Chronic prostatitis is an inflammatory disease of the prostate gland, characterized by changes in organic tissue and dysfunction of the prostate, male reproductive system and urinary tract.
The prostate is a tubular alveolar gland found only in men. This gland is involved in sperm production and is located below the bladder around the beginning of the urethra. Chronic prostatitis in men can occur due to infection of the prostate gland from the bladder through the blood vessels and lymphatic vessels of the pelvis or by other means. While the presence of an infection cannot cause disease or impotence, it usually does not go away for men without a trace. Currently, the man is observing a decrease in penile hardness, sexual dysfunction during intercourse and urinary disorders.
Chronic prostatitis is not life -threatening for men, but can still cause psychological stress and deterioration of family relationships. It should also be noted that, according to experts, chronic prostatitis, i. e. its untimely treatment, can lead not only to the development of serious complications, but also to prostate cancer. In fact, in addition to infection, there are several other factors that predispose to chronic prostatitis. Even so, the manifestations and exacerbations of chronic prostatitis have different specifics.
Stages of chronic prostatitis
Although there is still no single specificity for the development of chronic prostatitis, experts distinguish the following types:
- I have acute bacterial prostatitis;
- II bacterial genesis prostatitis. It is most commonly found;
- III chronic non -bacterial prostatitis is a complex of symptoms of chronic pelvic pain, the duration of which exceeds 3 months;
- category III A is an inflammatory form of chronic prostatitis with increased levels of leukocytes in prostate secretions;
- III B is a non -inflammatory form of chronic prostatitis without increased levels of leukocytes and pathogens in prostate secretions;
- Type IV is diagnosed as asymptomatic chronic prostatitis, which causes no pain and is inadvertently detected based on the results of prostate secretion analysis or biopsy.
The frequency and causes of this category of chronic prostatitis are still unknown. On the causes of the development of other types of diseases, it should be noted here that they may be due to the penetration of various infectious microorganisms into the ureter, as well as violations of various functions in the male body.
Methods of prevention of prostate inflammation
Chronic prostatitis requires long -term treatment. Therefore, it is better to follow precautionary measures to avoid it. To do this, the patient only needs to make some adjustments to his or her lifestyle, which are not only beneficial for the general health condition, but can also relieve the disease. So, first of all, the following rules of prevention must be followed:
- strive to lead a healthy lifestyle;
- exclude spicy foods completely from the diet;
- do not abuse alcohol;
- playing sports, including exercises that help strengthen muscles and improve blood circulation in the pelvic organs;
- attend yoga classes at will;
- observe methods of prevention and treatment of infectious diseases;
- relieve pelvic congestion and promptly treat rectal diseases;
- does not include excessive masturbation;
- try to live a regular, but at the same time safe sex life;
- avoid hypothermia;
- do not sit on cold surfaces;
- during inactive work, heating is more frequent.
In addition to these preventive measures, men should take into account the fact that chronic prostatitis manifests itself insignificantly. Therefore, if a man notices whiteness during urination or defecation, and also experiences mild pain, then in this case it is advisable to immediately see a doctor. It should also be borne in mind that the course of treatment should be carried out strictly under the supervision of a specialist without neglect. In addition, the selection of drugs during antibiotic therapy is carried out according to the individual condition of the patient and only after he undergoes a special study. Prescribed medication intake should not be interrupted, and moreover, additional medications should not be taken without a doctor’s prescription. Do not delay your doctor's appointment. By searching our website, you can easily find the right clinic for both location and price.
Causes of prostate inflammation
Chronic prostatitis in medicine is positioned as a polyetiological disease. In addition to the penetration of infection into the ureteral organs, it can occur and recur due to the emergence of neurovegetative and hemodynamic disorders, as well as weakening of the immune system and autoimmune processes, hormones or biochemistry. Inflammation of the prostate gland can develop against the background of diseases such as:
- depression;
- neurogenic bladder dysfunction;
- reflex sympathetic dystrophy;
- inflammatory processes of nearby organs located;
- urinary neck hypertrophy;
- prostate adenoma;
- urethral tension;
- rectal disease.
