Prostatitis is only diagnosed in men. It is one of the most common diseases of the male reproductive system, with four out of five men experiencing symptoms of prostatitis at least once in their lifetime.
Most often, prostatitis affects men in their 20s and 40s who are at their peak sexual activity. Chronic prostatitis is diagnosed in every 10 men. It is characterized by periods of exacerbation and remission, and masquerades as many other diseases.
Symptoms of chronic prostatitis include the following:
- Lower abdominal discomfort and pain with periodic cramps lasting a quarter or more. Pain can occur in the lower back, legs, scrotum, and anus. Urination and ejaculation are especially painful.
- Penile erection worsens and libido decreases. At first, premature ejaculation occurs, and conversely, over time, ejaculation does not actually occur, which becomes very difficult to do.
- Urinating becomes painful and incomplete. There has been a constant feeling of incomplete bladder emptying.
- A man's quality of life sometimes deteriorates.
There are two types of chronic prostatitis: bacterial and non-bacterial.
Bacterial (infectious) prostatitis occurs with constant alternations of sharp exacerbations and remissions, while infection and bacteria reside in the secrets of the prostate.
In this case, nearby organs such as the urethra, bladder neck, and vas deferens may also be affected, so the disease manifests in different ways. An accurate diagnosis can be made after a thorough examination.
In most cases, the disease manifests as follows:
- Frequent and painful urination.
- Burning of the urethra.
- Premature ejaculation.
- A small amount of mucus is expelled from the urethra.
- Severe sexual dysfunction.
All of this greatly affects a person's ability to work and mental state, leading to long-term depression and neurasthenia.
Nonbacterial chronic prostatitis is a disease in which bacteria are not found in prostate secretions. This form is difficult to diagnose, as evidenced by the numerous comments on men on various forums. Finding the right treatment plan is also very difficult.
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Until now, doctors were faced with many unknowns about the origin of the disease. This greatly complicates the treatment process.
Even ultrasound and laboratory tests of secretions may not reveal the presence of an inflammatory process. According to the recommendations of the European Association of Urologists, distinguish the main signs of nonbacterial prostatitis:
- It appears in middle-aged men.
- Long-term pain in the pelvic area and groin.
- Violation of voiding function and frequent urges.
- Erectile dysfunction and pain during ejaculation.
- Chronic congestive prostatitis: worsening and remission
- Chronic congestive prostatitis is characterized by several stages of development, showing different signs:
- Exudative - Men feel a cut in the groin, scrotum, and pubic area.
- Erectile problems and accelerated ejaculation were observed.
- Alternatives - Patient complains of groin, scrotal, and pubic discomfort.
- Frequent urges to urinate and ejaculate quickly during intercourse.
- Proliferation - The patient notices frequent urination, a weak urine stream, and a persistent feeling that the bladder is not fully emptied. Instead, ejaculation becomes difficult and slow.
- Scarring - During this stage, the prostate tissue begins to thicken strongly. The patient complained of discomfort in the pelvic and pubic regions, urgency, poor urination, and incomplete emptying. Erections are very weak or non-existent, ejaculation becomes nearly impossible, orgasms are weak, no vivid impression. Prostatitis enters the chronic prostatitis stage of unstable remission, in which persistent pain is observed and remission occurs only for a few hours.
As for classification, it is customary to use the American NIH classification, which divides the disease into: acute and chronic bacterial, chronic non-inflammatory and congestive, and histology.
Factors and causes of chronic prostatitis in men
Although almost everyone has some chronic prostatitis microbes in their bodies, only a few people get sick. How can the development of this disease be explained in a particular situation?
Experts determine the occurrence of chronic prostatitis not only by the presence of an infection in the body, but also by the conditions that affect the development of the disease.
The most common causes of chronic prostatitis in men include:
- A sedentary lifestyle leads to stagnant blood in the prostate;
- unstable sex life;
- Uncomfortable and rather narrow clothing;
- Frequent hypothermia;
- Injuries, and infections of various organs of the genitourinary system;
- malnutrition;
- constant pressure;
- Regular drinking and smoking.
Diagnosis begins with a conversation with the patient, who must state his concerns accurately and completely. Doctors must find out why a patient has chronic prostatitis, find out all possible causes and symptoms, and how they manifest. Doctors should tell everything down to the smallest detail, which will depend on how accurate the diagnosis is and whether an effective and comprehensive treatment plan will be prescribed.
Next, you need to palpate and pass a secret for bacteriological analysis, from which you can determine the presence of infection and find out the bacteria's resistance to antibiotics.
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Palpation is performed rectally by a urologist. This process can find out the size and pain of the prostate. On probing, hemorrhoids, adenomas, or prostate cancer can also be detected. Prostate ultrasound will provide accurate data on the state of the organ.
