Disease symptoms:
- Pain in the prostate region. In some cases, the pain spreads to the lower back, groin, anus. One-sided pain radiating to one of the testicles is not a symptom of the condition.
- Deterioration of libido.
- Early or late 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 of the emotional richness of orgasm.
- Loss of qualitative and quantitative properties of sperm.
- Frequent urination at night. Pain when going to the bathroom.
Description of the disease
Defeat of the prostate by pathogenic microorganisms is called prostatitis. The prostate is a male organ, therefore, only male patients are susceptible to the development of pathology.
Inflammation in prostate tissues can be expressed by various symptoms. To make a diagnosis, the doctor performs a series of diagnostic measures. It is impossible to diagnose and treat prostatitis on your own. You need to contact a qualified professional.
According to statistics, prostatitis is the most common disease of the male reproductive system. Often, the pathology is diagnosed in young men. The median age of patients diagnosed with prostatitis is 45 years.
Signs of disease development
Chronic prostatitis has a large number of symptoms. Signs of the development of the disease differ depending on the degree of its development. Symptoms can be unstable in a patient, be pronounced or, conversely, hidden. Signs of disease development:
- Feeling of discomfort and pain for at least 90 days. A person feels pain in the perineum. In some cases, the pain covers the groin, lower back, scrotum.
- Lack of erection. Sexual disturbances are observed in the patient periodically. Complete impotence does not occur.
- premature ejaculation. In the early 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 upon receiving an orgasm. The sperm becomes smaller, its characteristics deteriorate.
- Frequent urination. Patients experience frequent visits to the bathroom at night. When urinating, a person feels pain and burning. In some cases, with chronic prostatitis, patients experience urinary incontinence.
Stages of chronic prostatitis
The symptoms of the disease can vary depending on the stage of prostatitis. It is important for a specialist to determine the degree of development of the disease. This depends on the treatment method. There are several stages of chronic prostatitis:
- exudative. Patients feel pain in the groin, scrotum. The time interval between trips to the bathroom at night is reduced. Some patients feel discomfort during orgasm. Erections can be painful.
- Alternative. The pain becomes more intense. Its location is the inguinal, pubic region. Pain during urination is absent, time intervals between toilet visits are reduced. There is no erectile dysfunction.
- proliferative. In a man with this stage of the disease, an erection may decrease. When visiting the toilet, the deterioration of the strength of the urine stream is visually determined.
- scar. There is a feeling of heaviness in the groin area. A person often goes to the bathroom during the day and at night. There is a deterioration in the erection. Also, ejaculation is weak or completely absent.
It should be borne in mind that the symptoms of each stage may not appear in full. In this regard, it is impossible to independently determine the stage of the disease. You should contact a qualified professional. To make a diagnosis, a series of diagnostic measures will be necessary.
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 in a patient for a long time without symptoms. Sometimes, there are cases of inadequate 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 response.
- Deterioration of blood circulation in Organs pelvic organs. The prostate fills with blood. The vessels exert pressure on the prostate tissues. This causes a deterioration in the oxygen supply and leads to the rupture of the prostate. A sedentary lifestyle can lead to impaired circulation. Also, wearing tight underwear negatively affects blood circulation in Organs pelvic organs.
- Urine reflux. In some cases, if the urination process is disturbed, the urine starts to move in the opposite direction and enters the prostate ducts. Urine entering the prostate causes 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 of it. 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 to the above, the causes of inflammation in the prostate can be hypothermia, hormonal imbalance, and decreased 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 hormones, the activity of prostate cells is canceled.
The specialist needs to determine the cause of prostatitis as accurately as possible. This will allow you to choose the most effective treatment method for a given patient. When choosing a technique, the individual characteristics of each patient are taken into account.
complications
Undertaking ineffective treatment or postponing a visit to a specialist for 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 of the time, premature treatment of chronic prostatitis can lead to the development of:
- vesiculitis. The disease is an inflammation of the seminal vesicles. The symptoms of the pathology are pain in the groin and pelvis. In most cases, the pain is given in the lower back and sacrum. Patients report frequent urination, pain during erection and ejaculation. Bloody or purulent inclusions appear in semen and urine.
- Prostate abscess. Premature treatment of chronic prostatitis can cause a prostate abscess. This complication is manifested by weakness, high fever. Treatment of the disease in this case is carried out in a hospital.
- Colliculitis. Pathogenic microorganisms move 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 bathroom, the burning sensation intensifies. In most cases, the patient complains of pain during orgasm or after ejaculation.
- Prostate sclerosis. Failure to comply with the treatment of chronic prostatitis or untimely access to a doctor can lead to sclerosis of the prostate. Signs of the development of the disease are the presence of pain during urination and the inability to completely empty the bladder.
