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Chronic prostatitis

symptoms of chronic prostatitis

Symptoms of the disease:

  • Pain in the prostate region. In some cases, the pain spreads to the lower back, groin, anus. Unilateral pain radiating to one of the testicles is not a symptom of the disease.
  • Deterioration of libido.
  • Premature or delayed ejaculation. The duration of sexual intercourse may differ depending on the stage of development of the disease. At the initial stage, ejaculation occurs prematurely, in a more advanced form, the pathology is manifested by an increase in the duration of sexual intercourse.
  • Deterioration of the emotional richness of orgasm.
  • Loss of qualitative and quantitative properties of sperm.
  • Frequent urination at night. Pain when going to the toilet.

Description of the disease

The defeat of the prostate by pathogenic microorganisms is called prostatitis. The prostate is a male organ, so only male patients are susceptible to developing pathology.

Inflammation of the tissues of the prostate can result in various symptoms. To make a diagnosis, the doctor performs a series of diagnostic measures. It is impossible to diagnose and treat prostatitis on your own. You should contact a qualified professional.

According to statistics, prostatitis is the most common disease of the male reproductive system. Often the pathology is diagnosed in young men. The average age of patients diagnosed with prostatitis is 45 years old.

Signs of disease development

Chronic prostatitis has a large number of symptoms. Signs of the development of the disease differ depending on the degree of its development. Symptoms can be unstable in a patient, pronounced or, conversely, hidden. Signs of the development of the disease:

  • Feeling of discomfort and pain for at least 90 days. A person experiences pain in the perineum. In some cases, the pain covers the groin, lower back, scrotum.
  • Lack of erection. Sexual disorders are periodically observed in the patient. Complete impotence does not occur.
  • premature ejaculation. At the initial stage of the development of the disease, the patient has premature ejaculation. At a later stage of development, ejaculation is delayed. The level of emotions decreases when receiving an orgasm. The sperm becomes smaller, its characteristics deteriorate.
  • Frequent urination. Patients have frequent visits to the toilet at night. When urinating, a person feels pain and burning. In some cases, with chronic prostatitis, patients suffer from urinary incontinence.

Stages of chronic prostatitis

Symptoms of the disease may vary depending on the stage of prostatitis. It is important for a specialist to determine the degree of development of the disease. It depends on the treatment method. There are several stages of chronic prostatitis:

  • Exudative. Patients feel pain in the groin, scrotum. The time interval between visits to the toilet at night is reduced. Some patients experience discomfort during orgasm. Erections can be painful.
  • Alternative. The pain becomes more intense. Their localization is the inguinal region, the pubis. Pain during urination is absent, time intervals between visits to the toilet are reduced. There is no erectile dysfunction.
  • Proliferative. In a man at this stage of the disease, an erection may slow down. When visiting the toilet, the deterioration in the strength of the urine stream is determined visually.
  • Cicatric. There is a feeling of heaviness in the groin area. A person often goes to the toilet during the day and at night. There is a deterioration of the erection. In addition, ejaculation is weak or completely absent.

It should be borne in mind that the symptoms of each stage may not appear in full. In this regard, it is impossible to independently determine the stage of the disease. You should contact a qualified professional. To establish a diagnosis, a number of diagnostic measures will be required.

Reasons for the development of chronic prostatitis

There are several causes of the disease. Prostatitis is a multifactorial disease. Reasons for the development of chronic prostatitis:

  • Infectious diseases, sexually transmitted. There are sexually transmitted diseases that develop in a patient for a long time asymptomatically. Sometimes there are cases of improper treatment of diseases of this type. Against the background of the development of sexually transmitted diseases, chronic prostatitis arises as a complication. Sexually transmitted infections reach the prostate and affect its tissues. The result is an inflammatory response.
  • Deterioration of blood circulation in the pelvic organs. The prostate fills with blood. The vessels exert pressure on the tissues of the prostate. This causes deterioration of oxygen supply and leads to disruption of the prostate. A sedentary lifestyle can lead to impaired circulation. Also, wearing tight underwear negatively affects blood circulation in the pelvic organs.
  • Urine reflux. In some cases, if the urination process is disturbed, urine begins to move in the opposite direction and enters the ducts of the prostate. Urine entering the prostate causes tissue irritation. This, in turn, leads to the development of chronic prostatitis.
  • Abstinence from sexual intercourse or its interruption. The secret formed in the prostate does not come out. In some cases, it may not be completely removed. Stagnation leads to an increase in the size of the prostate and the development of the inflammatory process.