Determining PSA levels in the blood can rule out or confirm the presence of adenomas and prostate cancer.
If a urologist suspects a tumor, they will have to take a biopsy of prostate tissue to show its presence or absence.
Treatment of chronic prostatitis is a complex and time-consuming process. Today, various methods are used to treat the disease.
Treat with antibiotics. In this case, macrolide antibiotics and tetracyclines are used.
Only the attending physician can choose the appropriate drug, dosage and course of treatment.
Usually the drug is taken for 10-15 days. After that, repeat tests are performed, and the doctor will use the results to determine whether the patient has recovered or needs additional treatment.
Prostate massage is necessary so that the secretion of the prostate does not stagnate and its microcirculation takes place. This is very good for a quick recovery.
However, for acute prostatitis, hemorrhoids, and rectal fissures, massage is prohibited.
Massage is often prescribed as an add-on to antibiotic therapy.
Physical therapy is used to improve the condition of prostate tissue, thereby speeding up the healing process.
For treatment, laser therapy and hyperthermia are used. Using slurries, enemas, and mineral water rich in hydrogen sulfide also works well.
Phytotherapy is used as an additional stimulus for patient recovery and is always combined with other methods. Various herbs are used for treatment.
In some cases, surgical intervention may also be required if the urethra is very narrow and the presence of an abscess or prostate adenoma is detected.
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Diagnosis and treatment should be performed in a medical facility under the continuous supervision of a qualified physician.
By contacting a doctor in time, a quick cure can be achieved. Begin treatment and there will be long-term relief. You can talk about a full recovery when all symptoms of the disease are gone and lab tests show good results.
The most common problems in patients with chronic prostatitis
How to cure chronic prostatitis quickly and effectively with folk remedies?
Treatment can be done with the help of folk remedies. In folk medicine, infusions of chamomile, yarrow and sage are the most popular. These micro-enemas are great for relieving the inflammation that occurs in the prostate.
To prepare such a micro-grouting machine, take two tablespoons of chamomile and pour in 100 grams of grass. boiling water. Also, for treatment, you can use horse chestnut bark, pour it into alcohol, and keep it in a dark place for 10 days.
Onion soup also helps. It is necessary to chop two large onions and pour them into a half-liter jar with boiling water. The jar was wrapped in a terry cloth and allowed to brew for 2 hours. Then every hour you need to drink 50 grams of broth.
How to treat chronic prostatitis and impotence?
Impotence can be cured at home, but requires a series of measures.
It is necessary to choose the right medication to help fill the corpus cavernosum with blood. But before that, a urologist needs to be consulted. Sildenafil, the active ingredient of modern medicine, has a very good effect in enhancing the efficacy of medicine.
It is necessary to adjust the diet and continue the diet. You can't eat fatty foods and foods that lower testosterone. Must rely on grains and lean meats, drink juices and green tea.
Also, don't forget physical activity. Walking and jogging in the fresh air are very effective in this regard. You will also need to use your legs to make a swing. This helps contract the muscles of the anus and perineum.
How long to treat chronic prostatitis and how to get rid of it forever?
Antibiotic therapy lasts 1-3 months, depending on the neglect of the disease. If necessary, additional treatment with low-dose antibiotics may be prescribed. Lipophilic antibiotics best tackle this task.
To forget about this problem forever, you need to change your lifestyle, eat right, don't get too cold, and give your body a break.
Why is chronic prostatitis dangerous?
Chronic prostatitis is characterized by a sharp exacerbation of the disease, which is replaced by remission. When the pain subsided, it got easier and the man decided he could fix the problem on his own instead of quickly contacting a urologist. However, delay won't help here, as inflammation increases with each exacerbation.
Inflammation can affect nearby organs, leading to cystitis, pyelonephritis, and seminal vesiculitis. As a result, men may suffer from infertility.
What antibiotics should I take for chronic prostatitis?
Some penicillin is often used. Tetracycline antibiotics are commonly used to treat Mycoplasma and Chlamydia.
Fluoroquinolones are very effective and penetrate prostate tissue very well. Macrolides accumulate well in prostate tissue and rapidly clear toxins.
Can chronic prostatitis have sex?
If the disease is caused by an infection, it is best to avoid sex so as not to infect your partner. Although you can use condoms. Having sex is necessary because when aroused, blood rushes to the prostate and begins to contract. Also, during ejaculation, the pelvic muscles contract strongly, which is considered a good self-massage.
Prevention and characteristics of chronic prostatitis in men
Prevention of 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, stop for a while so the bladder sphincter becomes stiff. This high-quality workout will circulate the blood well in the veins of the prostate and enhance the metabolic processes in the body.