Chronic prostatitis: symptoms, causes, treatment and prevention

symptoms and causes of prostatitis

Prostatitis is diagnosed exclusively in men. This is one of the most common diseases among diseases of the male reproductive system, 4 out of 5 men have experienced prostatitis symptoms at least once in their lifetime.

Most often, prostatitis affects men aged 20-40 years at the peak of their sexual activity. Chronic prostatitis is diagnosed in every 10 men. It is characterized by periods of irritation and forgiveness and masquerades as a host of other ailments.

Symptoms of chronic prostatitis include the following manifestations:

  • Discomfort and pain in the lower abdomen, with periodic cramps that do not go away for a quarter or longer. The pain may appear in the lower back, legs, scrotum, anus. It is especially painful to become urinated and ejaculate.
  • The erection of the penis worsens and sexual desire weakens. Premature ejaculation develops first and over time, on the contrary, ejaculation practically does not occur, it becomes very difficult to achieve this.
  • Urination becomes painful and incomplete. There is a feeling of incomplete emptying of the bladder all the time.
  • A person's quality of life is deteriorating from time to time.

There are 2 types of chronic prostatitis: bacterial and bacterial.

Bacterial (infectious) prostatitis occurs with a constant alternation of irritations and sharp remissions, while infection and bacteria are found in the secretion of the prostate.

In this case, nearby organs can be affected, such as the urethra, bladder neck, vas deferens and therefore the disease manifests itself in different ways. An accurate diagnosis can be made after a thorough examination.

Most often, the disease manifests itself as follows:

  • Frequent and painful urination.
  • Burning in the urethra.
  • Premature ejaculation.
  • Small mucous discharges from the urethra.
  • Severe sexual function disorders.

All this greatly affects a man's ability to work and mental state, which leads to prolonged depression and neurasthenia.

Chronic bacterial prostatitis is a disease in which bacteria are not found in the secretion of the prostate. This form is very difficult to diagnose, as evidenced by the numerous reviews of men in various forums. It is also very difficult to find the right treatment regimen.


So far, doctors have faced many unclear factors of the origin of this disease. This greatly complicates the treatment process.

Even ultrasound and laboratory secretion tests may not show the presence of an inflammatory process. According to the recommendations of the European Association of Urologists, the main signs of bacterial prostatitis are distinguished:

  • Appears in middle-aged men.
  • Prolonged pain in the pelvic region and groin.
  • Violation of urinary function and frequent imperative stimuli.
  • Erectile dysfunction and pain during ejaculation.
  • Chronic congestive prostatitis: worsening and remission
  • Chronic congestive prostatitis is characterized by several stages of development, which are manifested by their various signs:
  • Exudative - a man feels a sharp pain in the groin, scrotum and pubic area.
  • Problems with erection and accelerated ejaculation are observed.
  • Alternative - the patient complains of discomfort in the groin, scrotum and pubis.
  • There are frequent urges to urinate and rapid ejaculation during sexual intercourse.
  • Proliferation - the patient notices frequent urination with a weak current, a constant feeling of not completely emptying the bladder. And ejaculation becomes, on the contrary, difficult and slow.
  • Scar changes - at this stage, prostate tissue begins to thicken intensely. The patient complains of discomfort in the pelvic and pubic area, frequent urges to urinate with a thin stream, and incomplete emptying. Erection is very weak or non-existent, ejaculation becomes almost impossible and orgasm is weak, with no vivid impressions. Prostatitis passes into the chronic prostate stage of unstable remission, in which persistent pain is observed and remission occurs for only a few hours.

In terms of classification, it is customary to use the US NIH classification, which divides the disease into types: acute and chronic bacterial, chronic without signs of inflammation and congestive, as well as histological.

Factors and causes of chronic prostatitis in men

Despite the fact that there are some germs of chronic prostatitis in the body of almost every person, only a few get sick. How can the development of such a disease in a particular case be explained?

Experts determine the occurrence of chronic prostatitis not only by the presence of an infection in the body, but also by the conditions that affect the development of the disease.

