Chronic prostatitis: symptoms, prevention and treatment.

Chronic prostatitis is an inflammation of the prostate gland that affects men of all ages.In most cases, it arises due to the impact of sexually transmitted infections and opportunistic microflora on the prostate gland.In itself, inflammation of the gland is not scary, but in the absence of effective treatment, it can cause urinary disorders, pain, and lead to infertility and male impotence.In addition, the development of chronic prostatitis is often facilitated by a sedentary lifestyle and the lack of a regular sex life.

What role does the prostate gland play in the body?

The chestnut-shaped prostate is located below the bladder.It prevents seminal fluid from entering and also produces prostatic secretion, an important component of sperm.

Causes of chronic prostatitis.

The most common cause of chronic inflammation of the prostate is infections and sexually transmitted pathogens.For example, Trichomonas.A sedentary lifestyle also contributes to the development of this type of prostatitis.But prostatitis itself is not as scary as the fact that this disease is a trigger for the appearance of more serious diseases: male infertility, prostate adenoma.

The causes of the disease also include:

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

The causes of chronic prostatitis are divided into two types:

1. Infections.They enter the body in several ways: through the urethra, through blood or lymph flow from sources of infection or from inflamed organs in the body itself.
2. Poor circulation in the prostate gland.or stagnation of its secretion, which occurs in the following cases:
   • sexual abstinence for a long time;
   • frequently interrupted sexual relations or unrealized excitement;
   • defective ejaculation.

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

Symptoms of chronic prostatitis.

The most common symptoms:

• feeling of discomfort or pain in the groin and suprapubic areas, perineum, scrotum, rectum, lumbosacral region;
• frequent and painful need to urinate;
• pain in the lower abdomen (constant or when urinating);
• intermittent or slow urine stream;
• reduced duration of sexual intercourse, deterioration of erection, decreased libido, premature ejaculation;
• periodic/constant absence of morning (spontaneous) erection;
• A pulling pain in the head of the penis after ejaculation, which disappears on its own within half an hour.

Many men do not pay attention to the signs of chronic prostatitis, believing that the disease will go away on its own.However, it progresses causing various complications: pyelonephritis, cystitis, vesiculitis.Over time, infertility and impotence develop against the background of inflammation of the prostate.

Diagnosis of the disease.

To accurately establish a diagnosis, it is necessary to undergo instrumental and laboratory examinations.Includes:

• general urinalysis,
• general blood test,
• examination of prostate secretions,
• bacteriological examination of prostate secretion to identify microflora with determination of sensitivity to antibacterial drugs,
• blood test for PSA (prostate specific antigen),
• Ultrasound of the pelvic organs and prostate.
• digital prostate exam.

Complications that chronic prostatitis can cause

This disease causes many concomitant diseases that seriously complicate a man's life:

• Urinary disorders: frequent urination during the day and night, weak urine stream, feeling of incomplete emptying of the bladder.
• Vesiculitis, coliculitis: inflammation of the seminal vesicles and seminal tubercle.
• Glandular abscess is a serious pathology that requires hospitalization and, very often, surgical intervention.
• Prostate sclerosis: develops with prolonged prostatitis and requires surgical treatment.
• Cysts and, as a consequence, prostate stones.
• Impotence, infertility.

Treatment of chronic prostatitis.

Treatment of this disease should only be carried out under the constant supervision of a doctor.One of the best and most effective modern medications used to treat chronic prostatitis is made from an extract of prostate tissue.Its use gives quick results and elimination of symptoms.

Since the therapy must be complex, other drugs must also be used:

• antibacterial,
• alpha blockers,
• Non-steroidal anti-inflammatory drugs.

There are no universal cures.Therefore, doctors can recommend antibacterial drugs from different groups.Cephalosporins, protected penicillins, fluoroquinolones, nitrofurans and tetracyclines and others.All of them affect the cause of the disease - a bacterial infection.

Alpha blockers are medications for chronic prostatitis, designed to relax the muscles of the prostatic urethra and the neck of the bladder, to facilitate the release of urine by relieving spasms.In fact, they do not treat, they only eliminate the painful symptoms of inflammation.

