The first symptoms of male prostatitis may occur at a young age. If quality medical services are not provided, the disease may become latent (latent) form with mild symptoms: urination and discomfort during sexual intercourse, Pain in the genitals and lower back. If you do not pay attention to these symptoms, it will lead to the development of chronic prostatitis, which is more difficult to treat and lasts longer.
An experienced urologist will tell you the meaning of chronic prostatitis and its dangers. Even if there is no effective treatment, even a single inflammation can cause the disease to turn into a severe recurring form.
Causes of chronic prostatitis
Chronic prostatitis is the result of poor quality treatment of acute inflammatory processes. Men are usually negligent about their health or just hesitate to contact an expert. As a result, the disease progresses.
Urologists specialize in treating prostate. He will tell you what male chronic prostatitis is, why it occurs and how unpredictable it is. The expert will accurately determine the cause. This directly affects the effectiveness of the applied treatment methods. Many people don't know what causes chronic prostatitis. It is caused by certain infectious pathogens (E. coli, streptococcus, staphylococcus, fungus), and certain factors are just trigger mechanisms.
Inducing factors
Prostatitis is caused by the following bacteria: Pseudomonas aeruginosa, Staphylococcus aureus, Escherichia coli. However, the cause of chronic prostatitis may be related to the following triggers:
- Decreased immunity;
- Hypothermia;
- Damage to the genitourinary organs;
- pressure;
- Drinking and spicy food;
- Hyperemia in the pelvic area;
- Constipation;
- Smoking, the chronic poisoning of destructive substances to the human body;
- a sedentary lifestyle;
- The presence of chronic infection foci;
- STDs.
Prolonged exposure to one or more predisposing factors can lead to the development of chronic prostatitis in men. The disease occurs at any age, young people with a history of sexually transmitted diseases, other infection processes of the prostate and urinary system organs often suffer.
Men tend to delay referring to experts. Usually, the wife is the initiator of the consultation with the urologist. If the husband suffers from chronic prostatitis, treatment should be started immediately. Otherwise, you can start the course of the disease, which will become a severe chronic form and begin to have complications.
Signs of disease
Men in remission have almost no signs of chronic prostatitis. The mild pain syndrome is permanent, but the discomfort is moderate. If the body temperature is too low and the abstinence period is too long, chronic prostatitis may be aggravated, and its symptoms will increase due to the person's condition.
Every time the condition gets worse, the characteristic symptoms of male chronic prostatitis will appear:
- Heaviness and pain in the perineum;
- Signs of body poisoning;
- Urination disorders;
- The prostate is asymmetrical and painful during palpation;
- Chills, weakness, fever.
is characterized by increased pain at the beginning and end of urination. It usually causes discomfort to the rectum, bones and penis. Pain syndrome can also occur after close contact, especially during sperm excretion. Urination during remission may be painless, but it is usually more frequent. At the same time, it is difficult to activate the microphone.
The urine flow is intermittent, and the bladder is not completely empty. In the morning, there is a burning sensation in the urethra. Filamentous structures are often found in the urine in the morning. This means that the inflammatory process is chronic.
Impact on sexual behavior
Diagnosis of chronic prostatitis
Comprehensive diagnosis will help determine the course and cause of chronic diseases in men. First, experts prescribe a rectal examination of the prostate. During the operation, the expert will determine the clarity of the contours and boundaries of the organ, and the degree of pain. In the future, ultrasound examinations will be performed to identify specific functional and structural changes.
TRUZI
Prostate ultrasound (TRUS) is a safe and useful method that can be used to visualize the main structures of the prostate and adjacent urogenital organs. The research was conducted through the abdominal wall and transrectally-through the rectum. In case of difficulty urinating, the specialist will additionally check the bladder and determine the residual urine.
Ultrasound diagnostic procedures allow you to choose the most effective treatment for male chronic prostatitis and evaluate the effectiveness of the methods used. Since no radiation is exposed to the body, ultrasound can be used frequently according to the needs of specific clinical situations.
Prostate secretions and ureteroscopy
Collect prostate secretions after urination and gland massage. Research on biological materials allows you to identify pathogenic bacteria, determine the level of white blood cells and the number of lecithin particles. This method can classify the nature of the pathological process to understand how to treat men and which drugs to use. Diagnosis is not accompanied by painful feelings, it is easily noticeable by men.
