Experts call the prostate gland the most endangered organ in men. The most common inflammation of the prostate, causing the patient a lot of discomfort. If the inflammatory process lasts more than 3 months, we can talk about the chronic form of the disease. The problem of how to treat chronic prostatitis is faced by every third representative of the stronger sex. It is possible to cure the disease, but this will require qualified medical help. You should not delay the complex treatment of a chronic disease, because it provokes the appearance of adenoma and prostate hyperplasia, as well as reduced erectile function.
What is meant by diagnosis
Usually, men are not inclined to listen to their well-being, so the inflammatory process in the prostate gland takes a prolonged form. The risk of the disease lies in the fact that it can be completely asymptomatic. First, urethritis develops and if you do not seek medical help, complications cannot be avoided. Chronic prostatitis develops in men over time, the symptoms and treatment of which are individual. Forms of chronic prostatitis:
| Name | Diagnosing |
|---|---|
| infectious | Occurs due to damage to the prostate gland by viruses, fungi or bacteria. It is detected by a laboratory analysis of blood and urine. |
| stagnant | Continues with pain in the pelvic area, most often it is chronic. The symptoms of a congestive form are sometimes similar to the signs of an inflammatory process. |
| Asymptomatic | There are no clinical manifestations of inflammation, which is why a man may not visit a doctor for a long time. It is possible to identify the disease only when the prostate gland is examined. |
Many men are diagnosed with chronic congestive prostatitis (non-infectious etiology). Inflammation in this case affects the secretion of the prostate and veins.
Reasons for submission
The causes of chronic prostatitis are different:
- Prolonged abstinence from intimacy or highly active sex life;
- Presence of some perineal injuries (while riding or cycling);
- Irrational menu (lack of nutrients and excess of fried, fatty and smoked foods);
- Recurrent infection of the genitals;
- Reduced immunity;
- Diseases of the genital organs;
- An inactive and sedentary lifestyle;
- Very tight and tight underwear;
- Koitus interruptus;
- Phimosis in history;
- Anal sex without extra protection (condom).
The disease affects both the elderly and middle-aged and even young men:
- With an inactive sex life, prostatitis occurs due to stagnation of prostate gland secretion.
- Athletes are at risk because they lift weights and are prone to prostate tissue microtraumas.
- Drivers of long-haul flights suffer from stagnation of blood in the pelvic organs.
- Winter fishing fans are at risk due to constant body hypothermia.
Among the common diseases of men, chronic prostatitis is about 20%. Every fifth patient who consults a doctor suffers from a chronic form of the disease. The disease is "getting younger" because modern boys are debauched, not thinking about their safety. In order not to be confused how to get rid of chronic prostatitis, it is enough to take care of the basic protection against sexually transmitted diseases.
It is worth considering the fact that the chronic form of the disease leads to a violation of the erection of the penis and a decrease in sexual pleasure during ejaculation. On this basis, begins the fear of intimacy, nervousness, self-doubt. All of this leads to further neurosis on a sexual basis.
Ways of infection
Doctors note two ways of infection with an infectious form of prostatitis:
- Urinogenic (ascending). Specific microorganisms enter the prostate through the urethra. The secretion of the prostate gland is normally sterile, during the examination no bacteria will be detected. There are cases when microorganisms live in a man's body, but their concentration is not enough for the development of the disease. If the microflora is disturbed, infection of the organ begins, which leads to the development of inflammation. Do not rule out the risk of infection and damage to neighboring organs when a man suffers from hemorrhoids or cystitis. In this case, dangerous microorganisms enter the prostate through the lymphogenic route.
- Hematogenous. The causative agent of the infection enters the prostate through the bloodstream. Diseases that can provoke this type of infection are different: acute flu, caries, etc. If there is parallel venous congestion in the prostate gland, there is a high risk of chronic prostatitis, the treatment of which will take a long time.
Urologists identify two predisposing factors that lead to hematogenous infection:
- Congenital. Anatomical features of the prostate, including changes in the structure of muscle tissue or disorders in the circulatory system.
- Winner. Causes of chronic prostatitis include trauma to the genitals, craving for alcohol, prolonged smoking, a history of infectious diseases, and frequent hypothermia.
The risk of ignoring the disease lies in the fact that at this stage the symptoms of chronic prostatitis in men are most often absent or insignificant. The patient believes that the disease can be cured with the help of folk remedies, but these methods are ineffective. Treatment regimens are made only by a specialist after a thorough examination and collection of the necessary information.
