Chronic prostatitis is considered to be a long inflammatory process localized in the prostate gland.At the same time, a man can only feel weak discomfort, so he doesn't always see a doctor.The pathology has a code ICB 10 - N41.1.
Forms of prostatitis
The disease develops in the absence of acute form of adverse treatment or in the absence of any therapy.The pathology appears not only in the elderly but also in young people, which dictates by reducing physical activity.Morphology and functionality of the body are impaired.Treatment of chronic prostatitis should begin in the presence of the first symptoms.Otherwise, the activity of the gland will be bothered forever.Therapy largely depends on what caused the abnormal process to provoke.The presented disease can be divided into several groups:
- In causal factors: infectious;Viral;Bacterial;Caused by fungi, mycoplasma;Honor;Mixed.
- According to pathogenetic factors, chronic prostatitis may be the following types: hematogenous (from abnormal focus to the prostate gland infection in the blood);Infected contact (through the walls of neighboring organs);Lymphogenic (penetration of pathogens with lymph).
Prostate gland damage is stagnation (edema).It develops due to the bad drainage of prostate secrets.Liquid stagnation occurs and an inflammatory process occurs.If the problem is provoked by blocking the ducts (stones) of the body, then in this case we can talk about the type of pathology calculation.Also, chronic prostatitis is bacterial and abacterial.In the first case, the pathogen necessarily exists, the second form occurs under the influence of mechanical damage to the gland or other factors, between which there are no pathogens.This is a abyssal option that is found in 80% of cases.
Causes and provoking factors
Prior to treatment with chronic prostatitis in men, experts should find out the cause of their appearance.Pathology can provoke the following conditions:
- Sexual infections: chlamydia, urapasmosis, herpes, gonococcus, fungi;
- Disruption of microcirculation in tissues and blood flow to the pelvic organs;
- Urological pathology;
- The presence of infectious focuses in the body;
- Hemorrhoids as well as chronic constipation;
- Damage to the genitals or spinal cord;
- Weakening of immunity;
- Tumor process;
- Hormonal failure, impaired endocrine system function;
- Heart failure;
- Transferred surgery, including abdominal organs.
These causes of chronic prostatitis are basic.And there are other negative factors that contribute to the development of the disease:
- Frequent general or local hypothermia;
- Inactive lifestyle;
- Long abstinence from sexual activity;
- Frequent presence in stress, mental and physical overload;
- Smoking;
- Alcohol abuse;
- Nutrition errors: Frequent use of fatty dishes;
- Long -term use of drugs.
Only by establishing the cause, you can choose the right tactics for the treatment of 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 focuses on their attention and does not recognize the problem until he becomes more pronounced.He is ashamed and is afraid to see a doctor.However, the absence of therapy will cause severe complications, so a visit to a specialist should not be distracted in a long box.Manifestations depend on what chronic prostatitis stage is observed in humans.Such general signs of the disease may be distinguished:
- Discomfort and pain syndrome that can give other parts of the body: legs, anus.Unpleasant sensations have been found for more than 3 months.
- Urinary problems.They are caused by the increased prostate presses on the excretion channel.Biological fluid cannot be fully released.This results in a quick vision of the toilet at night.
- Sexual dysfunction.The erection is irregular, and ejaculation is premature.During sexual contact, a man can feel pain.
- Increased irritation, temperature, anxiety.
Also, the man is physically tired, he has an apathy that is gradually developing in a depressive state.The exacerbation of the chronic process is characterized by the following manifestations:
- Enhance the intensity of pain;
- Burning in urethra;
- Frequent pursuit of the toilet;
- Increased sweating, spreading;
- Intense discomfort in the lower abdomen, rectum and perinum;
- Significant reduction in sexual activity;
- Pain syndrome in the process of defecation.
Only 2-3 signs of prostatitis can appear immediately, so the person is in no hurry to check.In this case, the chronic process of destruction inside the tissues continues.Gradually, the prostate changes acquire an irreversible character and they will no longer work.
The properties of diagnostics
Chronic prostatitis is necessary only after the differential diagnosis of the disease.Otherwise, the patient will be prescribed medications that may harm it.The following methods are used during the exam:
- Microscopic analysis of discharge from the urethra.
- Mucosal spoilage and study of it through polymerase-concept reaction.
- Microscopic and bacterial analysis of prostate secrets.
- Determining the immune status.
- Transrectal ultrasound.The main echobonic sign of chronic prostatitis is the growth of the body in size and extent, the change in its structure, the presence of abnormal neoplasms.However, such examination is contraindicated in hemorrhoids, inflammation of the intestine, cracks in the anus.
- MRI.The specialist receives the layout of the prostate.Only a differential diagnosis can help specialists for the causes of the disease as well as with its developmental features.
