Difficulties in understanding and treating chronic prostatitis

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

Forms of prostatitis

The disease develops due to inadequate treatment of the acute form or lack of therapy.The pathology appears not only in the elderly, but also in the young, which is dictated by a decrease in physical activity.The organ's morphology and function are interrupted.Treatment of chronic prostatitis should be started immediately upon the appearance of the first symptoms.Otherwise, the function of the gland will be interrupted forever.Therapy largely depends on what triggered the pathological process.The presented disease can be divided into several groups:

1. According to triggering factor: infectious;viral;bacterial;caused by fungus, mycoplasma;gonorrhea;mixed.
2. According to the pathogenetic factor, chronic prostatitis is of the following types: hematogenous (the infection enters the prostate gland through the blood from the pathological focus);infected by contact (through the walls of neighboring organs);lymphogenic (infiltration of pathogens through lymph).

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

Causes and provoking factors

Before treating chronic prostatitis in men, professionals must find the cause of its occurrence.The following conditions can provoke the pathology:

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

These are the main causes of chronic prostatitis.There are other negative factors that contribute to the development of the disease:

• frequent general or local hypothermia;
• inactive lifestyle;
• long-term abstinence from sexual activity;
• frequent stress, mental and physical overload;
• smoking;
• alcohol abuse;
• nutritional errors: frequent consumption of fatty foods;
• long-term use of drugs.

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

Symptoms of the disease

The course of the chronic form of the disease is usually hidden.In other words, the symptoms appear weakly, the man rarely pays attention to them, and he does not recognize the problem until it becomes more pronounced.He is ashamed and afraid to go to the doctor.However, the lack of therapy leads to serious complications, so a visit to a specialist should not be postponed for a long time.Manifestations depend on the stage of chronic prostatitis in which a person is observed.The following general signs of the disease can be identified:

1. Discomfort and pain that can spread to other parts of the body: legs, anus.The discomfort has been present for more than 3 months.
2. Problems with urination.They are caused by the enlarged prostate putting pressure on the excretory duct.In this case, the biological fluid cannot come out completely.This leads to increased toilet visits at night.
3. Sexual dysfunction.Erections may be irregular and ejaculation may be premature.During sexual intercourse, the man may feel pain.
4. Increased irritability, low mood, anxiety.

In addition, a person physically gets tired faster, develops apathy, which gradually turns into a state of depression.The aggravation of the chronic process is characterized by the following manifestations:

• increased intensity of pain;
• burning in the urethra;
• increased urge to go to the toilet;
• increased sweating, tremors;
• 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 can appear at the same time, so the man does not rush to the examination.At the same time, the chronic process of destruction within the tissue continues.Gradually, the changes in the prostate become irreversible, and it is no longer possible to completely get rid of them.

Diagnostic features

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

1. Microscopic analysis of discharge from the urethra.
2. Mucous scraping and examination by polymerase chain reaction.
3. Microscopic and bacterial analysis of prostatic secretions.
4. Determination of immune status.
5. Transrectal ultrasound.The main echo of chronic prostatitis is an increase in the size and volume of the organ, a change in its structure, and the presence of pathological neoplasms.However, such an examination is contraindicated in the case of hemorrhoids, proctitis and cracks in the anus.
6. MRI.The specialist takes a picture of the prostate layer by layer.Only differential diagnosis can help specialists understand the causes of the disease, as well as the characteristics of its development.

Treatment of pathology

Treatment of chronic prostatitis is not a short-lived process.Getting rid of pathology will take a long time and be complex.The system includes not only medicines, but also physiotherapy procedures and folk remedies.Many patients need the help of a psychologist.Spa treatment in special institutions is also useful.It is not possible to completely eliminate the disease once it has reached an advanced stage.Drug treatment makes it possible to quickly relieve symptoms and eliminate the cause of the disease.In addition, the patient is prescribed drugs that stimulate metabolic processes.In order to increase the chances of recovery, in addition to medicines, a person also needs proper nutrition.The diet includes the exclusion of fatty and spicy foods, canned foods, smoked foods, sweets and spices.Better to limit your salt intake.Alcohol and cigarettes are strictly prohibited.

