Prostatitis is diagnosed exclusively in men.This is one of the most common diseases among diseases of the male reproductive system;4 out of 5 men have experienced symptoms of prostatitis at least once in their lives.
Most often, men between 20 and 40 years old at the peak of their sexual activity are susceptible to prostatitis.Chronic prostatitis is diagnosed in every 10 men.It is characterized by periods of exacerbation and remission and disguises itself as other diseases.
Symptoms of chronic prostatitis.
Symptoms of chronic prostatitis include the following:
- Discomfort and pain in the lower abdomen, with periodic cramps that do not disappear for a quarter or more.Pain may appear in the lower back, legs, scrotum and anus.It becomes especially painful when urinating and ejaculating.
- Penile erection worsens and sexual desire weakens.First of all, premature ejaculation develops, and over time, on the contrary, ejaculation practically does not occur;this becomes very difficult to achieve.
- Urination becomes painful and incomplete.There is always a feeling of incomplete emptying of the bladder.
- A man's quality of life deteriorates significantly.
There are 2 types of chronic prostatitis: bacterial and abacterial.
Bacterial (infectious) prostatitis occurs with a constant alternation of acute exacerbations and remissions, while the discharge from the prostate contains infections and bacteria.
In this case, nearby organs may also be affected, such as the urethra, the neck of the bladder and the vas deferens, so the disease manifests itself in different ways.An accurate diagnosis can be made after a thorough examination.
Most often, the disease manifests itself as follows:
- Frequent and painful urination.
- Burning in the urethra.
- Premature ejaculation.
- Small mucous discharge from the urethra.
- Serious sexual dysfunction.
All of this greatly affects a man's performance and mental state, leading to long-term depression and neurasthenia.
Chronic abacterial prostatitis is a disease in which bacteria are not found in the secretion of the prostate.This form is very difficult to diagnose, as evidenced by numerous reviews of men on various forums.It is also very difficult to choose the right treatment regimen.
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Until now, doctors are faced with many unclear factors about the origin of this disease.This greatly complicates the treatment process.
Even ultrasound and laboratory tests of secretions may not show the presence of an inflammatory process.According to the recommendations of the Association of Specialist Urologists, the main signs of abacterial prostatitis are identified:
- It appears in middle-aged men.
- Prolonged pain in the pelvic area and groin.
- Impaired urinary function and frequent urgency.
- Erectile dysfunction and pain during ejaculation.
- Chronic congestive prostatitis: exacerbation and remission
- Chronic congestive prostatitis is characterized by several stages of development, which manifest themselves with different symptoms:
- Exudative - a man feels cutting pain in the groin, scrotum and pubic area.
- There are erection problems and accelerated ejaculation.
- Alternative: The patient complains of discomfort in the groin, scrotum and pubis.
- There is a frequent urge to urinate and rapid ejaculation during sexual intercourse.
- Proliferation: the patient notes frequent urination with a weak stream, a constant feeling of a not completely emptied bladder.And ejaculation becomes, on the contrary, difficult and slow.
- Scar changes: At this stage, the prostate tissue begins to thicken intensely.The patient complains of discomfort in the pelvic and pubic area, frequent need to urinate in a thin stream and incomplete emptying.The erection is very weak or completely absent, ejaculation becomes almost impossible, and the orgasm is weak, without vivid impressions.Prostatitis passes into the stage of chronic prostatitis of unstable remission, in which constant pain is observed and remission occurs only for a few hours.
As for the classification, it is customary to use the American NIH classification, which divides the disease into types: acute and chronic bacterial, chronic without signs of inflammation and congestive, as well as histological.
Factors and causes of chronic prostatitis in men.
Although some chronic prostatitis microbes are present in almost everyone's body, only a few become ill.How can the development of such a disease in a particular case be explained?
Experts determine the appearance of chronic prostatitis not only by the presence of an infection in the body, but also by the conditions that influence the development of the disease.
The most common causes of chronic prostatitis in men include:
- stagnation of blood contained in the prostate caused by a sedentary lifestyle;
- unstable sex life;
- uncomfortable and rather tight clothing;
- frequent hypothermia;
- injuries, as well as infections of various organs of the genitourinary system;
- poor nutrition;
- constant stressful state;
- drink and smoke frequently.
The diagnosis begins with a conversation with the patient, who must accurately and completely tell what is bothering him.The doctor must find out why the patient developed chronic prostatitis, find out all the possible causes and symptoms, how they manifest themselves.The doctor must tell you everything down to the smallest detail;This will determine how correctly the diagnosis will be made and effective and comprehensive treatment will be prescribed.
Next, it is necessary to palpate and send the secretion for bacteriological analysis, by which the presence of infections can be determined and the resistance of bacteria to antibiotics can be determined.