If urinary function is impaired, blood in the urine and erectile dysfunction, ureteroscopy is recommended. This procedure allows you to evaluate the urethra and use endoscopic equipment for specific treatments.
Other research methods
Other diagnostic methods are used to clarify the clinical situation to determine the exact cause of the inflammatory process. Chronic prostatitis must be distinguished from neurogenic bladder and other similar diseases with similar symptoms. Experts prescribe electromyography and urodynamic diagnosis methods. They can qualitatively differentiate chronic inflammation from other diseases.
Chronic prostatitis usually leads to proliferative processes, glandular tissue proliferation, the growth of adenomas and malignant tumors. In order to rule out the cancerous process, it is necessary to make a PSA diagnosis. The method involves determining the level of prostate-specific antigen, as it increases one can suspect the growth of malignant cells. In order to clarify the nature of the identified structure, it is necessary to perform a biopsy of the prostate and then conduct a morphological study of the given material.
Possible complications
Chronic prostatitis can greatly reduce a person's quality of life. The prolongation of the inflammatory process disrupts reproductive function in one way or another, weakens libido and threatens various infectious complications. The most unpleasant consequences of the disease are impotence and reproductive system diseases. Persistent inflammation changes the prostate tissue, leading to its proliferation, hormonal abnormalities, early onset of menopause and the growth of adenomas.
The chronic course of the disease can cause urinary incontinence, prostate stones and cysts. As the disease progresses, sclerosis of the prostate develops. This pathological condition is the final stage of prostate inflammation. The human body accumulates collagen and forms dense tissue. The urethra is narrow and there is a problem with effectiveness. This change is a characteristic of benign prostatic hyperplasia and can lead to the growth of malignant cells and the formation of cancerous tumors at any time.
Treatment function
Chronic prostatitis is not easy to cure. But recovery is possible, or the pathology shifts to prolonged remission. The effectiveness of medical procedures depends on the timeliness of seeking medical help.
<男>Must strictly follow the attending physician’s recommendations and avoid the following predisposing factors: hypothermia, scrotal trauma, sexually transmitted diseases, stress. It is important to remember that even a common viral infection can cause severe pain and disruption of the urinary system, which can aggravate the disease.Medications
Bacterial prostatitis is treated with antibiotics. They stipulated a few weeks. In order to increase the patient's life comfort and combat the main acute symptoms, non-steroidal anti-inflammatory drugs are used. Adrenergic blockers can effectively restore urodynamics, regular discharge of prostate secretions and relieve muscle tension in the glands. Prostate cancer block combined with acupuncture can effectively treat severe pain syndrome.
If a person feels anxious in the context of a chronic inflammatory process, sedatives or tranquilizers can be used. However, such drugs should be prescribed by qualified experts familiar with specific clinical cases.
Physical Therapy
Physiotherapy uses drug electrophoresis, ultrasound therapy and magnetic therapy. Acupuncture can also be used with painkillers. In addition, it is recommended to use therapeutic sitz bath, enema and special drip into the urethra. Infusion of drugs is beneficial to the chronic inflammatory process.
This technology can ensure that a large number of drugs directly enter the pathological focus. Drugs in high concentrations will remain for a long time. This allows you to effectively deal with the slow process of infection. The drug must be kept for 30-40 minutes to limit urination.
Surgical treatment
If it is ineffective or unable to use conservative techniques and physical therapy, surgery must be performed. The main need to remove urethral stricture. In the case of prostate sclerosis, a transurethral resection is performed using endoscopic techniques. This method is used if the patient suffers from severe internal organ diseases that do not allow a classic prostatectomy.
If the phimosis recurs in the context of a chronic infection process, it is recommended to perform a therapeutic circumcision of the foreskin. It can only be operated according to the urology department.
Disease prognosis
The prognosis of the disease depends on the timeliness and effectiveness of the prescribed treatment, the duration of treatment of the inflammatory process, the person's age and the existence of certain accompanying diseases. According to medical regulations, taking preventive measures, including normalizing intimate activities and preventing sexually transmitted diseases, will likely reduce the number of recurrences each year and turn the disease into a state of long-term remission.