Chronic prostatitis: symptoms, prevention and treatment of the disease

Chronic prostatitis is an inflammation of the prostate that affects men of all ages. In most cases, it occurs due to exposure to sexually transmitted infections and opportunistic microflora of the prostate. Inflammation of the gland itself is not terrible, but in the absence of effective treatment, it can cause urination disorders, pain, and lead to male infertility and impotence. In addition, the development of chronic prostatitis often results in a sedentary lifestyle and lack of regular sexual activity.

What is the role of the prostate in the body?

The prostate, shaped like a chestnut, is located below the bladder. It prevents semen from entering it and also produces prostate secretions, an important part of sperm.

Causes of chronic prostatitis

The most common causes of chronic inflammation of the prostate are sexually transmitted infections and pathogens. For example, Trichomonas. In addition, the development of this prostatitis contributes to a sedentary lifestyle. But prostatitis itself is not terrible, because this disease can lead to more serious diseases - male infertility, prostate adenoma.

Causes of the disease also include:

• Frequent hypothermia;
• Immunocompromised;
• hormone imbalance;
• the existence of one's bad habits;
• pelvic organ damage;
• A sedentary lifestyle.

There are two causes of chronic prostatitis:

1. Infect.They enter the body in a variety of ways - through the urethra, out of blood or lymph from an infection site or from an inflamed organ in your own body.
2. Circulatory disorders of the prostateOr her secret stasis, which happens when:
   • long-term abstinence;
   • Frequent interruptions of sexual intercourse or unaware excitement;
   • Defective ejaculation.

Stress and alcoholism can also lead to chronic prostatitis in men. Exacerbations are often observed after hypothermia, various infectious diseases, dietary errors (too spicy food, alcohol).

Symptoms of chronic prostatitis

The most common symptoms:

• Discomfort or pain in the groin and suprapubic area, perineum, scrotum, rectum, lumbosacral region;
• frequent and painful urges to urinate;
• lower abdominal pain (persistent or when urinating);
• intermittent or slow urine flow;
• Reduced intercourse time, worsening erections, decreased libido, premature ejaculation;
• Periodic/permanent absence of morning erections (spontaneous);
• After ejaculation, the pain in the head of the penis has a pulling nature, which disappears on its own within half an hour.

Many men don't pay attention to the signs of chronic prostatitis, believing that the disease will go away on its own. However, it progresses, leading to various complications: pyelonephritis, cystitis, seminal vesiculitis. Over time, against the background of prostate inflammation, infertility and impotence develop.

Disease diagnosis

Laboratory and instrumental examinations are required for an accurate diagnosis. This includes:

• General urinalysis,
• General blood analysis,
• study of prostate secretion,
• Bacteriological examination of prostate secretions to determine the microbial community, determine susceptibility to antimicrobials,
• blood test for PSA (prostate specific antigen),
• Ultrasonography of pelvic organs and prostate,
• Digital examination of the prostate.

Possible complications of chronic prostatitis

The disease can cause a number of concomitant diseases that can severely complicate a man's life:

• Urinary disturbances: Frequent urination during the day and night, a weak urine stream, and a feeling that the bladder is not emptying completely.
• Seminal vesicles, colitis - inflammation of the seminal vesicles and nodules.
• Glandular abscess is a serious condition that requires hospitalization and often surgical intervention.
• Sclerosis of the prostate - With the long-term development of prostatitis, surgery is required.
• Cysts and, therefore, prostate stones.
• Impotence, infertility.

Treat chronic prostatitis

Treatment for this disorder should only be done under the ongoing supervision of a doctor. One of the best and most effective modern medicines for the treatment of chronic prostatitis is an extract of prostate tissue. Its use produces results quickly and eliminates symptoms.

Since the treatment should be complicated, other drugs must also be used:

• antibacterial,
• alpha blockers,
• Non-steroidal anti-inflammatory drugs.

There is no panacea. Therefore, doctors can recommend antibiotics for different groups of people. Cephalosporins, protective penicillins, fluoroquinolones, nitrofurans and tetracyclines, etc. All of these affect the cause of the disease - bacterial infection.

Alpha-blockers - drugs used to treat chronic prostatitis, designed to relax the muscles of the prostatic urethra and bladder neck, facilitating the flow of urine by relieving spasms. In fact, they do not cure, but simply eliminate the painful symptoms of inflammation.

