Symptoms of the disease:
- Pain in the prostate region. In some cases, the pain spreads to the lower back, groin, and anus. Unilateral pain radiating into one of the testicles is not a symptom of the disease.
- deterioration of libido.
- Premature or delayed ejaculation. The duration of sexual intercourse may vary depending on the stage of development of the disease. At the initial stage, ejaculation occurs prematurely, in a more advanced form the pathology is manifested by an increase in the duration of sexual intercourse.
- Deterioration in the emotional richness of orgasm.
- Loss of qualitative and quantitative properties of sperm.
- Frequent urination at night. pain when going to the toilet.
description of the disease
The infestation of the prostate by pathogenic microorganisms is called prostatitis. The prostate is a male organ, so only male patients are prone to developing pathology.
Inflammation in the tissue of the prostate can manifest itself through various symptoms. To make a diagnosis, the doctor performs a number of diagnostic measures. It is impossible to diagnose and treat prostatitis yourself. You must contact a qualified professional.
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 years.
Signs of the development of the disease
Chronic prostatitis has a variety of symptoms. Signs of the development of the disease differ depending on the degree of its development. Symptoms in a patient can be unstable, pronounced or, conversely, hidden. Signs 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, lower back, and scrotum.
- Lack of erection. Sexual disorders are regularly observed in the patient. Complete impotence does not occur.
- premature ejaculation. At the initial stage of the development of the disease, the patient has premature ejaculation. At a later stage of development, ejaculation is delayed. The level of emotions decreases when you get an orgasm. The sperm becomes smaller, its properties deteriorate.
- Frequent urination. Patients experience frequent nighttime visits to the toilet. When urinating, a person feels pain and burning. In some cases, urinary incontinence occurs 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 what stage of development the disease has. This depends on the treatment method. There are several stages of chronic prostatitis:
- exudative. Patients have pain in the groin, scrotum. The time interval between nightly trips to the toilet is shortened. Some patients feel uncomfortable during orgasm. Erections can be painful.
- Alternative. The pain intensifies. Their localization is the groin, pubis. There is no pain when urinating, the intervals between toilet visits are shortened. There is no erectile dysfunction.
- proliferative. In a man at this stage of the disease, the erection may slow down. When visiting the toilet, the deterioration in the strength of the stream of urine is visually noted.
- scarring. There is a feeling of heaviness in the groin area. A person often visits the toilet during the day and at night. There is a deterioration in erection. In addition, ejaculation is weak or completely absent.
It should be noted that the symptoms of each stage may not fully appear. In this regard, it is impossible to independently determine the stage of the disease. You must contact a qualified professional. In order to make a diagnosis, a number of diagnostic measures are required.
Reasons for the development of chronic prostatitis
There are several causes of the disease. Prostatitis is a multifactorial disease. Reasons for the development of chronic prostatitis:
- Infectious diseases, sexually transmitted. There are sexually transmitted diseases that develop asymptomatically in a patient for a long time. Sometimes there are cases of improper treatment of diseases of this type. Against the background of the development of sexually transmitted diseases, chronic prostatitis occurs as a complication. Sexually transmitted infections reach the prostate and affect its tissues. The result is an inflammatory reaction.
- Deterioration of blood flow to the pelvic organs. The prostate fills with blood. Vessels put pressure on the tissue of the prostate. This leads to a deterioration in oxygen supply and disruption of the prostate. A sedentary lifestyle can impair blood circulation. In addition, wearing tight underwear negatively affects blood flow to the pelvic organs.
- reflux of urine. In some cases, when the process of urination is disturbed, urine begins to move in the opposite direction and enters the ducts of the prostate. Urine entering the prostate provokes tissue irritation. This, in turn, leads to the development of chronic prostatitis.
- Abstinence from sexual intercourse or its interruption. The secret formed in the prostate does not come out. In some cases it may not be completely removed. Stagnation leads to an increase in the size of the prostate and the development of the inflammatory process.
In addition, the causes of inflammation in the prostate can be hypothermia, hormonal imbalance and reduced immunity. Prostatitis can develop against the background of a decrease in the protective properties of the body. In connection with a decrease or increase in the level of the hormone, the activity of the prostate cells is suspended.
The specialist must determine the cause of prostatitis as accurately as possible. This allows you to choose the treatment method that will be most effective for a particular patient. When choosing a technique, the individual characteristics of each patient are taken into account.
complications
Carrying out ineffective treatment or postponing a visit to a specialist in chronic prostatitis can lead to the development of other diseases of the genitourinary system. The presence of complications can be manifested by symptoms characteristic of chronic prostatitis. In this regard, timely diagnosis of complications can be difficult. Most often, untimely treatment of chronic prostatitis can lead to the development of:
- vesiculitis. The disease is inflammation of the seminal vesicles. Symptoms of the pathology are pain in the groin and pelvis. In most cases, pain occurs in the lower back and sacrum. Patients report frequent urination, pain during erection and ejaculation. Bloody or purulent inclusions appear in semen and urine.
- abscess of the prostate. Untimely treatment of chronic prostatitis can cause an abscess of the prostate. This complication is manifested by weakness and high fever. Treatment of the disease in this case is carried out in a hospital.
- colculitis. Pathogenic microorganisms migrate from the prostate to the seminal tubercle and infect it. A sign of colculitis or urethritis is a burning sensation in the urethra. When visiting the toilet, the burning intensifies. In most cases, the patient complains of pain during orgasm or after ejaculation.