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

Drug	Benefits	Disadvantages	Recommendations for use
Fluoroquinolones	Excellent penetration into the prostate tissue. Good bioavailability. Equivalence of oral and parenteral pharmacokinetics. Good activity against typical and atypical pathogens.	Cross allergy. Phototoxicity. Effect on the central nervous system.	Recommended for use.
Diaminopyrimidines	Good penetration into the prostate tissue. Does not require dose selection. Good antimicrobial activity.	Negative against Pseudomonas aeruginosa and Enterobacteriaceae.	Second line medications.
macrolides	Moderate activity against gram-positive bacteria. Activity against atypical pathogens. Good penetration into the prostate tissue. Little toxic.	Insufficient activity against gram-negative bacteria.	Used for specific pathogens.
tetracyclines	Good activity against atypical pathogens.	Inactive against Pseudomonas aeruginosa. Insufficient activity against staphylococci, Escherichia coli.	Used for specific pathogens.

An effective cure for chronic prostatitis.

Among the drugs with a strong scientific basis are drugs derived from bovine prostate tissue extract.Most often, in the form of suppositories or ampoules.The drug is effective in the treatment of acute and chronic forms of the disease.This medicine is available in the form of suppositories (rectal suppositories) and ampoules (injections), the effect of the drug is aimed at strengthening the walls of blood vessels and improving blood circulation at the micro level.

The effect of using the drug for chronic prostatitis:

• Elimination of dysuric disorders and normalization of the urination process.
• Improvement of the functional state of the prostate gland.
• Reduce congestion, reduce swelling of the prostate gland.
• Reduction of severe symptoms of chronic prostatitis.
• Normalization of total blood circulation in the pelvic area, reducing the likelihood of blood clots forming in the blood vessels.
• Decrease in the concentration of leukocytes that infiltrate the prostate tissue.

Treatment methods for chronic prostatitis.

In most cases, chronic diseases are successfully treated with conservative methods.But it is worth remembering that therapy will quickly give positive results only with an integrated approach.It is recommended to reconsider the lifestyle that causes the disease, otherwise a relapse is likely.The abuse of alcoholic beverages, an unbalanced diet, a sedentary lifestyle and promiscuous sexual relations are extremely harmful to the male reproductive system.

Treatment procedures:

• prostate massage, is done manually through the anus.It is worth noting that the procedure is not very pleasant, but the effectiveness is very high.
• Physiotherapeutic procedures.Treatment of chronic prostatitis with thermal physiotherapy gives good results by improving microcirculation and drug absorption into the tissue.Physiotherapeutic procedures include ultrasonic heating and irrigation with an antibacterial solution using enemas.
• Balneotherapy.In many sanatoriums, this disease is successfully treated by balneotherapy methods, that is, with the help of mineral waters.For the treatment of patients with prostatitis, low mineralized water is usually prescribed, both internally and in the form of baths.
• Diet therapy.You should start following a special diet at the first signs of prostatitis.First of all, alcoholic beverages should be avoided, since ethyl alcohol irritates the prostate ducts, increasing pain and inflammation.It is also necessary to limit the intake of fatty meats to prevent the formation of cholesterol plaques and further deterioration of 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).It is recommended to consume as many vegetables as possible (except those that contribute to the formation of gas, such as cauliflower), dairy products, cereals and nuts.

Preventive measures

Chronic prostatitis usually does not develop if a man leads a healthy lifestyle: watches his diet, exercises, etc.Prevention of prostatitis is facilitated by abandoning bad habits and casual sexual relations.

There are primary ones, aimed at preventing the onset of the disease, prevention, and secondary ones, the task of which is to prevent relapse (exacerbation) of existing chronic prostatitis.

Primary preventionIt comes down to regular sexual relations, a balanced diet, compliance with a physical activity regimen, timely and complete treatment of any infectious (purulent) diseases of the body and timely sanitation of the oral cavity.

Secondary preventionprovides for periodic examination by a urologist and preventive treatment: multivitamins, restorative medications and exercise.

asprophylaxis medicationProstate diseases, suppositories can be used.