Chronic prostatitis

Symptoms of the disease:

• Pain in the prostate region. In some cases, the pain spreads to the lower back, groin, anus. Unilateral pain that radiates to one of the testicles is not a symptom of the disease.
• Deterioration of libido.
• Premature or delayed ejaculation. The duration of sexual intercourse may vary depending on the stage of development of the disease. In the initial stage, ejaculation occurs prematurely, in a more advanced form, the pathology manifests itself with an increase in the duration of sexual intercourse.
• Deterioration of the emotional richness of the orgasm.
• Loss of quality and quantity of sperm.
• Frequent urination at night. Pain when going to the toilet.

Description of the disease

Damage to the prostate gland by pathogenic microorganisms is called prostatitis. The prostate gland is a male organ, so only male patients are susceptible to the development of pathology.

Inflammation in the tissues of the prostate gland can be expressed with different symptoms. To make a diagnosis, the doctor performs a series of diagnostic measures. It is impossible to diagnose and treat prostatitis on your own. You should 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 people. The average age of patients diagnosed with prostate is 45 years.

Signs of disease development

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

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

Stages of chronic prostatitis

Symptoms of the disease can vary depending on the stage of prostatitis. It is important for a specialist to determine what degree of development the disease has. It depends on the treatment method. There are several stages of chronic prostatitis:

• Exudative. Patients experience pain in the groin, scrotum. The time interval between visits to the toilet during the night is reduced. Some patients feel discomfort during orgasm. Erections can be painful.
• The alternative. The pain becomes stronger. Their localization is the inguinal region, pubis. Pain during urination is absent, time intervals between visits to the toilet are reduced. No erectile dysfunction.
• Proliferative. In a man with this stage of the disease, the erection may slow down. When you visit the toilet, the deterioration of the strength of the urine flow is determined visually.
• Cicatricial. There is a feeling of heaviness in the hip area. A person often visits the toilet during the day and at night. There is a worsening of the erection. 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 should contact a qualified professional. To make a diagnosis, a number of diagnostic measures will be required.

Causes of the development of chronic prostatitis

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

• Infectious, sexually transmitted diseases. There are sexually transmitted diseases that develop in a patient for a long time asymptomatically. 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 gland 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 put pressure on the tissues of the prostate gland. This provokes a deterioration of the oxygen supply and leads to disruption of the prostate gland. A sedentary lifestyle can lead to impaired circulation. In addition, wearing tight underwear negatively affects blood circulation in the pelvic organs.
• Urine reflux. In some cases, if the urination process is disturbed, urine begins to move in the opposite direction and enters the ducts of the prostate gland. Urine entering the prostate provokes tissue irritation. This, in turn, leads to the development of chronic prostatitis.
• Abstinence from sexual relations or its interruption. The secretion formed in the prostate gland 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 gland and the development of the inflammatory process.

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

The specialist must 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 postponing 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 characteristic symptoms of chronic prostatitis. In this regard, timely diagnosis of complications can be difficult. More often, premature treatment of chronic prostatitis can lead to the development of:

• Vesiculitis. The disease is an 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. Premature treatment of chronic prostatitis can provoke an abscess of the prostate. This complication is manifested by weakness, high temperature. Treatment of the disease in this case is carried out in a hospital.
• Coliculitis. 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. During the visit to the toilet, the burning sensation intensifies. In most cases, the patient complains of pain during orgasm or after ejaculation.
• Sclerosis of the prostate. Non-compliance with the treatment of chronic prostatitis or untimely access to the 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.
• The presence of stones. With chronic inflammation, stones or cysts can form in the prostate gland. Ultrasound will be required to detect cysts or stones.
• infertility. Delayed treatment of chronic prostatitis can negatively affect sperm motility and their number. Sperm lose their motility. Violations provoked by chronic prostatitis lead to male infertility

Diagnosis of the disease

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

The doctor performs an examination, questioning the patient. Also, he studies the medical documentation, while the specialist pays attention to previously transferred diseases of the genitourinary system. If necessary, schedule instrumental and laboratory diagnostics.

Instrumental diagnostics

It is possible to diagnose chronic prostatitis with the help of an ultrasound examination. Ultrasound is performed rectally. To conduct a study, a specialist must 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 gland, 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 the prostate secretion to the patient. This diagnostic method allows you to determine violations in the work of the prostate gland. In addition to the microscopic examination of the secretion, the level of male hormones is also checked in the patient. Exceeding the norm can lead to tissue growth, and the lack provokes disturbances in the work of the prostate.

Laboratory diagnosis

The use of laboratory diagnostics of chronic prostatitis makes it possible to determine the form of the disease and the cause of its occurrence. The following laboratory tests are possible:

• Discharges from the patient's urethra are taken for analysis. The presence of leukocytes, bacterial, fungal or viral flora in the discharge is checked in the laboratory.
• A swab is taken from the patient's urethra. Laboratory research allows you to identify sexually transmitted agents.
• For microscopic examination, the secretion of the prostate gland is taken from the patient.

Carrying out 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 an 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 urologist, andrologist is engaged in the treatment of the disease. The patient is prescribed a complex therapy aimed at a stable solution to the problem. In addition to taking medications, therapy includes changing a person's lifestyle, eliminating bad habits, normalizing sex life, proper nutrition, etc.

Therapeutic treatment

Patient care is complex. Both drugs and specialized exercises are used. The most common procedure in the treatment of chronic prostatitis is prostate massage. The specialist massages the prostate gland with the 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 gland is activated. This has a beneficial effect on the prostate and accelerates the restoration of damaged tissues. When the gland is pressed, its secretion enters the urethra. A specialist can take fluid for microscopic examination in order to check the dynamics of treatment.

If necessary, a person is prescribed magnetic and laser therapy. Procedures are performed in a 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 speed up the healing process.

Medical treatment

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

To reduce the swelling of the prostate gland, 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. On the other hand, 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 in the muscle cells of the bladder and prostate gland. 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 an antibiotic, a specialist must perform a series of diagnostic measures to detect the infection. The choice of medicine is influenced not only by the presence of the 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, to eliminate complications resulting from incorrect treatment or its absence, surgical intervention is performed. Specialists use a minimally invasive transurethral electroresection.

Lifestyle with prostate:

• Regular exercises. A man should lead an active lifestyle and perform certain exercises every day. This is necessary to strengthen the muscles of the small pelvis. This approach will improve blood circulation and eliminate blood stasis.
• Regular sex life. A person's sex life should be regular. It is necessary to exclude the interruption of sexual relations or artificial prolongation with the help of medications. Prolonged abstinence or cessation of sexual intercourse leads to stagnation of the secretion of the prostate gland. This, in turn, is dangerous for the appearance 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.
• Wide linen. 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.

Medical treatment

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

Surgery

Surgery is mainly used to treat complications resulting from the development of chronic prostatitis. For operations, transurethral devices are used.

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