One of the most common diseases of the male urogenital area is chronic prostatitis. As medical practice shows, every twelfth man in puberty suffers from this disease, while in about 40% of cases it is diagnosed in patients aged 20-40 years. Bringing physical suffering to its owner, chronic prostatitis often leads to a deterioration in the general condition of the patient, preventing normal sexual and social activity of him. What is the nature of this disease, how to avoid an unpleasant diagnosis, and how favorable is the prognosis of treatment if you are among the sick?
Causes of chronic prostatitis
Chronic prostatitis is a prolonged inflammatory process in the prostate, accompanied by pain and discomfort in the pelvic area, urination disorders and pathologies of male sexual function.
The prerequisites for the appearance of chronic prostatitis can be infections, congestion in the prostate, benign hyperplasia or a combination of these factors. There are several likely ways for the infection to enter the prostate gland:
- with blood flow from foci of infection present in the body (pneumonia, caries, pustular skin lesions, sinusitis, etc. );
- with the influx of lymph from other organs (with dysbacteriosis, hemorrhoids, inflammatory bowel diseases, etc. );
- through the urethra, sexually (one of the consequences of infectious urethritis).
Noninfectious or abacterial prostatitis is diagnosed 8 times more often than bacterial; its appearance is based on stagnant processes and circulatory disorders in the prostate and adjacent organs.
Among the main causes of stagnation of the secret in the prostate gland, urologists distinguish the following:
- irregular sex life, prolonged abstinence;
- defective ejaculation, the practice of coitus interruptus;
- often inadvertent sexual arousal.
The risk of chronic prostatitis increases in men with reduced physical activity, severe or mild, but regular hypothermia, prolonged exposure to stress, as well as in those who suffer from alcoholism.
The main signs of the disease
Chronic prostatitis occurs as a result of the lack of timely treatment or ineffective treatment of acute prostatitis, and is a slow inflammatory process in the prostate gland.
In most cases, asymptomatic, the disease is usually detected in patients only during a medical examination, therefore all men are recommended to regularly visit a specialist in urological diseases. However, the so-called "hidden" stage of chronic prostatitis can change into an acute phase after a man has suffered from stress, an inflammatory disease, as a result of hypothermia, a violation of the order of intimate life, etc. In this case, such symptoms should serve as a signal of the need for an urgent visit to the doctor:
- increased sweating, which is especially manifested in the perineal area;
- itching or discomfort in the groin area;
- frequent urge to urinate, painful urination, urinary retention;
- discharge of prostatic secretion through the external opening of the urethra after urination or defecation;
- a slight increase (up to 37, 5) in body temperature; weakness, sleep disturbances and work capacity;
- sexual dysfunction (unstable or weak erection, decreased libido, rapid ejaculation, orgasm disorders, pain in the pelvic area during ejaculation, etc. );
- pain of varying severity and intensity in the perineum, lumbosacral region, external genitalia
Taken together, these symptoms of chronic prostatitis can lead to disorders of the nervous system, characterized by neurotic conditions with the patient's attention focused on her well-being.
Possible consequences of chronic prostatitis in the absence of its treatment
Unlike acute prostatitis, chronic prostatitis is characterized by a change of undulating periodic exacerbations with relatively long remissions, during which a man can feel completely healthy. It is not the patient's appeal to a specialist that provokes the further development of the inflammatory process.
In the case of extension of inflammation in the genitourinary system, complications in the form of cystitis or pyelonephritis, with a possible transformation into urolithiasis, are likely. But most of the time, the result of advanced chronic prostatitis is vesiculitis (inflammatory disease of the seminal vesicles) or orchiepididymitis (inflammation of the testicles). Both diseases can cause difficult-to-treat infertility and sometimes irreversible damage to male reproductive function.
One of the most serious results of chronic prostatitis is the scarring of the tissues of the prostate gland with wrinkles in the organ. This process often extends to the back of the urethra and bladder, which leads to a persistent violation of urine outflow.
The situation is significantly aggravated by the combination of the disease with prostate adenoma, which is more common in men who have crossed the 50-year mark. Violating the outflow of the prostate gland, the adenoma provokes the progression of chronic prostatitis, so if the patient is shown surgical removal of a benign tumor, it should be preceded by treatment of prostatitis.
Diagnosis, methods and perspectives for the treatment of the disease.
The initial appointment with the doctor consists of collecting information about the main symptoms of the disease, followed by a general examination, a digital rectal examination and a secret taking of the patient's prostate gland. Another diagnostic measure to make an accurate diagnosis is a transrectal ultrasound examination.
Before starting a course of therapy for a patient with chronic prostatitis, it is necessary to conduct an analysis of urine for culture and conduct a study of prostatic secretion on the sensitivity of the flora to antibacterial drugs in order to optimize the method of treatment.
Modern medicine practices the following methods, traditionally used in combination, to treat chronic prostatitis:
- Antibiotic therapy. The use of antibacterial drugs is necessary to eliminate the pathogenic bacterial flora that causes foci of inflammation. The effectiveness of treatment directly depends on the correct selection of drugs, since if all microorganisms are not destroyed during therapy, the disease will sooner or later be felt again. For this reason, antibiotic treatment should be completed by the patient in full, without interruptions in admission or other violations of medical recommendations.
- Physiotherapy. Prostate massage is one of the most effective components of treatment in the complex of such procedures. The essence of prostate massage is as follows: the effect on the gland contributes to the extrusion of the accumulated inflammatory secret in the ducts and further into the urethra. This improves the quality of blood flow in the prostate, which increases the effect of antibacterial drugs taken by the patient. In addition to prostate massage, a patient diagnosed with "chronic prostatitis" may be prescribed treatment with lasers, ultrasonic waves, or through electromagnetic effects on the inflamed area.
- Immunocorrection. A long-term inflammatory process, such as chronic prostatitis, as well as independent or incorrectly prescribed antibiotics in the past, can contribute to a significant decrease in the patient's immunity. The purpose of immunocorrection is to restore the protective functions of the body as much as possible. This is facilitated by the normalization of lifestyle and a visit to an immunologist.
Although not all cases of chronic prostatitis, due to the various forms of its complexity, can end in a complete recovery of the patient, strict compliance with medical recommendations by the patient guarantees long-term remission of the disease and possibly forever.
How to avoid an unpleasant diagnosis?
Prevention of chronic prostatitis consists in following some basic rules:
- Change your lifestyle to a more active one. If there is no opportunity to play sports, do a daily warm-up or gymnastic exercises.
- Avoid hypothermia. Does not sit on stone slabs, metal curbs, etc.
- For constipation, use laxatives, and if constipation becomes chronic, see a doctor.
- Try to normalize your sex life. Excessive sexual activity, as well as prolonged abstinence, negatively affects the condition and functions of the prostate gland.
- Do not practice casual sex, otherwise, prefer protected sex.
- At the first suspicion of an STD immediately consult a specialist, do not self-medicate.
- At least once a year, visit a urologist to rule out the possibility of disease developing.
Keep an eye on your male health, and the diagnosis of "chronic prostatitis" will never stand in your way!