Chronic prostatitis: symptoms, prevention and treatment of the disease

Chronic prostatitis is an inflammation of the prostate that affects men of any age. In most cases, it occurs due to sexually transmitted infections and exposure to the prostate gland of the opportunistic microflora. Inflammation of the glands alone is not dangerous, but in the absence of effective treatment it can cause urinary disorders, pain, and lead to male infertility and impotence. In addition, the development of chronic prostatitis often contributes to a sedentary lifestyle and a lack of regular sexual activity.

What role does the prostate play in the body?

The chestnut-shaped prostate is located under the bladder. It prevents semen from entering and also produces prostate secretion, which is an important component of sperm.

Causes of chronic prostatitis

The most common cause of chronic inflammation of the prostate is sexually transmitted infections and pathogens. For example, Trichomonas. In addition, the development of such prostatitis contributes to a sedentary lifestyle. But the inflammation of the prostate itself is not as terrible as the fact that it is the cause of more serious diseases - male infertility, prostate adenoma.

The causes of the disease are also as follows:

• frequent hypothermia;
• low immunity;
• hormonal disorders;
• the presence of a person's bad habits;
• injuries to pelvic organs;
• sedentary lifestyle.

The causes of chronic prostatitis can be divided into two types:

1. Infections.They enter the body in a variety of ways - through the urethra, through the flow of blood or lymph from foci of infection or inflamed organs in their own bodies.
2. Circulatory disorders in the prostate glandor stagnation of a secret, which occurs in the following cases:
   • prolonged sexual abstinence;
   • frequent interruption of sexual intercourse or unrealized arousal;
   • faulty ejaculation.

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

Symptoms of chronic prostatitis

The most common symptoms are:

• discomfort or pain in the inguinal and suprapubic areas, perineum, scrotum, rectum, lumbosacral region;
• frequent and painful urination;
• pain in the lower abdomen (while standing or urinating);
• intermittent or slow urination;
• decreased duration of sexual intercourse, worsening of erection, decreased libido, premature ejaculation;
• intermittent / permanent absence of morning erection (spontaneous);
• a pulling pain in the head of the penis after ejaculation that resolves on its own within half an hour.

Many men do not pay attention to the signs of chronic prostatitis because they believe the disease will go away on its own. However, it progresses, causing various complications: pyelonephritis, cystitis, vesiculitis. Over time, infertility and impotence develop in the background of prostatitis.

Diagnosis of the disease

Laboratory and instrumental tests are required for accurate diagnosis. Includes:

• general urine analysis,
• general blood test,
• examination of prostate secretion,
• bacteriological examination of prostate secretion to identify microflora by determining susceptibility to antibacterial drugs,
• blood test for PSA (prostate-specific antigen),
• Ultrasound of the pelvic organs and prostate
• digital examination of the prostate.

Complications that can be caused by chronic prostatitis

This disease causes a number of comorbidities that make a man's life very difficult:

• Urination problems: frequent urination during the day and night, poor urination, feeling of incomplete emptying of the bladder.
• Vesiculitis, colliculitis - inflammation of the seminal vesicles and tuber.
• The abscess of the gland is a severe pathology that requires hospitalization and very often surgical intervention.
• Prostate sclerosis - develops with long-term prostatitis and requires surgery.
• Cysts and consequent prostate stones.
• Impotence, infertility.

Treatment of chronic prostatitis

Treatment of the disease should be performed under the constant supervision of a physician. One of the best and most effective modern drugs used to treat chronic prostatitis comes from an extract of prostate tissue. Its use gives fast results and elimination of symptoms.

Because of the complexity of the therapy, other medications should be used:

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

There are no universal drugs. Therefore, doctors may recommend antibacterial drugs for different groups. Cephalosporins, protected penicillins, fluoroquinolones, nitrofurans and tetracyclines and others. Each affects the cause of the disease - a bacterial infection.

Alpha-blockers - anti-inflammatory drugs used to relax the muscles of the prostate urethra and bladder neck, making it easier for urine to flow out by relieving the seizure. In fact, they do not cure, but only eliminate the painful symptoms of inflammation.

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

Drug	Advantages	disadvantages	Suggestions for use
Fluoroquinolones	Excellent penetration of prostate tissue. Good bioavailability. Equivalence of oral and parenteral pharmacokinetics. Good activity against typical and atypical pathogens.	Cross allergy. Phototoxicity. Effects on the central nervous system.	It is recommended to use.
Diaminopyrimidines	It penetrates well into the prostate tissue. No dose selection is required. Good antimicrobial activity.	Negative against Pseudomonas aeruginosa and enterobacteria.	Second-line drugs.
Macrolides	Moderate activity against Gram-positive bacteria. Activity against atypical pathogens. It penetrates well into the prostate tissue. Low toxicity.	Inadequate activity against gram-negative bacteria.	It is used to treat special pathogens.
Tetracyclines	Good activity against atypical pathogens.	Inactive against Pseudomonas aeruginosa. Inadequate activity against staphylococci, Escherichia coli.	It is used to treat special pathogens.

It is an effective treatment for chronic prostatitis

Highly proven drugs include drugs derived from bovine prostate tissue extract. 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 medicine is available in the form of suppositories (rectal suppositories) and ampoules (injections), which work to strengthen the walls of blood vessels and improve blood circulation at the micro level.

Effects of the drug on chronic prostatitis:

• Elimination of dysuria disorders and normalization of the urinary process.
• Improving the functional condition of the prostate.
• Reduces congestion, reduces prostate edema.
• Reduction of severe symptoms of chronic prostatitis.
• Normalize whole blood circulation in the pelvic area, reducing the likelihood of blood clots in the blood vessels.
• Decreased concentration of leukocytes infiltrating prostate tissue.

Methods of treating chronic prostatitis

In most cases, a chronic disease is successfully treated using conservative methods. But it must be remembered that therapy can only produce rapid positive results with an integrated approach. Rethinking the lifestyle that causes the disease is recommended, otherwise relapse is likely. Alcohol abuse, an unbalanced diet, a sedentary lifestyle, and promiscuity are extremely detrimental to the male reproductive system.

Healing procedures:

• prostate massageshould be performed manually through the anus. It is worth noting that the procedure is not very pleasant, but the efficiency is very high.
• Physiotherapy procedures.Thermal physiotherapy for chronic prostatitis provides good results by improving microcirculation and absorption of drugs into tissues. Physiotherapeutic procedures include ultrasonic heating and irrigation with an antibacterial solution using an enema.
• Balneotherapy.Many sanatoriums successfully treat this disease with balneotherapy methods, that is, with the help of mineral waters. For the treatment of patients with prostatitis, low-mineral water is usually prescribed both internally and in the form of baths.
• Diet therapy.A special diet should be started at the first sign of prostatitis. First, you should give up alcoholic beverages because ethyl alcohol irritates the ducts of the prostate, increasing pain and inflammation. Restriction of fatty meat intake is also needed 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 pastries are prohibited.

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

Preventive measures

Chronic prostatitis usually does not develop if a man follows a proper lifestyle: follows a diet, sports, and so on. Rejection of bad habits and casual sex helps prevent prostatitis.

There are primary, prophylactic and secondary, aimed at preventing the development of the disease, which are responsible for preventing the recurrence (development) of existing chronic prostatitis.

Primary preventionRegular sexual contact, a balanced diet, adherence to a schedule of physical activity, timely and complete treatment of any infectious (purulent) disease of the body, and timely hygiene of the oral cavity.

Secondary preventionrequires regular examination by a urologist and preventive treatment - multivitamins, restorative drugs, sports.

howprophylactic medicineprostate diseases, suppositories can be used.