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Idea of ​​chronic prostatitis and the difficulties of its treatment

Chronic prostatitis is considered a long -leaving inflammatory process localized in the prostate gland.At the same time, a man can only feel weak discomfort, so he does not always see a doctor.Pathology has a code for ICB 10 - N41.1.

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Forms of prostatitis

The disease develops in case of improper treatment of 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 functionality of the organ is impaired.Treatment of chronic prostatitis should begin in the presence of the first symptoms.Otherwise, the work of the gland will be disturbed forever.Therapy largely depends on what provoked the pathological process.The presented disease can be divided into several groups:

  1. During the causal factor: infectious;viral;bacterial;caused by the fungus, mycoplasma;Honore;Mixed.
  2. According to the pathogenetic factor, chronic prostatitis can be the following types: hematogenous (infection in the prostate gland from the pathological focus falls through blood);infected with contact (through the walls of neighboring organs);lymphogenous (penetration of pathogens through lymph).

The lesion of the prostate gland is stagnant (congestative).It develops due to a poor outflow of prostatic secret.The liquid stagnates, and an inflammatory process occurs.If the problem is provoked by blocking the ducts of the organ (stones), then in this case we can talk about the calculation type of pathology.Also, 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, among which there are no pathogens.It is the abacterial option that is found in 80% of cases.

Causes and provoking factors

Before treating chronic prostatitis in men, experts should find out the cause of their appearance.The pathology can provoke the following conditions:

  • Sexual infections: chlamydia, ureaplasmosis, herpes, gonococcus, fungus;
  • violation of microcirculation in the tissues and blood 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 failure, impaired functionality of the endocrine system;
  • heart failure;
  • Transferred surgery, including on the abdominal organs.

These causes of chronic prostatitis are basic.And there are other negative factors that contribute to the development of the disease:

  • frequent general or local hypothermia;
  • inactive way of life;
  • long abstinence from sexual activity;
  • frequent stay in stress, mental and physical overload;
  • smoking;
  • alcohol abuse;
  • Eating errors: frequent use of fatty dishes;
  • Long -term use of drugs.

Only by establishing the cause, you can choose the correct tactics of treatment of chronic prostatitis.

Symptoms of the disease

The course of the chronic form of the disease is usually hidden.That is, the symptoms appear weakly, a man 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 the visit to a specialist should not be put off in a long box.Manifestations depend on what stage of chronic prostatitis is observed in humans.Such general signs of the disease can be distinguished:

  1. Discomfort and pain syndrome, which can give to other parts of the body: legs, anus.Unpleasant sensations are present for more than 3 months.
  2. Problems with urination.They are caused by the fact that the increased prostate presses on the excretory channel.Biological fluid cannot come out completely.This leads to a rapid vision of the toilet at night.
  3. Sexual dysfunction.An erection is irregular, and ejaculation is premature.During sexual contact, a man can feel pain.
  4. Increased irritability, temper, anxiety.

Also, a man is physically tired, he has apathy, which gradually develops into a depressive state.Exacerbation of the chronic process is characterized by the following manifestations:

  • enhancing the intensity of pain;
  • burning in the urethra;
  • frequent of the urge to the toilet;
  • increased sweating, trembling;
  • intense discomfort in the lower abdomen, rectum and perineum;
  • a significant decrease in sexual activity;
  • Pain syndrome in the process of defecation.

Only 2-3 signs of prostatitis can appear immediately, so a man is in no hurry to undergo an examination.In this case, the chronic process of destruction inside the tissues continues.Gradually, the changes in the prostate acquire an irreversible character, and getting rid of them will no longer work.

Features of diagnostics

It is necessary to treat chronic prostatitis only after the differential diagnosis of the disease.Otherwise, the patient will be prescribed those drugs that may harm him.During the examination, the following methods are used:

  1. Microscopic analysis of discharge from the urethra.
  2. The scraping of the mucous membrane and its study through a polymerase-concept reaction.
  3. Microscopic and bacterial analysis of the prostatic secret.
  4. Determination of immune status.
  5. Transrectal ultrasound.The main echobonic 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, cracks in the anus.
  6. MRI.The specialist receives a layout of a prostate.Only differential diagnosis can help specialists with the causes of the disease, as well as with the peculiarities of its development.

