Chronic prostatitis is considered a long -term inflammatory process located in the prostate gland.At the same time, a man cannot feel low discomfort, so he does not always see a doctor.Pathology has a code for ICB 10 - N41.1.
Prostatitis forms
The disease develops in the event of incorrect treatment of the acute form or in the absence of any therapy.A pathology appears not only in the elderly, but also in young people, which is dictated by a decrease in physical activity.The morphology and the functionality of the organ are altered.Treatment of chronic prostatitis should start in the presence of the first symptoms.Otherwise, the work of the gland will be disturbed forever.Therapy largely depends on what caused the pathological process.The disease presented can be divided into several groups:
- During the causal factor: infectious;viral;bacterial;caused by the fungus, mycoplasma;HONORED;Mixed.
- According to the pathogenetic factor, chronic prostatitis can be the following types: hematogens (infection in the gland of the prostate of pathological orientation falls into the blood);infected with contact (through the walls of neighboring organs);Lymphogen (penetration of pathogens through lymph).
The lesion of the prostate gland is stagnated (protest).It develops due to a bad prostatic secret outing.The liquid stagnates and an inflammatory process occurs.If the problem is caused by blocking the conduits of the organ (stones), in this case, we can speak of the type of calculation pathology.In addition, chronic prostatitis is bacterial and abacterial.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, including no pathogens.This is the abacterial option that is found in 80% of cases.
Provocation causes and factors
Before treating chronic prostatitis in men, experts should find the cause of their appearance.Pathology can cause the following conditions:
- Sexual infections: chlamydia, uablasmosis, herpes, gonococcus, mushroom;
- violation of microcirculation in tissues and blood circulation in pelvic organs;
- urological pathology;
- the presence of infectious homes in the body;
- hemorrhoids, as well as chronic constipation;
- injury to genital organs or spinal cord;
- weakening immunity;
- tumor process;
- Hormonal failure, alteration of the functionalities of the endocrine system;
- 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:
- general or local hypothermia;
- inactive lifestyle;
- long abstinence of sexual activity;
- Frequent stay in stress, mental and physical overload;
- smoking;
- Alcohol abuse;
- Catering errors: frequent use of fatty dishes;
- Long -term use of drugs.
It is only by establishing the cause, you can choose the right treatment tactics for chronic prostatitis.
Symptoms of the disease
The course of the chronic form of the disease is generally hidden.In other words, the symptoms appear weakly, a man rarely pays attention to them and does not recognize the problem as long as he does not become more pronounced.He was ashamed and frightened 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.The manifestations depend on the stage of chronic prostatitis observed in humans.These general signs of the disease can be distinguished:
- Disfort and pain syndrome, which can give other parts of the body: legs, anus.Unpleasant sensations are present for more than 3 months.
- Urination problems.They are caused by the fact that the increase in prostate presses on the excretory channel.Biological fluid cannot go out completely.This leads to a quick vision of the toilet at night.
- Sexual dysfunction.An erection is irregular and ejaculation is premature.During sexual contact, a man can feel pain.
- Increased irritability, temperament, anxiety.
In addition, a man is physically tired, he has a apathy, which gradually turns into a depressed state.The exacerbation of the chronic process is characterized by the following manifestations:
- improve the intensity of pain;
- burn in the urethra;
- frequent desire in the toilet;
- Increase in perspiration, tremor;
- Intense discomfort at the bottom of the abdomen, the rectum and the perineum;
- a significant decrease in sexual activity;
- Pain syndrome in the defecation process.
Only 2 to 3 signs of prostatitis can appear immediately, so a man is not in a hurry to undergo an examination.In this case, the chronic process of destruction inside the tissues continues.Little by little, changes in the prostate acquire an irreversible character and get rid of it will no longer work.
Diagnostic characteristics
It is necessary to treat chronic prostatitis only after the differential diagnosis of the disease.Otherwise, the patient will be prescribed the drugs that could harm him.During examination, the following methods are used:
- Microscopic analysis of the urethra discharge.
- The scratching of the mucosa and its study by a reaction of polymerase concept.
- Microscopic and bacterial analysis of prostatic secrecy.
- Determination of immune status.
- Transrectal ultrasound.The main echobic 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, the cracks of the anus.
- MRI.The specialist receives a provision of a prostate.Only the differential diagnosis can help specialists in the causes of the disease, as well as with the particularities of its development.
Pathology treatment
The treatment of chronic prostatitis is not an ephemeral process.You will have to get rid of pathology for a long time and complete.The program not only includes drugs, but also physiotherapeutic procedures, folk remedies.Many patients need the help of a psychologist.Treatment to the object of sanatorium in specialized institutions is also useful.It will not work to completely eliminate the disease if it has already gone to the advanced stage.Medicinal treatment will quickly relieve symptoms and also eliminate the cause of the disease.In addition, the patient is prescribed by drugs that stimulate metabolic processes.In order to increase the chances of recovery, in addition to drugs, a person needs appropriate nutrition.The diet provides for the exclusion of fatty and spicy dishes, canned food, smoked meats, candies and spices.It is best to limit the consumption of salt.Alcohol, as well as cigarettes, are categorically prohibited.
