Understand chronic prostatitis and the difficulties of its treatment.

Chronic prostatitis is considered a long-term inflammatory process located in the prostate gland.In this case, a man may feel only slight discomfort, so he does not always consult a doctor.The pathology has a code according to ICD 10 – N41.1.

Forms of prostatitis

The disease develops in case of inadequate treatment of the acute form or in the absence of any therapy.Pathology appears not only in the elderly, but also in young people, which is dictated by a decrease in physical activity.The morphology and functionality of the organ is altered.Treatment of chronic prostatitis should begin as soon as the first symptoms appear.Otherwise, the functioning of the gland will be interrupted forever.Therapy largely depends on what triggered the pathological process.The presented disease can be divided into several groups:

1. By causal factor: infectious;viral;bacterial;caused by fungi, mycoplasma;gonorrhea;mixed.
2. Depending on the pathogenic factor, chronic prostatitis is of the following types: hematogenous (the infection enters the prostate from a pathological focus through the blood);infected by contact (through the walls of neighboring organs);lymphogenic (penetration of pathogens through lymph).

Damage to the prostate may be stagnant (congestive).It develops due to poor outflow of prostate secretions.The fluid stagnates and an inflammatory process occurs.If the problem is caused by obstruction of the ducts of the organ with concretions (stones), then in this case we can talk about a type of calculous pathology.Chronic prostatitis can also be bacterial or non-bacterial.In the first case, a pathogen is necessarily present;The second form arises as a result of mechanical damage to the gland or under the influence of other factors, among which there are no pathogens.It is the abacterial variant that occurs in 80% of cases.

Causes and provoking factors.

Before treating chronic prostatitis in men, specialists must find out the cause of its appearance.The following conditions can cause pathology:

• sexually transmitted infections: chlamydia, ureaplasmosis, herpes, gonococcus, fungi;
• violation of microcirculation in tissues and blood circulation in the pelvic organs;
• urological pathology;
• the presence of infectious foci in the body;
• hemorrhoids, as well as chronic constipation;
• injury to the genital organs or spinal cord;
• weakened immunity;
• tumor process;
• hormonal imbalance, alteration of the functionality of the endocrine system;
• heart failure;
• Previous surgical intervention, including in the abdominal organs.

These are the main causes of chronic prostatitis.There are also other negative factors that contribute to the development of the disease:

• frequent general or local hypothermia;
• inactive lifestyle;
• prolonged abstinence from sexual activity;
• frequent exposure to stress, physical and mental overload;
• smoking;
• alcohol abuse;
• dietary errors: frequent consumption of fatty foods;
• prolonged use of medications.

Only by establishing the cause can you choose the appropriate treatment tactics for chronic prostatitis.

Symptoms of the disease

The course of the chronic form of the disease is usually hidden.That is, the symptoms appear weakly, the man rarely pays attention to them and does not recognize the problem until it becomes more pronounced.He is ashamed and afraid to see a doctor.However, the lack of therapy will lead to serious complications, so a visit to a specialist should not be postponed for a long time.The manifestations depend on the stage of chronic prostatitis observed in a person.The following general signs of the disease can be identified:

1. Discomfort and pain, which can radiate to other parts of the body: legs, anus.Unpleasant sensations present for more than 3 months.
2. Problems urinating.They are caused by the fact that the enlarged prostate puts pressure on the excretory canal.In this case, the biological fluid cannot come out completely.This causes an increase in visits to the bathroom at night.
3. Sexual dysfunction.Erections may be irregular and ejaculation may be premature.During sexual intercourse, a man may feel pain.
4. Increased irritability, bad temper, anxiety.

In addition, a man gets physically tired faster, develops apathy, which gradually turns into a depressive state.The exacerbation of a chronic process is characterized by the following manifestations:

• increased pain intensity;
• burning in the urethra;
• increased need to go to the bathroom;
• increased sweating, tremors;
• severe discomfort in the lower abdomen, rectum and perineum;
• a significant decrease in sexual activity;
• pain syndrome during defecation.

Only 2-3 signs of prostatitis can appear at a time, so a man is in no hurry to undergo an examination.At the same time, the chronic process of destruction within the tissue continues.Gradually, the changes in the prostate become irreversible and it will no longer be possible to get rid of them completely.

Diagnostic functions

Treatment of chronic prostatitis is necessary only after differential diagnosis of the disease.Otherwise, the patient will be prescribed medications that can harm him.The following methods are used during the exam:

1. Microscopic analysis of urethral secretion.
2. Scraping of the mucosa and its examination by polymerase chain reaction.
3. Microscopic and bacterial analysis of prostatic secretions.
4. Determination of immune status.
5. Transrectal ultrasound.The main ultrasound sign of chronic prostatitis is an increase in the size and volume of the organ, a change in its structure and the presence of pathological neoplasms.However, this study is contraindicated in hemorrhoids, inflammation of the rectum and fissures in the anus.
6. MRI.The specialist takes a layer-by-layer image of the prostate.Only differential diagnosis can help specialists understand the causes of the disease, as well as the features of its development.

