Chronic prostatitis in men signs symptoms treatment. Signs, symptoms and treatment of chronic prostatitis in men. For blockade of adrenergic receptors in the tissues of the prostate, bladder, urethra,

31.10.2019

Inflammation of the prostate gland, that is, the prostate, regardless of the cause of the disease, as a rule, acquires a chronic course. In order for effective treatment of chronic prostatitis to be achieved, it is necessary to know for what reasons it appears.

Good health, dear readers. Alexander Burusov is in touch - an expert of the Viva Men men's club, and we continue to understand the problem, its causes, symptoms and treatment options.

In this article, we will try to figure out what is the best way to treat this terrible disease, what options are at our disposal. Let's begin to analyze the most modern and most effective methods of treating prostatitis in men.

Inflammatory diseases of the genitourinary system, rectum due to close contact with the prostate gland lead to the formation of an inflammatory focus in it. The vessels that feed the prostate are branches of the arteries of the bladder, rectum, posterior sacral artery, deep artery of the thigh. Any infectious focus that exists in these organs can get into the gland.

The presence of a chronic infection of any localization, for example, the paranasal sinuses, leads to a weakening of the immune system, and conditionally pathogenic microorganisms present on the skin, in the intestines, and the urethra become pathogenic. This leads to the development of a chronic process.

Violation of the blood circulation of the prostate gland due to stagnation of blood against the background of reduced physical activity leads to a deterioration in the supply of drugs to the prostate gland and complicates the treatment of chronic prostatitis in men.

An increase in blood flow to the organs located in the small pelvis occurs not only due to low physical activity, but also from a number of factors:

irregular sex life;
interruption of sexual intercourse;
smoking, drinking alcohol;
varicose veins of the lower extremities;
paraproctitis and proctitis;
thrombophlebitis of hemorrhoidal veins against the background of chronic hemorrhoids;
cracks and fistulas of the anus;
the tone of the vascular wall is regulated by the sympathetic and parasympathetic nervous system, with the disease of which the inflow and outflow of blood from the organ is disturbed;
perineal injury in equestrians, cyclists, motorcyclists.

With urogenital sexually transmitted infections, the disease is not always completely cured - this is the cause of the development of chronic prostatitis. The most common pathogens are:

trichomonas;
mycoplasmas;
gonococci;
gardnerella;
ureaplasma;
chlamydia;
mushrooms;
viruses;
coli;
streptococci;
enterococci;
staphylococci.

These microorganisms are difficult to cure.

Hormonal activity after 40 years in a man gradually begins to fade. At first it is asymptomatic.

A decrease in testosterone production over and over again leads to a slight stagnation of the secretion of the prostate gland in its granules. Little by little this stagnation increases. Substances contained in the secretion of the prostate are not completely removed. The secretory, motor, barrier function of the prostate secretion begins to suffer.

Citric acid, which is in the prostatic juice, performs a bactericidal function, dilutes it. With stagnation of citric acid is not enough, a bacterial infection begins to develop. The level of citric acid in the prostatic juice is directly related to the amount of testosterone in the blood.

Clinical picture of the disease

Symptoms of chronic prostatitis in men:

sensations of discomfort, pain above the pubis;
pain shoots intermittently into rectum and sacrum;
increased urination and soreness, especially after hypothermia, stress;
uncharacteristic discharge;
disorders of ejaculation, erection;
premature ejaculation;
increased sweating;
sleep disturbance;
periodic increase in body temperature not more than 37.2-37.3 0 C in the evening.

The treatment of chronic prostatitis in men depends on which symptoms predominate: pain, impaired urination or sexual dysfunction.

The main components of the treatment of the disease

Is there a cure for chronic prostatitis?

It is necessary to highlight the main directions of treatment:

medicines;
normalization of the regime of work and rest;
balanced diet;
rejection of bad habits;
physiotherapy, massage;
folk remedies.

It is necessary to treat not only with medication, but a complex application of all methods is necessary. It is impossible to give preference to any one direction of treatment of prostatitis.

Medical treatment

Effective treatment of prostatitis should be aimed at eliminating the cause of prostatitis. Medications are selected individually by the doctor after performing the necessary diagnostic studies. Let's figure it out what and how to treat prostatitis if it has already acquired a chronic form. The main directions of drug therapy:

antibiotics;
anti-inflammatory drugs;
antispasmodics to improve the outflow of urine;
uroantiseptics to eliminate infections of the urinary system;
drugs that improve arterial and venous blood flow;
drugs that improve fluidity, reduce blood viscosity;
vitamins;
enzymes;
sedatives, psychotherapeutic effects;
correction of immune disorders;
treatment of metabolic diseases and hormonal dysfunction.