In addition to the above, the causes of prostate inflammation can be hypothermia, hormonal imbalance and decreased immunity. Prostatitis can develop against the background of a decrease in the protective properties of the body. In connection with a decrease or increase in the level of hormones, the activity of prostate cells is canceled.

The specialist should determine the cause of prostatitis as accurately as possible. This will allow you to choose the most effective treatment method for a particular patient. When choosing a technique, the individual characteristics of each patient are taken into account.

Complications

Conducting ineffective treatment or postponing a visit to a specialist for chronic prostatitis can lead to the development of other diseases of the genitourinary system. The presence of complications can be manifested by symptoms characteristic of chronic prostatitis. In this regard, prompt diagnosis of complications can be difficult. Most often, untimely treatment of chronic prostatitis can lead to the development of:

  • Vesiculitis. The disease is an inflammation of the seminal vesicles. Symptoms of pathology are pain in the groin and pelvis. In most cases, the pain is given to the lower back and the sacrum. Patients report frequent urination, pain during erection and ejaculation. Bloody or purulent inclusions appear in semen and urine.
  • Prostate abscess. Untimely treatment of chronic prostatitis can cause prostate abscess. This complication is manifested by weakness, high fever. Treatment of the disease in this case is carried out in a hospital.
  • Colliculitis. Pathogenic microorganisms move from the prostate to the seminal tubercle and infect it. A sign of colliculitis or urethritis is a burning sensation in the urethra. When visiting the toilet, the burning sensation intensifies. In most cases, the patient complains of pain during orgasm or after ejaculation.
  • Prostate sclerosis. Non-compliance with the treatment of chronic prostatitis or untimely access to a doctor can lead to sclerosis of the prostate. Signs of the development of the disease are the presence of pain during urination and the inability to completely empty the bladder.
  • The presence of stones. With chronic inflammation, stones or cysts can form in the prostate. Ultrasound will be needed to detect cysts or stones.
  • infertility. Delayed treatment of chronic prostatitis can negatively affect sperm motility and count. Sperm lose their motility. Violations caused by chronic prostatitis lead to male infertility

Diagnosis of the disease

The presence of several symptoms at the same time honors the development of chronic prostatitis in a patient. In some cases, the disease is asymptomatic. The specialist uses a number of measurements to make a diagnosis.

The doctor conducts an examination, questioning the patient. Also, he studies medical documentation, while the specialist pays attention to diseases of the genitourinary system that have previously been transferred. If necessary, appoint instrumental and laboratory diagnostics.

Instrumental diagnosis

It is possible to diagnose chronic prostatitis with the help of ultrasound. Ultrasound is performed rectally. To conduct a study, a specialist must place a specialized sensor in the patient's rectum. With the help of this type of study, the doctor can determine the size of the prostate, its structure and density. In addition, the specialist during the study draws attention to the absence of stones and cysts.

The doctor may prescribe a microscopic examination of the prostatic secretion to the patient. This diagnostic method allows you to determine violations in the work of the prostate. In addition to microscopic examination of the secret, the level of male hormones is checked in the patient. Exceeding the norm can lead to tissue growth, and a lack causes disturbances in the work of the prostate.

Laboratory diagnosis

The use of laboratory diagnostics of chronic prostatitis makes it possible to determine the form of the disease and the cause of its occurrence. The following lab tests are possible:

  • The discharge from the patient's urethra is taken for analysis. In the laboratory, the presence of leukocytes, bacterial, fungal or viral flora is checked in the discharges.
  • A scraping is taken from the patient's urethra. Laboratory research allows you to identify sexually transmitted agents.
  • For microscopic examination, the secret of the prostate is taken from the patient.

