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Understand chronic prostatitis and its treatment difficulties

Chronic prostatitis is considered a long-term inflammatory process localized to the prostate.In this case, a man may only experience mild discomfort and therefore not always see a doctor.Pathology has codes consistent with ICD 10 – N41.1.

sedentary lifestyle

forms of prostatitis

The disease occurs if the acute form is not treated properly or if there is no treatment.The pathology appears not only in older people, but also in young people, resulting from reduced physical activity.The form and function of the organ are destroyed.Treatment of chronic prostatitis should begin as soon as the first symptoms appear.Otherwise, the function of the gland will be permanently disrupted.Treatment depends largely on what initiated the pathological process.The diseases presented can be divided into several groups:

  1. According to the causative factors: infectious; viral; bacterial; caused by fungi and mycoplasma; gonorrhea; mixed.
  2. Depending on the causative factors, chronic prostatitis can be divided into the following types: hematogenous (infection enters the prostate from the lesion through the blood); contact infection (through the walls of adjacent organs); lymphogenous (the pathogen penetrates through lymph fluid).

Lesions to the prostate may be stagnant (congestive).It occurs due to poor outflow of secretions from the prostate.Fluid stagnates and inflammatory processes occur.If the problem is caused by stones (calculus) blocking the ducts of the organ, then in this case we can discuss the pathology of the stone type.Chronic prostatitis can also be bacterial or non-bacterial.In the first case, the pathogen must be present; the second form occurs due to mechanical damage to the gland or under the influence of other factors, among which pathogens are not included.This non-bacterial variant occurs in 80% of cases.

Causes and Predisposing Factors

Before treating chronic prostatitis in men, experts must find out why it occurs.The following conditions may cause pathology:

  • Sexually transmitted infections: Chlamydia, Ureaplasma, herpes, gonococcus, fungi;
  • Disruption of tissue microcirculation and blood circulation of pelvic organs;
  • urological pathology;
  • There are foci of infection in the body;
  • Hemorrhoids, and chronic constipation;
  • Damage to reproductive organs or spinal cord;
  • Decreased immunity;
  • neoplastic processes;
  • Hormone imbalance, endocrine system dysfunction;
  • heart failure;
  • Previous surgical intervention, including surgical intervention of abdominal organs.

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

  • Generalized or localized hypothermia often occurs;
  • inactive lifestyle;
  • long-term abstinence from sexual activity;
  • Constant exposure to stress, mental and physical overload;
  • smoking;
  • alcoholism;
  • Dietary errors: Frequent consumption of greasy food;
  • Taking medications for a long time.

Only by clarifying the cause can we choose the correct treatment strategy for chronic prostatitis.

disease symptoms

The chronic course of this disease is often hidden.That is, symptoms appear so weakly that men pay little attention to them and are not aware of the problem until it becomes more obvious.He was ashamed and afraid to go to the doctor.However, lack of treatment can lead to serious complications, so seeing a specialist should not be postponed for long.The manifestations depend on the stage of chronic prostatitis observed in a person.The following general signs of the disease can be recognized:

  1. Discomfort and pain, which may radiate to other parts of the body: legs, anus.The unpleasant feeling has been present for more than 3 months.
  2. Urination problems.They are caused by the enlarged prostate putting pressure on the excretory tract.In this case, the biological fluid cannot be completely drained.This results in increased trips to the bathroom during the night.
  3. Sexual dysfunction.Erections may be irregular and ejaculation may occur prematurely.Men may experience pain during sexual intercourse.
  4. Increased irritability, bad temper, and anxiety.

In addition, a man's body will tire more quickly, he will become apathetic and gradually develop into a state of depression.Exacerbation of chronic processes has the following manifestations:

  • Increased pain intensity;
  • Burning pain in urethra;
  • increased urge to go to the toilet;
  • Increased sweating and shivering;
  • Severe discomfort in the lower abdomen, rectum, and perineum;
  • Significant decrease in sexual activity;
  • Painful defecation syndrome.

Prostatitis may only present 2-3 symptoms at a time, so men don't need to rush to get tested.Meanwhile, the chronic process of destruction within the organization continues.Gradually, changes in the prostate become irreversible, and their complete elimination is no longer possible.

Diagnostic function

Treatment of chronic prostatitis is required only after differential diagnosis of the disease.Otherwise, the patient will be prescribed medications that may harm him.The following methods are used during the exam:

  1. Microscopic analysis of urethral secretions.
  2. The mucosa is scraped and examined using polymerase chain reaction.
  3. Microscopic and bacterial analysis of prostate secretions.
  4. Determination of immune status.
  5. Transrectal ultrasonography.The main echogenic signs of chronic prostatitis are increased organ size and volume, structural changes, and the presence of pathological tumors.However, such studies do not apply to hemorrhoids, rectal inflammation, and anal fissures.
  6. MRI.Experts take layer-by-layer images of the prostate.Only differential diagnosis can help experts understand the cause of the disease and the characteristics of its development.

