth male at least once in his life has faced such a sexual problem.
Chronic prostatitis is characterized by alternating periods of worsening and remission of disease symptoms. Under the signs of such a disease, many other problems are compatible not only with the genitourinary system, but also with other internal organs, therefore, when they appear, it is important to immediately consult a doctor qualified to diagnose.
Chronic prostatitis develops over a long period of time. Very often, this disorder occurs without showing any symptoms or with a slight expression of them and is diagnosed during a random examination. It is difficult to treat, there is the possibility of frequent recurrences.
Etiology
Routes of infection:
- directly through the urethra;
- with a stream of infected urine;
- with movement of blood or lymph;
- transmission of infection from neighboring organs.
In every male body there are pathogenic microorganisms that can provoke the progression of prostatitis. But still, not all men have such a dangerous and unpleasant disease. This means that not only pathogenic microflora, although it is the main cause of the development of pathology, but favorable conditions are required for its activation. There are the following factors conducive to disease progression:
- sedentary working conditions and a sedentary lifestyle;
- frequent change of sexual partners;
- premature cessation of sexual intercourse, as a contraceptive;
- prolonged abstinence from sexual intercourse;
- tight underwear;
- hypothermia;
- other inflammations of the genitourinary system;
- all types of prostate injuries;
- bad habits;
- very fatty and high-calorie food;
- 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 as in the previous stage, but with a slight addition, in the form of frequent urge to urinate;
- proliferation - ejaculation slows down, and the intensity of urine flow decreases;
- scarring - all of the above signs are natural.
Symptoms
Chronic prostatitis is manifested by the following symptoms:
- pain and discomfort in the pelvic area, inguinal region, inner thighs, lasting from three or more months;
- frequent desire to urinate;
- sharp pain at the end of the need;
- painful erection;
- sometimes complete lack of ejaculation;
- sleep disturbance;
- reduction of work capacity;
- itching, cold sensation or excessive sweating of the perineum;
- skin stain in the groin area;
- decreased sexual desire;
- nocturnal erections;
- loss of appetite;
- nervousness;
- constant feeling of fatigue;
- slight increase in body temperature.
Complications
Chronic prostatitis is often not expressed with any signs, therefore the patient is not aware of the problem and timely treatment does not occur. All of this can lead to a number of complications.
Complications can be:
- male infertility;
- impotence;
- urinary incontinence;
- prostate cysts;
- prostate cancerous tumors.
Diagnosing
Diagnosis of such a disease is not difficult for a urologist. The doctor does:
- asking the patient about pain or discomfort;
- general inspection of the groin area for redness, leakage or irritation;
- digital examination of the prostate gland (through the opening of the rectum);
- collection of prostate secretion.
These procedures are quite uncomfortable and sometimes painful, but are the most acceptable for diagnosing such a disease.
In addition, the patient will be asked to submit:
- general urine analysis;
- staining of the urethra;
- urine for bacterial research;
- urine sample with three cups;
- scraping to determine the causative agent of the disease.
Hardware diagnostics consists of:
- Prostate ultrasound - to determine the volume of the prostate gland, the presence of tumors or cysts;
- uroflowmetry - to determine the rate of urine flow. In the healthy state, the movement is - fifteen milliliters per second, with chronic prostate - less than ten;
- CT;
- biopsy.
Without performing all of 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, even longer;
- course of therapeutic massage of the prostate gland - consists of fourteen visits to the doctor;
- elimination of prostate spasms, stagnation of urine and leakage of secretions from the glands with the help of certain groups of drugs that can be prescribed only by a specialist;
- physiotherapy, consisting 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;
- medical surgical intervention, which is addressed only when there are changes in the size of the urethra, in case of abscesses or adenomas of the prostate.
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 recurrence of the disease.
At home, the course of the disease can be mitigated by:
- honey mixture and crushed pumpkin seeds;
- freshly squeezed juices of cucumber, beet and carrot. Use them at least five hundred milliliters a day;
- pear compote;
- decoction of parsley roots;
- roasted chestnut peel;
- celandine infusion;
- coniferous baths, lasting no more than twenty minutes a day.
Also, a special diet will help speed up the recovery process, ensuring the reduction or complete rejection of some foods:
- fatty and rich meat juices, fish and mushrooms;
- hot sauces and spices;
- onion, 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 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 clothing, not too tight. This is especially true for underwear;
- have sex without frequent change of partner;
- 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, giving up all bad habits;
- normalization of the manner and composition of food consumed. It is best to eat small meals, five or six times a day. Include a large amount of fruits, vegetables, fresh meat in the diet;
- do daily physical exercises.
Implementing such simple recommendations will save a man from developing a problem such as chronic prostatitis. After all, avoiding it is much easier than curing it.