Carrying out a complex of laboratory and instrumental studies allows you to determine the cause of the development of prostatitis and the stage of its development. After conducting research and collecting an anamnesis, the doctor can establish an accurate diagnosis and prescribe the most effective method of treatment for each patient.

Treatment of prostatitis

If you have symptoms of chronic prostatitis, you should contact a qualified specialist. The urologist, andrologist is engaged in the treatment of the disease. The patient is prescribed a complex therapy aimed at a coherent solution to the problem. In addition to taking medication, therapy consists of changing a person's lifestyle, eliminating bad habits, normalizing sex life, proper nutrition, etc.

Therapeutic treatment

Patient care is complex. Specialized medications and exercises are used. The most common procedure in the treatment of chronic prostatitis is prostate massage. The specialist massages the prostate with his index finger. The massage is performed through the anus. Before the procedure, the specialist puts on a rubber glove and lubricates it with a specialized lubricant.

During massage, blood circulation in the prostate is activated. This has a beneficial effect on the prostate and accelerates the restoration of damaged tissues. By pressing on the gland, its secret enters the urethra. A specialist can take fluid for microscopic examination to control the dynamics of treatment.

If necessary, a person is prescribed magnetic and laser therapy. Procedures are carried out in a complex. Microwave therapy is also used for treatment. The method involves the use of high frequency waves. During the procedure, the temperature of the treated area rises. This helps speed up the healing process.

Medical treatment

Various medications can be used to treat prostatitis. The specialist selects drugs based on the individual characteristics of the patient and the stage of the disease. It is impossible to choose your own medications. You will need to see a doctor.

In order to reduce the swelling of the prostate gland, the patient is prescribed drugs that suppress the action of male hormones. Reducing the size of the prostate improves the flow of secretions through the urethra. In turn, the passage of urine through the urethra improves and blood circulation is activated.

If necessary, patients are prescribed adrenoblockers. These drugs belong to a group of drugs that act on receptors on muscle cells in the bladder and prostate. This approach prevents urine from entering the prostate during reflux.

In the presence of an infection that caused the development of the disease, antibacterial drugs are prescribed. Before prescribing an antibiotic, a specialist must perform a series of diagnostic measures to detect an infection. The choice of drug is influenced not only by the presence of an infection, but also by its sensitivity to the main types of antibiotics. This approach allows you to prescribe the most effective treatment.

Nonsteroidal anti-inflammatory drugs are used to relieve inflammation. Drugs of this type reduce the inflammatory response, which, in turn, reduces swelling and pain in the patient. The method of taking the drug may vary.

Surgical intervention

In some cases, to eliminate complications resulting from incorrect treatment or its absence, surgical intervention is performed. Specialists use minimally invasive transurethral electroresection.

Lifestyle with prostatitis:

  • Regular exercise. A man should lead an active lifestyle and perform certain exercises daily. This is necessary to strengthen the muscles of the small pelvis. This approach will improve blood circulation and eliminate blood stasis.
  • Regular sex life. A person's sex life should be regular. It is necessary to exclude the interruption of sexual intercourse or artificial prolongation with the help of drugs. Prolonged abstinence or interruption of sexual intercourse leads to stagnation of prostate secretion. This, in turn, is dangerous for the occurrence of inflammation.
  • Permanent sexual partner. We must exclude promiscuity. A large number of sexual partners can lead to the development of sexually transmitted diseases.
  • Spacious laundry. A man should wear clothes and underwear that do not interfere with normal blood circulation in the pelvic organs.
  • Avoid hypothermia.

How to treat?

Therapeutic treatment

The most common procedure is prostate massage. In some cases, microwave, magnetic and laser therapy is performed. Therapeutic treatment accelerates the healing process of the patient.

Medical treatment

Specialists prescribe antibacterial and anti-inflammatory drugs. If necessary, prescribe drugs that reduce the level of the male hormone in the blood. The appointment of drugs and their dosage should be carried out by a qualified specialist.

Operation

Surgery is mainly used to treat complications resulting from the development of chronic prostatitis. For operations, transurethral equipment is used.

The specialists of the specialized medical center are highly qualified, which allows them to effectively treat chronic prostatitis. For the diagnosis and treatment of diseases, high-tech equipment and high-quality drugs are used.