Chronic prostatitis (MKB-10 code. N41.1) is called the inflammatory process, which is observed for more than three months in the fabrics of the prostatic gland.Its characteristic is that in almost 70% of all cases, it takes place without any symptoms.And only 15% of patients complain about manifestations of the disease.All other men have symptoms that only partially indicate the development of prostatitis and can often contact other diseases.Therefore, it is so important that signs occur to see a doctor who, after examination, will tell you how to treat chronic prostatitis.
The particularity of the disease
Chronic prostatitis can diagnose not only in the elderly.People of young and old age are also subject to illness.At risk are those who lead a sedentary lifestyle, adheres to sexual abstinence or experience physical effort in the perineum.That is to say that the probability of chronic prostatitis in drivers, athletes is much higher than everyone.
Among all the diseases of the men's reproductive system, chronic prostatitis occupies first place in prevalence, followed by cancer and benign hyperplasia of the prostatic gland of the DGPG (adenoma of the prostate).About each third man faces inflammation of the prostate, and each fifth of them suffers from a chronic form of the disease.
In most cases, the cause of chronic prostatitis is the transmitted diseases of the genitarine system caused by infections.A little less often, it is caused by inflammatory processes associated with a change in the hormonal context of a man.
Classification
Similarly to other inflammatory diseases, chronic prostatitis can have acute and chronic stages.Its classification is based on the following features:
- The presence of leukocytes in the urine.
- The presence of pathogenic bacteria in the urine, ejaculate or the secret of the gland.
Based on the classification, the following types of disease exist:
- Asymptomatic inflammatory prostatitis is characterized by the lack of symptoms of chronic prostatitis.It is possible to identify him by chance when the patient addresses a doctor with another disease.
- Acute bacterial prostatitis.The patient has acute inflammation of prostate tissues, pathogens are present in the urine, which leads to an increase in temperature and the development of body intoxication.
- Chronic bacterial prostatitis.The doctor notes typical signs of chronic inflammation.And in the analysis of urine and secrecy, the high content of leukocytes and bacteria is detected.
- Chronic pain syndrome in the pool.Such pain is considered the main symptom, as bacteria are not detected.To diagnose chronic prostatitis, syndrome must be observed in a man for at least 3 months.
Causes of the disease
The main cause of chronic prostatitis is the penetration of pathogens (enterococci, intestinal or prayer sticks, etc.) in the prostate gland, etc.).Go to prostate, bacteria can be in three ways:
- Through the urethra.
- Through blood.
- Through the lymph.
According to statistics, 90% of cases of chronic prostatitis are a consequence of the development of acute prostatitis or a complication of urethritis.
In addition to entering a bacteria prostate, the causes of chronic prostatitis can be as follows:
- Sexual infections (STPP): Herpes, Trichomonas, Gonococcus, Chlamydia, etc.
- Stagnation process in the pelvic area, which can cause inflammation of the prostate.
- Reducing immunity.This can lead to: vitamin deficiency, a violation of the balance of hormones, hypothermia, allergic reactions, significant physical and emotional stress, uninfected infections, etc.
- A sedentary lifestyle.
- Lightweight.
- Irregular sex life or disorders in the intimate sphere.
- Crotch wounds.
- Wearing a narrow linen.
- Irrational nutrition (predominance in the food of spicy foods).
- Lining for urination.
- Chair violation.
All this can lead to circulatory disorders in the pelvic area, contribute to stagnant phenomena and the development of the inflammatory process.The consequences of the lack of therapy are infertility and helplessness.
Symptoms of the disease
Signs of chronic prostatitis can be very different.Most often, the patient complains about:
- Reduce performance.
- Quick fatigue.
- Increased irritability.
- Anxiety.
- Sleep violation.
- Lethargy.
- Loss of appetite.
- Increase in perspiration.
Among the local symptoms:
- Micual disorder.The patient feels frequent desires, pain at the beginning and at the end of urination.
- A painful pain that can give in to the groin, the sacrum, the scrotum, the bone under the track or the rectum.
- Pain for sex.
- Discharge to the tension of the pelvic muscles.
Unlike the acute phase, in a chronic disease, a violation of sexual functions often occurs.This is associated with the fact that stagnation is also inflammatory processes, affect nerve endings that provide the transmission of brain pulses.Consequently, a violation of an erection is possible, which weakens or ejaculation (premature ejaculation), sensations during an orgasm (erased orgasm) are dull.Such symptoms of chronic prostatitis in men lead to fear of proximity, irritability and, therefore, sexual neurosis is developing.
It is not easy to treat chronic prostatitis.How much time should take medication depends on the degree of pathology and the duration of the development of the disease.It is important to remember that if the symptoms of the disease have disappeared, that does not mean a final remedy.The serious consequences of chronic prostatitis include gland scars.This process can come to the urethra.