Antibacterial therapy

Whether chronic prostatitis is curable will depend on well-chosen antibiotic therapy. It is important to note that the therapy and treatment of prostatitis will be most effective only if the type and stage of the disease is correctly determined.

Antibiotics are selected those that penetrate well into the prostate, effectively act on the causative agent of the infection. Some pathogens of chronic prostatitis, such as ureaplasma, are not sensitive to such strong drugs as:

tetracyclines;
some cephalosporins;
levofloxacin;
clarithromycin.

How to treat chronic prostatitis with antibiotics?

Groups of antibacterial drugs used to treat bacterial prostatitis:

Fluoroquinolones (normfloxacin, ofloxacin, ciprofloxacin, lomefloxacin).
Macrolides (erythromycin, azithromycin).
Tetracyclines (doxycycline, metacycline).
Derivatives of 5-nitroimidazole (metronidazole, tinidazole).
Cephalosporins 3-5 generations.
Lincosamines (Clindamycin).
Sulfonamides.

The course of treatment with one antibiotic is 7-10 days, depending on the results of the tests. Without fail, during treatment with antibacterial agents, antifungal drugs are prescribed, agents that normalize the microflora of the gastrointestinal tract.

In total, the course of antibiotic therapy takes from 2 to 4 weeks.

Routes of administration of antibiotics:

inside in tablets;
intramuscularly;
intravenously;
inside the prostate
endolymphatic.

What to treat and what specific antibiotic to use, the doctor will tell you, based on the data of the examination, examination:

general blood analysis;
study of prostate secretion;
TRUS;
uroflowmetry.

Non-steroidal anti-inflammatory drugs

The effect of non-steroidal anti-inflammatory drugs (NSAIDs) is associated with the normalization of the permeability of the vascular wall, the restoration of microcirculation. They reduce the formation and prevent the absorption of existing inflammatory mediators. We must remember the property of NSAIDs, to form ulcers in the stomach and duodenum.

How to cure chronic prostatitis without getting a stomach ulcer? It is necessary to take for prophylactic purposes 1 capsule of omez or omeprazole in the evening.

It is considered most rational to use rectal suppositories with NPS, for example, indomethacin.

Immunomodulators

In order to correct immune disorders, drugs are used:

metaluracil;
taktivin;
imunofan;
levomisole;
immunofan.

Drugs are prescribed by a doctor, dosages are selected individually.

Nonspecific resistance of the organism is normalized by vitamins and microelements.

Enzymes

Enzyme preparations improve the access of antibiotics and NSAIDs to the prostate, destroying the adhesions that are always present in a chronic inflammatory process.

In addition, enzymes have a moderately pronounced function of stimulating the immune system.

List of drugs:

lidase;
vitreous body;
aloe.

For the blockade of adrenergic receptors in the tissues of the prostate, bladder, urethra, the following are used:

prazosin;
alfuzosin:
doxazosin;
terazosin;
tamsulosin.

How to treat chronic prostatitis with alpha-adrenergic blockers?

These drugs are prescribed by a doctor for the purpose of:

Eliminate spasm from the neck of the bladder, which develops against the background of edema and inflammation.
Improve urine outflow, normalize physiological urination.
Coordinate the work of the muscles and sphincters of the bladder.

Normalization of blood flow with drugs

Normal blood flow is achieved with an adequate diameter of the arteries that bring blood to the veins involved in the outflow of oxygen-depleted blood. It is also necessary to reduce the viscosity of the blood and achieve its good fluidity in the capillary bed.

For this, drugs of different groups are used:

trental;
cavinton;
rheopolyglucin;
detralex;
troxerutin.

To achieve a good result in the treatment of chronic prostate diseases, it is necessary to treat inflammatory diseases of the urethra, bladder and kidneys. For this purpose, drugs are used:

nitroxoline;
phytolysin;
kanefron.

Prostatitis inevitably reduces potency, weakens libido, disrupts erection. These phenomena are always accompanied by symptoms of dysphoria, low mood background, mood swings. With these symptoms, sedatives, anxiolytics, antidepressants.

Physiotherapeutic methods of exposure

To influence the prostate, the following methods of treatment of a chronic process are used:

ultrasound
electrophoresis;
baths with hot water with decoctions of chamomile, linden, sage, thyme;
warm enemas
prostate massage through the rectum;
hirudotherapy
inductothermy;
microwave resonance therapy.

Physiotherapy treatment is contraindicated in concomitant prostate adenoma.

The severity of psychological abnormalities and depressive manifestations depends on how much chronic prostatitis is treated. To speed up the process to treatment, in the absence of contraindications, it is necessary to add physiotherapeutic methods of exposure.

