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Understanding chronic prostatitis and its treatment difficulties

Chronic prostatitis is considered a long-term inflammatory process localized in the prostate gland.In this case, a man may only feel mild discomfort, so he does not always see a doctor.Pathology has a code according to ICD 10 - N41.1.

sedentary lifestyle

Form of prostatitis

This disease develops in case of improper treatment in acute form or without any therapy.Pathology appears not only in the elderly, but also in young people, which is determined by a decrease in physical activity.Organ morphology and function are disturbed.Treatment of chronic prostatitis should begin as soon as the first symptoms appear.Otherwise, the function of the gland will be disrupted forever.Therapy largely depends on what triggered the pathological process.The presented diseases can be divided into several groups:

  1. According to causative factors: infectious;viruses;bacteria;caused by fungi, mycoplasma;gonorrhea;mixed up.
  2. According to pathogenetic factors, chronic prostatitis is of the following types: hematogenous (infection entering the prostate gland from the pathological focus through the blood);infected by contact (through the walls of neighboring organs);lymphogenous (penetration of pathogens through lymph).

Damage to the prostate gland can become stagnant (congestive).It develops due to poor outflow of prostate secretions.Fluid stagnates and the inflammatory process occurs.If the problem is caused by the blockage of organ channels with concrete (stone), then in this case we can talk about the type of calcified pathology.Chronic prostatitis can also be bacterial or abacterial.In the first case, the pathogen must be present;the second form occurs as a result of mechanical damage to the gland or under the influence of other factors, among which there are no pathogens.It is an abacterial variant that occurs in 80% of cases.

Causes and provoking factors

Before treating chronic prostatitis in men, experts must know the cause of their occurrence.The following conditions can trigger pathology:

  • sexually transmitted infections: chlamydia, ureaplasmosis, herpes, gonococcus, fungus;
  • violation of microcirculation in tissues and blood circulation in pelvic organs;
  • urological pathology;
  • the presence of an infectious focus in the body;
  • hemorrhoids, as well as chronic constipation;
  • injury to genital organs or spinal cord;
  • weak immunity;
  • tumor process;
  • hormonal imbalance, endocrine system dysfunction;
  • heart failure;
  • previous surgical intervention, including on abdominal organs.

This is the main cause of chronic prostatitis.There are also other negative factors that contribute to the development of the disease:

  • frequent general or local hypothermia;
  • a sedentary lifestyle;
  • long-term abstinence from sexual activity;
  • frequent exposure to stress, mental and physical load;
  • smoking;
  • alcohol abuse;
  • diet mistakes: frequent consumption of fatty foods;
  • long-term medication use.

Only by determining the cause can you choose the right treatment tactics for chronic prostatitis.

Disease symptoms

The course of the chronic form of the disease is usually hidden.That is, the symptoms appear weak, the man rarely pays attention to them and does not recognize the problem until it becomes more obvious.He is shy and afraid to see a doctor.However, the lack of therapy will lead to serious complications, so a visit to a specialist should not be delayed for a long time.Manifestations depend on the degree of chronic prostatitis observed in a person.The following common symptoms of the disease can be identified:

  1. Discomfort and pain, which can radiate to other parts of the body: legs, anus.Unpleasant sensations have been present for more than 3 months.
  2. Urinary problems.They are caused by the fact that the enlarged prostate puts pressure on the excretory ducts.In this case, the biological fluid cannot come out completely.This leads to increased visits to the toilet at night.
  3. Sexual dysfunction.Erections can be irregular and ejaculation can be premature.During sexual intercourse, a man may feel pain.
  4. Increases irritability, irritability, anxiety.

Also, a man becomes physically tired faster, he develops apathy, which gradually develops into a state of depression.Exacerbation of the chronic process is characterized by the following manifestations:

  • increased pain intensity;
  • burning in urethra;
  • increased urge to go to the toilet;
  • increased sweating, trembling;
  • intense discomfort in the lower abdomen, rectum and perineum;
  • a significant decrease in sexual activity;
  • pain syndrome during defecation.

Only 2-3 signs of prostatitis may appear at once, so a man does not rush to undergo an examination.At the same time, the chronic destruction process in the tissue continues.Gradually, changes in the prostate become irreversible, and it is no longer possible to get rid of it completely.

Diagnostic features

Treatment of chronic prostatitis is necessary only after differential diagnosis of the disease.Otherwise, the patient will be given drugs that can harm him.The following methods are used during the examination:

  1. Microscopic analysis of discharge from the urethra.
  2. Mucous membrane scraping and its examination using the polymerase chain reaction.
  3. Microscopic and bacterial analysis of prostate secretions.
  4. Determination of immune status.
  5. Transrectal ultrasound.The main echo sign of chronic prostatitis is an increase in the size and volume of the organ, changes in its structure, and the presence of pathological neoplasms.However, such studies are contraindicated for hemorrhoids, inflammation of the rectum, and fissures in the anus.
  6. MRI.The specialist takes layer-by-layer images of the prostate.Only differential diagnosis can help specialists understand the cause of the disease, as well as the characteristics of its development.