Pathology treatment

Treatment of chronic prostatitis is not a short-term process.Getting rid of pathology will take a long time and be complex.The plan includes not only medications, but also physiotherapy procedures and home remedies.Many patients require the help of a psychologist.Spa treatment in specialized institutions is also useful.It will not be possible to completely eliminate the disease if it has already reached an advanced stage.Drug treatment will allow you to quickly relieve symptoms and eliminate the very cause of the disease.Additionally, the patient is prescribed medications that stimulate metabolic processes.To increase the chances of recovery, in addition to medications, a person also needs proper nutrition.The diet includes the exclusion of fatty and spicy foods, preserved foods, smoked foods, sweets and spices.It is better to limit salt consumption.Alcohol and cigarettes are strictly prohibited.

Non-pharmacological treatment

In addition to medications, the person will need physical therapy.Consolidates the positive effect of the main scheme.This treatment affects not only the affected tissues, but also blood circulation and metabolism.The main condition for successful therapy is the use of various techniques.The patient is usually prescribed the following procedures:

1. Electrophoresis.Stimulates the regenerative properties of affected tissues and eliminates pain.Thanks to the procedure, the medications penetrate deeper and blood flow is activated.
2. Phonophoresis.
3. Laser therapy.
4. Magnetic treatment.
5. Microwave therapy.It produces a regenerating effect and improves metabolic processes.Nerve conduction is restored.
6. Ultrasound.It has a pronounced anti-inflammatory effect, helps restore sexual function and relieves pain.
7. Inductometry.
8. Instillation into the urethra.

Mud baths and therapeutic enemas are considered no less useful.All of these procedures can be used both in monotherapy and in combination with other agents.Thanks to physiotherapy, it is possible to consolidate a lasting positive effect.Prostate massage is considered popular.It eliminates stagnant processes and improves the drainage of prostate secretions and activates microcirculation.For bacterial forms of pathology, it is used more often.However, there are certain contraindications for use: organ cancer, adenoma or other formations, stones in the ducts, hemorrhoids or fissures in the anus.

Popular recipes

If the pathological process becomes chronic, then it is necessary to undergo treatment.Home remedies will help achieve a stable remission.But they should be used at an early stage of the disease.The following recipes will be effective:

1. Kalanchoe leaves.It is necessary to squeeze the juice from the plant and mix it with the same amount of water.You should consume 100-150 ml a day for a month.
2. Bearberry tincture.You will need dry grass and vodka in a ratio of 1:10.The mixture should infuse for 14 days in the refrigerator.The medicine is taken twice a day, 15 drops.The course of therapy lasts one month.
3. Pear compote.
4. Parsley juice and seeds.The ingredients can be added to foods.
5. Bee pollen.It is necessary to mix it with water in proportions 1:3.It is worth drinking 1 glass a day.Treatment in this way will last 1 month.
6. A mixture of honey and pumpkin seeds.All components are taken in equal quantities.Make balls with the resulting mixture.They are stored in the refrigerator.The patient should eat 2-3 pieces a day.The course of therapy lasts 30 days.
7. Rectal suppositories based on propolis.They need to be treated for at least a month.

Chronic prostatitis can be treated at home, but the disease cannot be completely cured without the intervention of a doctor.Furthermore, this therapy will continue for more than a year.

surgical intervention

Chronic prostatitis is neither the end nor a death sentence.It is important for a man to understand this.But if the therapy is not carried out entirely correctly, or when conservative methods are not effective, the patient will require surgical intervention.There are several types of operations:

1. Endoscopic transurethral resection.It is performed under anesthesia and is considered the safest option.Thanks to the procedure, it is possible to reduce the pressure of the prostate on the urinary canal.The recovery period lasts no more than a week.
2. Laser removal of affected tissue.This operation is safe and is characterized by the absence of blood loss.
3. Prostatectomy.It can be partial or complete.At the same time, experts try to preserve a person's erectile function.

For surgical intervention there must be certain indications: persistent problems with urination, risk of developing an oncological process, a significant decrease in the patient's quality of life.

Possible complications

If the start of therapy was delayed, the consequences cannot be avoided.The following complications of chronic prostatitis are distinguished:

• urethritis;
• impotence or other erection problems;
• sterility;
• difficulty urinating;
• decreased formation of ejaculate or its complete absence;
• cystitis, kidney damage;
• development of a malignant process;
• spread of the inflammatory process to the entire reproductive system;
• scarring of the prostate tissue, in which the affected areas cannot perform the necessary functions.

Complications of chronic prostatitis cannot always be eliminated, so it is better to prevent their occurrence.

Prognosis and prevention

The prognosis depends on the stage at which treatment began and its effectiveness.Chronic prostatitis is curable if the patient treats it in the early stages of its development.Otherwise, the inflammatory process will persist for a long time and gradually worsen the man's quality of life.People with this diagnosis are not accepted into the army.The appearance of pathology can be prevented.To do this, you must follow the following prevention rules:

1. Don't ignore sexual hygiene.
2. Try not to change sexual partners frequently.
3. Treat any urogenital diseases in a timely manner.
4. Normalize nutrition and regularity of sexual activity.
5. Exercise, move more.
6. Avoid developing constipation.In addition, emptying the bladder must be timely.
7. Avoid hypothermia and overheating of the genitals.
8. Avoid stressful situations, physical and mental overload.

Chronic prostatitis is a complex disease that requires long-term therapy.A man will have to admit his diagnosis and accept it.Only in this case you can get rid of the problem.