Chronic prostatitis

Disease symptoms:

• Pain in the prostate area. In some cases, the pain spreads to the lower back, groin, anus. Unilateral pain that radiates to one of the testicles is not a symptom of the disease.
• Decreased libido.
• Premature or delayed ejaculation. The duration of sexual intercourse may vary depending on the stage of development of the disease. In the early stages, ejaculation occurs prematurely, in more advanced forms, the pathology is indicated by an increase in the duration of sexual intercourse.
• A decline in the emotional richness of orgasm.
• Loss of qualitative and quantitative properties of sperm.
• Frequent urination at night. Pain when going to the toilet.

Description of the disease

Defeat of the prostate gland by pathogenic microorganisms is called prostatitis. The prostate gland is a male organ, so only male patients are susceptible to the development of pathology.

Inflammation of the tissue of the prostate gland can be expressed by various symptoms. To make a diagnosis, the doctor carries out a series of diagnostic steps. It is impossible to diagnose and treat prostatitis on your own. You need to contact a qualified professional.

According to statistics, prostatitis is the most common disease of the male reproductive system. Most often, pathology is diagnosed in young men. The average age of patients diagnosed with prostatitis is 45 years.

Signs of disease progression

Chronic prostatitis has a large number of symptoms. The signs of the development of the disease differ depending on the stage of its development. Symptoms may be unstable in the patient, pronounced or, on the contrary, hidden. Signs of disease progression:

• Discomfort and pain for at least 90 days. A person experiences pain in the perineum. In some cases, the pain covers the groin, lower back, scrotum.
• Lack of erection. Sexual disorders are observed in patients periodically. Complete impotence does not occur.
• premature ejaculation. In the early stages of the disease, patients experience premature ejaculation. At the next stage of development, ejaculation is delayed. The emotional level decreases when receiving an orgasm. Sperm become smaller, their characteristics deteriorate.
• Frequent urination. The patient experiences frequent visits to the toilet at night. When urinating, a person feels pain and burning. In some cases, with chronic prostatitis, patients experience urinary incontinence.

Stages of chronic prostatitis

The symptoms of the disease may vary depending on the stage of prostatitis. It is important for specialists to determine the stage of development of the disease. This depends on the treatment method. There are several stages of chronic prostatitis:

• Exudative. The patient has pain in the groin, scrotum. The time interval between visits to the toilet at night is reduced. Some patients feel discomfort during orgasm. An erection can be painful.
• Alternative. The pain became stronger. Their localization is the inguinal, pubic area. Pain during urination is absent, the time interval between visits to the toilet is reduced. No erectile dysfunction.
• Proliferative. In a man with this stage of the disease, erections may be slow. When visiting the toilet, the deterioration of the strength of the urine flow is determined visually.
• Cicatricial. There is a feeling of heaviness in the groin area. A person often visits the toilet during the day and night. There is a decline in erection. In addition, ejaculation is weak or completely absent.

Keep in mind that the symptoms of each stage may not appear completely. In this case, it is impossible to determine the stage of the disease independently. You must contact a qualified professional. To make a diagnosis, several diagnostic steps will be required.

The reasons for the development of chronic prostatitis

There are several causes of this disease. Prostatitis is a multifactorial disease. Reasons for the development of chronic prostatitis:

• Infectious, sexually transmitted diseases. There are sexually transmitted diseases that develop in patients for a long time without symptoms. Sometimes there are cases of incorrect treatment for this type of disease. Against the background of the development of venereal diseases, chronic prostatitis occurs as a complication. Sexually transmitted infections reach the prostate gland and affect its tissue. The result is an inflammatory response.
• Impaired blood circulation in the pelvic organs. The prostate is filled with blood. Vessels exert pressure on the tissue of the prostate gland. This causes a decline in oxygen supply and leads to prostate gland disorders. A sedentary lifestyle can cause impaired circulation. In addition, wearing tight underwear has a negative effect on blood circulation in the pelvic organs.
• Urine reflux. In some cases, if the urination process is interrupted, the urine starts moving in the opposite direction and enters the duct of the prostate gland. Urine entering the prostate causes tissue irritation. This, in turn, leads to the development of chronic prostatitis.
• Refrain from sexual intercourse or harassment. The secret formed in the prostate gland does not come out of it. In some cases, it may not be completely removed. Stagnation leads to an increase in the size of the prostate gland and the development of the inflammatory process.

