Experts call the prostate gland the most vulnerable organ in men. The most common inflammation of the prostate, causing patients a lot of discomfort. If the inflammatory process lasts more than 3 months, we can talk about the chronic form of the disease. The problem of how to treat chronic prostatitis is faced by every third representative of the stronger sex. It is possible to cure this disease, but this requires qualified medical help. You can not delay the complex treatment of chronic diseases, as it provokes the appearance of adenomas and prostate hyperplasia, as well as a decrease in erectile function.
What is meant by diagnosis
Usually, men do not tend to listen to their own well -being, so the inflammatory process in the prostate gland takes a protracted form. The danger of this disease lies in the fact that it can be completely asymptomatic. First, urethritis develops, and if you do not seek medical help, complications are inevitable. Over time, chronic prostatitis forms in men, its symptoms and treatment are individual. Forms of chronic prostatitis:
| name | Diagnostics |
|---|---|
| contagious | It occurs due to damage to the prostate gland by viruses, fungi or bacteria. It is revealed through laboratory analysis of blood and urine. |
| stagnant | It persists with pain in the pelvic area, often it is chronic. The symptoms of the congestive form are sometimes similar to the symptoms of the inflammatory process. |
| No symptoms | There are no clinical manifestations of inflammation, which is why a man may not see a doctor for a long time. It is possible to identify the disease only when examining the prostate gland. |
Many men are diagnosed with chronic congestive prostatitis (non -infectious etiology). Inflammation in this case affects the secretion of the prostate and veins.
Because of the appearance
The causes of chronic prostatitis vary:
- Prolonged abstinence from intimacy or an overactive sex life;
- The presence of multiple perineum injuries (while riding or cycling);
- Irrational menu (lack of nutrients and excess of fried, fatty and smoked foods);
- Recurrent infections of the genitals;
- Reduces immunity;
- Diseases of the urogenital organs;
- Inactive and inactive lifestyles;
- Underwear that is too tight and tight;
- Interruptus intercourse;
- Phimosis in history;
- Anal sex without additional protection (condoms).
The disease affects both the elderly and men of middle and young age:
- With an inactive sexual life, prostatitis occurs due to stagnation of secretions of the prostate gland.
- Athletes are at risk because they lift weights and are prone to prostate tissue microtrauma.
- Long -distance flight drivers experience blood clots in the pelvic organs.
- Winter fishing enthusiasts are at risk due to constant body hypothermia.
Among common male diseases, chronic prostatitis is about 20%. Every fifth patient who consults a doctor suffers from a chronic form of the disease. The disease is "getting younger" because modern men are promiscuous, not thinking about their own safety. Not to be puzzled about how to get rid of chronic prostatitis, it is enough to maintain basic protection against venereal disease.
It is worth considering the fact that the chronic form of the disease leads to a violation of penile erection and a decrease in sexual satisfaction during ejaculation. On this basis, fears of intimacy, irritation, self -doubt begin. All of this in turn leads to neurosis for sexual reasons.
Ways of infection
Doctors have noted two modes of infection with this form of infectious prostatitis:
- Urinogenic (ascending). Certain microorganisms through the urethra enter the prostate. The secretions of the prostate gland are usually sterile, no bacteria will be detected during the examination. There are cases when microorganisms live in the body of a man, but their concentration is not sufficient for the development of the disease. If the microflora is disturbed, infection of the organs begins, which leads to the development of inflammation. Do not exclude the risk of infection and damage to neighboring organs, when a man suffers from hemorrhoids or cystitis. In this case, harmful microorganisms enter the prostate through the lymphogenous pathway.
- Hematogen. The causative agent of the infection enters the prostate through the bloodstream. The diseases that can trigger this type of infection are various: acute influenza, caries, etc. If in parallel there is venous congestion in the prostate gland, there is a high risk of chronic prostatitis, the treatment of which will take a long time.
Urologists identify two predisposing factors that lead to hematogenous infections:
- Congenital. Anatomical features of the prostate, including changes in the structure of muscle tissue or disorders in the circulatory system.
- Acquired. Causes of chronic prostatitis include trauma to the genitals, cravings for alcohol, prolonged smoking, history of infectious disease and frequent hypothermia.
The danger of ignoring this disease lies in the fact that at this stage the symptoms of chronic prostatitis in men are most often absent or insignificant. Patients believe that the disease can be cured with the help of folk remedies, but this method is ineffective. The treatment regimen is made only by a specialist after a thorough examination and collection of the necessary information.
