Chronic prostatitis (code MKB-10. N41.1) is called the inflammatory process, which is observed for more than three months in prostate gland tissues.Its feature is that in almost 70% of all cases, it continues without symptoms.And only 15% of patients complain of manifestations of the disease.All other men have symptoms that only partially indicate the development of prostatitis and can usually contact other diseases.Therefore, it is so important when signs occurs to see a doctor who, after the exam, will inform how to treat chronic prostatitis.
The peculiarity of the disease
Chronic prostatitis can diagnose not only in older people.Young and medium people are also subject to the disease.At risk are those who carry a sedentary lifestyle, adhere to sexual abstinence or experience physical effort in the perineum.That is, the likelihood of chronic prostatitis in drivers, athletes are much higher than everyone else.
Among all the diseases of the reproductive system of men, chronic prostatitis occupies the first place in prevalence, followed by cancer and benign hyperplasia of the DGPG prostate gland (prostate adenoma).Approximately every third man faces an inflammation of the prostate, and every fifth of them suffers in a chronic form of the disease.
In most cases, the cause of chronic prostatitis is the transmitted diseases of the genitourinary system caused by infections.A little less often, it is caused by inflammatory processes associated with a change in a man's hormonal background.
Classification
Just as other inflammatory diseases, chronic prostatitis can have acute and chronic stages.Its classification is based on the following resources:
- The presence of leukocytes in the urine.
- The presence of pathogenic bacteria in the urine, ejacular or the secret of the gland.
Based on the classification, there are following types of disease:
- Asymptomatic inflammatory prostatitis is characterized by the lack of symptoms of chronic prostatitis.It is possible to identify it by chance when the patient addresses a doctor with any other 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 observes typical signs of chronic inflammation.And in the analysis of urine and secret, the high content of leukocytes and bacteria is detected.
- Chronic pain syndrome in the pelvis.This pain is considered the main symptom, since bacteria are not detected.To make a diagnosis of chronic prostatitis, the syndrome should 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 the prostate, bacteria can be in three ways:
- Through the urethra.
- Through the blood.
- Through the lymph.
According to statistics, 90% of cases of chronic prostatitis are a consequence of acute prostatitis development or a complication of urethritis.
In addition to entering a prostate of bacteria, the causes of chronic prostatitis can be as follows:
- Sexual infections (STPP): herpes, trichomonas, gonococcus, chlamydia, etc.
- Stagnation processes in the pelvic area, which can cause inflammation of the prostate.
- Reducing immunity.This can lead to: vitamin deficiency, violation of hormone balance, hypothermia, allergic reactions, significant physical and emotional stress, uninfected infections, etc.
- A sedentary lifestyle.
- Lightweight.
- Irregular sex life or disorders in the intimate sphere.
- Groin injuries.
- Using narrow linen.
- Irrational nutrition (predominance in the diet of spicy foods).
- Lining for urination.
- In violation of the chair.
All of this can lead to circulatory disorders in the pelvic area, contribute to stagnant phenomena and the development of the inflammatory process.The consequences of lack of therapy are infertility and impotence.
Symptoms of the disease
The signs of chronic prostatitis can be very different.Most of the time, the patient complains:
- Reducing performance.
- Quick fatigue.
- Greater irritability.
- Anxiety.
- Sleep violation.
- Lethargy.
- Loss of appetite.
- Increased perspiration.
Among the local symptoms:
- Urination disorder.The patient feels frequent impulses, pain at the beginning and end of urination.
- A painful pain that can give in to the groin, sacred, scrotum, sub -lane bone or straight.
- PAIN FOR SEX.
- Discharge in the tension of the pelvic muscles.
Unlike the acute phase, in a chronic disease, there is a violation of sexual functions.This is associated with the fact that stagnant is also inflammatory processes, affect the nerve endings that provide pulses transmission to the brain.As a result, it is possible to violate an erection, which weakens or ejaculation (premature ejaculation), the sensations during an orgasm (deleted orgasm) are monotonous.Such symptoms of chronic prostatitis in men lead to fear of proximity, irritability and, as a result, sexual neurosis develops.
