Chronic prostatitis: disease symptoms, prevention and treatment

Chronic prostatitis is an inflammation of the prostate that affects men of all ages. In most cases, it occurs due to exposure to the prostate gland of sexually transmitted infections and opportunistic microflora. By itself, inflammation of the glands is not terrible, but in the absence of effective treatment, it can cause urinary disorders, pain, lead to male infertility, impotence. Also, the development of chronic prostatitis often contributes to an inactive lifestyle and lack of frequent sexual activity.

What role does the prostate gland play in the body?

The prostate, shaped like a chestnut, is located below the bladder. It prevents semen from entering it, and also produces prostate secretions, an important component of sperm.

Causes of chronic prostatitis

The most common causes of chronic prostate inflammation are sexually transmitted infections and pathogens. For example, Trichomonas. Also, the development of such prostatitis contributes to an inactive lifestyle. But prostatitis itself is not so terrible due to the fact that the disease is a trigger for the occurrence of more serious diseases - male infertility, prostate adenoma.

Causes of disease onset also include:

• frequent hypothermia;
• low immunity;
• hormonal disorders;
• the presence of one's bad habits;
• pelvic organ injury;
• sedentary lifestyle.

The causes of chronic prostatitis are divided into two types:

1. Infection.They enter the body in a variety of ways - through the urethra, with the flow of blood or lymph from the focus of infection or an inflamed organ in their own body.
2. Circulatory disorders in the prostate glandor its secret stagnation, which occurs in the following cases:
   • sexual abstinence for a long time;
   • often interfering with sexual intercourse or unnoticed pleasure;
   • damaged ejaculation.

Stress, alcoholism can also contribute to chronic prostatitis in the male body. Severity is often observed after hypothermia, various infectious diseases, errors in diet (too spicy food, alcohol).

Symptoms of chronic prostatitis

The most common symptoms:

• discomfort or pain in the inguinal and suprapubic areas, perineum, scrotum, rectum, in the lumbosacral region;
• frequent and painful urge to urinate;
• pain in the lower abdomen (persistent or during urination);
• intermittent or slow urine flow;
• reduction in the duration of sexual intercourse, erectile dysfunction, decreased libido, premature ejaculation;
• periodic / permanent absence of morning erection (spontaneous);
• pain of an interesting nature in the head of the penis after ejaculation, which disappears on its own within half an hour.

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

Diagnosis of the disease

For an accurate diagnosis, laboratory and instrumental examinations are required. It includes:

• general urine analysis,
• general blood analysis,
• study of prostate secretion,
• bacteriological examination of prostate secretions to identify microflora with determination of sensitivity to antibacterial drugs,
• blood tests for PSA (prostate -specific antigen),
• Ultrasound of the pelvic organs and 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, poor urine flow, feeling of incomplete emptying of the bladder.
• Vesiculitis, colliculitis - inflammation of the seminal vesicles and seminal tubercles.
• Glandular abscess is a severe pathology that requires hospitalization and very frequent surgical intervention.
• Prostate sclerosis - develops with prolonged prostatitis, and requires surgical treatment.
• Cysts and, as a consequence, prostate stones.
• Impotence, infertility.

Treatment of chronic prostatitis

Treatment of this disease should take place only under the constant supervision of a physician. One of the best and most effective modern drugs used to treat chronic prostatitis is from prostate tissue extract. Its use gives fast results and elimination of symptoms.

Because therapy must be complex, other medications must also be used:

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

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

Alpha blockers - a drug for chronic prostatitis, designed to relax the muscles of the prostate urethra and bladder neck, facilitate the outflow of urine by relieving cramps. In fact, they do not cure, but only relieve the symptoms of painful inflammation.

Among anti-inflammatory drugs, urologists recommend both reducing the inflammatory process and reducing pain.

Drugs	Advantage	ugliness	Suggestions for use
Fluoroquinolones	Excellent penetration into prostate tissue. Good bio availability. Oral and parenteral pharmacokinetic equivalence. Good activity against typical and atypical pathogens.	They are allergic. Photo toxicity. Effects on the central nervous system.	Recommended for use.
Diaminopyrimidines	Good penetration into prostate tissue. Does not require dose selection. Good antimicrobial activity.	Negative against Pseudomonas aeruginosa and enterobacteria.	Second line drugs.
Macrolide	Moderate activity against Gram-positive bacteria. Activity against atypical pathogens. Good penetration into prostate tissue. Low toxicity.	Insufficient activity against gram-negative bacteria.	Used for certain pathogens.
Tetracyclines	Good activity against atypical pathogens.	Inactive against Pseudomonas aeruginosa. Insufficient activity against staphylococci, Escherichia coli.	Used for certain pathogens.

An effective cure for chronic prostatitis

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

Effects of drug use for chronic prostatitis:

• Elimination of urinary disorders and normalization of the urinary process.
• Improves the functioning of the prostate gland.
• Reduces congestion, reduces prostate edema.
• Reduction of severe symptoms of chronic prostatitis.
• Normalization of full blood circulation in the pelvic area, reduces the possibility of blood clots in the blood vessels.
• Decreased concentration of leukocytes infiltrating prostate tissue.

Methods of treatment of chronic prostatitis

In most cases, chronic diseases are 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 reconsider the lifestyle that caused the disease, otherwise the possibility of recurrence. Alcohol abuse, unbalanced diet, sedentary lifestyle and free association are extremely harmful to the male reproductive system.

Healing procedure:

• prostate massagedone manually through the anus. Keep in mind that the procedure is not very pleasant, but its effectiveness is very high.
• Physiotherapy procedures.Treatment of chronic prostatitis with thermal physiotherapy gives good results by increasing the microcirculation and absorption of the drug into the tissues. Physiotherapeutic procedures include ultrasonic heating and irrigation with an antibacterial solution using an enema.
• Balneotherapy.In many sanatoriums, the disease is successfully treated by the method of balneotherapy, that is, with the help of mineral water. For the treatment of patients with prostatitis, low mineral water is usually prescribed in and in the form of baths.
• Diet therapy.You should start adhering to a special diet already at the first signs of prostatitis. First of all, you should abstain from alcoholic beverages, because ethyl alcohol irritates the prostate duct, increasing pain and inflammation. It is also necessary to limit the intake of fatty meats to exclude the formation of cholesterol plaques and further deterioration of blood circulation. Beans, mushrooms, offal, salty and spicy foods, tea and coffee, carbonated drinks, and pastries 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 as possible (except those that contribute to the formation of gas-for example, cauliflower), dairy products, cereals and dried fruits.

Preventive measures

Chronic prostatitis usually does not develop if a man leads a proper lifestyle: following a diet, playing sports, and so on. Prevention of prostatitis is facilitated by the rejection of bad habits and casual sex.

There are primary, aimed at preventing the occurrence of disease, preventive and secondary, its task is to prevent recurrence (exacerbation) of existing chronic prostatitis.

Primary preventioncomes to regular sexual intercourse, a balanced diet, adherence to a regimen of physical activity, timely and complete treatment for any infectious (purulent) diseases of the body and timely sanitation of the oral cavity.

Secondary preventionprovide regular checkups by urologists and preventive treatments - multivitamins, restorative medications, sports.

howprophylactic drugsprostate disease, suppositories can be used.