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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, and anus. Unilateral pain spreading to one of the testicles is not a sign of the disease.
  • Libido deterioration.
  • Early or delayed ejaculation. The duration of sexual intercourse may differ depending on the stage of development of the disease. In the initial stage, ejaculation occurs prematurely, in a more advanced form, the pathology manifests itself with an increase in the duration of sexual intercourse.
  • Deterioration of the emotional richness of orgasm.
  • Loss of quality and quantity of sperm.
  • Frequent urination at night. Pain when going to the toilet.

Description of the disease

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

Inflammation in the tissues of the prostate gland can be expressed by various symptoms. To make a diagnosis, the doctor performs a number of diagnostic measures. It is impossible to diagnose and treat prostatitis independently. You should contact a qualified specialist.

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

Signs of disease progression

Chronic prostatitis has many symptoms. Symptoms of the development of the disease differ depending on the degree of its development. Symptoms can be unstable in the patient, they can be pronounced or, on the contrary, they can be hidden. Symptoms of the development of the disease:

  • Discomfort and pain for at least 90 days. A person experiences pain in the perineum. In some cases, the pain covers the groin, back, and scrotum.
  • Absence of erection. The patient has sexual disorders from time to time. Complete impotence does not occur.
  • premature ejaculation. At the initial stage of the development of the disease, the patient has premature ejaculation. Ejaculation is delayed at a later stage of development. When having an orgasm, the level of emotions decreases. Sperm becomes small, its characteristics deteriorate.
  • Frequent urination. Patients often visit the toilet at night. When urinating, a person feels pain and burning. In some cases, urinary incontinence is observed in patients with chronic prostatitis.

Stages of chronic prostatitis

Symptoms of the disease can 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 and scrotum. The time interval between trips to the toilet at night is reduced. Some patients feel discomfort during orgasm. An erection can be painful.
  • An alternative. The pain becomes stronger. Their localization is the inguinal region, pubis. There is no pain during urination, the time intervals between trips to the toilet are reduced. No erectile dysfunction.
  • Proliferative. In a man at this stage of the disease, erection may slow down. When visiting the toilet, the deterioration of the strength of the urine flow is determined visually.
  • Cicatricial. There is a feeling of heaviness in the groin area. A person often visits the toilet during the day and at night. There is deterioration in erection. In addition, the discharge is weak or completely absent.

It should be noted that the symptoms of each stage may not be fully visible. In this regard, it is impossible to determine the stage of the disease independently. You should contact a qualified specialist. A number of diagnostic measures will be required to make a diagnosis.

Causes of the development of chronic prostatitis

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

  • Sexually transmitted diseases. The patient has sexually transmitted diseases that develop asymptomatically for a long time. Sometimes these types of diseases are not properly treated. Against the background of the development of sexually transmitted diseases, chronic prostatitis occurs as a complication. Sexually transmitted infections reach the prostate gland and affect its tissues. The result is an inflammatory response.
  • Deterioration of blood circulation in the pelvic organs. The prostate is filled with blood. The vessels exert pressure on the tissues of the prostate gland. This causes the oxygen supply to deteriorate and causes the prostate gland to malfunction. A sedentary lifestyle can lead to impaired blood circulation. In addition, wearing tight underwear has a negative effect on blood circulation in the pelvic organs.
  • Urinary flow. In some cases, if the urinary excretion process is disturbed, the urine begins to move in the opposite direction and enters the ducts of the prostate gland. Urine entering the prostate causes tissue irritation. This, in turn, leads to the development of chronic prostatitis.
  • Abstinence or cessation of sexual intercourse. The secret formed in the prostate gland does not come out of it. In some cases, it may not be completely removed. Stagnation causes an increase in the size of the prostate gland and the development of the inflammatory process.