Diagnosis of the disease
When you go to the doctor, he will ask the patient with the available symptoms.Particular attention is paid to the frequency and nature of pain, altered urination, sexual dysfunction.But due to the fact that chronic prostatitis can occur without any manifestation, some studies are necessary:
- Analysis of clinical and bacterial urine in which the quantity of leukocytes and the presence of pathogenic microorganisms are determined.
- Analysis of the secret that can contain bacteria.
- A scratching of the mucosa in which the quantity of leukocytes is determined, the presence of macrophages and amyloid bodies.
- The transureral ultrasound makes it possible to identify an echobroblast of chronic prostatitis and to determine the state of the prostate.
High quality diagnosis is an important part of the correct treatment, because it makes it possible to distinguish chronic prostatitis from other pathologies with similar signs.
Treatment
This disease should have an integrated approach to therapy.In this case, the patient must connect to a long treatment.The therapeutic scheme of chronic prostatitis will be individual for each patient.Usually the patient does not need hospitalization and he can be treated at home.A completely different question is when the acute phase of the disease or its exacerbation in the context of the chronic inflammation of the prostate is subject to treatment.In a hospital, antibacterial therapy is used and dismounting is carried out.If necessary, an operation is necessary.
Pharmacotherapy
For a complete treatment of chronic prostatitis, drugs are prescribed in men, whose effect aims to eliminate infection, normalization of blood circulation and the level of hormones.To do this, use:
- Antibiotics.
- Non-steroidal anti-inflammatory drugs.
- Anticholinergic agents.
- Immunomodulators.
- Angioprotectors.
- Vasodilatory drugs.
Before making an appointment, the doctor will analyze the pathogen.If the disease is not a bacterial origin, the course of antibiotic therapy will be short.In the event that it is not possible to determine the type of pathological microflora with laboratory methods, a histological analysis of the fabric of the prostate is used.
With the relapse of the disease, antibacterial therapy is prescribed for the purposes of prevention.For this, a drug is used, which was already used during treatment, but at a lower dosage.
Knowing what chronic prostatitis is and what can cause its development, the specialist will pay attention to the pressure inside the prostate gland and its ability to reduce.If this function is reduced, stagnant phenomena and inflammation of the prostate can occur in the basin.Alpha-blockers are prescribed to normalize intrauterine pressure.
You can avoid painful injections and take pills using a candle.
For complaints concerning rapid and painful urination, non-steroidal anti-inflammatory drugs are used in conjunction with alpha-blockers.
In the event that the taking of antibiotics has proven ineffective and symptoms such as pain and dysuria are preserved, the treatment is adjusted so that it is addressed:
- Elimination of pain.To do this, use tricyclic antidepressants.
- Normalization of urination.The treatment is prescribed after urinodynamic analysis.With the hyperactivity of the sphincter, antihistamines, tricyclic antidepressants and the rinse of bladder with antiseptic solutions are indicated.With the ineffectiveness of such treatment, neuromodulation and physiotherapy are used.
Non -drug methods
In order for treatment with tablets to be more effective, the doctor can recommend physiotherapy (electrophoresis, phonophoresis, laser treatment, mud treatment) and transrectal hyperthermia, which is carried out taking into account existing changes in the fabric of prostate and related diseases.When exposed to a temperature of 40 degrees, cellular immunity is activated.When exposed to a temperature of 45 degrees, the inhibition of nerve endings occurs, which helps stop pain.The use of laser therapy has a biostimulant effect.
In the absence of contraindications, the patient is produced by the prostate gland.Often, patients are prescribed a psychotherapy treatment and special exercises that can strengthen the muscles of the perineum.
Treatment with folk remedies
In addition to the use of drugs, manifestations of chronic prostatitis are treated with folk methods.Such treatment increases immunity and reduces pain.For this, in addition to plant preparations, infusions and decoctions of herbs, baths, etc.are used.
The course of treatment with phytopreparations is at least 1 month and must be prescribed by a doctor, because some of them may have contraindications for use.Treatment with popular methods suggests:
- Abundant drink (teas with Linden, Roship, raspberries).
- Each day before meals, you should drink 1 glass of freshly pressed juice of carrots, pears, cucumber.
- If the patient is tormented by pain, coniferous baths are used, a temperature of 37 degrees.The duration of the procedure is 20 minutes.
- If the patient has no honey allergy, it is recommended to eat up to 100 grams of product per day.