Warning signs
The symptoms of chronic prostatitis are different, depending on the stage of the disease and its form:
| forms | signs |
|---|---|
| Bacterial (infectious) | Feeling of weakness, chills, fever, muscle aches, pain in the lower abdomen (may be exacerbated by sexual intercourse and prolonged abstinence), pain when urinating, poor airway pressure during urination, frequent urination at night. Pain can be noticed in the thighs, perineum and rectum, which is why the signs of chronic prostatitis are confused with hemorrhoids. |
| Bacterial specific | All of the above signs are observed, to which may be added leakage from the urethra, similar to mucosa. |
| bacterial | The symptoms of congestive prostatitis are difficult to ignore because of the severe pain. Located in the perineum and thighs. There is discomfort in the head of the penis. The pain is exacerbated by the cessation of sexual intercourse as well as by prolonged abstinence from intimacy. |
The consequences of chronic prostatitis depend on the duration of the disease:
- Adenoma;
- Oncology;
- Prostate and bladder neck sclerosis;
- Erectile dysfunction;
- Sterility;
- Decreased testosterone levels.
The risk of the disease does not lie solely in the fact that prostatitis can be confused with another disease. If the acute phase passes, the symptoms of chronic prostatitis disappear and treatment is not carried out. The man no longer worries about his health and does not go to the doctor. However, there comes a time when the signs start to seriously bother and interfere with normal life, but the disease has already passed into a prolonged stage. Treatment of congestive prostatitis will take much longer if the diagnosis of the disease was not in the first stage.
diagnostic
The symptoms of other diseases are very similar to those of chronic prostatitis. Is it possible to cure the disease without examinations? It is unlikely, because only an accurate diagnosis will determine the form and stage of development of prostatitis. Discomfort can be caused by:
- tuberculosis;
- adenoma;
- Tumors.
Only a thorough examination can confirm or rule out the diagnosis. There are two types of research:
- Instrumental;
- Laboratories.
After talking to the patient and getting a medical history, the urologist or andrologist will ask you to do a series of tests:
- General urine analysis;
- General blood test;
- Prostate secretion analysis;
- Blood test for PSA.
A urine sample is taken three times to obtain more accurate data on the change in composition in it:
- epithelial cells;
- Leukocytes;
- Pathogenic pathogens of infections;
- Non-specific bacteria.
Doctors know what chronic prostatitis is and how difficult it is to diagnose. The modern method of transrectal ultrasound (TRUS) allows you to do this accurately:
- A device with an ultrasound probe is carefully inserted into the patient's anus.
- Since the prostate is firmly attached to the wall of the rectum, the specialist has a good opportunity to study the prostate gland in detail and make an accurate diagnosis.
Conventional ultrasound allows you to determine the difference in prostate density, its size, the presence of fibrous foci, abscesses and stones.
Before curing chronic prostatitis, the doctor should double check the diagnosis. In case of the slightest suspicion, he may direct the patient to an MRI or CT scan to rule out the presence of a tumor focus. If a man has infravesical obstruction, an x-ray will be needed to determine the cause of the disease.
Conservative treatments
The treatment regimen for chronic prostatitis is prescribed only by a professional urologist and is selected individually. The doctor takes into account the cause of the disease, the duration of the disease and a factor such as an aggravating pathology. If congestive or infectious prostatitis is at an early stage, treatment can be done with medication:
- Antibiotic therapy. Prostatitis is curable with antibacterial drugs if the bacterial agent is detected in prostate secretions or urine. Inflammation should be pronounced. The course lasts no more than 2 months, and the cost of treating chronic prostatitis depends on the medication prescribed. The dose of each drug is prescribed individually, and self-medication is fraught with complications. Reviews after treating prostatitis with antibiotics are not always positive, but there are reasons for this. Sometimes symptoms persist at the end of the course, even though the infection has been defeated.
- Elimination of symptoms. For the treatment of chronic prostatitis in men, painkillers are often used. The course of therapy may also include the use of antidepressants to reduce anxiety levels.
- Alpha blockers. A course of these drugs is prescribed if the doctor has diagnosed bladder muscle hypertension or increased intraurethral pressure. However, medications are ineffective if the patient has pelvic floor myodystrophy or impaired muscle innervation.
- hormone therapy. It is performed based on the results of a hormonal examination. Androgens and antiandrogens are used.