It is not easy to treat chronic prostatitis.How long will take medications depends on the degree of pathology and the duration of disease development.It is important to remember that if the symptoms of the disease have disappeared, it does not mean a final cure.The serious consequences of chronic prostatitis include gland scars.This process can change to the urethra.
Disease diagnosis
When going to the doctor, he will ask the patient with the available symptoms.Special attention is given to the frequency and nature of pain, harmed urination, sexual dysfunction.But due to the fact that chronic prostatitis can occur without manifestations, certain studies are needed:
- Clinical and bacterial urine analysis in which the amount of leukocytes and the presence of pathogenic microorganisms are determined.
- Analysis of the secret that may contain bacteria.
- A shaving of the mucosa where the amount of leukocytes is determined, the presence of macrophages and amyloid bodies.
- Transureral ultrasound allows you to identify an ecobroblast of chronic prostatitis and determine the condition of the prostate.
High quality diagnosis is a significant part of correct treatment as it makes it possible to distinguish chronic prostatitis from other pathologies with similar signs.
Treatment
This disease must have an integrated approach to therapy.In this case, the patient needs to tune in a long treatment.The treatment regime of chronic prostatitis will be individual for each patient.Generally, 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 against the bottom of the chronic inflammation of the prostate is subject to treatment.In a hospital, antibacterial therapy is used and is performed detoxic.If necessary, an operation is required.
Drug therapy
For comprehensive treatment of chronic prostatitis, medications are prescribed in men, whose effect is intended to eliminate infection, normalization of blood circulation and the level of hormones.To do this, use:
- Antibiotics.
- Non -anti -inflammatory drugs.
- Anticholinergic agents.
- Immunomodulators.
- AngioProtectors.
- Vasodilate drugs.
Before setting 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 prostate tissue is used.
With the relapse of the disease, antibacterial therapy is prescribed for prevention purposes.For this, a medicine is used, which has already been used during treatment, but at a lower dose.
Knowing what chronic prostatitis is and what can cause its development, the expert will pay attention to pressure within the prostate gland and its ability to reduce.If this function is reduced, stagnant phenomena and prostate inflammation may occur in the pelvis.Alpha blockers are prescribed to normalize intrauterine pressure.
You can avoid painful injections and take pills using a candle.
For complaints about fast and painful urination, non-steroid anti-inflammatory drugs are used in conjunction with alpha blockers.
In this case, when taking antibiotics, they were ineffective and symptoms such as pain and dysuria are preserved, the treatment is adjusted to be directed to:
- Elimination of pain.To do this, use tricyclic antidepressants.
- Normalization of urination.Treatment is prescribed after urinodynamic analysis.With the hyperactivity of the sphincter, antihistamines, tricyclic antidepressants and bladder rinse are indicated with anti -support solutions.With the ineffectiveness of such treatment, neuromodulation and physiotherapy are used.
No -Drug Methods
In order for tablet treatment to be more effective, the doctor may recommend physical therapy (electrophoresis, phonophoresis, laser therapy, mud treatment) and transtrene hyperthermia, which is performed taking into account existing changes in prostate tissue and related diseases.When exposed at a temperature of 40 degrees, cellular immunity is activated.When exposed to a temperature of 45 degrees, nerve endings inhibit, which helps to stop pain.The use of laser therapy has a biostimulator effect.
In the absence of against -indications, the patient is performed by the prostate gland.Often patients receive a psychotherapy course and special exercises that can strengthen perineum muscles.
Popular Remedies Treatment
Along with the use of medicines, the manifestations of chronic prostatitis are treated with folkloric methods.This treatment increases immunity and reduces pain.For this, in addition to preparations, infusions and decoctions of herbs, baths etc.are used.
The course of treatment with phytoprepactions is at least 1 month and should be prescribed by a doctor, as some of them may have against -indications for use.Treatment with folkloric methods suggests:
- Abundant drink (teas with linden, roseiph, raspberries).
- Every day before meals, you need to drink 1 glass of squeezed juice newly -squeezed 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 allergy to honey, it is recommended to eat up to 100 grams of product daily.