Treatment of pathology
Treatment of chronic prostatitis is not a fleet process.You will have to get rid of the pathology for a long time and all -encompassing.The scheme includes not only drugs but also physiotherapeutic procedures, folk remedies.Many patients need the help of a psychologist.It is also useful to treat sanatorium resort in specialized institutions.It will not work to completely eliminate the disease if it has already moved to the advanced stage.Treatment treatment will quickly relieve symptoms and also eliminate the cause of the disease.In addition, the patient is prescribed medications that stimulate metabolic processes.To increase the chances of recovery, in addition to drugs, people need proper nutrition.The diet involves the exclusion of fatty and spicy dishes, canned foods, smoked meat, sweets and spices.It is best to limit salt consumption.Alcohol, like cigarettes, is strictly prohibited.
Unwanted treatment
In addition to medication, people will need physiotherapy.It fixes the positive effect of the basic scheme.Such treatment has the effect not only on the affected tissues, but also on blood circulation, metabolism.The key to the success of therapy is the use of several techniques.The patient is usually prescribed the following procedures:
- Electrophoresis.This stimulates the regeneration properties of the affected tissues, eliminates pain.Thanks to the procedure, the drugs are deeper and the blood flow is activated.
- Phonophoresis.
- Laser therapy.
- Magnet treatment.
- Microwave therapy.It produces regenerative effects, improves metabolic processes.Nervous conductivity is restored.
- Ultrasound.It has a pronounced antique action, promotes sexual function, eliminates pain.
- Inductometry.
- Installation in urethra.
Mud baths, as well as therapeutic anemes, are no less useful.All of these procedures are permitted to be used for monotherapy as well as with other remedies.Thanks to physiotherapy, it is possible to solve a permanent positive effect.Prostate massage is considered popular.This eliminates stagnant processes and improves prostate secretion drainage, activates microcirculation.In the bacterial form of pathology, it is more commonly used.However, there are some contraindications: body cancer, adenoma or other formation, duct stones, shrubs or cracks in the anus.
Folk recipes
If there is a chronization of the abnormal process, then treatment is necessary.Folk remedies will help to achieve constant remission.But they should be used in the early stages of disease development.The following recipes will be effective:
- Kalanchoe leaves.It is necessary to weaken the juice from the plant and the same amount of water.You should use 100-150 ml per day for one month.
- Braid.You will need dried grass and vodka in a ratio of 1:10.The mixture should be applied in the refrigerator for 14 days.The medicine is taken twice a day for 15 drops.The course of therapy lasts a month.
- Pear compote.
- Parsley juice and seeds.Ingredients can be added to food.
- Bee pollen.It is necessary to mix it with water in proportions 1: 3. It is worth 1 glass consumption a day.It should be treated this way for 1 month.
- A mix of honey and pumpkin seeds.All components are obtained in equal quantities.The balls need to be removed as a result of sadness.They are stored in the refrigerator.The patient should eat 2-3 pieces a day.The course of therapy lasts 30 days.
- Propolis -based rectal candles.They need treatment for at least a month.
Chronic prostatitis is possible at home, but it is impossible to completely cure the disease without the intervention of doctors.In addition, such therapy will last for more than one year.
Surgical intervention
Chronic prostatitis is not an end, not a sentence.It is important that a man understands that.But if the therapy is not entirely correct, or when conservative methods are ineffective, then the patient will need surgical intervention.There are several types of surgery:
- Endoscopic transitional resection.It is performed under anesthesia and is considered the safest option.Thanks to the procedure, it is possible to reduce the prostate pressure on the urinary canal.The recovery period lasts no more than a week.
- Laser removal of affected tissues.This surgery is safe and is characterized by the absence of blood loss.
- Prostatectomy.It is partial or perfect.At the same time, experts are trying to maintain an erectile function of the person.
There should be some instructions for surgery: permanent urination problems, the risk of developing oncological process, a significant decrease in patient quality of life.
Possible complications
If the beginning of therapy was late, then the results cannot be avoided.Such complications of chronic prostatitis are distinguished:
- Urethritis;
- Impotence or other erection problems;
- Infertility;
- Difficulty in urination;
- Reduce the production or absence of ejaculate;
- Cystitis, kidney damage;
- Development of a malignant process;
- The spread of the inflammatory process throughout the reproductive system;
- Prostate fabrics in which the affected areas cannot perform the necessary functions.
Complications of chronic prostatitis cannot always be eliminated, so it is best not to allow them.
Forecast and prevention
The prognosis depends on what stage the treatment began and how effective it was.Chronic prostatitis is treatable if the patient is found to be in the early stages of her development.Otherwise, the inflammatory process will last for a long time and will gradually deteriorate the quality of human life.The army is not taken by such a diagnosis.The appearance of the pathology may be warned.To do this, follow the following prevention rules:
- Do not neglect sexual hygiene.
- Try not to change sexual partners often.
- Timely treatment for urogenital diseases.
- Normalization of nutrition, regulation of sex life.
- Get involved in physical education, moving more.
- Avoid the development of constipation.In addition, the bladder should be timed.
- Exclude hypothermia as well as overheating of the genitals.
- Avoid stressful situations, physical and mental overload.
Chronic prostatitis is a complex disease that requires prolonged therapy.A man will have to admit his diagnosis and get used to it.Only in this case will he be able to avoid the problem.