Warning sign
The symptoms of chronic prostatitis are different, depending on the stage of the disease and its form:
| Forms | signs |
|---|---|
| Bacteria (infectious) | Feeling weak, chills, fever, muscle aches, pain in the lower abdomen (may be exacerbated by intercourse and prolonged abstinence), pain when urinating, weak jet pressure when urinating, frequent urination at night. Pain can be observed in the thighs, perineum and rectum, which is why the signs of chronic prostatitis are mistaken for hemorrhoids. |
| Especially bacteria | All the above signs are observed, to which discharge from the urethra, resembling mucus, may be added. |
| abacteria | The symptoms of congestive prostatitis are difficult to ignore because of the severe pain. It is located in the perineum and thighs. Discomfort is felt at the head of the penis. The pain is exacerbated by sexual disturbances, as well as by prolonged abstinence from intimacy. |
The consequences of chronic prostatitis depend on the duration of the disease:
- Adenoma;
- Oncology;
- Sclerosis of the prostate and bladder neck;
- Erectile dysfunction;
- Infertility;
- Lowers testosterone levels.
The danger of this disease lies not only in the fact that prostatitis can be confused with other diseases. If the acute phase passes, the symptoms of chronic prostatitis disappear and treatment is not carried out. The man was no longer worried about his health and did not go to the doctor. However, there are times when the symptoms begin to seriously interfere and disrupt normal life, but the disease has passed into a protracted phase. Treatment of congestive prostatitis will take longer if the diagnosis of the disease is not at the first stage.
Diagnosis
The symptoms of other diseases are very similar to chronic prostatitis. Is it possible to cure a disease without examination? It is unlikely, because only an accurate diagnosis will determine the form and stage of development of prostatitis. Discomfort can be caused by:
- dry cough;
- adenoma;
- Tumor.
Only a complete examination can confirm or exclude a diagnosis. There are two types of research:
- Instrumental;
- Laboratory.
After talking to the patient and taking the anamnesis, the urologist or andrologist will ask you to take a series of tests:
- General urine analysis;
- General blood analysis;
- Analysis of prostate secretion;
- Blood test for PSA.
Urine samples were taken three times to obtain more accurate data on changes in the composition in them:
- epithelial cells;
- Leukocytes;
- Pathogenic pathogens of infection;
- Bacteria are not specific.
Doctors know what chronic prostatitis is and how difficult it is to diagnose. The modern method of transrectal ultrasound (TRUS) allows you to do this precisely:
- A device with an ultrasound probe is carefully inserted into the patient’s anus.
- Because the prostate is closely attached to the rectal wall, the specialist has a good opportunity to examine the prostate gland in detail and make an accurate diagnosis.
Conventional ultrasound allows you to determine changes in prostate density, its size, the presence of fibrous foci, abscesses and calculi.
Before curing chronic prostatitis, the doctor must review the diagnosis. If there is the slightest doubt, he or she may refer the patient for an MRI or CT scan to exclude the presence of a tumor focus. If a man has an infravesical obstruction, an x-ray will be needed to determine the cause of the disease.
Conservative treatment
The treatment regimen for chronic prostatitis is prescribed only by a professional urologist and selected individually. Doctors take into account the cause of the disease, the duration of the disease and factors such as exacerbating pathology. If congestive or infectious prostatitis is in its early stages, treatment is possible with medications:
- Antibiotic therapy. Prostatitis can be treated with antibacterial drugs if bacterial agents are detected in prostate secretions or urine. Inflammation should be noted. The course lasts no more than 2 months, and the price of treatment of chronic prostatitis depends on the prescribed medications. The dose of each drug is set individually, and the drugs themselves are fraught with complications. Reviews after treatment of prostatitis with antibiotics are not always positive, but there is a reason for this. Sometimes symptoms persist at the end of the course, even after the infection has been defeated.
- Elimination of symptoms. For the treatment of chronic prostatitis in men, medications are often used that stop the pain. The course of therapy may also include the use of antidepressants to reduce anxiety levels.
- Alpha blocker. A course of these medications is prescribed if the doctor has diagnosed bladder muscle hypertonicity or increased intraurethral pressure. However, medications are not effective if the patient has pelvic floor myodystrophy or muscle conservation disorders.
- hormone therapy. It is performed based on the results of hormonal tests. Androgens and antiandrogens are used.
