Chronic prostatitis is a sluggish prostate disease.For him, as for any other chronic pathologies, a change in periods of exacerbations and remissions is characteristic.The disease develops slowly, without delivering almost no anxiety to the patient in the early years, with the exception of single symptoms that often do not pay attention to.However, the progression of pathology is able to entail a violation of the function of the prostate gland and the development of complications, therefore it is important to identify it at an early stage.
You can undergo a preventive examination of the urologist in the field clinic.If necessary, an individual treatment regimen will be developed for you, thanks to which you will get rid of the disease in a short time and avoid complications.
Features of the disease
Chronic prostatitis in men is one of the most common pathologies of the genitourinary system.About 30% of patients from 20 to 50 years old suffer.
The prostate gland is a non -parallel organ located below the bladder.It is responsible for the quality of sperm: it produces a special secret that is an important component.And during an erection, the prostate iron closes the exit from the bladder.
The reason for the development of acute and chronic prostatitis is often infections (bacterial, viral or fungal origin).They are able to penetrate the prostate gland through blood, lymph, even if the focus of infection is far from the prostate.Also, the infection often falls into the prostate gland directly from the urethra.These two organs are interconnected: the prostate ducts open to the urethra.And also through the prostate gland passes the initial part of the urethra.
The infection can be listed in the prostate even without the presence of pathological processes in the body.After all, each organ is characterized by its own microflora.Microorganisms that live in the urethra are harmless in their "habitat".However, for the prostate gland, they can be alien, and if they fall into it, they can provoke the development of inflammation.
Prostatitis can be:
- Infectious origin - caused by bacteria, viruses or fungi.
- Stagnant in nature - develops with a stagnation of the secretion of the prostate gland.
The causes of the development of the disease
The causes of development depend on the form of chronic prostatitis.The infectious form occurs in the following diseases:
- Urethritis.
- Orchitis (pneumonia of the testicle).
- Cystitis.
The source of infection does not have to be located in the immediate vicinity of the prostate gland.Pathology can occur against the background of other infections that progress in the body: caries, sinusitis, pneumonia, bronchitis, etc.
Also, chronic prostatitis is able to develop as a result of an unequal acute process of bacterial origin.
The stagnation of the secretion of the prostate gland occurs due to stagnation of blood in the pelvic organs, which can be due to:
- Irregular sex life.
- Sedimentary.
- Wearing tight underwear.
- Bad habits (alcohol abuse, smoking).
The stagnant form is found in 85% of cases of chronic prostatitis.
Factors that increase the risk of developing the disease of both forms include:
- Regular microtrauma, bruises of the pelvic organs.
- Improper nutrition.
- Nervous overloads.
- Errating sex life.
- Hypothermia and long stay in an environment with increased dampness.
These factors either cause a deterioration in the blood supply to the pelvic organs, or increase the possibility of penetration of infection into the prostate gland.
The diagnosis of chronic prostatitis is made to representatives of some professions more often than people with a different kind of activity.The risk group includes:
- Truckers and other drivers (forced to be in the same position for a long time).
- Programmers, office workers (sedentary lifestyle).
- Fishermen (stay in the cold for a long time).
- Professional athletes: football players, wrestlers, volleyball players, basketball players (often run the risk of injury in the pelvic area).
- Sailors and geologists (faced with adverse weather conditions: cold, damp).
Chronic prostatitis: symptoms
Symptoms of chronic prostatitis are:
- Pain in the crotch, in the lower abdomen: they can be given to the rectum, the sacrum.
- Erection disorders, premature ejaculation, lack of ejaculation.
- Urination disorders: frequent urge to urinate, difficulties with emptying the bladder, pain during urination.
In the early stages of chronic prostatitis, symptoms are weak.The pains are insignificant and passing.Urination disorders also occur irregularly.Therefore, the patient often does not give these symptoms of importance to these symptoms and does not consult a doctor.He comes to the reception even when the signs of the disease are clearly expressed.
It is necessary even if there are rare symptoms to consult a doctor, otherwise the disease can lead to complications.
Complications of chronic prostatitis
The presence of a constant focus of infection can lead to its spread to other organs and the development of pathologies in them.Complications of chronic prostatitis are:
- Cystitis is inflammation of the bladder.
- Pyelonephritis - purulent kidney inflammation
- Veziculite - inflammation of the seed bubbles.
- Orchoepididimitis - inflammation of the testicles and their appendages.
Inflammatory diseases of the genitourinary system, in turn, are able to bring:
- To infertility.
- to cancer diseases of the prostate.
- To the prostate adenoma.
Reference!In chronic prostatitis, erectile dysfunction often develops.This is due to the fact that the nerves responsible for the erection pass through the prostate gland.When a pathological process develops in it, this often affects them.
Diagnostics
To identify the disease, you need to visit a urologist or andrologist.First, the doctor will collect the anamnesis: he will listen to complaints and ask questions.Then he will conduct a visual inspection and finger examination of the prostate.Additionally, the following types of research may be needed:
- Bacteriological examination of urine.
- Microscopic examination of the secretion of the prostate gland.
- Ultrasound of the prostate.
- Spermogram.
- A smear from the urethra (to identify sexually transmitted infections).
- Prostate biopsy.
Treatment of chronic prostatitis
The treatment of chronic prostatitis is mainly conservative.Surgical is carried out only if therapy does not give the necessary result, or complications arose:
- Abscesses of prostate or surrounding fabrics.
- Prostate cancer.
- Prostate adenoma.
- Severe pathologies of the urethra.
Conservative treatment involves the appointment:
- Medications: non-steroidal anti-inflammatory drugs, antibiotics, alpha blockers, immunomodulators, drugs, accelerating regeneration.With severe pains, medication blocks can be prescribed.
- Prostate massage.Allows you to eliminate stagnant phenomena, improve blood circulation in the affected area and the outflow of the secretion of the prostate gland.However, before prescribing massage, additional studies are conducted, since in some conditions it can aggravate the condition.
- Physiotherapeutic procedures.Most often prescribed: magnetic therapy;electrophoresis;laser therapy;Ultrasound therapy.
- Diets.With its help, it takes place: eliminating the risk of aggravation of inflammation, improving the digestive tract, increasing immunity, reducing the load on internal organs, normalizing blood circulation in the entire body.It is necessary to eat non -construction with food, steamed, cooked or baked in the oven, with a minimum of salt.The basis of the diet in chronic prostatitis is low -fat fish, lean meat (chicken, turkey, rabbit, beef), cereals, vegetables, macarone products made of whole grain flour, light soups.It is necessary to exclude: fried, spicy, fatty, smoked, salted foods, canned foods, semi-finished products, fast food, mushrooms, spices, including onions and garlic, citrus, legumes and cabbage, fatty meat, strong tea, alcohol, carbonated drinks, sweets and concrete baking.
- In severe cases, surgical treatment is performed. Transurethral resection of the prostate gland - removal of the pathological site or the entire prostate, is carried out without cuts (the device is introduced through the urethra), is most often prescribed for the development of prostate adenoma.Prostatectomy - removal of a prostate or its area in the usual surgically way with the implementation of sections.
Prevention of chronic prostatitis
To prevent the development of the disease, it is important to timely eliminate any foci of infection in the body.A regular sex life will benefit, excluding random ties.A healthy diverse diet and moderate physical activity will strengthen immunity.It is necessary to avoid hypothermia, prolonged sitting (if this requires work, it is necessary to take breaks and choose), close underwear.It is also important as a prevention to take examinations of the urologist annually.