Non -medicinal treatment
In addition to drugs, a person will need physiotherapy.It corrects the positive effect of the main scheme.Such treatment has an effect not only on affected tissues, but also on blood circulation, metabolism.The main condition for the success of therapy is the use of several techniques.The patient is generally prescribed the following procedures:
- Electrophoresis.It stimulates the regeneration properties of affected tissues, eliminates pain.Thanks to the procedure, drugs penetrate deeper and blood circulation is activated.
- Phonophoresis.
- Laser therapy.
- Magnet treatment.
- Microwave therapy.It produces a regenerative effect, improves metabolic processes.The nervous conductivity is restored.
- Ultrasound.It has a pronounced anti-inflammatory effect, helps to restore sexual function, eliminates pain.
- Inductometry.
- Instillations to the urethra.
Mud baths, as well as therapeutic enemas, are no less useful.All these procedures can be used both for monotherapy and in combination with other means.Thanks to physiotherapy, it is possible to repair a persistent positive effect.Prostate massage is considered popular.It eliminates stagnant processes and improves drainage of prostate secretion, activates microcirculation.In the bacterial form of pathology, it is used more often.However, there are certain contraindications to the use of: organ cancer, adenoma or other formation, stones in conduits, hemorrhoids or cracks in the anus.
Folk recipes
If there is a chronization of the pathological process, it is necessary to be treated.Popular remedies will help make persistent remission.But they must be used at the early stage of the development of the disease.The following recipes will be effective:
- Kalanchoe leaves.It is necessary to tighten the juice of the plant and mix it with the same amount of water.You must use 100-150 ml per day for a month.
- Braid dye.You will need dried grass and vodka in a 1:10 report.The mixture should be infused for 14 days in the refrigerator.The drug is taken twice a day for 15 drops.The course of therapy lasts a month.
- Pear compote.
- Parsley juice and seeds.The ingredients can be added to food.
- Bee pollen.It is necessary to mix it with water in proportions 1: 3. It is worth consuming 1 glass per day.It should be treated in this way for 1 month.
- A mixture of honey and pumpkin seeds.All components are taken in equal quantities.The balls must be moved from the resulting porridge.They are stored in the refrigerator.The patient should eat 2 to 3 pieces per day.The course of therapy lasts 30 days.
- Rectal candles based on propolis.They must be treated for at least a month.
Chronic prostatitis can be carried out at home, but it is not possible to completely cure the disease without doctors' intervention.In addition, such therapy will last more than a year.
Surgery
Chronic prostatitis is not the end and not a sentence.It is important that humans understand this.But if the therapy is not entirely correct, or when the conservative methods have proven ineffective, the patient will need surgery.There are several types of operations:
- Endoscopic transitional resection.It is carried out under anesthesia and is considered to be the safest option.Thanks to the procedure, it is possible to reduce prostate pressure on the urinary channel.The recovery period does not last more than a week.
- Elimination of affected tissue laser.This operation is safe and characterized by the absence of blood loss.
- Prostatectomy.It is partial or complete.At the same time, experts are trying to preserve a person's erectile function.
There should be certain indications for surgery: persistent urination problems, may develop the oncological process, a significant decrease in the quality of the patient's life.
Possible complications
If the start of therapy was late, the consequences cannot be avoided.Such complications of chronic prostatitis are distinguished:
- Uretrite;
- helplessness or other problems with an erection;
- infertility;
- micual difficulty;
- decrease in ejaculate formation or its complete absence;
- cystitis, renal lesions;
- development of a clever process;
- the spread of the inflammatory process to the entire reproductive system;
- Prostate tissue rohation, in which affected areas cannot fulfill the necessary functions.
The complications of chronic prostatitis are not always able to eliminate, so it is better not to allow them to occur.
Forecasts and Prevention
The prognosis depends on the stage of treatment and its effectiveness.Chronic prostatitis is curable if the patient turned in the early stages of his development.Otherwise, the inflammatory process will exist for a long time and will gradually aggravate the quality of life of a man.The army is not taken with such a diagnosis.The appearance of pathology can be warned.To do this, follow the following prevention rules:
- Do not be aware of sex hygiene.
- Try not to change often sexual partners.
- Process any urogenital disease in a timely manner.
- Normalize nutrition, the regularity of sex life.
- Commit in physical education, move more.
- Avoid the development of constipation.In addition, the emptying of the bladder should be timely.
- Exclude hypothermia, as well as overheating of genitals.
- Avoid stressful situations, physical and mental overload.
Chronic prostatitis is a difficult disease that requires prolonged therapy.A man will have to admit his diagnosis and reconcile with him.It is only in this case that he can get rid of the problem.