Attention
Palpation is performed by a urologist through the rectum.This procedure allows us to know the size and pain of the prostate.Palpation can also detect hemorrhoids, adenoma or prostate cancer.An ultrasound of the prostate will provide accurate data on the condition of the organ.
Determining the level of PSA in the blood makes it possible to exclude or confirm the presence of adenoma and prostate cancer.
If the urologist suspects the presence of a tumor, he will need to send pieces of prostate tissue for a biopsy, which will show its presence or absence.
Treatment of chronic prostatitis is a complex and time-consuming process.Today, several methods are used to treat this disease.
Antibiotic treatment.In this case, macrolide and tetracycline antibiotics are used.
Only the treating doctor can correctly select the medication, its dosage and the duration of treatment.
Typically, medications are taken for 10 to 15 days.After which repeated tests are carried out, according to the results of which the doctor will determine whether the patient has been cured or additional treatment is required.
Prostate massage is necessary so that prostate secretions do not stagnate and microcirculation occurs.This greatly contributes to a quick recovery.
However, massage is prohibited in acute prostatitis, hemorrhoids and rectal fissures.
Massage is often prescribed as an additional therapy to antibiotic treatment.
Physiotherapy is prescribed to improve the condition of the prostate tissue, thereby accelerating the healing process.
Laser therapy and ultraphoresis are used for treatment.The use of muds and enemas with mineral waters rich in hydrogen sulfide are also effective.
Herbal medicine is used as an additional stimulus for the patient's recovery and is always used in combination with other methods.
In some cases, surgical intervention may be indicated if the urethra is severely narrowed or the presence of abscesses or prostate adenoma is detected.
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Diagnosis and treatment should be carried out in a medical institution under the constant supervision of qualified doctors.
If you consult a doctor in time, you can achieve a quick cure.Once treatment is started, long-term remission will be observed.We can speak of complete recovery when all symptoms of the disease disappear and laboratory tests show good results.
The most popular questions from patients about chronic prostatitis.
How to cure chronic prostatitis with home remedies quickly and effectively?
Treatment can be done with home remedies.In folk medicine, the most popular is the use of infusions of chamomile, yarrow and sage.These microenemas relieve the inflammation that occurs in the prostate gland very well.
To prepare such a microenema, take two tablespoons of chamomile and pour 100 grams of the herb.boiling water. You can also use horse chestnut shell for treatment, which is poured with alcohol and kept for 10 days in a dark place.
An onion decoction also helps.You need to finely chop two large onions and pour them with boiling water in a half-liter jar.The jar is wrapped in a towel and left to rest for 2 hours.Then every hour you need to drink 50 grams of decoction.
How to cure impotence with chronic prostatitis?
Impotence can be cured at home if a series of measures are followed.
It is necessary to choose suitable medications that help fill the cavernous bodies of the penis with blood.But before this, a consultation with a urologist is necessary.
You need to adjust your diet and go on a diet.You should not eat fatty foods or foods that reduce testosterone.It is necessary to eat porridge and lean meat, drink juices and green tea.
Also, don't forget about physical activity.In this sense, walking and jogging lightly outdoors are very effective.You also need to swing your legs.This promotes contraction of the muscles of the anus and perineum.
How long does it take to treat chronic prostatitis and how to get rid of it for good?
Antibiotic therapy lasts 1 to 3 months, depending on the advanced stage of the disease.If necessary, additional treatment with small doses of antibiotics may be prescribed.Lipophilic antibiotics best cope with this task.
To forget about this problem forever, it is necessary 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, which are replaced by remissions.When the pain goes away, it becomes easier and the man decides that he can solve this problem on his own, instead of rushing to a urologist.However, delay will not help here, since with each exacerbation inflammation will increase.
The inflammation can affect nearby organs and cause cystitis, pyelonephritis and vesiculitis.As a result, a man may develop infertility.
What antibiotics should I take for chronic prostatitis?
Various penicillins are often used.Tetracycline antibiotics are often prescribed for mycoplasmas and chlamydia.
Fluoroquinolones are very effective and penetrate well into the prostate tissue.Macrolides accumulate well in prostate tissues and quickly eliminate toxins.
Is it possible to have sexual relations with chronic prostatitis?
If the disease is caused by an infection, it is better to abstain from sex so as not to infect your partner.Although you can use a condom.It is simply necessary to have sexual intercourse, because when aroused, blood rushes to the prostate gland and it begins to contract.In addition, during ejaculation, the pelvic muscles contract strongly, which is considered a good self-massage.
Prevention of chronic prostatitis in men and its characteristics.
Preventing chronic prostatitis in men involves a healthy lifestyle and daily exercise.You can constantly tighten and relax your scrotum from time to time.
Every time you urinate, pause the flow a little, this way the bladder sphincter will harden.These high-quality exercises will allow blood to circulate well through the veins of the prostate, as well as strengthen metabolic processes in the body.