Chronic prostatitis is an inflammatory disease of the prostate. Depending on the severity, the functional changes of the gland occur in 3 phases: initial, medium, severe.
The initial stage of prostatitis is characterized by primary changes in the prostate. In the context of the development of the inflammatory process, tissue regeneration continues at this stage. The changes in the ducts are not very pronounced, which often allows the patient to lead a full life. However, the development of the disease leads to the formation of adhesions, decreased blood circulation and general deterioration of health.
Reasons
The causes of the early stage of prostatitis, depending on the source of the inflammation, can be:
- Infections (bacterial prostatitis): bacteria, streptococci, chlamydia.
- Congestion, structural physiological characteristics in a man's pelvic organs (non-bacterial prostatitis).
According to the degree of damage, the duration of the course and the complexity of the treatment, prostatitis occurs
- Sharp.
- Chronic.
The causes associated with the onset of congestion in the prostate are:
- Age-related changes (decreased testosterone levels, narrowed ducts, enlarged prostate).
- Sedentary lifestyle.
- Alcohol abuse, which causes swelling and narrowing of the ducts.
- Chronic postponed infectious diseases (tonsillitis, caries, bronchitis, infections of the genitourinary system).
- Irregular sex life.
- Perineal trauma, consequences of surgical interventions on Organs pelvic organs.
- General hypothermia.
- Diseases of the intestines (constipation).
- Weakening of the immune system associated with stress, improper lifestyle, smoking.
Symptoms
The initial stage of prostatitis is a sign of the onset of an inflammatory process. Initial symptoms:
- Drawing pain in the perineum with location in the scrotum, straight, radiating to the leg, abdomen, lower back.
- Acute pain, burning sensation when urinating.
- Sensation of incomplete emptying of the bladder. Frequent urination.
- Difficulty urinating.
- Sexual dysfunctions: pain during intercourse, with ejaculation; decreased libido, weakened erection.
- High urethra.
- The consequences of the above symptoms are depression, sleep disorders and a general decrease in quality of life.
In some cases, the disease is asymptomatic: the pain occurs periodically, the clinical picture is not clearly expressed. As a result, the disease progresses to the next stage, with more serious consequences.
Diagnosis
The difficulty in detecting the initial stage of chronic prostate inflammation is due to the similarity of its symptoms to those of other diseases. Fever, malaise, the patient may be associated with a cold; pulling pains in the perineal region - with cystitis; radiating low back pain - with osteochondrosis.
Do not rely on self-relieving symptoms, the disease will not "resolve" itself. Only a qualified urologist can make a diagnosis based on a thorough examination.
Must be approved:
- General analysis of urine.
- FBC.
- Culture of bacterial urine.
- Analysis of prostate secretion.
- Analysis of urethral secretions.
- Computed tomography of Organs pelvic organs.
- PCR (Polymer Chain Reaction) - diagnosis.
In addition to tests and general studies, if cancer is suspected, the doctor prescribes additional studies:
- PSA (Prostatic Specific Antigen) blood test. An increase in the content of a specific protein indicates possible prostate cancer.
- TRUS (Transrectal Ultrasound) of the prostate, performed by inserting an electronic probe in the patient's rectum.
- Spermogram.
- Prostate tissue biopsy (if cancer is suspected).
After establishing an accurate diagnosis based on anamnesis and research data, the doctor will prescribe comprehensive treatment.
Treatment methods
The early stage of prostatitis includes drug therapy. The sooner treatment begins, the more favorable the prognosis will be.
In case of bacterial infection, the main treatment is with antibiotics, antibacterials, anti-inflammatories, alpha-blockers.
- The groups of antibiotics in the treatment of bacterial prostatitis are penicillins, cephalosporins. Antibiotic treatment should be continued for 5-7 days. The sudden interruption of the pills can lead to loss of sensitivity of microorganisms to this type of antibiotic.
- Alpha-blockersrelax the smooth muscles of the bladder, normalize the sensitivity of the mucous membrane and reduce the frequency of impulses (tamsulosin hydrochloride, doxazosin). When using these medications, side effects may occur: impaired vision, reduced blood pressure.
- Nonsteroidal anti-inflammatory drugsreduce pain, reduce swelling (sodium diclofenac, ibuprofen).
In addition to medication, we recommend:
- Physiotherapy procedures can relieve symptoms, relieve inflammation - magnetic, ultrasound, laser therapy.
- Prostate massage stimulates the blood supply and secretion of glandular secretions.
Non-traditional methods of treating prostatitis include:
- Reflexotherapy(acupuncture, acupuncture) allows you to influence biologically active points. As a result, blood circulation, metabolism are normalized, the patient's general condition improves.
- Apitherapy(treatment with bee venom and bee residues) stimulates the endocrine glands - adrenal glands, thyroid gland, sex glands.
- Hirudotherapy(leech therapy).
- Balneoterapia(bath in mineral sources) is a general tonic, it has a beneficial effect on the nervous system.
Traditional methods of treatment
In the early stage of prostatitis, it is useful to combine the use of drugs with alternative methods of treatment. Herbal medicine involves the use of decoctions, tinctures, the use of microclysters. They are a complementary treatment for chronic prostate diseases. Known for their ability to maintain immunity, they have a bactericidal and sedative effect.
- Ginsengboosts immunity and relieves inflammation.
- St. John's worthas an antispasmodic effect, stimulates the production of male hormones.
- Pumpkin seedsstimulate the production of zinc, a vitamin needed to strengthen the genitourinary system.
- Absintheis an effective antimicrobial agent. It is used as decoction, microclysters.
Prevention
Prostatitis prophylaxis involves taking care of a man's health before the first symptoms of the disease appear.
- Healthy lifestyle.A good rest after work, clean air, smoking and alcohol cessation strengthen the body's defenses, preventing the occurrence of infections.
- Physical activity.Sports activities, active rest help to improve blood circulation in Organs pelvic organs and circulation of prostate secretions. Exercises to eliminate congestion are useful: squats, "scissors", abdominal exercises, walking.
- Proper nutrition.Eating foods rich in fiber, lean meat and fish helps to eliminate constipation as a risk factor for prostatitis.
- Regular sex life. The healthy functioning of the prostate is inextricably linked to the regularity of sexual activity. Frequent change of sexual partners, lack of moderation, irregularity lead to premature exhaustion of the nervous system, infection of the male genitourinary system and, as a result, inflammation of the prostate.
The early stage of prostatitis is a disease that must be taken seriously. Self-medication, a late consultation with the doctor, can lead to serious problems: a deterioration in well-being, an evolution from the initial form to a medium stage and then a high degree of severity.
If conservative drug treatment can be dispensed with in the initial stage, the severe degree of the disease requires surgical intervention with a poor prognosis.
An important element of the male genital area is the prostate. Its function is to produce a secretion (fluid) that guarantees the mobility of sperm in the semen.
The narrowing of the ducts leads to congestion of the prostate. The consequence of impaired blood flow, the reproduction of microorganisms is an inflammatory disease - prostatitis.