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

A 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

Ineffective treatment for chronic prostatitis or postponing a visit to a specialist can lead to the development of other diseases of the genitourinary system. The presence of complications can be manifested by symptoms typical of chronic prostatitis. In this regard, timely diagnosis of complications can be difficult. Often, chronic prostatitis not treated in time 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, pain is given to the back and sacrum. Patients often complain of pain during urination, erection and ejaculation. Bloody or purulent inclusions appear in semen and urine.
  • Prostate abscess. Failure to treat chronic prostatitis in time can lead to prostate abscess. This complication is manifested by weakness, high fever. In this case, the treatment of the disease is carried out in a hospital.
  • Coliculitis. Pathogenic microorganisms move from the prostate to the seminal tubercle and infect it. A symptom of coliculitis 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.
  • Sclerosis of the prostate gland. Non-compliance with the treatment of chronic prostatitis or failure to consult a doctor in time can lead to sclerosis of the prostate gland. Symptoms of the development of the disease include pain during urination and the inability to empty the bladder completely.
  • The presence of stones. With chronic inflammation, stones or cysts can form in the prostate gland. An ultrasound will be needed to detect cysts or stones.
  • infinity. Delayed treatment of chronic prostatitis can negatively affect sperm motility and their number. Spermatozoa lose their motility. Disorders caused by chronic prostatitis lead to male infertility

Diagnosis of the disease

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

The doctor examines and questions the patient. Also, he studies the medical records, and the specialist focuses on diseases of the genitourinary system previously transferred. If necessary, prescribe instrumental and laboratory diagnostics.

Instrumental diagnostics

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

The doctor can prescribe a microscopic examination of the prostate secretion to the patient. This diagnostic method allows you to identify disorders in the work of the prostate gland. In addition to the microscopic examination of the vagina, the level of male hormones in the patient is checked. Exceeding the norm can cause tissue growth, and deficiency causes disorders in the prostate.

Laboratory diagnostics

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

  • Discharge from the patient's urethra is taken for analysis. In the laboratory, the presence of leukocytes, bacterial flora, fungus or virus is checked in discharge.
  • A scraping is taken from the patient's urethra. Laboratory studies allow identification of sexually transmitted agents.
  • Secretion of the prostate gland is taken from the patient for microscopic examination.

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

Treatment of prostatitis

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

Therapeutic treatment

Patient care is complex. Both drugs and special exercises are used. The most common procedure in the treatment of chronic prostatitis is prostate massage. The specialist massages the prostate gland with his index finger. Massage is performed through the anus. Before the procedure, the specialist puts on rubber gloves and lubricates with a special lubricant.

Blood circulation in the prostate gland is activated during massage. It has a beneficial effect on the prostate and accelerates the recovery of damaged tissues. When the diaper is pressed, its secret enters the urethra. To control the dynamics of treatment, a specialist can take fluid for microscopic examination.

If necessary, a person is prescribed magnetic and laser therapy. Procedures are carried out in a complex manner. 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 increases. This helps speed up the healing process.

Treatment

Various drugs 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 medicine for yourself. You will need to see a doctor.

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

If necessary, patients are prescribed adrenoblockers. These drugs belong to the group of drugs that affect the receptors of muscle cells of the bladder and prostate gland. 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 number of diagnostic measures to detect the infection. The choice of drug is influenced not only by the presence of infection, but also by sensitivity to the main types of antibiotics. This approach allows determining the most effective treatment.

Nonsteroidal anti-inflammatory drugs are used to relieve inflammation. These types of drugs reduce the inflammatory response, which in turn reduces swelling and pain in the patient. The method of taking the medicine may be different.

Surgical intervention

In some cases, surgical intervention is performed to eliminate complications caused by incorrect treatment or lack thereof. Specialists use minimally invasive transurethral electroresection.

Lifestyle with prostatitis:

  • Regular exercise. A man should lead an active lifestyle and do certain exercises daily. This is necessary to strengthen the small pelvic muscles. This approach will improve blood circulation and eliminate blood stagnation.
  • Regular sex life. A person's sex life should be regular. Interruption or artificial prolongation of sexual intercourse with the help of drugs should be excluded. Prolonged absence or interruption of sexual intercourse leads to stagnation of prostate gland secretion. This, in turn, is dangerous for the occurrence of inflammation.
  • Permanent sexual partner. It is necessary to exclude immorality. A large number of sexual partners can lead to the development of sexually transmitted diseases.
  • Wide canvas. 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 patient's recovery process.

Treatment

Specialists prescribe antibacterial, anti-inflammatory drugs. If necessary, prescribe drugs that reduce the level of male hormones in the blood. Prescribing drugs and their dosage should be done by a qualified specialist.

Surgery

Surgery is mainly used to treat complications resulting from the development of chronic prostatitis. Transurethral equipment is used for operations.

Specialists of the specialized medical center are highly qualified, which allows them to carry out effective treatment of chronic prostatitis. High-tech equipment and high-quality medicines are used for diagnosis and treatment of diseases.