Chronic prostatitis is considered to be a long inflammatory process localized in the prostate gland.At the same time, one may feel weak discomfort, so he does not always see a doctor.The pathology has an ICB 10 - N41.1 code.
Forms of prostatitis
The disease develops in the case of improper treatment of acute form or in the absence of therapy.Pathology occurs not only in the elderly, but also in young people, which is dictated by a decrease in physical activity.The morphology and functionality of the organ is impaired.Treatment for chronic prostatitis should begin in the presence of the first symptoms.Otherwise, the gland work will be impaired forever.Therapy depends to a large extent on what provokes the pathological process.The disease presented can be divided into several groups:
- During the causal factor: infectious;viral;bacterial;caused by the fungus, mycoplasma;Honore;Mixed.
- According to the pathogenetic factor, chronic prostatitis can be the following type: hematogenous (infection in the prostate gland from the pathological focus falls through blood);infected with contact (through the walls of adjacent organs);lymphogenic (pathogens penetrate through lymph).
The prostate lesion is stagnant (congestion).It develops due to the poor outflow of prostatic secret.The fluid stagnates and an inflammatory process occurs.If the problem is provoked by blocking the channels of the organ (stones), then in this case we can talk about the type of calculation of the pathology.Chronic prostatitis is also bacterial and abacus.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, among which there are no pathogens.This is an abacus variant, which is found in 80% of cases.
Causes and provocative factors
Before treating chronic prostatitis in men, experts must find the cause of their appearance.Pathology can provoke the following conditions:
- Sexual infections: chlamydia, ureaplasmosis, herpes, gonococcus, fungi;
- impaired microcirculation in the tissues and circulation in the pelvic organs;
- Urological pathology;
- The presence of infectious foci in the body;
- hemorrhoids as well as chronic constipation;
- injury to the genitals or spinal cord;
- Weakening of immunity;
- tumor process;
- hormonal insufficiency, impaired endocrine functionality;
- heart failure;
- Transferred surgery, including abdominal organs.
These causes of chronic prostatitis are essential.And there are other negative factors that contribute to the development of the disease:
- often general or local hypothermia;
- inactive lifestyles;
- Long abstinence from sexual activity;
- Honor stay in stress, mental and physical overload;
- smoking;
- alcohol abuse;
- Nutrition errors: frequent use of fat dishes;
- Long -term use of medicines.
Just by identifying the cause, you can choose the right tactics of treatment for chronic prostatitis.
Symptoms of the disease
The course of the chronic form of the disease is usually hidden.That is, the symptoms occur slightly, one rarely pays attention to them and does not recognize the problem until it becomes more pronounced.He is ashamed and scared to see a doctor.However, the lack of therapy will lead to severe complications, so a specialist visit should not be rejected in a long box.The manifestations depend on what stage of chronic prostatitis is observed in humans.Such common signs of the disease can be distinguished:
- Syndrome of discomfort and pain that can give other parts of the body: legs, anus.Unpleasant sensations have been present for more than 3 months.
- Problems with urination.They are caused by the fact that enlarged prostate pressure on the excretory duct.The biological fluid cannot come out completely.This leads to a quick vision of the toilet at night.
- Sexual dysfunction.The erection is incorrect and ejaculation is premature.During sexual contact, one may feel pain.
- Increased irritability, temper, anxiety.
Also, a person is physically tired, he has apathy that gradually develops in a depressive state.The exacerbation of the chronic process is characterized by the following manifestations:
- Increasing the intensity of pain;
- Burning in the urethra;
- Frequent desire for the toilet;
- increased sweating, shaking;
- Intense discomfort in the lower abdomen, rectum and perineum;
- Significant reduction in sexual activity;
- Pain syndrome in the process of bowel movements.
Only 2-3 signs of prostatitis can appear immediately, so that one is in no hurry to undergo an examination.In this case, the chronic process of destruction in the tissues continues.Gradually, changes in the prostate become irreversible and get rid of them will no longer work.
Diagnostic characteristics
Chronic prostatitis should only be treated after the differential diagnosis of the disease.Otherwise, the patient will be prescribed those drugs that may harm him.The following methods are used during the study:
- Microscopic analysis of urethral discharge.
- The scraping of the mucous membrane and its examination by response to polymerase-concept.
- Microscopic and bacterial analysis of prostatic secret.
- Determination of immune status.
- Trarectal ultrasound.The main echo signal sign of chronic prostatitis is an increase in the organ by size and volume, change in its structure, the presence of pathological neoplasms.However, such a study is contraindicated in hemorrhoids, inflammation of the rectum, cracks in the anus.
- MRI.The specialist receives a prostate layout.Only differential diagnosis can help specialists with the causes of the disease, as well as with the peculiarities of its development.