Pathological treatment

Difficulty urinating

The treatment of chronic prostatitis is not a short-term process.Removing pathology takes a long time and is complicated.The program includes not only medication, but also physical therapy procedures and folk remedies.Many patients require help from a psychologist.Hydrotherapy in specialized facilities is also useful.If the disease has advanced to an advanced stage, it is impossible to completely eliminate the disease.Medication can give you quick relief from symptoms and eliminate the cause.In addition, patients are prescribed drugs that stimulate metabolic processes.To increase the chances of recovery, a person needs proper nutrition in addition to medications.The diet includes the elimination of fatty and spicy foods, canned foods, smoked foods, sweets and spices.It's best to limit salt intake.Drinking alcohol and smoking are strictly prohibited.

non-pharmacological treatment

In addition to medication, patients also require physical therapy.Consolidating the positive effects of the main program.This treatment affects not only the affected tissue, but also blood circulation and metabolism.The main condition for successful treatment is the use of multiple techniques.Patients typically receive the following treatments:

  1. Electrophoresis.It stimulates the regenerative properties of the affected tissue and eliminates pain.With this procedure, the medication can penetrate deeper and blood flow is activated.
  2. Sonic therapy.
  3. Laser treatment.
  4. Magnet handling.
  5. Microwave therapy.It produces a regenerative effect and improves metabolic processes.Nerve conduction is restored.
  6. ultrasound.It has significant anti-inflammatory effects, helps restore sexual function and relieves pain.
  7. Induction measurement method.
  8. Instill into the urethra.

Mud baths and therapeutic enemas were considered equally useful.All of these procedures can be used either as monotherapy or in combination with other medications.Long-lasting positive results can be consolidated through physical therapy.Prostate massage is considered popular.It eliminates stagnant processes and improves the drainage of prostate secretions and activates microcirculation.For bacterial forms of pathology it is more commonly used.However, there are certain contraindications to use: organ cancer, adenomas or other formations, duct stones, hemorrhoids or anal fissures.

folk recipes

If the pathological process becomes chronic, treatment is required.Folk remedies will help achieve stable relief.But they should be used in the early stages of the disease.The following recipes will work:

  1. Kalanchoe flowers and leaves.It is necessary to squeeze the juice from the plant and mix it with an equal amount of water.You should drink 100-150 ml per day for a month.
  2. Bearberry Tincture.You need a ratio of hay to vodka of 1:10.The mixture should be kept in the refrigerator for 14 days.Take this medicine twice a day, 15 drops each time.The treatment lasts for one month.
  3. Pear preserves.
  4. Parsley juice and seeds.These ingredients can be added to food.
  5. Bee pollen.You need to mix it with water in a ratio of 1:3.It’s worth drinking 1 cup a day.This treatment takes 1 month.
  6. A mixture of honey and pumpkin seeds.All components are taken out in equal amounts.Roll the resulting slurry into balls.Store them in the refrigerator.Patients need to take 2-3 tablets every day.The course of treatment lasts for 30 days.
  7. Propolis-based rectal suppository.They need to undergo treatment for at least a month.

Chronic prostatitis can be treated at home, but the disease cannot be completely cured without a doctor's intervention.In addition, such treatment will last for more than a year.

surgical intervention

Chronic prostatitis is not the end, nor is it a death sentence.It’s important for men to understand this.But if the treatment isn't quite right, or if conservative methods don't work, 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.With this surgery, the pressure from the prostate on the urethra can be reduced.The recovery period does not exceed one week.
  2. The laser removes the affected tissue.The surgery is safe and features no blood loss.
  3. Prostatectomy.It can be partial or complete.Meanwhile, experts try to preserve a man's erectile function.

There must be certain indications for surgical intervention: persistent urinary problems, risk of neoplastic processes, significant decrease in the patient's quality of life.

Possible complications

If treatment is started late, the consequences are unavoidable.Chronic prostatitis has the following complications:

  • urethritis;
  • Impotence or other erection problems;
  • infertility;
  • Difficulty urinating;
  • Ejaculation formation is reduced or completely absent;
  • Cystitis, kidney damage;
  • development of malignant processes;
  • The inflammatory process spreads throughout the reproductive system;
  • The prostate tissue is left scarred and the affected area is unable to perform necessary functions.

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

prognosis and prevention

Prognosis depends on the stage at which treatment is initiated and its effectiveness.Chronic prostatitis is treatable if patients are treated in the early stages of its development.Otherwise, the inflammatory process will persist for a long time and gradually worsen the quality of life of men.People with this diagnosis will not be admitted into the army.The occurrence of pathology can be prevented.To do this, you must follow the following preventive rules:

  1. Don't neglect sexual hygiene.
  2. Try not to change sexual partners too often.
  3. Urogenital system diseases should be treated promptly.
  4. Normalize nutrition and sexual activity.
  5. Exercise and exercise more.
  6. Avoid constipation.In addition, the bladder should be emptied promptly.
  7. Avoid genital hypothermia and hyperthermia.
  8. Avoid stressful situations, physical and mental overload.

Chronic prostatitis is a complex disease that requires long-term treatment.A person must acknowledge their diagnosis and accept it.Only in this way can he get rid of this problem.