Pathological treatment

difficulty urinating

Treatment of chronic prostatitis is not a short-term process.Getting rid of pathology will take a long time and become complex.This scheme includes not only medicines, but also physiotherapeutic procedures and folk remedies.Many patients need the help of a psychologist.Spa treatments at specialized institutions are also useful.It is not possible to completely eliminate this disease if it has reached an advanced stage.Drug treatment will allow you to quickly relieve symptoms, as well as eliminate the cause of the disease.In addition, patients are given drugs that stimulate metabolic processes.To increase the chances of recovery, in addition to medication, a person also needs proper nutrition.The diet includes the exclusion of fatty and spicy foods, canned foods, smoked foods, sweets and spices.It is best to limit your salt intake.Alcohol and cigarettes are strictly prohibited.

Treatment is not medicine

In addition to medication, the person needs physical therapy.It consolidates the positive effects of the main scheme.Such treatment affects not only the affected tissue, but also blood circulation and metabolism.The main condition for successful therapy is the use of several techniques.Patients are usually prescribed the following procedures:

  1. Electrophoresis.It stimulates the regenerative properties of the affected tissue and relieves pain.Thanks to the procedure, the drugs penetrate deeper and blood flow is activated.
  2. Phonophoresis.
  3. Laser therapy.
  4. Magnetic treatment.
  5. Microwave therapy.It produces a regenerative effect and improves metabolic processes.Nerve conduction is restored.
  6. Ultrasound.It has a clear anti-inflammatory effect, helps restore sexual function, and relieves pain.
  7. Inductometry.
  8. Instillation into the urethra.

Mud baths and therapeutic enemas are considered no less useful.All these procedures can be used as monotherapy and in combination with other agents.Thanks to physiotherapy, it is possible to consolidate a lasting positive effect.Prostate massage is considered popular.It eliminates the stagnant process and improves the drainage of prostate secretions and activates microcirculation.For forms of bacterial pathology, it is used more often.However, there are certain contraindications for use: organ cancer, adenomas or other formations, stones in the ducts, hemorrhoids or fissures in the anus.

Folk recipes

If the pathological process becomes chronic, then it is necessary to undergo treatment.People's rehabilitation will help achieve stable remission.But they should be used in the early stages of the disease.The following recipe will work:

  1. Kalanchoe leaves.It is necessary to squeeze the juice out of the plant and mix it with the same amount of water.You need to take 100-150 ml a day for a month.
  2. Bearberry colored.You need dry grass and vodka in a ratio of 1:10.The mixture should be infused for 14 days in the refrigerator.The medicine is taken twice a day, 15 drops.The therapy course lasts a month.
  3. Pear compote.
  4. Parsley juice and seeds.Ingredients can be added to food.
  5. Bee pollen.You need to mix it with water in a ratio of 1:3.Worth to drink 1 glass a day.Treatment in this way will take 1 month.
  6. A mixture of honey and pumpkin seeds.All components are taken in equal quantities.Roll the resulting slurry into a ball.They are stored in the refrigerator.Patients are required to eat 2-3 pieces per day.The therapy course lasts for 30 days.
  7. Rectal suppositories based on propolis.They need to be treated for at least a month.

Chronic prostatitis can be treated at home, but the disease cannot be completely cured without the intervention of a doctor.In addition, such therapy will continue for more than one year.

Surgical intervention

Chronic prostatitis is not the end or death sentence.It is important that a man understands this.But if the therapy is not carried out completely correctly, or when conservative methods are ineffective, then the patient will need surgical intervention.There are several types of operations:

  1. Endoscopic transurethral resection.It is performed under anesthesia and is considered the safest option.Thanks to the procedure, it is possible to reduce the pressure of the prostate on the urinary tract.The recovery period lasts no more than a week.
  2. Laser removal of affected tissue.This operation is safe and characterized by the absence of blood loss.
  3. Prostatectomy.It can be partial or complete.At the same time, experts try to maintain a person's erectile function.

For surgical intervention there must be certain indications: persistent problems with urination, the risk of developing an oncological process, a significant decrease in the patient's quality of life.

Possible complications

If the start of therapy is late, then the consequences are inevitable.The following complications of chronic prostatitis are distinguished:

  • urethritis;
  • impotence or other erectile problems;
  • infertility;
  • difficulty urinating;
  • decreased ejaculation formation or its complete absence;
  • cystitis, kidney damage;
  • the development of malignant processes;
  • the spread of the inflammatory process throughout the reproductive system;
  • scar tissue of the prostate, where the affected area cannot perform the necessary functions.

Complications of chronic prostatitis cannot always be eliminated, so it is better to prevent their occurrence.

Prognosis and prevention

Prognosis depends on the stage at which treatment is started and its effectiveness.Chronic prostatitis can be cured if the patient applies in the early stages of its development.Otherwise, the inflammatory process will exist for a long time and gradually worsen the man's quality of life.People with this diagnosis are not accepted into the army.Pathological events can be prevented.To do this, you must follow the following preventive rules:

  1. Do not neglect sexual hygiene.
  2. Try not to change sexual partners often.
  3. Treat any urogenital disease on time.
  4. Normalize nutrition and regularity of sexual activity.
  5. Exercise, move more.
  6. Avoid constipation.In addition, emptying the bladder should be timely.
  7. Avoid hypothermia and overheating of the genitals.
  8. Avoid stressful situations, physical and mental stress.

Chronic prostatitis is a complex disease that requires long-term therapy.A man needs to admit his diagnosis and accept it.Only in this case will he be able to get rid of the problem.