Standard recommendations for all chronic diseases in the form of refusing fried, salty, peppered, smoked foods are insufficient in this situation. Effective treatment of prostatitis depends on a rational, balanced diet. It is necessary to add foods such as celery, ginger, turmeric, api products to food.

silicon, which normalizes the formation of hormones in the body;
B vitamins, remove toxins and restore redox processes;
chromium, germanium, selenium, zinc normalize the work of the sympathetic and parasympathetic system;
vitamins C, A normalize the permeability of the cell membrane, have antioxidant properties;
essential amino acids, omega 3, which rejuvenate sexual function.

For apitherapy used: natural honey, perga, subpestilence, royal jelly, dead bees, bee pollen.

Bee products have the following effects:

bactericidal;
fungicidal;
bacteriostatic;
tonic;
antiviral;
immunomodulatory effect.

Alternative treatment

The course of treatment of chronic prostatitis is necessarily supplemented with medicinal herbs, which must take into account all of the listed mechanisms for the development of the disease. Then the effect of therapy will be achieved in full.

The following medicinal herbs can be used:

nettle, sage, bearberry;
mint, plantain, hernia;
wild rose, yarrow, wormwood;
thyme, birch buds, linden flowers;
marshwort, chamomile, motherwort.

The cure of chronic prostatitis depends on the long-term use of medicinal herbs according to the scheme in combination with anti-relapse courses of drug therapy.

Decoctions, infusions for oral administration, for baths, for microclysters are used. It is not recommended to use tinctures, that is, alcohol-containing drugs. This hinders the successful treatment of chronic urogenital diseases.

All of these drugs give a good effect in the treatment of prostatitis of inflammatory, congestive, hormonal etiology.

ATTENTION:

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Sincerely, Alexander Burusov

Prostatitis - inflammation of the prostate gland - can manifest itself in acute and chronic form.

It is difficult to ignore acute inflammation: its signs are pronounced, which cannot be said about the chronic manifestation of the disease. It oligosymptomatically, but does its job perfectly, affecting the tissues of the organ, reducing its functions.

About chronic prostatitis: types and features

Inflammation of the prostate is considered chronic, if its indolent symptoms persist for more than 3 months.

According to statistics, only 5% of cases are acute, the remaining 95% are chronic prostatitis. It affects men of reproductive age, and even young men aged 18-20 are susceptible to this disease.

There can be 2 reasons for the development of chronic prostatitis: infection and stagnation of blood in the small pelvis.

Infection enters the prostate in several ways:

with blood flow from infectious foci in the body - carious teeth, pneumonia, inflamed maxillary sinuses, pustular formations;
with the flow of lymph from nearby organs, for example, from the intestines with hemorrhoids, dysbacteriosis;
sexually;
descending or ascending from the infected urinary tract - the bladder or urethra.

Particular attention requires inflammation of the prostate caused by the causative agent of sexual diseases, such as: gonococcus, chlamydia, pale treponema. Symptoms of similar prostatitis and genital infections are similar to each other, and they can "hide" behind the signs of these diseases. Such prostatitis is easy to start.

Reduced immunity and hormonal disruptions especially stimulate the development and spread of infection.

Non-infectious or congestive prostatitis appears as a result of a violation of the outflow of blood and lymph from the pelvis, as well as with stagnation of the prostate juice in the ducts of the gland.

Provoking such events the following factors:

violations in sexual life - prolonged abstinence, interrupted acts, unfulfilled desire;
smoking - nicotine spasms blood vessels and interferes with normal blood circulation;
sedentary lifestyle;
tight clothing;
alcohol abuse. Alcoholic drinks irritate the walls of the ducts of the gland, causing their inflammation;
constipation.

Congestive prostatitis occurs 8 times more often than infectious and very rarely develops as a complication of acute inflammation of the prostate.

Abacterial prostatitis

This type of disease is also called chronic pelvic pain syndrome (CPPS). The main symptom is pelvic pain, but the absence of pathogenic microorganisms in the microbiological examination of urine and prostate secretions.

Pain sensations acquire different severity and localization. They spread to the perineum or bladder, genitals. The process of ejaculation is also painful. Problems with the excretion of urine and in the sexual sphere are also present, but they are secondary.

The diagnosis is established if the pain persists for 3 months or more.

CPB is of 2 types:

Inflammatory CPPS- in the urine and secretion of the prostate, an increased number of leukocytes is detected, which indicates inflammation. Microorganisms are not detected. Several reasons for the appearance of this type of inflammation are suggested. On the one hand, this is possible with reflux (casting) of clean urine from the urethra into the gland. Contribute to this anatomical defects or violation of muscle contractions of the bladder, prostate, perineum. Urine, or rather the urates in it, cause inflammation of the prostate. On the other hand, it is believed that bacteria, which are not determined by the classical method, are the cause of such a process. Molecular diagnostics should be used to identify them. The third reason is autoimmune processes in the body.