In addition to the above, the cause of inflammation in the prostate gland can be hypothermia, hormonal imbalance and decreased immunity. Prostatitis can develop against the background of decreased protective properties of the body. In connection with the decrease or increase in hormone levels, the activity of prostate cells is canceled.

Specialists need to determine the cause of prostatitis as accurately as possible. This will allow you to choose the most effective treatment method for a particular patient. When choosing a technique, the individual characteristics of each patient are taken into account.

Complications

Carrying out ineffective treatment or delaying a visit to a specialist for chronic prostatitis can lead to the development of other diseases of the genitourinary system. The presence of complications can be indicated by the characteristic symptoms of chronic prostatitis. In this case, timely diagnosis of complications can be difficult. Often, untimely treatment of chronic prostatitis can lead to the development of:

• Vesiculitis. This disease is inflammation of the seminal vesicles. Pathological symptoms are pain in the groin and pelvis. In most cases, pain is given to the lower back and sacrum. Patients report frequent urination, pain during erection and ejaculation. Bloody or purulent inclusions appear in semen and urine.
• Abscess on the prostate. Improper treatment of chronic prostatitis can trigger a prostate abscess. This complication is manifested by weakness, high fever. Treatment of the disease in this case is carried out in the hospital.
• Coliculitis. Pathogenic microorganisms move from the prostate to the seminal tubercle and infect it. A sign of colliculitis or urethritis is a burning sensation in the urethra. When visiting the toilet, the burning sensation increases. In most cases, patients complain of pain during orgasm or after ejaculation.
• Sclerosis of the prostate. Non-adherence to chronic prostatitis treatment or immediate access to a doctor can lead to prostate sclerosis. Signs of the development of the disease are the presence of pain during urination and the inability to empty the bladder completely.
• The presence of stones. With chronic inflammation, stones or cysts can form in the prostate gland. Ultrasound will be needed to detect cysts or stones.
• infertility. Delaying the treatment of chronic prostatitis can affect sperm motility and number. Spermatozoa lose their mobility. Violation caused by chronic prostatitis leads to male infertility

Disease diagnosis

The presence of several symptoms at the same time respects the development of chronic prostatitis in patients. In some cases, the disease is asymptomatic. Specialists use several steps to make a diagnosis.

The doctor conducts an examination, questions the patient. Also, he studies medical documentation, while specialists pay attention to diseases of the genitourinary system that were previously transplanted. If necessary, appoint instrumental and laboratory diagnostics.

Instrumental diagnostics

It is possible to diagnose chronic prostatitis with the help of ultrasound examination. Ultrasound is performed rectally. To conduct the study, the specialist needs to place a special sensor in the patient's rectum. With the help of this type of study, doctors can determine the size of the prostate gland, its structure and density. In addition, experts during the study drew attention to the absence of stones and cysts.

The doctor may prescribe a microscopic examination of prostate secretions to the patient. This diagnostic method allows you to determine violations in the work of the prostate gland. In addition to the microscopic examination of the secret, the level of male hormones is checked in the patient. Exceeding the norm can cause tissue growth, and deficiency causes disturbances in the work of the prostate.

Laboratory diagnostics

The use of laboratory diagnostics of chronic prostatitis makes it possible to determine the form of the disease and the cause of its occurrence. The following laboratory tests are possible:

• Discharge from the patient's urethra is taken for analysis. In the laboratory, the presence of leukocytes, bacterial flora, fungi or viruses is checked in the discharge.
• A scraping is taken from the patient's urethra. Laboratory research allows you to identify sexually transmitted agents.
• For microscopic examination, the secret of the prostate gland is taken from the patient.

Conducting a complex of laboratory and instrumental studies allows you to determine the cause of the development of prostatitis and the stage of its development. After conducting research and collecting anamnesis, the doctor can make an accurate diagnosis and prescribe the most effective treatment method for each patient.