- At home, you can do suppositories independently based on purpose or honey.You need to put them in 1 month.To prepare candles with propolis, take a mixture of glycerol, gelatin and water in proportions of 5: 1: 2. Add the proposal there and distribute the mixture on parchment.Put 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 dried plants is made in 1 liter of boiling water.
Treatment with pumpkin seeds, aloe juice, parsley, nuts and celandine is also considered effective.Salsa has an anti -inflammatory effect and is able to restore sexual function.Phytotherapeuts recommend this treatment with this plant:
- Drink 1 tablespoon parsley juice every day before meals.
- 4 teaspoons of plant seeds pour 250 ml of boiling water and insisted on the thermos at night.The next day they drink a 1 tablespoon infusion every hour.
- 100 g of the crushed root of the plant is spilled with 1 liter of water, put 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, necessary for male health.For treatment, you can make this tool.500 g pumpkin seeds are crushed in a meat grinder and mixed with 200 grams of natural honey.The balls are made of the resulting dough, the size of a walnut.Every day you need to eat 2 balls.
Propolis helps strengthen body defenses and relieve inflammation.You can buy your tincture in a pharmacy.For treatment, you need to drink a glass of milk daily with 1 teaspoon of such dye.
In addition, licorice decoctions, St. John herb, echinacea are used for treatment, which are also used in cases where the disease occurs without obvious symptoms.
Surgery
Often, chronic prostatitis has no symptoms, and patients seek medical help when severe changes in the prostate gland have occurred and chronic prostatitis is already powerless.In addition, these complications may represent a threat to the patient's health.An example of complication can be called prostate sclerosis.
Due to the fact that such complications are often revealed in young men, doctors use minimally invasive surgery.The indication of its use is: phimosis, involuntary release of urine or, conversely, its delay, prostate abscess, significant increase in the size gland, urethral block or bleeding.There are types of surgical intervention indicated for chronic inflammation:
- Circumcia - It is used when the patient has phimosis.During the operation, the foreskin is dissected.
- Prostatectomy is a radical operation during which the prostate is completely removed.It is performed in case of suspicion of the presence of a malignant tumor.
- Prostate resection is a partial removal 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 is used with a camera at the end.This device is introduced into the urethra lumen and enables control of the course of the operation.
- In the case of complaints of various sex disorders (violation of orgasm, painful ejaculation, etc.), the patient is performed by an incision of the erystal ducts.
The result of surgical intervention will depend on the punctuality of the diagnosis.In cases where there is a prostate adenoma, the manifestations of chronic prostatitis may be lubricated.This is observed in 70% of cases.25% of men learn about the development of chronic prostatitis during an adenoma exam.And only 5 % of patients - during a preventive examination.
The condition for operation is the lack of an effect with conservative treatment of the disease.Therefore, the operation is necessary to avoid complications and improve the quality of life.
However, it should be borne in mind that even after surgery it is possible to return prostatitis.This happens in almost half of the operated.Against -Indication to any operation is:
- Diabetes.
- Liver pathology.
- Respiratory system diseases.
- Mental disorders.
- Heart disease.
The prognosis of the disease
Is everyone who faces this diagnosis interested in whether chronic prostatitis can be healed?The disease is considered healed if symptoms do not appear a significant period of time, the level of leukocytes in the urine is within normal;In the secret of the prostate, there are no pathogenic bacteria, urination and sexual function are restored.
Most of the time, 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 midfielder should prevent the prevention of diseases of the genitourinary system, which will also help reduce the likelihood of chronic prostatitis.Enough for this:
- Add to the foundations of a healthy lifestyle, play sports.
- Eat right.It is important to consume many protein foods (meat and fish with low fat, dairy, eggs) and limit the amount of animal fats.At the same time, canned foods, clear and salty dishes, alcohol should be excluded from the menu.
- Regular sex life.It is important to avoid unprotected sex.
To avoid prostate diseases, every man, especially after 35 years, must monitor health and lead an active life.There is no need to ignore a medical examination that always helps identify prostatitis in time and start your treatment.It is important to remember that it is healed if it is detected in the early stage and the patient observes all the prescriptions of the doctor.