Non-inflammatory CPPS- in the analyzes there is no leukocytosis and microorganisms. To establish the diagnosis, instrumental diagnostics is used. It allows you to establish problems of innervation or muscle changes in the prostate and other organs:
- cervical part of the bladder - stenosis or growth;
- pelvic region - myalgia, muscle tension, impaired passage of nerve impulses;
- urethra - narrowing, increased pressure;
- prostate - reflux of urine, increased pressure.

Often patients with CPPS have neurological disorders: anxiety, irritability, depressive tendencies.

Bacterial prostatitis

Chronic inflammation of the prostate of bacterial etiology begins to manifest itself with a slight discomfort during urination. These include slight pain, itching or burning, a decrease in jet flow. The color of urine changes, it acquires an unpleasant odor. Unpleasant sensations can also disturb when emptying the intestines. There is a weak, dull pain in the perineum.

Arise problems in sex life. At the beginning of the disease, they are situational: weakening of an erection or an increase in its occurrence at night, acceleration of ejaculation, disturbances in orgasmic sensations.

Typical symptom for this stage- the appearance of discharge from the urethra during defecation.

Such sluggish signs can persist for quite a long time. A man may not pay attention to them, attributing everything to other reasons. If there is no treatment, they progress and an exacerbation of the chronic process occurs. increased intensity of sensations.

Urination becomes sharply painful, the urge to go to the toilet becomes more frequent. At a certain point, these manifestations weaken due to the compensatory growth of the muscles of the bladder, and then resume again, with greater force.

The pain in the perineum also increases. She gives to the lower back, pubis, leg, scrotum. The nature of pain sensations also changes: they become stronger and sharper, disturb at night.

Increasing sexual dysfunction, which becomes permanent. Ejaculation is accompanied by pain, erection and libido are reduced.

Also, patients are accompanied by increased sweating, including in the perineum. Slightly increased body temperature - 37-37.5 °.

Against the background of sexual disorders in men mental disorders develop. They become irritable, nervous, and may become depressed.

Treatment of the disease at this stage reduces the intensity of symptoms, and the stage of exacerbation passes into the stage of remission.

Other types of chronic prostatitis

There is a concept calculous prostatitis. This disease is extremely rare and affects older men. It is characterized by the formation of stones consisting of prostatic juice, inflammatory effusion, and phosphate and calcium.

Signs of this type of disease are pains that have localization typical for prostatitis. They are intensified during movement, after sexual intercourse. There is blood in the ejaculate. There are other signs of inflammation of the gland.

Stones are the result of long-term prostatitis or adenoma.

congestive prostatitis There are bacterial and non-bacterial. Its feature is mild symptoms:

subfebrile condition;
discomfort in the groin;
problems with urination;
irritability;
sexual disorders.

There are also such types of chronic prostatitis:

autoimmune- develops with immune diseases, for example, rheumatoid arthritis, systemic lupus erythematosus;
hormonal-dystrophic- appears due to hormonal disruptions, with hormonal diseases (diabetes mellitus), as a result of the physiological aging of the body;
vegetative-vascular- is formed against the background of vegetative-vascular dystonia. Causes circulatory problems.

How the disease is detected: diagnosis

Diagnosed with chronic prostatitis by the same methods as acute.

First thing doctor questioning and examining a patient. Inspection is carried out by the method of digital rectal examination of the prostate. It may be enlarged, painful, asymmetrical and indurated. In rare cases (non-inflammatory CPPS), it is not changed.

Next doctor prescribe tests. From laboratory methods, a general blood and urine test, an analysis of prostate secretion are used. They will show an increased content of leukocytes. Bacteriological examination of urine and prostate juice reveals the pathogen. Sometimes these indicators can be normal, but the process is still present.

To confirm the fact of the disease, blood is examined for PSA. Instrumental methods will also help: ultrasound, TRUS, urofluometry.

Very often it turns out that a man does not suspect that he has a similar disease, ignoring the symptoms. It is discovered by chance, during systematic examinations. Therefore, it is recommended not to disturb the system and not to neglect scheduled inspections.

Pharmacological treatment

First of all, for the treatment of chronic prostatitis prescribe antibiotics. The course is long - 1-1.5 months. Before prescribing antibacterial agents, the type of pathogen and their sensitivity to drugs are determined.

Necessarily using immunosuppressive drugs, because reduced immunity is a common cause of inflammation. The help of an immunologist is possible.

Therapy for chronic inflammation of the prostate does not do without anti-inflammatory drugs. For starters, nonsteroidal drugs are prescribed: Diclofenac, Ibuprofen, Meloxicam. They are used in the form of tablets or injections. If with their help it is not possible to achieve the desired result, hormones are used: Prednisolone, Dexamethasone.