Among anti-inflammatory drugs, urologists recommend reducing the inflammatory process and reducing pain.

a medicine	benefit	shortcoming	Recommendations
Fluoroquinolones	Excellent penetration into prostate tissue. Good bioavailability. Oral and parenteral pharmacokinetic equivalence. Good activity against typical and atypical pathogens.	Cross allergy. Phototoxicity. Effects on the central nervous system.	Recommended Use.
Diaminopyrimidines	Good penetration into prostate tissue. Dosage selection is not required. Good antibacterial activity.	Negative for Pseudomonas aeruginosa and Enterobacter.	Second-line drugs.
Macrolides	Moderately active against Gram-positive bacteria. Activity against atypical pathogens. Good penetration into prostate tissue. Low toxicity.	Insufficient activity against Gram-negative bacteria.	for specific pathogens.
Tetracyclines	Good activity against atypical pathogens.	Inactive against Pseudomonas aeruginosa. Insufficient activity against Staphylococcus and Escherichia coli.	for specific pathogens.

Effective ways to treat chronic prostatitis

Among the drugs with a substantial evidence base are those derived from bovine prostate tissue extracts. In most cases - in the form of suppositories or ampoules. The drug is effective in treating acute and chronic diseases. Available in suppositories (rectal suppositories) and ampoules (injections), the drug works to strengthen the walls of blood vessels and improve blood circulation on a microscopic level.

The effect of using the drug in the treatment of chronic prostatitis:

• Eliminates dysuria and normalizes the urination process.
• Improve the functional state of the prostate.
• Reduce congestion and reduce prostate edema.
• Relieve severe symptoms of chronic prostatitis.
• Normalization of whole blood circulation in the pelvic region, reducing the possibility of blood clots in the blood vessels.
• Decreases the concentration of leukocytes infiltrating prostate tissue.

Treatment of chronic prostatitis

In most cases, chronic diseases can be successfully treated with conservative approaches. It should be remembered, however, that treatment can lead to rapid positive results only with a comprehensive approach. It is advisable to reconsider the lifestyle that caused the disease, or it may relapse. Alcohol abuse, unbalanced diet, sedentary lifestyle and promiscuity are extremely harmful to the male reproductive system.

Therapy process:

• prostate massageManually through the anus. It is worth noting that the process is not very pleasant, but it is very efficient.
• Physical therapy program.Treatment of chronic prostatitis with thermophysiotherapy produces favorable results by improving microcirculation and the absorption of drugs into tissues. Physical therapy procedures include ultrasonic heating and flushing with an antibacterial solution using an enema.
• Bath therapy.In many sanatoriums, the disease is successfully treated by balneotherapy methods, that is, with the help of mineral water. For the treatment of patients with prostatitis, low-mineralized water is usually prescribed in internal and bath forms.
• Diet therapy.You should start following a special diet at the first signs of prostatitis. First, you should quit alcoholic beverages, as alcohol can irritate the prostate ducts, increasing pain and inflammation. It is also necessary to limit the intake of fatty meat to rule out the formation of cholesterol plaques and further deterioration of blood circulation. Beans, mushrooms, offal, salty and spicy foods, tea and coffee, carbonated drinks and pastries are prohibited.

The diet for chronic prostatitis should include foods rich in zinc (found in seafood and pumpkin seeds). It is recommended to eat as many vegetables as possible (except those that contribute to gas formation, such as cauliflower), dairy products, grains, and dried fruits.

Precaution

Chronic prostatitis usually does not develop if one lives the right way of life: following diet, exercise, etc. Rejecting bad habits and casual sex can help prevent prostatitis.

There are primary, aimed at preventing the onset of the disease, prophylactic, and secondary, whose task is to prevent the recurrence (exacerbation) of existing chronic prostatitis.

primary preventionIt comes down to regular sexual intercourse, a balanced diet, adherence to a regimen of physical activity, prompt and thorough treatment of any infectious (purulent) disease of the body, and prompt cleaning of the mouth.

secondary preventionProvides regular checkups and preventive treatment by a urologist - multivitamins, restorative medicines, exercise.

howpreventive medicineProstate disease, suppositories can be used.