Treatment of pathology

difficult urination

Treatment of chronic prostatitis is not a fleeting process.You will have to get rid of pathology for a long time and comprehensive.The circuit includes not only drugs, but also physiotherapeutic procedures, folk remedies.Many patients need the help of a psychologist.Sanatorium-resort treatment in specialized institutions is also useful.It will not work to completely eliminate the disease if it has already passed into the advanced stage.Medicinal treatment will quickly relieve symptoms, and also eliminate the cause of the disease.Additionally, the patient is prescribed drugs that stimulate metabolic processes.In order to increase the chances of recovery, in addition to drugs, a person needs proper nutrition.The diet provides for the exclusion of fatty and spicy dishes, canned foods, smoked meats, sweets and spices.It is better to limit salt consumption.Alcohol, as well as cigarettes, is categorically prohibited.

Non -drug treatment

In addition to medicines, a person will need physiotherapy.It fixes 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 usually prescribed the following procedures:

  1. Electrophoresis.It stimulates the regeneration properties of affected tissues, eliminates pain.Thanks to the procedure, drugs penetrate deeper, and blood flow is activated.
  2. Phonophoresis.
  3. Laser therapy.
  4. Magnet treatment.
  5. Microwave therapy.It produces a regenerative effect, improves metabolic processes.Nervous conductivity is restored.
  6. Ultrasound.It has a pronounced anti -inflammatory effect, helps to restore sexual function, eliminates pain.
  7. Inductometry.
  8. Instillations in the urethra.

Mud baths, as well as therapeutic enemas, are no less useful.All these procedures are allowed to be used both for monotherapy and in combination with other means.Thanks to physiotherapy, it is possible to fix a persistent positive effect.The prostate massage is considered popular.It eliminates stagnant processes and improves the drainage of the prostatic secretion, activates microcirculation.In the bacterial form of pathology, it is used more often.However, there are certain contraindications to the use of: cancer of the organ, adenoma or other formation, stones in the ducts, hemorrhoids or cracks in the anus.

Folk recipes

If there is a chronization of the pathological process, then it is necessary to be treated.Folk remedies will help to achieve persistent remission.But they should be used at the early stage of the development of the disease.The following recipes will be effective:

  1. Kalanchoe leaves.It is necessary to squeeze the juice from the plant and mix it with the same amount of water.You need to use 100-150 ml per day for a month.
  2. Tincture of braids.You will need dried grass and vodka in a ratio of 1:10.The mixture should be infused for 14 days in the refrigerator.The medicine is taken twice a day for 15 drops.The course of therapy lasts a month.
  3. Pear compote.
  4. Juice and seeds of parsley.The ingredients can be added to food.
  5. 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.
  6. A mixture of honey and pumpkin seeds.All components are taken in equal quantities.Balls should be rolled out of the resulting gruel.They are stored in the refrigerator.The patient must eat 2-3 pieces per day.The course of therapy lasts 30 days.
  7. Propolis -based rectal candles.They need to be treated for at least a month.

Chronic prostatitis can be fought at home, but it is not possible to completely cure the disease without intervention of doctors.In addition, such therapy will last more than one year.

Surgical intervention

Chronic prostatitis is not the end and not a sentence.It is important that the man understands this.But if therapy is not entirely correct, or when the conservative methods turned out to be ineffective, then the patient will need surgical intervention.There are several types of operations:

  1. Endoscopic transient resection.It is carried out under anesthesia and is considered the safest option.Thanks to the procedure, it is possible to reduce the pressure of the prostate on the urinary canal.The recovery period lasts no more than a week.
  2. Laser removal of affected tissues.This operation is safe and characterized by the absence of blood loss.
  3. Prostatectomy.It is partial or complete.At the same time, experts try to preserve the erectile function of a person.

There should be certain indications for surgery: persistent problems with urination, the risk of developing the oncological process, a significant decrease in the quality of the patient's life.

Possible complications

If the beginning of therapy was late, then the consequences cannot be avoided.Such complications of chronic prostatitis are distinguished:

  • urethritis;
  • impotence or other problems with an erection;
  • 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;
  • Rohating of prostate fabrics, in which affected areas cannot perform the necessary functions.

Complications of chronic prostatitis are not always able to eliminate, so it is better not to allow them to occur.

Forecast and prevention

The prognosis depends on what stage the treatment was started and how effective it was.Chronic prostatitis is curable if the patient has turned in the early stages of its development.Otherwise, the inflammatory process will exist for a long time and gradually worsen 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:

  1. Do not ignore sexual hygiene.
  2. Try not to change sexual partners often.
  3. Timely treat any urogenital diseases.
  4. Normalize nutrition, regularity of sexual life.
  5. Engage in physical education, move more.
  6. Avoid the development of constipation.In addition, the emptying of the bladder should be timely.
  7. Exclude hypothermia, as well as overheating of the genitals.
  8. 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 come to terms with him.Only in this case he will be able to get rid of the problem.