Treatment of prostatitis

If you have symptoms of chronic prostatitis, you should contact a qualified specialist. Urologists, andrologists are involved in the treatment of this disease. Patients are prescribed complex therapy aimed at a consistent solution to the problem. In addition to taking medicine, therapy involves changing a person's lifestyle, eliminating bad habits, normalizing sexual life, proper nutrition, etc.

Therapeutic treatment

Patient care is complex. Both medication and specific exercises are used. The most common procedure in the treatment of chronic prostatitis is prostate massage. The specialist massages the prostate gland with his index finger. Massage is done through the anus. Before the procedure, the specialist puts on rubber gloves and lubricates them with a special lubricant.

During the massage, blood circulation in the prostate gland is activated. This has a good effect on the prostate and accelerates the recovery of damaged tissue. When pressing on the gland, the secret enters the urethra. Specialists can take fluid for microscopic examination to control the dynamics of treatment.

If necessary, a person is prescribed magnetic and laser therapy. The procedure is performed in a complex. Microwave therapy is also used for treatment. This method involves the use of high frequency waves. During the procedure, the temperature of the treated area increases. This helps speed up the healing process.

Medical treatment

Various medications can be used to treat prostatitis. Specialists choose drugs based on the individual characteristics of the patient and the stage of the disease. It is impossible to choose the medicine yourself. You need to see a doctor.

To reduce the swelling of the prostate gland, patients are given drugs that block the action of male hormones. Reducing the size of the prostate increases the flow of secretions into the urethra. On the other hand, the passage of urine into the urethra improves and blood circulation is activated.

If necessary, patients are prescribed adrenoblockers. This drug belongs to a group of drugs that act on receptors on the muscle cells of the bladder and prostate gland. This approach prevents urine from entering the prostate during reflux.

In the presence of an infection that causes the development of the disease, antibacterial drugs are prescribed. Before prescribing antibiotics, the specialist needs to carry out a series of diagnostic steps to detect the infection. The choice of medicine is influenced not only by the presence of the infection, but also by its sensitivity to the main types of antibiotics. This approach allows you to prescribe the most effective treatment.

Nonsteroidal anti-inflammatory drugs are used to relieve inflammation. This type of drug reduces the inflammatory response, which, in turn, reduces swelling and pain in the patient. The method of taking the medicine may vary.

Surgical intervention

In some cases, to eliminate complications due to incorrect treatment or its absence, surgical intervention is performed. Specialists use minimally invasive transurethral electroresection.

Lifestyle with prostatitis:

• Regular exercise. A man needs to live an active lifestyle and do certain exercises every day. This is necessary to strengthen the small pelvic muscles. This approach will improve blood circulation and eliminate blood stasis.
• Fixed sex life. A person's sexual life should be organized. It is necessary to exclude interruption of sexual intercourse or artificial prolongation with the help of drugs. Prolonged abstinence or interruption of sexual intercourse leads to stagnation of the secretion of the prostate gland. This, in turn, is dangerous for the occurrence of inflammation.
• Permanent sexual partner. It is necessary to exclude promiscuity. A large number of sexual partners can lead to the development of sexually transmitted diseases.
• Wide linen. A man should wear clothes and underwear that do not interfere with normal blood circulation in the pelvic organs.
• Avoid hypothermia.

How to treat?

Therapeutic treatment

The most common procedure is prostate massage. In some cases, microwave, magnetic and laser therapy is carried out. Therapeutic treatment accelerates the patient's recovery process.

Medical treatment

Specialists prescribe antibacterial, anti-inflammatory drugs. If necessary, prescribe drugs that reduce the level of male hormones in the blood. The appointment of the drug and its dosage should be carried out by a qualified specialist.

Surgery

Surgery is used mainly to treat complications due to the development of chronic prostatitis. For the operation, transurethral equipment is used.

Specialists of specialized medical centers are highly qualified, allowing them to effectively treat chronic prostatitis. For the diagnosis and treatment of diseases, high-tech equipment and high-quality drugs are used.