Chronic prostatitis (MKB-10. Code N41.1) is called an inflammatory process, which is observed for more than three months in the tissues of the prostate gland.Its characteristic is that in almost 70% of all cases, it proceeds without any symptoms.And only 15% of patients complain about manifestations of the disease.All other men have symptoms that only partially indicate the development of prostatitis and can often contact other diseases.Therefore, it is very important when signs occur to see a doctor who, after the exam, will tell him how to treat chronic prostatitis.
The peculiarity of the disease
Chronic prostatitis can diagnose not only in the elderly.Young and medium -sized people are also subject to the disease.At risk are those who lead a sedentary lifestyle, adhere to sexual abstinence or experience physical effort in the perineum.That is, the probability of chronic prostatitis in drivers, athletes is much greater than everyone else.
Among all diseases of the reproductive system of men, chronic prostatitis occupies the first place in prevalence, followed by benign cancer and hyperplasia of the DGPG prostate gland (prostate adenoma).Approximately each third man faces an inflammation of the prostate, and each fifth of them suffers in a chronic form of the disease.
In most cases, the cause of chronic prostatitis is the transmitted diseases of the genitourinary system caused by infections.A little less often, it is caused by inflammatory processes associated with a change in the hormonal background of a man.
Classification
Similar to other inflammatory diseases, chronic prostatitis can have acute and chronic stages.Its classification is based on the following characteristics:
- The presence of leukocytes in the urine.
- The presence of pathogenic bacteria in the urine, ejaculated or the secret of the gland.
According to classification, there are the following types of disease:
- Asymptomatic inflammatory prostatitis is characterized by the lack of symptoms of chronic prostatitis.It is possible to identify by chance when the patient addresses a doctor with any other disease.
- Acute bacterial prostatitis.The patient has acute inflammation of the prostate tissues, the pathogens are present in the urine, which leads to an increase in temperature and the development of body poisoning.
- Chronic bacterial prostatitis.The doctor points to typical signs of chronic inflammation.And in the analysis of urine and secret, the high content of leukocytes and bacteria is detected.
- Chronic pain syndrome in the pelvis.Such pain is considered the main symptom, since bacteria are not detected.To make a diagnosis of chronic prostatitis, the syndrome should be observed in a man for at least 3 months.
Causes of the disease
The main cause of chronic prostatitis is the penetration of pathogens (enterococci, intestinal prayer sticks, etc.) in the prostate gland, etc.).Go to the prostate, bacteria can be in three ways:
- Through the urethra.
- Through blood.
- Through lymph.
According to statistics, 90% of cases of chronic prostatitis are a consequence of the development of acute prostatitis or a complication of urethritis.
In addition to entering a bacteria prostate, the causes of chronic prostatitis can be the following:
- Sexual infections (STPP): herpes, tricomonas, gocococcus, clamidia, etc.
- Stagnation processes in the pelvic area, which can cause inflammation of the prostate.
- Reducing immunity.This can lead to: vitamin deficiency, hormone balance, hypothermia, allergic reactions, significant physical and emotional stress, non -infected infections, etc.
- A sedentary lifestyle.
- Lightweight.
- Irregular sex life or disorders in the intimate sphere.
- Entrepierna lesions.
- Using narrow linen.
- Irrational nutrition (predominance in the diet of spicy food).
- Lining to urinate.
- Violation of the chair.
All this can lead to circulatory disorders in the pelvic area, contribute to stagnant phenomena and the development of the inflammatory process.The consequences of the lack of therapy are infertility and impotence.
Symptoms of the disease
Chronic prostatitis signs can be very different.Very often, the patient complains about:
- Reducing performance.
- Fast fatigue
- Greater irritability.
- Anxiety.
- Sleep violation.
- Lethargy.
- Loss of appetite.
- Increase in sweating.
Among local symptoms:
- Urine disorder.The patient feels frequent impulses, pain at the beginning and end of urination.
- A painful pain that can deliver in the groin, sacrum, scrotum, sub -long bone or straight.
- Pain for sex.
- Download in the tension of the pelvic muscles.
Unlike the acute phase, in a chronic disease, there is often a violation of sexual functions.This is associated with the fact that stagnation is also inflammatory processes, affect the nerve endings that provide the transmission of pulses to the brain.As a result, a rape of an erection is possible, which weakens or ejaculation (premature ejaculation), sensations during an orgasm (erased orgasm) are opaque.Such symptoms of chronic prostatitis in men lead to fear of proximity, irritability and, as a result, sexual neurosis develops.