Given these factors, the following reasons are associated with the risk of developing prostate inflammation:
- an inactive lifestyle, especially in a sitting position, requires dysfunction of blood supply to the pelvic organs;
- local hypothermia of the body;
- frequent constipation;
- irregular sexual intercourse or sudden activity;
- chronic infections;
- previous venereal disease. In particular, their delayed treatment;
- improper nutrition;
- lack of sleep;
- chronic stress.
In addition, chronic non -bacterial prostatitis can be caused by the formation of myofascial trigger points during the course of disease, injury and surgical intervention on the pelvic organs.
Symptoms of chronic prostatitis
The symptoms of chronic prostatitis did not bother the man much. Inflammation of the prostate occurs suddenly. Patients may be bothered by acute pain in the perineum and groin area, and may also experience pain during urination and defecation, accompanied by discharge from the urethra. All of these signs of chronic prostatitis can be accompanied by fever, chills, and fever. Often, these symptoms are intermittent. Also, chronic prostatitis can be expressed in the form of complications of venereal disease. During the onset of the disease, the patient may feel discomfort when urinating, pain in the perineum, as well as manifestations of vaginal discharge. Chronic inflammation of the prostate causes erectile dysfunction and delayed ejaculation.
The inflammatory process of the prostate moves deep into the urinary system, which can lead to cystitis and pyelonephritis. Often, these exacerbations end with inflammation of the testicles and appendages, which lead to infertility, requiring long -term treatment. Therefore, you should not delay going to the doctor. Timely diagnosis and treatment are required. It is important to remember that chronic prostatitis can be cured if the disease is not triggered.
Diagnosis of chronic prostatitis
As a rule, a doctor can diagnose this or that type of chronic prostatitis based on complaints presented by the patient or after examination. First, the specialist performs palpation on the prostate gland, and then recommends that the patient perform a laboratory study of the urine culture tank and prostate secretions. This diagnosis allows you to determine further treatment of chronic prostatitis. In addition, urologists can use diagnostic methods such as:
- transrectal ultrasound, which allows you to determine the size and volume of the prostate, as well as identify the presence of neoplasms;
- determination of the pressure profile of the urethra makes it possible to determine the causes of urinary disorders and the function of the pelvic floor muscles;
- microscopic examination scrapes the mucous membrane of the urethra, which helps determine the presence of certain flora that cause infectious diseases; X-ray of the prostate;
- MRI of the pelvic organs, which helps differentiate with prostate cancer, as well as identify non -inflammatory types of bacterial prostatitis;
- determination of the state of humoral and cellular immunity in prostate secretions. Such research helps not only to diagnose the category of inflammatory processes of the prostate gland, but also to solve the question of which methods can be used to cure chronic prostatitis.
Treatment of chronic prostatitis
Chronic prostatitis is considered a dangerous and complex disease, its treatment methods require an integrated approach. Urologists use treatments such as:
- antibiotic therapy, in which drugs are prescribed that destroy microorganisms hidden from infection. The patient took this medication for several weeks. If there is no proper effect, antibiotics can be replaced with other groups of drugs;
- physiotherapy can include exposure to electromagnetic, ultrasonic and laser waves, which significantly increase the effectiveness of antibiotic therapy;
- magnetic laser therapy has anti-congestive effects and improves blood circulation in the pelvic organs;
- transrectal prostate massage is the most painful and uncomfortable method of treatment, but at the same time the most effective. This is based on the elimination of inflammatory secretions by squeezing them with the fingers;
- darsonvalization;
- electrophoresis with drugs;
- hormone therapy;
- transurethral electrical surgery. This method of treatment can only be used if there are complications that, in addition to violations of the urinary process or reproductive function in a man, have led to the development of sclerosis of the prostate and bladder neck. If, after surgery, an increase in the chronic inflammatory process is observed, then in this case, the patient is able to remove all the remaining glands;
- immune correction aims not only to eliminate the infection, but also to eliminate the recurrence completely. This method of treatment implies the normalization of lifestyle, which involves an active lifestyle, regular walking, adherence to a daily regimen and proper nutrition;
- Spa treatments.
In addition, prescribed treatment for chronic prostatitis may include visits to an immunologist and additional special tests. Since cessation of this therapy or this therapy does not guarantee complete destruction of the prostatitis infection, therefore, there is a possibility that it will recur. To cure chronic prostatitis, the patient should adhere to all the recommendations of the doctor and follow the prescribed treatment till the end.