- At home, you can make suppositories independently depending on the propolis or honey.You must put them within one month.To prepare candles with propolis, take a mixture of glycerol, gelatin and water in proportions of 5: 1: 2. Add propolis and distribute the mixture to the parchment.Place everything in the refrigerator, where the suppositories are completely frozen.
- Before going to bed, it is recommended to make an enema with worm wood.To do this, 1 teaspoon of dry plants is brewed in 1 liter of boiling water.
Treatment with pumpkin seeds, aloe juice, parsley, chestnut and celandin is also considered to be effective.Persil has an anti-inflammatory effect and is capable of restoring sexual function.Fitototherapists recommend this treatment with this plant:
- Drink 1 tablespoon of parsley juice every day before meals.
- 4 teaspoons of vegetable seeds flow 250 ml of boiling water and insisted in the thermos for the night.The next day, they drink a perfusion of 1 tablespoon every hour.
- 100 g of the crushed root of the plant are poured with 1 liter of water, set a slow and boiled fire for 10 minutes.A decoction is drunk during the day.
An effective tool is pumpkin seeds.About 30 of these seeds contain a daily dose of zinc, which is necessary for the health of men.For treatment, you can make such a tool.500 g of pumpkin seeds are crushed in a meat mill and mixed with 200 grams of natural honey.The balls are made from the resulting mass, the size of a nut.Every day, you need to eat 2 of these balls.
Propolis helps strengthen the body's defenses and relieve inflammation.You can buy your dye in a pharmacy.For treatment, you should drink a glass of milk daily with 1 teaspoon of such a dye.
In addition, the decoctions of the liquorice, the thousandpertuis, the echinacea are used for treatment, which are also used in cases where the disease occurs without obvious symptoms.
Surgery
Often chronic prostatitis does not give symptoms, and patients are looking for medical help when serious changes in the prostate gland have occurred and chronic prostatitis is already helpless.In addition, such complications can threaten the patient's health.An example of a complication can be called prostate sclerosis.
Due to the fact that such complications are often revealed in young men, doctors use unvasive surgery.The indication of its use is: phimosis, liberation of involuntary urine or, conversely, its delay, the abscess of the prostate, a significant increase in the size of the gland, a urethral blockage or bleeding.There are types of surgical intervention indicated for chronic inflammation:
- Circumcia - is used when the patient suffers from phimosis.During the operation, the foreskin is dissected.
- Prostatectomy is a radical operation during which the prostate is completely removed.It is carried out in the event of suspicion of the presence of a malignant tumor.
- The prostate resection is a partial elimination of the gland, in the case of its sclerotic change.
- Elimination of adhesions.
- Drainage of a cyst or abscess.It is produced by endoscopy.For drainage, a special tube with a camera at the end is used.Such a device is introduced into the urethra light and allows you to control the course of the operation.
- In the case of complaints of various sexual disorders (violation of orgasm, painful ejaculation, etc.), the patient is carried out by an incision of the Erystarmal channels.
The result of surgery will depend on the speed of diagnosis.In cases where there is an adenoma of the prostate, the manifestations of chronic prostatitis can be lubricated.This is observed in 70% of cases.25% of men learn the development of chronic prostatitis during an adenoma exam.And only 5% of patients - during a preventive examination.
The condition for the operation is the absence of an effect with the conservative treatment of the disease.Therefore, the operation is necessary to prevent complications and improve quality of life.
However, it should be kept in mind that even after surgery, it is possible to return prostatitis.This occurs in almost half of the operated.The contraindication to any operation is:
- Diabetes.
- Liver pathology.
- Diseases of the respiratory system.
- Mental disorders.
- Heart disease.
Prognosis for the disease
Anyone facing such a diagnosis are interested if chronic prostatitis can be healed?The disease is considered to be cured if symptoms do not appear a significant period of time, the level of leukocytes in the urine is normal, in the secret of prostate, there are no pathogenic bacteria, urination and sexual function.
Most often, the prognosis is favorable in cases where the disease has not led to irreversible processes, and the patient observes the treatment prescribed to him.
Disease prevention
Each middle-aged man is expected to prevent the prevention of genitarinary system diseases, which will also help reduce the probability of chronic prostatitis.Enough for this:
- Adhered to the foundations of a healthy lifestyle, making sports.
- Eat well.It is important to consume many protein foods (meat and low fish in fat, dairy products, eggs) and limit the amount of animal fats.At the same time, canned foods, sharp and salty dishes, alcohol should be excluded from the menu.
- Regular sex life.It is important to avoid unprotected sex.
In order to prevent prostate diseases, each man, especially after 35, must monitor health and lead an active life.No need to ignore a medical examination, which always helps to identify prostatitis over time and start treatment.It is important to remember that it is hardened if it is detected at the initial stage, and the patient observes all the doctor's prescriptions.