Experts call the prostate the most vulnerable organ in men. The most common inflammation of the prostate gland, causing the patient great 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 the disease, but it will require qualified medical assistance. You should not delay the complex treatment of a chronic disease, as it provokes the appearance of adenoma and hyperplasia of the prostate, as well as a decrease in erectile function.
What is meant by diagnosis
Usually men are not inclined to listen to their own well-being, so the inflammatory process in the prostate takes a prolonged form. The danger of the disease lies in the fact that it can be completely asymptomatic. First, urethritis develops, and if you do not consult a doctor, complications cannot be avoided. Over time, chronic prostatitis forms in men, the symptoms and treatment of which are individual. Forms of chronic prostatitis:
| name | Diagnostic |
|---|---|
| infectious | It occurs due to damage to the prostate caused by viruses, fungi or bacteria. It is revealed by means of laboratory analysis of blood and urine. |
| stagnant | It continues with pain in the pelvic region, most often chronic. Symptoms of a congestive form sometimes resemble signs of an inflammatory process. |
| Asymptomatic | 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. |
Many men are diagnosed with chronic congestive prostatitis (non-infectious etiology). Inflammation in this case affects the secret of the prostate and veins.
Reasons for the appearance
The causes of chronic prostatitis are varied:
- Prolonged abstinence from intimacy or overly active sex life;
- The presence of several perineal lesions (on horseback or on a bicycle);
- Irrational menu (lack of nutrients and excess of fried, fatty and smoked foods);
- Repeated infection of the genitals;
- Reduced immunity;
- Diseases of the urogenital organs;
- Inactive and sedentary lifestyle;
- Too tight and tight underwear;
- coitus interruptus;
- Phimosis in history;
- Anal sex without additional protection (condom).
The disease affects both the elderly and middle-aged and even young men:
- With an inactive sex life, prostatitis occurs due to stagnation of prostate secretion.
- Athletes are at risk because they lift weights and are prone to microtrauma to prostate tissue.
- Drivers of long-distance flights suffer from stagnation of blood in the pelvic organs.
- Fans of winter fishing are at risk due to the constant hypothermia of the body.
Among common male diseases, chronic prostatitis accounts for about 20%. One in five patients who consult a doctor suffers from a chronic form of the disease. Illness "rejuvenates" because modern men are promiscuous and do not think about their own safety. In order not to wonder how to get rid of chronic prostatitis, it is enough to take care of elementary protection against sexually transmitted diseases.
It is worth thinking about the fact that the chronic form of the disease leads to a violation of the erection of the penis and a decrease in sexual satisfaction during ejaculation. On this basis, fear of intimacy, irritability, self-doubt begin. All this further leads to neuroses for sexual reasons.
Routes of infection
Doctors note two routes of infection with an infectious form of prostatitis:
- Urinogen (ascending). Specific microorganisms through the urethra enter the prostate. Since the secret of the prostate is normally 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, the infection of the organ begins, which leads to the development of inflammation. Do not exclude the risk of infection and damage to nearby organs, when a man suffers from hemorrhoids or cystitis. In this case, dangerous microorganisms enter the prostate through the lymphogenous pathway.
- Hematogenous. The causative agent of the infection enters the prostate through the bloodstream. The diseases that can cause this type of infection are varied: acute flu, caries, etc. If at the same time there is venous congestion in the prostate, there is a high risk of chronic prostatitis, the treatment of which will be long.
Urologists identify two predisposing factors that lead to blood-borne infection:
- Congenital. Anatomical features of the prostate, including changes in the structure of muscle tissue or disorders of the circulatory system.
- Acquired. The causes of chronic prostatitis include trauma to the genitals, craving for alcohol, prolonged smoking, history of infectious diseases and frequent hypothermia.
The danger of ignoring the disease lies in the fact that at this stage the symptoms of chronic prostatitis in men are most often absent or insignificant. The patient believes that the disease can be cured with the help of folk remedies, but these methods are ineffective. Treatment regimens are drawn up only by a specialist after a thorough examination and collection of the necessary information.
