Chronic prostatitis: symptoms, prevention and treatment

Chronic prostatitis is an inflammation of the prostate gland that affects men of all ages.In most cases, this happens due to the impact of sexually transmitted infections and opportunistic microflora on the prostate gland.In itself, inflammation of the gland is not scary, but in the absence of effective treatment, it can cause urination disorders, pain and lead to male infertility and impotence.Also, the development of chronic prostatitis is often facilitated by a sedentary lifestyle and lack of regular sex life.

What role does the prostate gland play in the body?

The prostate, in the shape of a chestnut, is located under the bladder.It prevents seminal fluid from entering it, and also produces prostate secretion, an important component of sperm.

Causes of chronic prostatitis

The most common cause of chronic inflammation of the prostate are sexually transmitted infections and pathogens.For example, Trichomonas.A sedentary lifestyle also contributes to the development of such prostatitis.But prostatitis itself is not as scary as the fact that this disease is a trigger for the appearance of more serious diseases - male infertility, prostate adenoma.

Causes of the disease also include:

• frequent hypothermia;
• low immunity;
• hormonal disorders;
• a person has bad habits;
• pelvic organ injuries;
• sedentary lifestyle.

The causes of chronic prostatitis are divided into two types:

1. Infections.They enter the body in different ways - through the urethra, through the bloodstream or lymph from the foci of infection or inflamed organs in one's body.
2. Poor circulation in the prostate glandor stagnation of its secretion, which occurs in the following cases:
   • sexual abstinence for a long time;
   • frequent interrupted sexual intercourse or unrealized arousal;
   • damaged casting.

Stress and alcoholism can also contribute to chronic prostatitis in the male body.Worsening is often observed after hypothermia, various infectious diseases, dietary mistakes (very spicy food, alcohol).

Symptoms of chronic prostatitis

The most common symptoms:

• discomfort or pain in the groin and suprapubic areas, perineum, scrotum, rectum, lumbosacral region;
• frequent and painful urge to urinate;
• pain in the lower abdomen (continuous or during urination);
• intermittent or slow flow of urine;
• reduction in the duration of sexual intercourse, deterioration of erection, decrease in sexual desire, premature ejaculation;
• periodic/constant absence of erection in the morning (spontaneous);
• a pulling pain in the head of the penis after ejaculation, which disappears by itself within half an hour.

Many men do not pay attention to the signs of chronic prostatitis, believing that the disease will go away on its own.However, it progresses, causing various complications: pyelonephritis, cystitis, vesiculitis.Over time, infertility and impotence develop against the background of inflammation of the prostate gland.

Diagnosis of the disease

To accurately establish a diagnosis, it is necessary to undergo laboratory and instrumental examination.It includes:

• general analysis of urine,
• general blood analysis,
• examination of prostate secretions,
• bacteriological examination of prostate secretion to identify microflora with determination of sensitivity to antibacterial drugs;
• blood test for PSA (prostate-specific antigen),
• Ultrasound of the pelvic organs and the prostate gland,
• digital prostate examination.

Complications that can be caused by chronic prostatitis

This disease causes many concomitant diseases that seriously complicate a man's life:

• Urinary disorders: frequent urination during the day and night, weak flow of urine, feeling of incomplete emptying of the bladder.
• Vesiculitis, colliculitis - inflammation of seminal vesicles and seminal tuberculosis.
• Gland abscess is a serious pathology that requires hospitalization and very often surgical intervention.
• Sclerosis of the prostate – develops with an enlarged prostate and requires surgical treatment.
• Cysts and consequently prostate stones.
• Impotence, infertility.

Treatment of chronic prostatitis

Treatment of this disease should be done only under the constant supervision of a doctor.One of the best and most effective modern drugs used to treat chronic prostatitis is made from an extract of prostate tissue.Its use gives quick results and eliminates symptoms.

Since the therapy should be complex, other drugs should also be used:

• antibacterial,
• alpha blockers,
• non-steroidal anti-inflammatory drugs.

There is no universal cure.Therefore, doctors can recommend antibacterial drugs of different groups.Cephalosporins, protected penicillins, fluoroquinolones, nitrofurans and tetracyclines and others.All of them affect the cause of the disease - a bacterial infection.

Alpha-blockers are drugs for chronic prostatitis, designed to relax the muscles of the prostatic urethra and bladder neck, to facilitate urine output by relieving spasm.In fact, they do not treat, but only eliminate the painful symptoms of inflammation.