Alpha blockers help relieve muscle tension from the bladder, perineum. They act symptomatically, reducing pain and improving urination.

If there is unbearable pain, topical pain relievers.

Separately, it is worth mentioning on the use of such a dosage form as suppositories. They are perfect for the treatment of the chronic prostatic process. Most often, its symptoms are mild, and the mild action of suppositories is quite enough to stop them.

They are inserted into the rectum. Its close location with the prostate gland allows you to quickly and effectively achieve results. In addition, the destructive effect of tablets on the gastrointestinal tract and difficulties with injections are excluded. Candles have an anti-inflammatory and analgesic effect on the body.

Physiotherapy and other methods

In addition to medication, other methods of treating chronic prostatitis are also used:

rectal prostate massage- Passed through the rectum. The procedure eliminates the stagnation of the prostate juice, and also enhances the effect of medications. Contraindicated in exacerbation of the disease and in the presence of stones in the prostate;
physiotherapy improves blood circulation in the affected organ and improves its nutrition. Of the methods used UHF, electrophoresis, darsonvalization and others. They are shown only in remission;
prostatitis involves in the process not only organs, but also the psyche of a man. He might need help of a psychologist or psychotherapist;
acupuncture is a common treatment for chronic prostatitis. The procedure affects the body indirectly, through acupuncture points;
exercises, such as squats, walking, jumping will increase blood circulation in the pelvis and eliminate congestion;
actively applied balneotherapy- treatment with mineral waters.

Medications are an integral part of the treatment of chronic prostatitis. But they can cause a number of complications. And since the treatment of this type of disease is long, people have found ways to partially replace such drugs. Came to the rescue ethnoscience.

The leader among folk remedies for the treatment of prostatitis are pumpkin seeds. They contain a lot of zinc, which is essential for men's health. Seeds can be consumed separately: 30g will replenish the daily requirement of the necessary trace element. You can also grind them in a meat grinder and mix with honey, make balls from the resulting mixture. You need to store them in the refrigerator, and use 1 piece before meals.

Very useful for inflammation of the prostate drink freshly squeezed juices of beets, carrots, cucumbers and asparagus. The volume per day should be at least 0.5 liters.

Blueberry perfect for prostate repair. It contains a lot of nutrients, trace elements and vitamins.

Rarely in the treatment of prostatitis have to resort to surgery. Indications for it are the lack of improvement from conservative treatment, as well as acute processes: abscess and other purulent inflammation of the prostate, acute urinary retention, growth of gland tissues, as well as benign and malignant formations.

Surgical treatment is carried out by several methods: it can be a partial resection of an organ, opening of abscesses, excision of the foreskin or removal of the entire gland.

How to prevent the development of chronic prostatitis

Prevention of this disease is primary and secondary.

Primary prevention is to prevent the onset of the disease, and boils down to the following measures:

maintaining immunity;
regularity of sexual life;
exercise and moderate exercise. This is especially important for those who lead a sedentary lifestyle;
avoid hypothermia;
stopping infectious foci in the body;
timely treatment of urogenital infections;
be sure to undergo scheduled medical examinations;
do not abuse alcohol and smoking.

Secondary prevention includes measures to prevent recurrence of the disease. In the first year after prostatitis, a man must visit a urologist once every 3 months. Further - 1 time in 6 months. If an exacerbation of the disease has not occurred, then the patient is removed from dispensary observation.

Great for preventing prostatitis Suitable for spa treatment. Modern sanatoriums offer complexes of procedures from physiotherapy, balneotherapy, and other natural resources.

Important keep track of nutrition. Include in the menu more vegetables and fruits, a variety of cereals. Dairy products should also enrich your diet. Eating seafood will make up for the lack of zinc.

It is worth avoiding salty, spicy and smoked foods, do not abuse spices. Legumes, fatty foods and flour products should be excluded.

Chronic prostatitis is a sluggish but long process. He is insidious with complications:

cystitis, pyelonephritis - urolithiasis;
vesiculitis - an inflammatory process in the seminal vesicles;
epididymo-orchitis - inflammation of the testicles;
gland hypotrophy;
infertility and impotence.

Disease treatment - quite a long process. But it is worth going through this path to the end in order to preserve your health and preserve the chance for the birth of healthy offspring.

Chronic prostatitis (ICD-10 code. N41.1) is an inflammatory process that has been observed in the tissues of the prostate gland for more than three months. Its peculiarity is that in almost 70% of all cases, it proceeds without any symptoms. And only 15% of patients complain of manifestations of the disease. All other men have symptoms that only partially indicate the development of prostatitis and can often be associated with other diseases. Therefore, it is so important to consult a doctor if any signs appear, who, after the examination, will tell you how to treat chronic prostatitis.

