When chronic prostatitis is diagnosed, the doctor determines the methods of treatment. This disease is very common along with prostate adenoma and is a rather serious problem for a man's health. As a result of chronic prostatitis, the quality of intimate life deteriorates significantly, which is a huge inconvenience.
This disease is an emerging inflammatory process of the prostate tissue. But not all men are in a hurry to turn to a specialist for help, and thus, the disease starts significantly, what this will lead to in each case is not always known.
Prostatitis often leads to infertility and the development of an infection that rapidly spreads to other internal organs, especially the bladder, testicles and kidneys.
The causes and symptoms of the disease
Researchers have proven that prostatitis is increasingly beginning to occur in young people. This is due primarily to infection with infections that are sexually transmitted, such as mycoplasmosis, gonorrhea, ureaplasmosis, and so on. In the case of unprotected intercourse, infection with various diseases and their untimely treatment will inevitably lead to the development of such a disease.
An interesting fact is that the development of this disease can occur due to the presence of a chronic internal disease and even in the presence of caries. In this case, chronic prostatitis develops as a result of the spread of infection by the hematogenous pathway, in other words, this path can be called the spread of infection through the blood inside the body.
Even such banal factors as unbalanced nutrition, weak immunity, too frequent colds, as well as the use of drugs by a man that negatively affect protective functions, play a role.
Excess weight, lack of mobility and even constipation affect the inhibition of blood circulation in the pelvis, which most likely leads to prostatitis.
In the acute form, prostatitis in a man is manifested as:
- urinating too often;
- characteristic sensations of defective bladder emptying that occur when urinating;
- during bowel movements, pain occurs in the rectal region;
- pains of various nature in the groin and behind the pubis, which are more strongly felt after urination;
- temperature rises quite often.
Chronic prostatitis is less intense:
- frequent urination, which does not cause any particular inconvenience for the man and he gets used to it over time;
- unexpressed pain in the pelvis and perineum;
- sudden onset of impotence.
Diagnosing prostatitis
As soon as a man has noticed a manifestation of the disease, he should immediately consult a urologist, since timely treatment in the early stages will most likely lead to recovery.
The urologist, after the patient's treatment, conducts diagnostics using the following methods:
- Palpation of the gland by penetrating into it through the rectum. This procedure for a man is an extremely unpleasant process, but it is necessary, as it will allow the specialist to determine the size, density and structure of the prostate gland.
- Instrumental method, which includes MRI and ultrasound. The latter procedure is aimed at identifying pathologies of the prostate, kidneys and internal organs. In this case, ultrasound examination can be performed through the abdominal wall or through transrectal ultrasound, which is performed through the rectum.
- A laboratory method, which can be general clinical or special. The first option includes a blood and urine test.
The second option includes:
- using the PCR technique, infections are detected, for this you need to take a swab from the urethra;
- taking a smear for bacteriological culture;
- PSA analysis;
- prostate secretion is taken for microscopy.
Treatment
Prostatitis is treated with the following techniques:
- As prescribed by a doctor, a man is prescribed symptomatic medications that can alleviate the patient's condition.
- After appropriate research, the most effective targeted antibacterial agents are prescribed.
- Immunotherapy drugs.
- Anti-inflammatory drugs.
- After the acute phase is over, the patient is prescribed physiotherapy using prostate massage.
- Stimulation of non-specific resistance.
- The use of sedatives.
- One of the most important methods of treatment is changing a man's unhealthy lifestyle, especially if he has a sedentary job and an unhealthy diet. The most effective way is walking in the fresh air and doing specific gymnastics, which is aimed at improving blood circulation in the pelvic region.
In the case of chronic prostatitis, the specialist may prescribe a slightly different treatment methods, which are combined into a set of measures aimed at the speedy recovery of the patient. Of course, one should not neglect the prescribed vitamin preparations and herbal medications.
When a urologist prescribes antibiotics, he is guided, first of all, by laboratory tests that show what kind of bacteria should be exposed to. The most popular are drugs of the macrolide group, 5-NOK and similar agents, which are designed to treat the disease, especially in the acute stage.
In some cases, surgery is indicated as a treatment for chronic prostatitis, this method is mainly necessary when the chronic stage has passed into the prostate adenoma or in case of narrowing of the urethra.
In the case of physiotherapy, the specialist may prescribe:
- laser therapy;
- phonophoresis by ultrasound;
- diadynamophoresis;
- microwave hypermia.
Effective treatment of chronic prostatitis is a complex measure that is aimed not only at alleviating the patient's condition, but also at preventing the possibility of complications.
For a man who has chronic prostatitis, treatment methods in this case should in no case interfere with regular sexual intercourse, but in this case it is necessary to take care of the safety for the partner.
It is important for every man to know that the chronic form of prostatitis is a precancerous condition, and neglect and fear of the prescribed procedures can lead to adenoma and even the development of prostate cancer.