- Vitamin therapy. With irrational food, the lack of nutrients is supplemented due to the vitamin-mineral complex. Experts do not recommend replacing it with popular dietary supplements, as "bedelet" will not help in any way.
- Normalization of uric acid levels. Methods of treating chronic prostatitis with the help of regulators are effective only in the presence of stones in the prostate gland.
- Immunostimulants. Prostatitis is treated in this way only with laboratory-proven immunodeficiency.
Answering the question of whether chronic prostatitis is curable, we can say with certainty that recovery comes quickly with a properly prescribed complex.
Operative method of treatment
Usually the disease does not require surgical intervention, except when the complication poses a threat to the health and even life of the patient. Modern surgery practices endoscopic intervention to reduce risks and damage to health. Surgery is necessary for:
- adenoma;
- Seed tuberculosis sclerosis;
- Stones in the prostate;
- Prostate sclerosis.
Effective treatment of chronic prostatitis allows you to do without surgery if a man seeks timely medical advice. Remember that in the stage of disease exacerbation, surgical intervention can not be performed. The need for such a cardinal method of treatment is determined only by the surgeon after studying the overall clinical picture.
Other treatments
Often, men worry about whether chronic prostatitis can be cured without medication. The doctor can really prescribe other methods:
- Massage. Do not forget about the contraindications and the fact that only a small area of the prostate is available for massage. If there are hyperplastic changes in the prostate gland, a course of massage can lead to acute urinary retention. This, in turn, provokes the further spread of inflammation and the development of sepsis. Also, massage is prohibited in the presence of venous stasis, prostate cysts and stones in the prostate gland. If you need to get rid of a stagnant secretion, it is better to release the prostate naturally through ejaculation.
- Special gymnastics. Used to strengthen the bladder and lengthen the intervals between urination. Improving the tone of the sphincter and bladder allows you to set a break between urges in the toilet for up to 5 hours. Gymnastics is ineffective for neurodystrophic changes and myofascial syndrome.
- Muscle stimulation. With a reduced pelvic floor muscle tone, magnetic therapy, phonophoresis, transrectal ultrasound, or electrical stimulation are used.
- Instillation. It is practically not used in modern medicine, as the introduction of drugs into the urethra is associated with pain and does not cure prostatitis. The consequences of such treatment can be catastrophic.
It is more appropriate to ask an andrologist or urologist how to treat congestive prostatitis with folk remedies. Popular online videos are full of videos on the quality use of alcohol tinctures and pumpkin seeds, but no method can replace drug therapy. How well the disease is treated is determined only by the doctor and not the heroes on YouTube.
Useful exercises
A simple set of exercises will improve blood microcirculation in the pelvic area. They can be performed in the morning instead of the usual exercises:
- Fix the legs shoulder-width apart, raise the arms up and tie at the back of the head. Inhale - sit slowly and stretch your knees to the sides, exhale - return to starting position.
- Tie the legs together, lower the arms freely along the body. Bend the left leg at the knee, raising it as high as possible. Repeat the same with the right foot. Guide 10 approaches.
- Sit down, palms down. Inhale - stand up slowly, arms outstretched to the sides. Eject - return to starting position.
- Lie on your stomach, after placing a small ball under it (no bigger than a tennis ball). Concentrate on the floor and roll the ball on the floor with your stomach. Guide 7 approaches.
- Lie on your back, bending your knees. Grasp the ball between them. Inhale - squeeze the knees, exhale - relax. Do 3 sets, eventually increasing the number of repetitions up to 9 times.
- Sit on the floor, focusing on your hands. Place a ball under your buttocks. Try rolling it on the floor with the help of your buttocks and genitals.
Help in the fight against the disease and Kegel exercises, which are useful not only for women but also for men.
Possible predictions
Instead of looking for information on how to live with chronic prostatitis, it is more helpful to make an appointment with a specialist. With timely access to a doctor and a reasonably chosen course of therapy, you can improve your health. The question of whether chronic prostatitis can be completely cured can not be answered unequivocally. It all depends on the methods prescribed by the doctor, and how accurately the patient follows his recommendations.
Experts are very careful in making predictions about the further course of the disease. Is chronic prostatitis treated with guarantee? Complete healing was observed only in rare cases, as most often the disease passes in the form of a prolonged remission. Normalization of urine and blood parameters is observed, symptoms disappear completely. However, without following the doctor's advice, the disease can still cause discomfort and complications.