Chronic prostatitis can be diagnosed not only in older people. Young and middle-aged people are also susceptible to the disease. At risk are those who lead a sedentary lifestyle, adhere to sexual abstinence or experience physical activity in the perineum. That is, the likelihood of chronic prostatitis in drivers, athletes is much higher than in everyone else.

Among all diseases of the male reproductive system, chronic prostatitis ranks first in prevalence, followed by BPH (prostate adenoma). Approximately one in three men is faced with inflammation of the prostate, and one in five of them suffer from a chronic form of the disease.

I. A. Izmakin, chief urologist of the Euromedica clinic, talks about the pathology and how it appears:

In most cases, the cause of chronic prostatitis is the transferred diseases of the genitourinary system caused by infections. A little less often, it is caused by inflammatory processes associated with changes in the hormonal background of a man.

Classification

Like other inflammatory diseases, chronic prostatitis can have acute and chronic stages. Its classification is based on the following features:

The presence of leukocytes in the urine.
The presence of pathogenic bacteria in the urine, ejaculate or secretion of the gland.

Based on the classification, there are the following types of disease:

Asymptomatic inflammatory prostatitis is characterized by the absence of symptoms of chronic prostatitis. It turns out to be revealed by chance when the patient goes to the doctor with some other disease.
bacterial nature. The patient has an acute inflammation of the prostate tissues, pathogenic bacteria are present in the urine, which lead to an increase in temperature and the development of intoxication of the body.

Chronic bacterial prostatitis. The doctor notes the typical signs of chronic inflammation. And in the analysis of urine and secret, a high content of leukocytes and bacteria is revealed.
Chronic pelvic pain syndrome. Such soreness is considered the main symptom, since bacteria are not detected. To make a diagnosis of chronic prostatitis, the syndrome must be observed in a man for at least 3 months.

Causes of the disease

The main cause of chronic prostatitis is the penetration into the prostate gland of pathogens (enterococci, Escherichia or Pseudomonas aeruginosa, etc.). Bacteria can enter the prostate in three ways:

Through the urethra.
Through the blood.
through the lymph.

According to statistics, 90% of cases of chronic prostatitis are a consequence of the development of acute prostatitis or a complication.

In addition to getting bacteria into the prostate, the causes of chronic prostatitis can be:

Sexual infections (STIs): herpes, trichomonas, gonococcus, chlamydia, etc.
Congestive processes in the pelvic area, which can provoke inflammation of the prostate.
Decreased immunity. This can be caused by: vitamin deficiency, imbalance of hormones, hypothermia, allergic reactions, significant physical and emotional stress, untreated infections, etc.
Sedentary lifestyle.
Big weight.

Irregular sexual life or disorders in the intimate sphere.
Perineal injury.
Wearing tight underwear.
Irrational nutrition (the predominance of spicy foods in the diet).
Restraint of urination.
Chair disorder.

All this can lead to impaired blood circulation in the pelvic region, contribute to congestion and the development of the inflammatory process. The consequences of the lack of therapy are infertility and impotence.

Symptoms of the disease

Signs of chronic prostatitis can be very different. Most often, the patient complains about:

Decreased performance.
Rapid fatigue.
Increased irritability.
Anxiety.

Sleep disturbance.
Lethargy.
Loss of appetite.
Increased sweating.

Candidate of Medical Sciences, urologist Guk Andrey Valerievich answers questions about symptoms:

Local symptoms include:

Urination disorder. The patient feels frequent urges, pain at the beginning and end of urination.
Aching pain that may radiate to the groin, sacrum, scrotum, subpubic bone, or rectum.
Pain during sex.
Discharge during tension of the pelvic muscles.

In contrast to the acute phase, in a chronic disease, sexual dysfunction often occurs. This is due to the fact that stagnant and inflammatory processes affect the nerve endings that ensure the transmission of impulses to the brain. As a result, erectile dysfunction is possible, which weakens or ejaculation (premature ejaculation), sensations during orgasm are dulled. Such symptoms of chronic prostatitis in men lead to fear of intimacy, irritability and, as a result, sexual neurosis develops.

Treating chronic prostatitis can be difficult. How long you have to take medication depends on the degree of pathology and the duration of the development of the disease. It is important to remember that if they have disappeared, this does not mean a final cure. The severe consequences of chronic prostatitis include scarring of the gland. This process can pass to the urethra.

