Chronic prostatitis

Symptoms of the disease:

• Pain in the prostate area. In some cases, the pain spreads to the lower back, groin, anus. Unilateral pain radiating to one of the testicles is not a symptom of the disease.
• Worsening libido.
• Premature or delayed ejaculation. The duration of sexual intercourse may differ depending on the stage of development of the disease. In the initial phase, ejaculation occurs prematurely, in a more advanced form, the pathology is manifested by an increase in the duration of sexual intercourse.
• Deterioration of the emotional richness of the 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 by pathogenic microorganisms is called prostatitis. The prostate is a male organ, so only male patients are susceptible to the development of pathology.

Inflammation in prostate tissues can be expressed by different symptoms. In order to make a diagnosis, the doctor performs a series of diagnostic measures. It is impossible to independently diagnose and treat prostatitis. You must contact a qualified professional.

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

Signs of disease development

Chronic prostatitis has a large number of symptoms. Signs of the development of the disease differ depending on the degree of its development. Symptoms can be unstable in the patient, be expressed or, conversely, hidden. Signs of disease development:

• Feeling of discomfort and pain for at least 90 days. The person feels pain in the perineum. In some cases, the pain covers the groin, lower back, scrotum.
• Lack of erection. Sexual disorders are periodically observed in patients. Complete impotence does not occur.
• premature ejaculation. In the initial stage of the disease, the patient has premature ejaculation. At a later stage of development, ejaculation is delayed. The level of emotion decreases when you have an orgasm. Sperm becomes smaller, its characteristics deteriorate.
• Frequent urination. Patients have frequent visits to the toilet at night. When urinating, the person feels pain and burning. In some cases, with chronic prostatitis, patients have urinary incontinence.

Stages of chronic prostatitis

The symptoms of the disease can vary depending on the stage of prostatitis. It is important that the specialist determines the degree of development of the disease. This depends on the treatment method. There are several stages of chronic prostatitis:

• Exudative. Patients feel pain in the groin, scrotum. The time interval between night trips to the toilet is reduced. Some patients feel discomfort during orgasm. Erections can be painful.
• An alternative. The pain becomes more intense. Their localization is the inguinal region, the pubis. Pain during urination is absent, time intervals between visits to the toilet are reduced. No erectile dysfunction.
• Proliferative. In a man at this stage of the disease, erection may slow down. During a visit to the toilet, the worsening of the strength of the urine stream is visually determined.
• Cicatricial. There is a feeling of heaviness in the groin area. A person often visits the toilet during the day and at night. Erection worsens. In addition, ejaculation is weak or completely absent.

It should be noted that the symptoms of each stage may not appear completely. In this regard, it is impossible to independently determine the stage of the disease. You must contact a qualified professional. A number of diagnostic measures will be required to establish a diagnosis.

Reasons for the development of chronic prostatitis

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

• Infectious diseases, sexually transmitted. There are sexually transmitted diseases that develop asymptomatically for a long time in the patient. Sometimes there are cases of improper treatment of diseases of this type. Against the background of the development of sexually transmitted diseases, chronic prostatitis appears as a complication. Sexually transmitted infections reach the prostate and affect its tissues. The result is an inflammatory response.
• Deterioration of blood circulation in the pelvic organs. The prostate fills with blood. The vessels exert pressure on the prostate tissues. This causes deterioration of the oxygen supply and leads to disturbances in the functioning of the prostate. A sedentary lifestyle can lead to circulatory disorders. In addition, wearing tight underwear negatively affects blood circulation in the pelvic organs.
• Urine reflux. In some cases, if the urination process is disturbed, the urine begins to move in the opposite direction and enters the prostate ducts. Urine entering the prostate causes tissue irritation. This, in turn, leads to the development of chronic prostatitis.
• Abstaining from sexual intercourse or its termination. The secret that is formed in the prostate 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 and the development of an inflammatory process.

