Chronic prostatitis is seen as a long inflammatory process that is located in the prostate.At the same time, a man can only feel weak discomfort, so he doesn't always see a doctor.Pathology has a code for ICB 10 - N41.1.
Forms of prostatitis
The disease develops in improper treatment of acute form or in the absence of therapy.A pathology not only occurs in older people, but also in young people, which is dictated by a decrease in physical activity.The morphology and functionality of the organ is affected.The treatment of chronic prostatitis should begin in the presence of the first symptoms.Otherwise the work of the gland is disturbed forever.The therapy largely depends on what has provoked the pathological process.The disease presented can be divided into several groups:
- During the causal factor: infectious;viral;bacterial;caused by the fungus, mycoplasma;Prize winner;Mixed.
- According to the pathogenetic factor, chronic prostatitis can be the following types: hematogenic (infection in the prostate gland from the pathological focus falls through blood);infected with contact (by the walls of neighboring organs);Lymphogen (penetration of pathogens by lymph).
The lesion of the prostate stagnates (consistently).It develops due to a poor discharge of prostate secret.The liquid stagnates and an inflammatory process occur.If the problem is provoked by blocking the organ canals (stones), in this case we can talk about the calculation type of the pathology.Chronic prostatitis is also bacterial and offside.In the first case, the pathogen is necessarily present, the second form occurs due to mechanical damage to the gland or under the influence of other factors under which there are no pathogens.It is the gentle option that can be found in 80% of cases.
Causes and provocative factors
Before the treatment of chronic prostatitis in men, experts should find out the cause of their appearance.Pathology can provoke the following conditions:
- Sexual infections: chlamydia, urea, herpes, gonococcus, mushroom;
- Violation of microcirculation in the tissues and blood circulation in the pelvic organs;
- urological pathology;
- the presence of infectious foki in the body;
- Hemorrhoids and chronic constipation;
- Violation of the genitals or spinal cord;
- Weakening of immunity;
- Tumor process;
- hormonal failure, impaired functionality of the endocrine system;
- Heart failure;
- Transfer operation, including the abdominal organs.
These causes of chronic prostatitis are fundamental.And there are other negative factors that contribute to the development of the disease:
- Frequent general or local hypothermia;
- inactive way of life;
- long abstinence through sexual activity;
- Frequent stay in stress, mental and physical overload;
- Smoke;
- Alcohol abuse;
- Food defects: frequent use of fat dishes;
- Long -term use of medicines.
Only if you set the cause can you select the correct tactics of the treatment of chronic prostatitis.
Symptoms of the disease
The course of the chronic form of the disease is usually hidden.This means that the symptoms appear weak, a man rarely pays attention to them and does not recognize the problem when it gets stronger.He is ashamed and afraid to see a doctor.However, the lack of therapy will lead to serious complications, so that the visit of a specialist should not be postponed in a long box.Manifestations depend on which stage of chronic prostatitis is observed in humans.Such general signs of the disease can be distinguished:
- Complaints and pain syndrome that can give other parts of the body: legs, anus.There are unpleasant sensations for more than 3 months.
- Problems with urination.They are caused by the fact that the increased prostate presses onto the excretion channel.Biological liquid cannot come out completely.This leads to a quick vision of the toilet at night.
- Sexual dysfunction.An erection is irregular and ejaculation is premature.A man can feel pain during sexual contact.
- Increased irritability, temperament, fear.
A man is also physically tired, he has apathy, which gradually develops into a depressive state.The tightening of the chronic process is characterized by the following manifestations:
- Improvement of pain intensity;
- Burn in the urethra;
- often the urge to the toilet;
- increased sweating, trembling;
- Intensive discomfort in the lower abdomen, in the rectum and in the perineum;
- a significant decrease in sexual activity;
- Pain syndrome in the process of defecation.
Only 2-3 signs of prostatitis can occur immediately, so that a man is in no hurry to undergo an examination.In this case, the chronic process of destruction in the tissue continues.Gradually, the changes in the prostate acquire an irreversible character, and it will no longer work to get rid of it.
Features of diagnostics
It is necessary to treat chronic prostatitis only after the differential diagnosis of the disease.Otherwise, the patient prescribes these medication that can harm him.The following methods are used during the examination:
- Microscopic analysis of the discharge from the urethra.
- The mucous membrane and its study scratch that through a polymerase concept reaction.
- Microscopic and bacterial analysis of the prostatic secret.
- Determination of immune status.
- Transrectal ultrasound.The most important echobonic sign of chronic prostatitis is an increase in the organ in size and volume, a change in its structure, the presence of pathological neoplasms.However, such a study is contraindicated in hemorrhoids, inflammation of the rectum, and cracks in anus.
- MRI.The specialist receives a layout of a prostate.Only the differential diagnosis can help specialists with the causes of the disease and with the special features of their development.