Diagnosis of the disease

When contacting a doctor, he will ask the patient about the symptoms. Particular attention is paid to the frequency and nature of pain, urination disorders, sexual dysfunction. But due to the fact that chronic prostatitis can occur without any manifestations, it is necessary to conduct certain studies:

Clinical and bacterial analysis of urine, which determines the number of leukocytes and the presence of pathogenic microorganisms.
Analysis of the secret, which may contain bacteria.
Scraping from the mucous membrane, in which the number of leukocytes, the presence of macrophages and amyloid bodies are determined.
Transurethral ultrasound makes it possible to identify the echo sign of chronic prostatitis and determine the condition of the prostate.

On the issues of diagnosis and treatment, listen to the report of the specialists of the Federal State Budgetary Institution "Research Institute of Urology" of the Ministry of Health of the Russian Federation:

Qualitative diagnosis is a significant part, as it makes it possible to distinguish chronic prostatitis from other pathologies with similar symptoms.

Treatment

This disease should have an integrated approach to therapy. In this case, the patient needs to tune in to long-term treatment. The treatment regimen for chronic prostatitis will be individual for each patient. Usually, the patient does not need hospitalization and can be treated. It is quite another matter when the acute phase of the disease or its exacerbation against the background of chronic inflammation of the prostate is subject to treatment. In a hospital setting, antibiotic therapy is used and detoxification is carried out. If necessary, surgery is needed.

Medical therapy

For the complex treatment of chronic prostatitis in men, drugs are prescribed, the action of which is aimed at eliminating the infection, normalizing blood circulation and hormone levels. For this use:

Antibiotics.
Anti-inflammatory nonsteroidal drugs.
Anticholinergics.

List of antibiotics for the treatment of CP

Immunomodulators.
Angioprotectors.
Vasodilator drugs.

Before making an appointment, the doctor will conduct an analysis to determine the pathogen. If the disease is not of bacterial origin, then the course of antibiotic therapy will be short. In the case when it is not possible to determine the type of pathological microflora by laboratory methods, a histological analysis of prostate tissue is used.

In case of recurrence of the disease, antibiotic therapy is prescribed for the purpose of prevention. For this, a drug is used that has already been used during treatment, but at a lower dosage.

Knowing what chronic prostatitis is and what can cause it to develop, the specialist will pay attention to the pressure inside the prostate gland and its ability to contract. If this function is reduced, then congestion and inflammation of the prostate can occur in the pelvic area. To normalize intraurethral pressure, alpha-blockers are prescribed ("Alfuzosin", "Terazosin", etc.).

For complaints of frequent and painful urination, non-steroidal anti-inflammatory drugs are used in conjunction with alpha-blockers.

Vladimir Viktorovich Borisov, Doctor of Medical Sciences, Professor, will talk about the treatment of this unpleasant disease:

In the case when it turned out to be ineffective and symptoms such as soreness and dysuria persist, the treatment is adjusted so that it is directed to:

Elimination of pain. For this, tricyclic antidepressants (Imipramine, Amitriptyline) are used.

Normalization of urination. Treatment is prescribed after a urinodynamic analysis. With hyperactivity of the sphincter, antihistamines, Amitriptyline and washing the bladder with antiseptic solutions are indicated. With the ineffectiveness of such treatment, neuromodulation and physiotherapy are used.

Non-drug methods

To be more effective, the doctor may recommend physiotherapy (electrophoresis, phonophoresis, laser therapy, mud treatment) and transrectal hyperthermia, which is carried out taking into account existing changes in the prostate tissue and concomitant diseases. When exposed to a temperature of 40 degrees, cellular immunity is activated. When exposed to a temperature of 45 degrees, nerve endings are inhibited, which helps to relieve pain. The use of laser therapy has a biostimulating effect.

In the absence of contraindications, the patient undergoes a prostate massage. Often, patients are prescribed a course of psychotherapy and can strengthen the muscles of the perineum.

Treatment with folk remedies

Along with the use of medications, the manifestations of chronic prostatitis are treated. This treatment improves immunity and reduces pain. For this, in addition to herbal remedies ("Prostamol", etc.), infusions and decoctions of herbs, baths, etc. are used.

The course of treatment with herbal remedies is at least 1 month and should be prescribed by a doctor, as some of them may have contraindications for use. Treatment with folk methods involves:

Plentiful drink (teas with linden, rose hips, raspberries).
Every day before meals you need to drink 1 glass of freshly squeezed juice of carrots, pears, cucumbers.
If the patient is tormented by pain, coniferous baths are used, with a temperature of 37 degrees. The duration of the procedure is 20 minutes.

To prepare suppositories with propolis, take a mixture of glycerin, gelatin and water in proportions of 5:1:2. Add propolis there and spread the mixture on parchment. Put everything in the refrigerator where the suppositories are completely frozen.