Treatment of pathology
Treatment for chronic prostatitis is not a fleeting process.You will need to get rid of the pathology for a long time and exhaustively.The scheme includes not only medicines but also physiotherapy procedures, folk remedies.Many patients need the help of a psychologist.Treatment with sanatorium-reports in specialized institutions is also useful.It will not work to completely eliminate the disease if it has already passed to the advanced stage.Drug treatment will quickly relieve the symptoms and also eliminate the cause of the disease.In addition, the patient is prescribed medicines that stimulate metabolic processes.To increase the chances of recovery, in addition to drugs, one needs proper nutrition.The diet provides exclusion of fatty and spicy dishes, canned foods, smoked meats, sweets and spices.It is better to limit the consumption of salt.Alcohol, as well as cigarettes, are clearly prohibited.
Without medicine
In addition to medication, one will need physiotherapy.It fixes the positive effect of the main scheme.Such treatment has an effect not only on the 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 usually prescribed the following procedures:
- Electrophoresis.It stimulates the properties of the regeneration of the affected tissues, eliminates pain.Thanks to the procedure, the drugs penetrate deeper and the blood flow is activated.
- Phonophoresis.
- Laser therapy.
- Magnetic processing.
- Microwave therapy.It produces a regenerative effect, improves metabolic processes.Nervous conductivity is restored.
- Ultrasound.It has a pronounced anti -inflammatory effect, helps to restore sexual function, eliminates pain.
- Inductionometry.
- Urethral installs.
The mud baths, as well as therapeutic enemas, are no less useful.All these procedures are left to be used for both monotherapy and in combination with other means.Thanks to physiotherapy, it is possible to fix a constant positive effect.Prostate massage is considered popular.It eliminates stagnant processes and improves prostatic secretion drainage, activates microcirculation.In the bacterial form of pathology, it is used more frequently.However, there are certain contraindications to the use of: organ cancer, adenoma or other formation, channel stones, hemorrhoids or cracks in the anus.
Folk recipes
If there is a chronization of the pathological process, then it is necessary to treat.Folk remedies will help to achieve constant remission.But they should be used in the early stage of the development of the disease.The following recipes will be effective:
- Kalanchoe leaves.It is necessary to remove the juice from the plant and mix it with the same amount of water.You should use 100-150 ml per day per month.
- Tincture of braids.You will need dried grass and vodka in a ratio of 1:10.The mixture should be infused for 14 days into the refrigerator.The drug is taken twice a day for 15 drops.The course of therapy lasts for one month.
- Pear compote.
- Parsley juice and seeds.Ingredients can be added to the food.
- Bee pollen.It is necessary to mix it with water in proportions 1: 3. It is worth consuming 1 glass per day.It will have to be treated in this way for 1 month.
- A mixture of honey and pumpkin seeds.All components are taken in equal quantities.The balls should be discarded from the resulting slurry.They are stored in the refrigerator.The patient should eat 2-3 pieces a day.The course of therapy lasts for 30 days.
- Propolis -based rectal candles.They should be treated for at least a month.
Chronic prostatitis can be kept at home, but it is not possible to completely cure the disease without the intervention of doctors.In addition, such therapy will last more than one year.
Surgery
Chronic prostatitis is not the end, not a sentence.It is important for the man to understand this.But if the therapy is not completely correct or when conservative methods prove ineffective, then the patient will need surgery.There are several types of operations:
- Endoscopic transition resection.It is performed under anesthesia and is considered to be the most favorable option.Thanks to the procedure, it is possible to reduce prostate pressure on the urinary duct.The recovery period lasts no more than a week.
- Laser removal of the affected tissues.This surgery is safe and is characterized by the lack of blood loss.
- Prostatectomy.It is partial or full.At the same time, experts are trying to maintain a person's erectile function.
There should be certain indications of surgery: persistent urination problems, the risk of developing the oncological process, a significant reduction in the quality of life of the patient.
Possible complications
If the onset of therapy is late, then the consequences cannot be avoided.Such complications of chronic prostatitis are distinguished:
- urethritis;
- impotence or other erection problems;
- infertility;
- Difficulty in urination;
- decrease in 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;
- Routing the tissues of prostate in which the affected areas cannot perform the necessary functions.
Complications of chronic prostatitis are not always able to eliminate themselves, so it is better not to allow them to appear.
Prediction and prevention
The prognosis depends on what stage the treatment started and how effective it was.Chronic prostatitis is treatable if the patient has become the early stages of his / her development.Otherwise, the inflammatory process will exist for a long time and gradually impair the quality of life of a person.The army is not taken with such a diagnosis.The appearance of the pathology can be warned.To do this, follow the following prevention rules:
- Do not neglect sexual hygiene.
- Try not to change sexual partners often.
- Timely treatment of urogenital diseases.
- Normalize nutrition, the regularity of sex life.
- Participate in physical education, move more.
- Avoid the development of constipation.In addition, bladder emptying should be in a timely manner.
- Exclude hypothermia as well as overheating of the genitals.
- Avoid stressful situations, physical and mental overload.
Chronic prostatitis is a difficult disease that requires prolonged therapy.One will have to admit his or her diagnosis and put up with him.Only in this case will he be able to get rid of the problem.