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

A specialist should determine the cause of prostatitis as accurately as possible. This will allow you to choose the treatment method that is most effective 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 manifested by symptoms characteristic of chronic prostatitis. In this sense, timely diagnosis of complications can be difficult. Most often, untimely treatment of chronic prostatitis can lead to the development of:

• Vesiculitis. The disease is inflammation of the seminal vesicles. Symptoms of the pathology are pain in the groin and pelvis. In most cases, the pain is given in the lower back and sacrum. Patients report frequent urination, pain during erection and ejaculation. Bloody or purulent inclusions appear in semen and urine.
• Prostate abscess. Untimely treatment of chronic prostatitis can cause prostate abscess. This complication is manifested by weakness, high temperature. Treatment of the disease in this case is carried out in a hospital.
• Colliculitis. 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 intensifies. In most cases, the patient complains of pain during orgasm or after ejaculation.
• Sclerosis of the prostate. Non-adherence to chronic prostatitis therapy or untimely 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 completely empty the bladder.
• Presence of stones. With chronic inflammation, stones or cysts can form in the prostate. An ultrasound will be needed to detect cysts or stones.
• infertility. Delayed treatment of chronic prostatitis can negatively affect sperm motility and number. Sperm lose their motility. Violations caused by chronic prostatitis lead to male infertility

Disease diagnosis

The presence of several symptoms at the same time indicates the development of chronic prostatitis in the patient. In some cases, the disease is asymptomatic. The specialist uses a number of measures to make a diagnosis.

The doctor performs an examination, examines the patient. Also, he studies the medical documentation, while the specialist pays attention to diseases of the genitourinary system that were transmitted earlier. If necessary, determine instrumental and laboratory diagnostics.

Instrumental diagnostics

With the help of an ultrasound examination, it is possible to diagnose chronic prostatitis. Ultrasound is performed rectally. To conduct the study, the specialist should place a specialized sensor in the patient's rectum. With the help of this type of study, the doctor can determine the size of the prostate, its structure and density. In addition, during the study, the specialist draws attention to the absence of stones and cysts.

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

Laboratory diagnostics

The use of laboratory diagnostics of chronic prostatitis enables the determination of 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. The laboratory checks the presence of leukocytes, bacterial flora, fungi or viruses in the discharge.
• A scraping is taken from the patient's urethra. Laboratory research allows you to identify pathogens that are sexually transmitted.
• The patient's prostate gland is taken for microscopic examination.

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 method of treatment for each patient.

Treatment of prostatitis

If you have symptoms of chronic prostatitis, you should contact a qualified specialist. The treatment of the disease is dealt with by a urologist, andrologist. The patient is prescribed a complex therapy aimed at a consistent solution to the problem. In addition to taking medication, therapy implies a change in a person's lifestyle, elimination of bad habits, normalization of sex life, proper nutrition, etc.

Therapeutic treatment

Patient care is complex. Medicines and specialized exercises are also used. The most common procedure in the treatment of chronic prostatitis is prostate massage. The specialist massages the prostate with his index finger. The massage is performed through the anus. Before the procedure, the specialist puts on a rubber glove and lubricates it with a specialized lubricant.

During the massage, blood circulation in the prostate is activated. This has a beneficial effect on the prostate and accelerates the restoration of damaged tissues. When pressing on the gland, its secretion enters the urethra. The specialist can take the fluid for microscopic examination to control the dynamics of the treatment.

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

Treatment

Different drugs can be used to treat prostatitis. The specialist selects drugs based on the individual characteristics of the patient and the stage of the disease. It is impossible to choose a medicine independently. You will need to see a doctor.

In order to reduce the swelling of the prostate, the patient is prescribed drugs that suppress the action of male hormones. Reducing the size of the prostate improves the flow of secretions into the urethra. In turn, the passage of urine into the urethra improves and blood circulation is activated.

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

In the presence of an infection that caused the development of the disease, antibacterial drugs are prescribed. Before prescribing antibiotics, the specialist must carry out a series of diagnostic measures to detect the infection. The choice of drug is not only influenced by the presence of 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. Medicines of this type reduce 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, in order to eliminate complications arising from improper treatment or its absence, surgical intervention is performed. Specialists use minimally invasive transurethral electroresection.

Lifestyle with prostatitis:

• Regular exercise. A man should lead an active lifestyle and perform certain exercises every day. It is necessary to strengthen the muscles of the small pelvis. This approach will improve blood circulation and eliminate blood stagnation.
• Regular sex life. A person's sexual life should be regular. Interruption of sexual intercourse or artificial prolongation with the help of drugs should be ruled out. Long-term abstinence or cessation of sexual intercourse leads to stagnation of prostate secretions. This, in turn, is dangerous for the development 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.
• Spacious bedding. A man should wear clothes and underwear that do not interfere with the normal circulation of blood 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 performed. Therapeutic treatment accelerates the patient's recovery process.

Treatment

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

Operation

Surgery is primarily used to treat complications resulting from the development of chronic prostatitis. Transurethral equipment is used for operations.

The specialists of the specialized medical center are highly qualified, which allows them to effectively treat chronic prostatitis. High-tech equipment and high-quality medicines are used for diagnosis and treatment of diseases.