Traffic signs
The symptoms of chronic prostatitis are different depending on the stage of the disease and its form:
| The form | panels |
|---|---|
| Bacteria (infectious) | Feeling weak, chills, fever, muscle aches, pain in the lower abdomen (may be worse with sexual 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 confused with hemorrhoids. |
| specific bacteria | All the above signs are observed, to which may be added discharge from the urethra, resembling mucus. |
| abacterial | Symptoms of congestive prostatitis are hard to ignore due to the intense pain. It is localized to the perineum and thighs. Discomfort is felt in the head of the penis. The pain is aggravated by the interruption of sexual intercourse, as well as by prolonged abstinence from intimacy. |
The consequences of chronic prostatitis depend on the duration of the disease:
- adenoma;
- Oncology;
- Sclerosis of prostate and bladder neck;
- Dyserection;
- Infertility;
- Decreased testosterone levels.
The danger of the disease lies not only in the fact that prostatitis can be confused with another disease. If the acute phase passes, the symptoms of chronic prostatitis disappear and treatment is not carried out. The man no longer worries about his health and does not go to the doctor. However, there comes a time when the signs begin to seriously interfere and interfere with normal life, but the disease has already passed into a protracted phase. Treatment of congestive prostatitis will take much longer if the diagnosis of the disease was not at the first stage.
Diagnostic
Symptoms of other diseases are very similar to those of chronic prostatitis. Is it possible to cure the disease without examinations? This is unlikely, since only an accurate diagnosis will determine the form and stage of development of prostatitis. Discomfort can be caused by:
- tuberculosis;
- adenoma;
- Tumor.
Only a complete examination can confirm or invalidate the diagnosis. There are two types of search:
- Instrumental;
- Laboratory.
After speaking with the patient and taking a history, the urologist or andrologist will ask you to take a series of tests:
- general urinalysis;
- General blood test;
- Analysis of prostatic secretion;
- Blood test for PSA.
A urine sample is taken three times to obtain more accurate data on its change in composition:
- epithelial cells;
- leukocytes;
- Pathogens pathogens of infections;
- Non-specific bacteria.
Doctors know what chronic prostatitis is and how difficult it is to diagnose it. The modern transrectal ultrasound (TRUS) method allows you to do this with precision:
- A device with an ultrasound probe is carefully inserted into the patient's anus.
- Since the prostate is tightly attached to the wall of the rectum, the specialist has a good opportunity to study the prostate in detail and make an accurate diagnosis.
Conventional ultrasound allows you to determine the change in the density of the prostate, its size, the presence of fibrous foci, abscesses and stones.
Before curing chronic prostatitis, the doctor should double-check the diagnosis. In the slightest doubt, he can direct the patient to an MRI or a scanner to exclude the presence of a tumor focus. If a man has a bladder obstruction, an X-ray will be needed to determine the cause of the condition.
Conservative treatments
The treatment regimen for chronic prostatitis is prescribed only by a professional urologist and is selected individually. The doctor takes into account the cause of the disease, the duration of the disease and such a factor as an aggravating pathology. If congestive or infectious prostatitis is at an early stage, treatment may be with drugs:
- Antibiotic therapy. Prostatitis is curable with antibacterial drugs if the bacterial agent is detected in prostate secretions or urine. The inflammation should be pronounced. The course lasts no more than 2 months, and the price of treatment for chronic prostatitis depends on the drugs prescribed. The dosage of each drug is prescribed individually, and self-medication is fraught with complications. Reviews after treatment of prostatitis with antibiotics are not always positive, but there are reasons for this. Sometimes the symptoms persist at the end of the course, although the infection has been overcome.
- Elimination of symptoms. For the treatment of chronic prostatitis in men, drugs that stop pain are often used. The course of therapy may also include the use of antidepressants to reduce anxiety levels.
- Alpha blockers. A course of these drugs is prescribed if the doctor has diagnosed hypertonicity of the muscles of the bladder or increased intraurethral pressure. However, the drugs are ineffective if the patient has pelvic floor myodystrophy or impaired muscle innervation.
- hormone therapy. It is carried out on the basis of the results of a hormonal examination. Androgens and anti-androgens are used.