- The presence of stones. With chronic inflammation, stones or cysts can form in the prostate. Ultrasound will be needed to detect cysts or stones.
- infertility. Delay in treating chronic prostatitis can adversely affect sperm motility and their number. Sperm lose mobility. Rape caused by chronic prostatitis leads to male infertility
Disease diagnosis
The presence of several symptoms at the same time favors the development of chronic prostatitis in a patient. In some cases, the disease is asymptomatic. The specialist uses a series of measurements to make a diagnosis.
The doctor performs an examination, questioning the patient. In addition, he studies medical documentation, while the specialist pays attention to diseases of the genitourinary system that were transferred earlier. If necessary, appoint instrumental and laboratory diagnoses.
Instrumental diagnostics
It is possible to diagnose chronic prostatitis with the help of an ultrasound examination. Ultrasound is performed rectally. To conduct a study, a specialist needs to place a specialized sensor in the patient's rectum. With the help of this type of study, the doctor can determine the size of the prostate, its structure and density. In addition, the specialist during the study draws attention to the absence of stones and cysts.
The doctor may prescribe a microscopic examination of the prostate secretion to the patient. This diagnostic method allows to determine disturbances in the work of the prostate. In addition to microscopic examination of the secret, the level of male hormones is checked in the patient. Exceeding the norm can lead to tissue growth, and the lack of it causes disturbances in the work of the prostate.
laboratory diagnosis
The use of laboratory diagnoses 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. In the laboratory, the presence of leukocytes, bacterial, fungal or viral flora is checked in the discharge.
- A scraping is taken from the patient's urethra. Laboratory research makes it possible to identify sexually transmitted agents.
- For microscopic examination, the prostate gland is removed from the patient.
Carrying out a complex of laboratory and instrumental studies makes it possible to determine the cause of the development of prostatitis and the stage of its development. After conducting research and collecting anamnesis, the doctor can make an accurate diagnosis and prescribe the most effective treatment method for each patient.
Prostatitis treatment
If you have symptoms of chronic prostatitis, contact a qualified specialist. The urologist, andrologist is involved in the treatment of the disease. The patient receives a complex therapy aimed at a consistent solution to the problem. In addition to taking medication, therapy involves changing a person's lifestyle, eliminating bad habits, normalizing one's sex life, proper nutrition, etc.
therapeutic treatment
Patient care is complex. Both medications and specialized 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. Massage is performed through the anus. Before the procedure, the specialist puts on a rubber glove and lubricates it with a specialized lubricant.
During massage, blood circulation in the prostate is activated. This has a beneficial effect on the prostate and speeds up the restoration of damaged tissues. By pressing on the gland, its secret enters the urethra. A specialist may take fluid for microscopic examination in order to control the dynamics of the treatment.
If necessary, a person receives magnetic and laser therapy. Procedures are carried out in a complex. Microwave therapy is also used for treatment. The method involves the use of high frequency waves. During the procedure, the temperature of the treated area increases. This helps to speed up the healing process.
Medical treatment
Several 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 medication on your own. You will need to see a doctor.
In order to reduce the swelling of the prostate, the patient is given drugs that suppress the action of male hormones. Reducing the size of the prostate improves the flow of secretions into the urethra. In turn, the passage of urine into the urethra improves and blood circulation is activated.
If necessary, patients are given adrenoblockers. These drugs belong to a group of drugs that act on receptors on muscle cells in 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 needs to carry out a series of diagnostic measures to detect the infection. The choice of drug is influenced not only by the presence of infection, but also by its sensitivity to the main types of antibiotics. This approach allows you to prescribe the most effective treatment.
Non-steroidal anti-inflammatory drugs are used to relieve inflammation. Drugs of this type reduce the inflammatory response, which in turn reduces swelling and pain in the patient. The method of taking the drug may vary.
Surgical intervention
In some cases, to eliminate complications resulting from incorrect treatment or its absence, surgical intervention is performed. Specialists use a minimally invasive transurethral electroresection.
Lifestyle with prostatitis:
- Regular exercise. A man needs to lead an active lifestyle and perform certain exercises daily. This is necessary to strengthen the muscles of the small pelvis. This approach will improve blood circulation and eliminate blood stasis.
- Normal 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 prostate secretion. This, in turn, is dangerous for the occurrence of inflammation.
- Permanent 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 needs to wear clothes and underwear that do not interfere with normal blood circulation in Organs 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 and 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
Surgery is primarily used to treat complications arising from the development of chronic prostatitis. For operations, transurethral equipment is used.
Specialists at the specialized medical center are highly qualified, enabling them to effectively treat chronic prostatitis. For the diagnosis and treatment of diseases, high-tech equipment and high-quality medicines are used.