It is not easy to treat chronic prostatitis.How long will you have to take medications depends on the degree of pathology and the duration of the development of the disease.It is important to remember that if the symptoms of the disease have disappeared, this does not mean a final cure.The serious consequences of chronic prostatitis include gland scars.This process can change to the urethra.
Disease diagnosis
When you go to the doctor, you will ask the patient with the available symptoms.Special attention is paid to the frequency and nature of pain, deteriorated urine, sexual dysfunction.But due to the fact that chronic prostatitis can occur without any manifestation, certain studies are necessary:
- The analysis of clinical and bacterial urine is determined in which the amount of leukocytes and the presence of pathogenic microorganisms are determined.
- Analysis of the secret that can contain bacteria.
- A scraping of the mucosa in which the amount of leukocytes is determined, the presence of macrophages and amyloid bodies.
- Transuretral ultrasound makes it possible to identify chronic prostatitis ecobroblasts and determine the condition of the prostate.
High quality diagnosis is a significant part of the correct treatment, since it allows to distinguish chronic prostatitis from other pathologies with similar signs.
Treatment
This disease must have an integrated approach to therapy.In this case, the patient needs to tune in a long treatment.The chronic prostatitis treatment regime will be individual for each patient.In general, the patient does not need hospitalization and can be treated at home.A completely different matter is when the acute phase of the disease or its exacerbation against the context of chronic prostate inflammation is subject to treatment.In a hospital, antibacterial therapy is used and uninxxicated is carried out.If necessary, an operation is needed.
Drug therapy
For a comprehensive treatment of chronic prostatitis, medicines are prescribed in men, whose effect aims to eliminate infection, normalization of blood circulation and hormone level.To do this, use:
- Antibiotics
- Non -steroidal anti -inflammatory drugs.
- Anticholinergic agents.
- Immunomodulators.
- Angioprotectors.
- Vasodilatory medications.
Before making an appointment, the doctor will analyze the pathogen.If the disease is not a bacterial origin, then the course of antibiotic therapy will be short.In the case in which it is not possible to determine the type of pathological microflora with laboratory methods, a histological analysis of the prostate tissue is used.
With the relapse of the disease, antibacterial therapy is prescribed for prevention purposes.For this, a medicine is used, which was already used during treatment, but in a lower dose.
Knowing what chronic prostatitis is and what can cause its development, the specialist will pay attention to pressure within the prostate gland and its ability to reduce.If this function is reduced, stagnant phenomena and inflammation of the prostate can occur in the pelvis.Alpha blockers are prescribed to normalize intrauterine pressure.
You can avoid painful injections and take pills wearing a candle.
For complaints about fast and painful urination, non -steroidal anti -inflammatory medications are used along with alpha blockers.
In the case, when antibiotic taking proved to be ineffective and symptoms such as pain and dysuria are preserved, treatment is adjusted to address:
- Pain elimination.To do this, use tricyclic antidepressants.
- Normalization of urine.The treatment is prescribed after urinodynamic analysis.With the hyperactivity of the sphincter, antihistamines, tricyclic antidepressants and bladder rinse with antiseptic solutions are indicated.With the ineffectiveness of this treatment, neuromodulation and physiotherapy are used.
Non -fragmentary methods
In order for tablets to be more effective, the doctor may recommend physiotherapy (electrophoresis, phonoforesis, laser therapy, mud treatment) and transrectal hyperthermia, which is carried out taking into account the existing changes in the prostate tissue and related diseases.When exposed to a temperature of 40 degrees, cell immunity is activated.When exposed to a temperature of 45 degrees, the inhibition of nerve endings occurs, which helps stop pain.The use of laser therapy has a bio -stimulating effect.
In the absence of contraindications, the patient is performed by the prostate gland.Often, patients are prescribed a psychotherapy course and special exercises that can strengthen the perineum muscles.
Treatment with popular remedies
Together with the use of medicines, manifestations of chronic prostatitis are treated with popular methods.Such treatment increases immunity and reduces pain.For this, in addition to herbal preparations, infusions and decoctions of herbs, bathrooms, etc. are used.
The course of phytoparacion treatment is at least 1 month and must be prescribed by a doctor, since some of them may have contraindications for use.Treatment with popular methods suggests:
- Abundant drink (teas with Linden, pink, raspberries).
- Every day before meals, you must drink 1 glass of newly squeezed juice of carrots, pears, cucumber.
- If the patient is tormented by pain, coniferous baths are used, a temperature of 37 degrees.The duration of the procedure is 20 minutes.
- If the patient does not have honey allergy, it is recommended to eat up to 100 grams of product daily.