- sclerosis of the prostate. Failure to comply with treatment for chronic prostatitis or untimely visit to the doctor can lead to prostate sclerosis. Signs of the development of the disease are painful urination and the inability to completely empty the bladder.
- The presence of stones. In chronic inflammation, stones or cysts can form in the prostate. Ultrasound is needed to detect cysts or stones.
- Infertility. Delayed treatment of chronic prostatitis can affect sperm motility and count. Spermatozoa lose their motility. Injuries caused by chronic prostatitis lead to male infertility
diagnosis of the disease
The simultaneous presence of several symptoms speaks for the development of chronic prostatitis in a patient. In some cases, the disease is asymptomatic. The specialist uses a number of measures to make a diagnosis.
The doctor conducts an examination and interviews the patient. Also, he studies the medical documentation, while the specialist pays attention to previously transmitted diseases of the genitourinary system. If necessary, appoint instrumental and laboratory diagnostics.
Instrumental diagnostics
With the help of an ultrasound scan, it is possible to diagnose chronic prostatitis. The ultrasound is performed rectally. To conduct a study, a specialist must place a specialized sensor in the patient's rectum. With the help of this type of examination, the doctor can determine the size of the prostate, its structure and density. In addition, during the study, the specialist notes the absence of stones and cysts.
The doctor can prescribe a microscopic examination of the prostate secretion for the patient. This diagnostic method allows you to identify violations in the work of the prostate. In addition to microscopic examination of the secret, the level of male hormones in the patient is checked. Exceeding the norm can lead to tissue growth, and a deficiency leads to disruptions in the work of the prostate.
laboratory diagnostics
The use of laboratory diagnostics of chronic prostatitis makes it possible 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. The presence of leukocytes, bacterial flora, fungi or viruses in the discharge is checked in the laboratory.
- A swab is taken from the patient's urethra. Laboratory tests allow you to identify pathogens that are sexually transmitted.
- The secret of the prostate is taken from the patient for microscopic examination.
Conducting a complex of laboratory and instrumental studies, you can determine the cause of the development of prostatitis and the stage of its development. After researching and taking a medical history, the doctor can make an accurate diagnosis and prescribe the most effective treatment for each patient.
treatment of prostatitis
If you have symptoms of chronic prostatitis, you should contact a qualified specialist. The urologist, andrologist is engaged in the treatment of the disease. The patient is prescribed complex therapy aimed at a consistent solution to the problem. In addition to taking medication, therapy includes changing a person's lifestyle, getting rid of bad habits, normalizing sex life, proper nutrition, etc.
therapeutic treatment
Patient care is complex. Both medication and special exercises are used. The most common procedure in the treatment of chronic prostatitis is prostate massage. The specialist massages the prostate with his index finger. The massage is performed through the anus. Before the procedure, the specialist puts on a rubber glove and lubricates it with a special lubricant.
Blood circulation in the prostate is activated during the massage. This has a positive effect on the prostate and accelerates the restoration of damaged tissue. When pressing on the gland, its secret penetrates into the urethra. A specialist can take fluid for microscopic examination to monitor treatment dynamics.
If necessary, a person is prescribed magnetic and laser therapy. Procedures are carried out in a complex. Microwave therapy is also used for treatment. The procedure involves the use of radio frequency waves. During the procedure, the temperature of the treated area increases. This helps speed up the healing process.
Medical treatment
Various medications 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 medicines yourself. You need to see a doctor.
To reduce the swelling of the prostate, the patient is prescribed drugs that suppress the action of male hormones. Reducing the size of the prostate improves the flow of secretions into the urethra. This improves the passage of urine into the urethra and activates blood circulation.
If necessary, patients are prescribed adrenoblockers. These medicines belong to a group of medicines that act on receptors on the muscle cells of the bladder and prostate. 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 doctor must perform a number of diagnostic measures to detect an infection. The choice of drug is influenced not only by the presence of an infection, but also by its sensitivity to the main types of antibiotics. This approach allows you to prescribe the most effective treatment.
Nonsteroidal anti-inflammatory drugs are used to reduce inflammation. Drugs of this type reduce the inflammatory response, which in turn reduces swelling and pain in the patient. The way you take the medicine may vary.
Surgical intervention
In some cases, surgical intervention is performed to eliminate complications resulting from improper treatment or lack thereof. Specialists use a minimally invasive transurethral electroresection.
Lifestyle with prostatitis:
- Regular training. A man needs to lead an active lifestyle and perform certain exercises on a daily basis. This is necessary to strengthen the muscles of the small pelvis. This approach improves circulation and eliminates congestion.
- Regular sex life. A person's sex life should be regular. It is necessary to exclude the interruption of sexual intercourse or artificial prolongation with the help of drugs. Prolonged abstinence or interruption of sexual intercourse leads to stagnation of the secretion of the prostate. This, in turn, is dangerous for the occurrence of inflammation.
- Constant sexual partner. It is necessary to exclude promiscuity. A large number of sexual partners can lead to the development of sexually transmitted diseases.
- Spacious bedding. A man must wear clothes and underwear that do not interfere with the normal flow of blood to 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.
Medical treatment
Specialists prescribe antibacterial, anti-inflammatory drugs. If necessary, prescribe drugs that reduce the level of the male hormone in the blood. The appointment of drugs and their dosage should be carried out by a qualified specialist.
surgery
The operation is mainly used to treat complications arising from the development of chronic prostatitis. Transurethral devices are used for operations.
The specialists of the specialized medical center are highly qualified to effectively treat chronic prostatitis. High-tech equipment and high-quality medicines are used to diagnose and treat diseases.