- Vitamin therapy. With irrational nutrition, nutrient deficiencies are replenished due to vitamin-mineral complexes. Experts do not recommend replacing it with popular supplements, because the "doll" will not help in any way.
- Normalization of uric acid levels. The method of treating chronic prostatitis with the help of a regulator is effective only in the presence of stones in the prostate gland.
- Immunostimulants. Prostatitis is treated in this way only with laboratory -proven immune deficiencies.
Answering the question of whether chronic prostatitis can be treated, we can safely say that recovery comes quickly with a properly prescribed complex.
Methods of surgical treatment
Usually the disease does not require surgical intervention, except when the complication poses a threat to the health as well as the life of the patient. Modern surgery adopts endoscopic interventions to reduce risk and damage to health. Surgery is essential for:
- adenoma;
- Seed tubercle sclerosis;
- Stones in the prostate;
- Prostate sclerosis.
Effective treatment of chronic prostatitis allows you to do without surgery if a man seeks timely medical advice. Do not forget that at the stage of exacerbation of the disease, surgical intervention should not be performed. The need for a cardinal treatment method is determined only by the surgeon after reviewing the overall clinical picture.
Other treatments
Often, men worry about whether chronic prostatitis can be cured in non -drug ways. The doctor can actually prescribe another method:
- massage. Do not forget about the contraindications and the fact that only a small area of the prostate is available for massage. If there are hyperplastic changes in the prostate gland, a course of massage can cause acute urinary retention. This, in turn, triggers the spread of inflammation and the development of sepsis. Massage is also prohibited if there is venous stasis, prostate cysts and stones in the prostate gland. If you need to get rid of stagnant secretions, it is better to free the prostate naturally through ejaculation.
- Special gymnastics. It is used to strengthen the bladder and lengthen the interval between urination. Improving the tone of the sphincter and bladder allows you to set a break between urges to the toilet for up to 5 hours. Gymnastics is ineffective for neurodystrophic changes and myofascial syndrome.
- Muscle stimulation. With diminished tone of the pelvic floor muscles, magnetic therapy, phonophoresis, transrectal ultrasound or electrical stimulation are used.
- Instillation. It is practically not used in modern medicine, because the absorption of the drug into the urethra is accompanied by pain and does not cure prostatitis. The consequences of such treatment can be disastrous.
It is better to ask an andrologist or urologist about how to treat congestive prostatitis with folk remedies. Popular videos on the Internet are full of videos about the qualitative use of alcohol tincture and pumpkin seeds, but no method can replace drug therapy. How much of the disease is treated is also determined only by the doctor, and not by the hero on YouTube.
Useful exercises
A simple set of exercises will increase blood microcirculation in the pelvic area. They can be done in the morning instead of regular exercise:
- Straighten the legs shoulder -width apart, lift your hands up and connect at the back of the head. Inhale - slowly sit up and stretch your knees to the side, exhale - return to starting position.
- Connect the legs together, hands free down along the body. Bend your left leg at the knee, lift as high as possible. Repeat the same with the right foot. Run 10 approaches.
- Squat, palms down. Inhale - slowly rise, stretch your arms to the sides. Exhale - return to starting position.
- Lie on your back, after placing a small ball under it (no bigger than a tennis ball). Focus on the floor and roll the ball on the floor with your stomach. Run 7 approaches.
- Lie on your back, bend your knees. Squeeze the ball between them. Inhale - pinch your knees, exhale - relax. Perform 3 sets, finally increasing the number of repetitions up to 9 times.
- Sit on the floor, focus on your hands. Place the ball under your buttocks. Try rolling it on the floor with the help of your buttocks and genitals.
Helps in the fight against diseases and Kegel exercises, which are useful not only for women, but also for men.
Probability Predictions
Instead of looking for information on how to live with chronic prostatitis, it is more useful to make an appointment with a specialist. With timely access to a doctor and a reasonably selected course of therapy, you can improve your health. The question of whether chronic prostatitis can be completely cured cannot be answered clearly. It all depends on the method prescribed by the doctor, and how exactly the patient follows his recommendations.
Experts are very careful in making predictions about the further course of the disease. Is chronic prostatitis treated with guarantee? Complete recovery is observed only in rare cases, because often the disease goes into a protracted form of remission. Normalization of urine and blood parameters was observed, symptoms disappeared completely. However, without following a doctor’s advice, the disease can again cause discomfort and complications.