- Vitamin therapy. With irrational nutrition, the nutrient deficiency is replenished thanks to the vitamin-mineral complex. Experts do not recommend replacing it with popular dietary supplements, since "dummies" will not help in any way.
- Normalization of uric acid levels. Methods of treating chronic prostatitis with the help of regulators are effective only in the presence of stones in the prostate.
- Immunostimulants. Prostatitis is treated in this way only with laboratory-proven immunodeficiency.
Answering the question of whether chronic prostatitis is curable, we can safely say that recovery is rapid with a correctly prescribed complex.
Treatment procedure
Usually the disease does not require surgical intervention, except when the complication poses a threat to the health and even the life of the patient. Modern surgery practices endoscopic intervention in order to reduce risks and damage to health. Surgery is essential for:
- adenoma;
- Seed tuber sclerosis;
- Stones in the prostate;
- Prostate sclerosis.
Effective treatment of chronic prostatitis allows you to do without surgery, if a man sees a doctor in time. Do not forget that at the stage of exacerbation of the disease, surgical intervention cannot be performed. The need for such a cardinal method of treatment is determined only by the surgeon after studying the overall clinical picture.
Other treatments
Often men worry about whether chronic prostatitis can be cured non-medicinal. The doctor can really prescribe other methods:
- Massage. Do not forget about contraindications and the fact that only a small part of the prostate is available for massage. If there are hyperplastic changes in the prostate, massage can lead to acute urinary retention. This, in turn, provokes the spread of inflammation and the development of sepsis. Massage is also prohibited in the presence of venous stasis, prostatic cysts and stones in the prostate gland. If you need to get rid of a stagnating secret, it is better to release the prostate naturally through ejaculation.
- Special gymnastics. It is used to strengthen the bladder and lengthen the intervals between urinations. Improved sphincter and bladder tone allows you to set a break between bathroom urges for up to 5 hours. Gymnastics is ineffective for neurodystrophic changes and myofascial syndrome.
- Muscle stimulation. With reduced 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, since the infusion of drugs into the urethra is accompanied by pain and does not cure prostatitis. The consequences of such treatment can be disastrous.
It is more expedient to ask an andrologist or urologist how to treat congestive prostatitis with folk remedies. Popular videos on the Internet are full of videos on the qualitative use of alcohol tinctures and pumpkin seeds, but no method can replace drug therapy. The degree of treatment of the disease is also determined only by the doctor, and not by the heroes of YouTube.
Useful exercises
A simple set of exercises will improve blood microcirculation in the pelvic region. They can be performed in the morning instead of the usual exercise:
- Fix the legs at shoulder width, raise the arms and connect at the back of the head. Inhale - slowly sit down and spread your knees to the sides, exhale - return to the starting position.
- Connect the legs together, hands freely lower along the body. Bend your left leg at the knee, lifting it as high as possible. Repeat the same with the right leg. Perform 10 approaches.
- Squat down, palms down. Inhale - slowly rise, spread your arms to the sides. Exhale - return to the starting position.
- Lie on your stomach with 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. Perform 7 approaches.
- Lie on your back with your knees bent. Squeeze the ball between them. Inhale - squeeze your knees together, exhale - relax. Do 3 sets, possibly increasing the number of repetitions up to 9 times.
- Sit on the floor, focusing on your hands. Place a ball under your buttocks. Try rolling him on the floor using your buttocks and genitals.
Helps in the fight against illness and Kegel exercises, which are useful not only for women, but also for men.
Probable forecasts
Instead of looking for information on how to live with chronic prostatitis, it is more useful to make an appointment with a specialist. With prompt access to a physician and reasonably selected treatment, you can improve your health. The question of whether chronic prostatitis can be completely cured cannot be answered unambiguously. It all depends on the methods prescribed by the doctor and how accurately the patient follows his recommendations.
Experts are very careful when making predictions about the further course of the disease. Is chronic prostatitis treated with a guarantee? Complete recovery was noted only in rare cases, since most often the disease proceeds in the form of prolonged remission. Normalization of urine and blood parameters is noted, symptoms completely disappear. However, without following the advice of a doctor, the disease can again cause discomfort and complications.