- At home, you can make suppositories regardless of propolis or honey.You need to put them within 1 month.To prepare candles with propolos, take a mixture of glycerol, gelatin and water in proportions of 5: 1: 2. Add propolis there and distribute the mixture on parchment.Place everything in the refrigerator, where the suppositories are completely frozen.
- Before bedtime, it is recommended to make an enema with ajenjo.To do this, 1 teaspoon of dry plants is made in 1 liter of boiling water.
Treatment with pumpkin seeds, aloe juice, parsley, brown and cellular is also considered effective.The parsley has an anti -inflammatory effect and is able to restore sexual function.Phytotherapeutas recommend this treatment with this plant:
- Drink 1 tablespoon of parsley juice every day before meals.
- 4 teaspoons of plant seeds pour 250 ml of boiling water and insisted on the thermos for the night.The next day, drink a 1 tablespoon infusion every hour.
- 100 g of the crushed root of the plant is poured with 1 liter of water, put on a slow heat and boiled for 10 minutes.A decoction is drunk during the day.
An effective tool is pumpkin seeds.Around 30 seeds contain a daily dose of zinc, which is necessary for male health.For treatment, you can make such a tool.500 g of pumpkin seeds are crushed in a meat grinder and mix with 200 grams of natural honey.The balls are made of the resulting dough, the size of a walnut.Every day you need to eat 2 of those balls.
Propolos helps strengthen body defenses and relieve inflammation.You can buy your tincture in a pharmacy.For treatment, you must drink a glass of milk daily with 1 teaspoon of said tincture.
In addition, the Decoils of the Delice, the San Juan grass, the equinacea is used for the treatment, which are also used in cases where the disease occurs without obvious symptoms.
Surgery
Often, chronic prostatitis does not give symptoms, and patients seek medical help when serious changes have occurred in the prostate gland and chronic prostatitis is already impotent.In addition, such complications can represent a threat to patient's health.An example of complication can be called prostate sclerosis.
Due to the fact that such complications are often revealed in young men, doctors use minimally invasive surgery.The indication of its use is: phimosis, involuntary urine release or, on the contrary, its delay, prostate abscess, significant increase in the gland in size, urethral block or bleeding.There are types of surgical intervention indicated for chronic inflammation:
- Circulation: It is used when the patient has phimosis.During the operation, the foreskin is dissected.
- Prostatectomy is a radical operation during which the prostate is completely eliminated.It is carried out in case of suspicion of the presence of a malignant tumor.
- Prostate resection is a partial elimination of the gland, in the case of its sclerotic change.
- Adhesion elimination.
- Drainage of a cyst or abscess.It is produced by endoscopy.For drainage, a special tube with a camera is used at the end.Such device is introduced into the light of the urethra and allows the operation of the operation to be controlled.
- In the case of complaints from several sexual disorders (orgasm violation, painful ejaculation, etc.), the patient is carried out by an incision of erystarmal ducts.
The result of surgical intervention will depend on the punctuality of the diagnosis.In cases where there is a prostate adenoma, manifestations of chronic prostatitis can be lubricated.This is observed in 70% of cases.25% of men learn about the development of chronic prostatitis during an adenoma exam.And only 5 % of patients during a preventive exam.
The condition for the operation is the lack of an effect with the conservative treatment of the disease.Therefore, the operation is necessary to prevent complications and improve the quality of life.
However, it should be taken into account that even after surgery it is possible to return prostatitis.This happens in almost half of the operated.Contraindication to any operation is:
- Diabetes.
- Liver pathology.
- Respiratory system diseases.
- Mental disorders
- Heart disease
The prognosis of the disease
Do all those who face such a diagnosis are interested in whether chronic prostatitis can be cured?The disease is considered cured if the symptoms do not seem like a significant period of time, the level of leukocytes in the urine is within normal, in the secret of the prostate there are no pathogenic bacteria, urine and sexual function.
Most of the time, the prognosis is favorable in cases where the disease did not lead to irreversible processes, and the patient observes the treatment prescribed.
Disease prevention
Each middle -aged man must prevent the prevention of diseases of the genitourinary system, which will also help reduce the probability of chronic prostatitis.Enough for this:
- Adhere to the foundations of a healthy lifestyle, sports.
- Eat well.It is important to consume many protein foods (low -fat meat and fish, dairy products, eggs) and limit the amount of animal fats.At the same time, canned food, sharp and salty dishes, alcohol must be excluded from the menu.
- Regular sex life.It is important to avoid unprotected sex.
To prevent prostate disease, each man, especially after 35 years, must monitor health and lead an active life.It is not necessary to ignore a medical examination, which always helps identify prostatitis in time and start treatment.It is important to remember that it is cured if detected in the initial stage, and the patient observes all the doctor's recipes.