Among anti-inflammatory medications, urologists recommend those that reduce inflammation and reduce pain.

dope	benefit	Disadvantages	Recommendations for use
Fluoroquinolones	Excellent penetration into prostate tissue. Good bioavailability. Equivalence of oral and parenteral pharmacokinetics. Good activity against typical and atypical pathogens.	Cross allergy. Phototoxicity. Effect on the central nervous system.	Recommended for use.
Diaminopyrimidines	Good penetration into prostate tissue. No dose selection required. Good antimicrobial activity.	Negative to Pseudomonas aeruginosa and Enterobacteriaceae.	Second line drugs.
Macrolides	Moderate activity against gram-positive bacteria. Activity against atypical pathogens. Good penetration into prostate tissue. Low toxicity.	Insufficient activity against gram-negative bacteria.	It is used for specific pathogens.
tetracycline	Good activity against atypical pathogens.	Inactive against Pseudomonas aeruginosa. Insufficient activity against staphylococcus, Escherichia coli.	It is used for specific pathogens.

An effective cure for chronic prostatitis

Among the drugs with a large evidence base, there are drugs from the extract of bovine prostate gland tissue.Most often - in the form of suppositories or ampoules.The drug is effective in the treatment of acute and chronic forms of the disease.This drug is available in the form of suppositories (rectal suppositories) and ampoules (injections), the effect of the drug is aimed at strengthening the walls of blood vessels and improving blood circulation at the micro level.

The effect of using the drug for chronic prostatitis:

• Elimination of dysuric disorders and normalization of the urination process.
• Improvement of the functional state of the prostate gland.
• Reduction of congestion, reduction of swelling of the prostate gland.
• Reduction of severe symptoms of chronic prostatitis.
• Normalization of complete blood circulation in the pelvic area, reducing the possibility of blood clot formation in the blood vessels.
• Decreased concentration of leukocytes infiltrating prostate tissue.

Methods of treatment of chronic prostatitis

In most cases, the chronic disease is successfully treated with conservative methods.But it should be remembered that therapy will bring quick positive results only with an integrated approach.It is recommended to review the lifestyle that causes the disease, otherwise a relapse is likely.Alcohol abuse, unbalanced diet, sedentary lifestyle and promiscuous sexual relations are extremely harmful to the male reproductive system.

Treatment procedures:

• Prostate massage, is performed manually through the anus.It is worth noting that the procedure is not very pleasant, but the effectiveness is very high.
• Physiotherapy procedures.Treatment of chronic prostatitis with thermal physiotherapy gives good results by improving microcirculation and absorption of drugs in tissues.Physiotherapy procedures include heating with ultrasound and irrigation with an antibacterial solution using enemas.
• Balneotherapy.In many sanatoriums, this disease is successfully treated using balneotherapy methods, that is, with the help of mineral waters.For the treatment of prostate patients, water with low mineral content is usually prescribed, both internally and in the form of baths.
• Diet therapy.You should start following a special diet at the first signs of prostatitis.First of all, you should avoid alcoholic beverages, as ethyl alcohol irritates the prostate ducts, increasing pain and inflammation.It is also necessary to limit the intake of fatty meat to prevent the formation of cholesterol plaques and further deterioration of blood circulation.Legumes, mushrooms, offal, salty and spicy foods, tea and coffee, carbonated drinks and baked goods are prohibited.

The diet for chronic prostatitis should include foods rich in zinc (it is found in seafood and pumpkin seeds).It is recommended to eat as many vegetables (except those that contribute to the formation of gas, such as cauliflower), dairy products, cereals and dried fruits.

Preventive measures

Chronic prostatitis usually does not develop if a man leads a healthy lifestyle: takes care of his diet, exercises, etc.Prevention of prostatitis is facilitated by giving up bad habits and casual sexual relations.

There are primary, aimed at preventing the occurrence of the disease, prevention and secondary, whose task is to prevent the return (worsening) of existing chronic prostatitis.

Primary preventionit comes down to regular sexual intercourse, a balanced diet, compliance with a physical activity regime, timely and complete treatment of any infectious (purulent) body disease and timely hygiene of the oral cavity.

Secondary preventionprovides regular examination by a urologist and preventive treatment - multivitamins, restorative drugs, exercise.

likemedicine for prophylaxisprostate diseases, suppositories can be used.