If the patient is not allergic to honey, he is recommended to eat up to 100 grams of the product daily.
At home, you can make your own suppositories based on propolis or honey. They need to be installed within 1 month.
Before going to bed, it is recommended to do an enema with wormwood. To do this, 1 teaspoon of a dry plant is brewed in 1 liter of boiling water.

Treatment with pumpkin seeds, aloe juice, parsley, chestnut and celandine is also considered effective. Parsley has an anti-inflammatory effect and is able to restore sexual function. Herbalists recommend this treatment with this plant:

Drink 1 tablespoon of parsley juice daily before meals.
4 teaspoons of plant seeds are poured into 250 ml of boiling water and infused in a thermos overnight. The next day, drink an infusion of 1 tablespoon every hour.
100 g of the crushed root of the plant is poured with 1 liter of water, put on a slow fire and boiled for 10 minutes. The decoction is drunk during the day.

Pumpkin seeds are an effective remedy. About 30 of these seeds contain a daily dose of zinc, which is essential for men's health. For treatment, you can make such a remedy. 500 g of pumpkin seeds are ground in a meat grinder and mixed with 200 grams of natural honey. From the resulting mass, balls are made, the size of a walnut. Every day you need to eat 2 of these balls.

Propolis helps to strengthen the body's defenses and relieve inflammation. You can buy its tincture in a pharmacy. For treatment, you need to drink a glass of milk daily with 1 teaspoon of this tincture.

Dear readers, we have collected a large video selection of traditional medicine recipes. We are sure that out of 106 videos you will be able to choose the treatment you need (to view the list of videos, click on the playlist icon):

In addition, decoctions of licorice, St. John's wort, echinacea are used for treatment, which are also used in cases where the disease occurs without obvious symptoms.

Surgery

Often, chronic prostatitis does not give symptoms, and patients seek medical help already when there have been serious changes in the prostate gland and chronic prostatitis drugs are already powerless. In addition, such complications can pose a threat to the health of the patient. An example of a complication is prostate sclerosis.

Due to the fact that such complications are often detected in young men, doctors use minimally invasive surgery. Indications for its use are: involuntary excretion of urine or, conversely, its retention, prostate abscess, a significant increase in the size of the gland, blockade of the urethra or bleeding. There are such types of surgery that are indicated for chronic inflammation:

Circumcision - is used when the patient has phimosis. During the operation, the foreskin is cut.
Prostatectomy is a radical operation during which the prostate is completely removed. It is carried out in case of suspicion of the presence of a malignant tumor.
Resection of the prostate is a partial removal of the gland, in case of its sclerotic change.

Elimination of adhesions.
Drainage of a cyst or abscess. Produced by endoscopy. For drainage, a special tube with a camera at the end is used. Such a device is inserted into the lumen of the urethra and makes it possible to control the progress of the operation.
In case of complaints of various sexual disorders (orgasm disorder, painful ejaculation, etc.), the patient undergoes an incision in the vas deferens.

The result of surgery will depend on the timeliness of the diagnosis. In cases where there is an adenoma of the prostate, then the manifestations of chronic prostatitis can be blurred. This is observed in 70% of cases. 25% of men learn about the development of chronic prostatitis during an examination for adenoma. And only 5% of patients - during a preventive examination.

The condition for the operation is the lack of effect in the conservative treatment of the disease. Therefore, surgery is needed to prevent complications and improve the quality of life.

However, it should be borne in mind that even after the operation, the return of prostatitis is possible. This happens in almost half of those operated on. A contraindication to any operation is:

Diabetes.
Pathology of the liver.
Diseases of the respiratory system.
Mental disorders.
Heart diseases.

Disease prognosis

Everyone who is faced with such a diagnosis is interested in whether chronic prostatitis can be cured? The disease is considered cured if the symptoms do not appear for a significant period of time, the level of leukocytes in the urine is within the normal range, there are no pathogenic bacteria in the secretion of the prostate, urination and sexual function are restored.

Most often, the prognosis is favorable in cases where the disease has not led to irreversible processes, and the patient complies with the prescribed treatment.

Disease prevention

Every middle-aged man should be engaged in the prevention of diseases of the genitourinary system, which will also help reduce the likelihood of chronic prostatitis. For this it is enough:

Adhere to the basics of a healthy lifestyle, play sports.
Eat properly. It is important to eat plenty of protein foods (low-fat meat and fish, dairy products, eggs) and limit animal fats. At the same time, canned food, spicy, salty dishes, alcohol should be excluded from the menu.
Regular sex life. It is important to avoid unprotected sex.

In order to prevent prostate disease, every man, especially after 35 years old, should take care of his health and lead an active life. It is not necessary to ignore the medical examination, which always helps to identify prostatitis in time and start its treatment. At the same time, it is important to remember that it is curable if it is detected at the initial stage, and the patient complies with all the doctor's prescriptions.