It is not a drug treatment

In addition to medications, the person will need physical therapy.It consolidates the positive effect of the main system.Such treatment affects not only the affected tissues, but also blood circulation and metabolism.The main condition for successful therapy is the use of several techniques.The patient is usually prescribed the following procedures:

1. Electrophoresis.It stimulates the regenerative properties of the affected tissues and eliminates pain.Thanks to the procedure, the drugs penetrate deeper and the blood flow is activated.
2. Phonophoresis.
3. Laser therapy.
4. Magnetic treatment.
5. Microwave therapy.It has a regenerating effect and improves metabolic processes.Nerve conduction is restored.
6. Ultrasound.It has a pronounced anti-inflammatory effect, helps restore sexual function, 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 or in combination with other drugs.Thanks to physiotherapy, a lasting positive effect can be consolidated.Prostate massage is popular.It eliminates stagnant processes and improves the drainage of prostate secretions and activates microcirculation.It is used more often in bacterial forms of the pathology.However, there are certain contraindications for use: organ cancer, adenoma or other formation, stones in the ducts, hemorrhoids or cracks in the anus.

Folk recipes

If the pathological process becomes chronic, treatment should be carried out.Folk remedies help to achieve stable remission.But they should be used in the early stages of the disease.The following recipes will be effective:

1. Kalanchoe leaves.The juice of the plant must be squeezed out and mixed with the same amount of water.You need to consume 100-150 ml per day for a month.
2. Bearberry tincture.You will need dried grass and vodka in a ratio of 1:10.The mixture should be infused for 14 days in the refrigerator.The medicine should be taken twice a day, 15 drops.The therapy lasts for one month.
3. Pear stew.
4. Parsley juice and seeds.The ingredients can be added to food.
5. Bee flower powder.It must be mixed with water in a ratio of 1:3.It is recommended to drink 1 glass per day.Such treatment lasts for 1 month.
6. A mixture of honey and pumpkin seeds.All components should be taken in equal amounts.Roll the resulting suspension into balls.It is stored in a refrigerator.The patient should eat 2-3 pieces a day.The therapy process lasts 30 days.
7. Rectal suppositories based on propolis.They should be treated for at least a month.

Chronic prostatitis can be treated at home, but the disease cannot be completely cured without medical intervention.In addition, such therapy continues for more than a year.

Surgical intervention

Chronic prostatitis is not the end or a death sentence.It is important for a man to understand this.But if the therapy is not carried out completely correctly, or if 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, the pressure of the prostate on the urethra can be reduced.The recovery period lasts a maximum of one week.
2. Laser removal of the affected tissue.This operation is safe and characterized by the absence of blood loss.
3. Prostate removal.It can be partial or complete.At the same time, experts try to preserve a man's erectile function.

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

Possible complications

If the start of therapy was late, then the consequences cannot be avoided.The following complications of chronic prostatitis can be distinguished:

• urethritis;
• impotence or other erectile problems;
• infertility;
• difficulty urinating;
• reduced ejaculate formation or complete absence;
• cystitis, kidney damage;
• development of a malignant process;
• spread of the inflammatory process to the entire reproductive system;
• scarring of the prostate tissue, in which the affected areas cannot perform the necessary functions.

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

Prognosis and prevention

The prognosis depends on the stage at which treatment was started and how effective it was.Chronic prostatitis can be cured if the patient presents in the early stages of its development.Otherwise, the inflammatory process persists for a long time and gradually worsens the man's quality of life.People with such a diagnosis are not accepted into the army.The occurrence of pathology can be prevented.To do this, you must observe the following prevention rules:

1. Do not neglect sexual hygiene.
2. Try not to change sexual partners often.
3. Timely treatment of urogenital diseases.
4. It normalizes nutrition and the regularity of sexual activity.
5. Exercise, move more.
6. Avoid constipation.In addition, bladder emptying must be timely.
7. Avoid hypothermia and overheating of the genitals.
8. Avoid stressful situations, physical and mental overload.

Chronic prostatitis is a complex disease that requires long-term treatment.A man must admit his diagnosis and come to terms with it.Only in this case can you get rid of the problem.