Chronic prostatitis: 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 the effects of sexually transmitted diseases and opportunistic microflora on the prostate.Prostatitis is not inherently scary, but if not treated effectively, it can cause urinary disorders, pain, and lead to infertility and impotence in men.In addition, the development of chronic prostatitis is often facilitated by a sedentary lifestyle and lack of regular sex life.

What role does the prostate gland play in the body?

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

Causes of chronic prostatitis

The most common causes of chronic prostatitis are infections and sexually transmitted pathogens.For example: Trichomonas.A sedentary lifestyle also contributes to the development of such prostatitis.But prostatitis itself is not as scary as the fact that this disease is the cause of more serious diseases - male infertility, prostate tumor.

Causes of the disease also include:

• frequent hypothermia;
• low immunity;
• hormonal disorders;
• a person with bad habits;
• pelvic organ injuries;
• sedentary lifestyle.

Causes of chronic prostatitis are divided into two types:

1. Infection.They enter the body in different ways - through the urethra, through the blood or lymph flow from foci of infection or inflamed organs in one's own body.
2. Poor circulation in the prostateor secretion stagnation, occurring in the following cases:
   • Abstain from sex for a long time;
   • Frequent sexual intercourse is interrupted or stimulation is not carried out;
   • defective ejaculation.

Stress and alcoholism can also contribute to chronic prostatitis in men.Exacerbation of the condition is often observed after hypothermia, various infectious diseases, errors in diet (too spicy food, alcohol).

Symptoms of chronic prostatitis

Most common symptoms:

• discomfort or pain in the groin and suprapubic area, perineum, scrotum, rectum, lumbosacral region;
• frequent and painful urination;
• lower abdominal pain (continuous or when urinating);
• intermittent or sluggish urine stream;
• decreased sexual intercourse time, impaired erection ability, decreased sexual desire, premature ejaculation;
• no periodic/persistent morning erections (spontaneous);
• pulling pain in the tip of the penis after ejaculation, this pain will disappear on its own within half an hour.

Many men do not pay attention to the signs of chronic prostatitis and believe that the disease will go away on its own.However, the disease progresses causing many complications: pyelonephritis, cystitis, and vesicular inflammation.Over time, infertility and impotence develop based on prostatitis.

Diagnosis of disease

To establish an accurate diagnosis, it is necessary to undergo laboratory and instrumental examination.It includes:

• general urinalysis,
• general blood tests,
• check prostate secretions,
• examination of prostatic secretory bacteria to determine the microflora and determine sensitivity to antibacterial drugs,
• blood test for PSA (prostate specific antigen),
• Ultrasound of pelvic organs and prostate,
• Digital examination of the prostate.

Complications can occur from chronic prostatitis

This disease causes a lot of diseases and at the same time seriously complicates human life:

• Urinary disorders: frequent urination day and night, weak urine stream, feeling of incomplete bladder emptying.
• Seminal vesiculitis, seminal vesiculitis - inflammation of the seminal vesicles and seminal tubers.
• Glandular abscess is a serious condition that requires hospitalization and often requires surgical intervention.
• Prostatic sclerosis – develops when prostatitis persists and requires surgical treatment.
• Cysts and resulting prostate stones.
• Impotence, infertility.

Treatment of chronic prostatitis

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

Because the treatment 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 from different groups.Cephalosporins, protected penicillins, fluoroquinolones, nitrofurans and tetracyclines and others.They all affect the cause of the disease - bacterial infection.

Alpha blockers are medications for chronic prostatitis, designed to relax the muscles of the prostatic urethra and bladder neck, facilitating urine flow by reducing spasms.In fact, they do not cure, but only eliminate painful symptoms caused by inflammation.

Among anti-inflammatory drugs, urologists recommend drugs that reduce inflammation and relieve pain.

medicine	Benefit	Disadvantages	Recommended use
Fluoroquinolone	Excellent penetration into prostate tissue. Good bioavailability. Equivalence of oral and parenteral pharmacokinetics. Works well against typical and atypical pathogens.	Cross allergy. Phototoxicity. Effects on the central nervous system.	Recommended use.
Diaminopyrimidine	Penetrates well into prostate tissue. No dosage selection required. Good antibacterial activity.	Negative for Pseudomonas aeruginosa and Enterobacteriaceae.	Second line drugs.
Macrolides	Moderate activity against gram-positive bacteria. Active against atypical pathogens. Penetrates well into prostate tissue. Less toxic.	Insufficient activity against gram-negative bacteria.	Used for specific pathogens.
Tetracycline	Works well against atypical pathogens.	Not effective against Pseudomonas aeruginosa. Insufficient activity against staphylococcus, Escherichia coli.	Used for specific pathogens.

Effective treatment of chronic prostatitis

Among the drugs with a large evidence base are drugs extracted from bovine prostate tissue.Most often - in the form of suppositories or syringes.The drug is effective in treating both acute and chronic forms of the disease.This 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 microscopic level.

Effects of using medication to treat chronic prostatitis:

• Eliminates indigestion disorders and normalizes the urination process.
• Improves the functional state of the prostate.
• Reduce blood stasis, reduce prostate swelling.
• Reduces severe symptoms of chronic prostatitis.
• Normalizes adequate blood circulation in the pelvic area, reduces the likelihood of blood clots forming in blood vessels.
• Reduces the concentration of leukocytes infiltrating prostate tissue.

Treatment methods for 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.You should reconsider the lifestyle that caused the disease, otherwise the disease may recur.Alcohol abuse, unbalanced diet, sedentary lifestyle and promiscuous sex are extremely harmful to the male reproductive system.

Treatment procedure:

• Prostate massage, is performed manually through the anus.It is worth noting that this procedure is not very pleasant, but it is very effective.
• Physical therapy procedures.Treatment of chronic prostatitis with thermal physiotherapy gives good results thanks to improving microcirculation and drug absorption into tissues.Physiotherapy procedures include ultrasound heating and irrigation with an antibacterial solution using an enema.
• Balneotherapy.In many sanatoriums, this disease is successfully treated with bathotherapy, that is, with the help of mineral water.To treat patients with prostatitis, low-mineralized water is often prescribed, both in oral and bath form.
• Diet therapy.You should start a special diet at the first signs of prostatitis.First of all, you should avoid alcoholic beverages, because ethyl alcohol stimulates the prostatic ducts, increasing pain and inflammation.It is also necessary to limit the intake of fatty meats to prevent the formation of cholesterol plaques and impaired blood circulation.Legumes, mushrooms, offal, salty and spicy foods, tea and coffee, carbonated drinks and baked goods are prohibited.

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

preventive measures

Chronic prostatitis usually does not develop if a man leads a healthy lifestyle: monitors diet, exercises, etc.Prevention of prostatitis is facilitated by giving up bad habits and regular sexual intercourse.

Has the primary purpose of preventing the occurrence of the disease, prevention, and secondary, its task is to prevent recurrence (exacerbation) of existing chronic prostatitis.

Primary preventionThis includes regular sexual intercourse, a balanced diet, compliance with the physical activity regimen, timely and complete treatment of all infectious (purulent) diseases of the body and timely hygiene of the oral cavity.

Secondary preventionProvide the urologist with regular examinations and preventive treatment - multivitamins, recovery drugs, exercise.

howpreventive medicineProstate disease, suppositories can be used.