Treatment of pathology
The treatment of chronic prostatitis is not a fleeting process.You have to get rid of the pathology for a long time and comprehensively.The program not only includes drugs, but also physiotherapeutic methods, folk remedies.Many patients need the help of a psychologist.The treatment of sanatorium resort in specialized institutions is also useful.It will not work to completely eliminate the disease if it has already passed to the advanced stage.Medical treatment quickly relieves symptoms and also eliminates the cause of the disease.In addition, the patient prescribes medication that stimulates metabolic processes.In order to increase the likelihood of recovery, a person needs an appropriate diet in addition to drugs.The diet provides for the exclusion of fat and spicy dishes, canned food, smoked meat, sweets and spices.It is better to limit salt consumption.Alcohol and cigarettes are categorically prohibited.
Not -drug treatment
In addition to medication, a person needs physiotherapy.It fixes the positive effect of the main scheme.Such treatment affects not only on affected tissue, but also on the blood flow to the metabolism.The main condition for the success of the therapy is the use of several techniques.The following procedures are usually prescribed for the patient:
- Electrophoresis.It stimulates the regeneration properties of those affected and eliminates pain.Thanks to the procedure, medication penetrates deeper and the blood flow is activated.
- Phonophoresis.
- Laser therapy.
- Magnetic treatment.
- Microwave therapy.It creates a regenerative effect and improves the metabolic processes.The nervous conductivity is restored.
- Ultrasonic.It has a pronounced anti -inflammatory effect, helps to restore sexual function and to eliminate pain.
- Inductometry.
- Intillations in the urethra.
Sludge baths and therapeutic enemies are no less useful.All of these procedures may be used for monotherapy and in combination with other means.Thanks to physiotherapy, it is possible to fix a continuing positive effect.The prostate massage is considered popular.It eliminates stagnating processes and improves the drainage of the prostate creme, activates the microcirculation.It is used more often in the bacterial form of pathology.However, there are certain contraindications for the use of: cancer of the organ, adenoma or other formation, stones in the channels, hemorrhoids or cracks in the anus.
People's recipes
If the pathological process has chronization, it is necessary to be treated.People's funds will help to achieve persistent remission.However, they should be used in the early stage of the development of the disease.The following recipes are effective:
- Kalanchoe goes.It is necessary to squeeze the juice out of the plant and mix it with the same amount of water.You have to use 100-150 ml per day for a month.
- Tincture of braids.You need dried grass and vodka in a ratio of 1:10.The mixture should be infused in the refrigerator for 14 days.The drug is taken twice a day for 15 drops.The course of the therapy takes a month.
- Pear compotation.
- Juice and seeds of parsley.The ingredients can be added to food.
- Bee pollen.It is necessary to mix it with water in the proportions 1: 3.It is worth consuming 1 glass a day.It must be treated for 1 month in this way.
- A mixture of honey and pumpkin seeds.All components are taken in the same quantities.Balls should be rolled from the resulting porridge.They are kept in the refrigerator.The patient has to eat 2-3 parts a day.The course of the therapy takes 30 days.
- Propolis -based rectal candles.They must be treated for at least a month.
Chronic prostatitis can be fought at home, but it is not possible to completely heal the disease without the intervention of doctors.In addition, such therapy will take more than a year.
Surgical intervention
Chronic prostatitis is not the end and not a sentence.It is important that the man understands this.However, if the therapy is not fully correct or if the conservative methods turn out to be ineffective, the patient must need surgical intervention.There are different types of operations:
- Endoscopic transient resection.It is carried out 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 channel.The recovery phase does not take longer than a week.
- Laser removal of those affected.This operation is safe and characterized by the lack of blood loss.
- Prostatectomy.It is partially or complete.At the same time, experts try to preserve the erectile function of a person.
There should be certain indications of surgery: persistent problems in urination, the risk of developing the oncological process, and a significant decrease in the patient's quality of life.
Possible complications
If the beginning of the therapy was too late, the consequences cannot be avoided.Such complications of chronic prostatitis are differentiated:
- Urethritis;
- Impotence or other problems with an erection;
- Infertility;
- Difficulty urinating;
- Acceptance of the formation of ejaculate or its complete absence;
- Cystitis, kidney damage;
- Development of a malignant process;
- the spread of the inflammatory process to the entire reproductive system;
- Rawing of prostate substances in which affected areas cannot carry out the required functions.
Complications of chronic prostatitis are not always able to eliminate, so it is better not to let them occur.
Prognosis and prevention
The forecast depends on the stage in which the treatment was started and how effective it was.Chronic prostatitis is curable when the patient has shot in the early stages of his development.Otherwise, the inflammatory process exists for a long time and gradually deteriorates a man's quality of life.The army is not taken with such a diagnosis.The appearance of the pathology can be warned.Follow the following prevention rules:
- Do not ignore sexual hygiene.
- Try not to change sexual partners often.
- Treat timed urogenital diseases.
- Normalize nutrition, regularity of sexual life.
- Participate in sports lessons, move more.
- Avoid developing constipation.In addition, emptying the bladder should be in good time.
- Exclude hypothermia and overheating of the genitals.
- Avoid stressful situations, physical and mental overload.
Chronic prostatitis is a difficult disease that requires longer therapy.A man has to add his diagnosis and put up with him.Only in this case can he get rid of the problem.