The most common causes of chronic prostatitis in men include:

  • blood stagnation, which is contained in the prostate, caused by a sedentary lifestyle;
  • unstable sex life;
  • uncomfortable and quite tight clothing;
  • frequent hypothermia;
  • injuries, as well as infections of various organs of the genitourinary system;
  • malnutrition;
  • constant stress;
  • frequent smoking and smoking.

Diagnosis begins with a conversation with the patient, who must tell exactly and completely what is bothering him. The doctor must find out why the patient has developed chronic prostatitis, discover all the possible causes and symptoms, how they appear. The doctor should tell everything down to the smallest detail, it will depend on how accurately the diagnosis will be made and effective and comprehensive treatment will be prescribed.

Next, you need to palpate and pass the secret for bacteriological analysis, thanks to which you can determine the presence of infections and detect the resistance of bacteria to antibiotics.


Palpation is performed by the urologist through the rectum. This procedure makes it possible to detect the size and pain of the prostate. Hemorrhoids, adenomas, or prostate cancer can also be detected during the examination. Prostate ultrasound will provide accurate data on the condition of the organ.

Determination of PSA level in the blood makes it possible to rule out or confirm the presence of adenoma and prostate cancer.

If the urologist suspects the presence of a tumor, they will need to attend prostate tissue for a biopsy, which will indicate its presence or absence.

Treating chronic prostatitis is a complex and time consuming process. Various methods are used today to treat this disease.

Antibiotic treatment. In this case, antibiotics of the macrolide group and tetracycline are used.

Only the attending physician can choose the right medication, its dose, and the duration of treatment.

Usually the medication is taken for 10-15 days. Repeated tests are then given, according to the results of which the doctor will determine if the patient has recovered or if additional treatment is required.

Prostate massage is necessary so that the secretion of the prostate does not stop and its microcirculation occurs. This is very conducive to a speedy recovery.

However, massage is prohibited for acute prostatitis, hemorrhoids and rectal fissures.

Massage is usually described as an adjunct to antibiotic treatment.

Physiotherapy is prescribed to improve the condition of prostate gland tissue, due to which the healing process is accelerated.

For treatment, laser therapy and ultrasound are used. The use of mud, enemas with mineral waters rich in hydrogen sulfide is also effective.

Phytotherapy is used as an additional stimulus for patient recovery and is always used in combination with other methods. Various herbal remedies are used for treatment.

In some cases, surgical intervention may be indicated even if the urethra is too narrow, the presence of abscesses or prostate adenoma is detected.


Diagnosis and treatment should be performed in a medical institution under the constant supervision of qualified physicians.

By contacting a doctor in time, you can achieve a quick cure. Starting treatment, there will be a long-term forgiveness. You can talk about complete cure when all the symptoms of the disease disappear, and laboratory tests show good results.

Frequently Asked Questions by Patients About Chronic Prostatitis

How to cure chronic prostatitis with folk remedies quickly and effectively?

Treatment can be carried out with the help of folk remedies. In folk medicine, the most popular is the use of infusions of chamomile, yarrow and sage. These microencapsulations greatly alleviate the inflammation that occurs in the prostate gland.

To prepare such a microclister, take two tablespoons of chamomile and pour 100 g of grass. boiling water. You can also use horse chestnut skin for treatment, which is poured with alcohol and kept for 10 days in a dark place.

A decoction of onion also helps. Finely chop two large onions and toss with boiling water in a half-liter jar. The jar is wrapped in a towel and left to bake for 2 hours. Then every hour you should drink 50 grams of broth.

How to cure impotence in chronic prostatitis?

Impotence can be cured at home, by undergoing a series of measures.

It is necessary to choose the appropriate medication that will help fill the cavernous bodies of the penis with blood. But before that, a consultation with a urologist is required. Modern drugs to increase strength with the active ingredient sildenafil have a good effect.

It is necessary to adjust the diet and go on a diet. You can not eat fatty foods and foods that lower testosterone. It is necessary to rely on cereals and lean meats, drink juices and green tea.

Also, do not forget about physical activity. Walking and jogging in the fresh air are very effective in this regard. You also need to do swings with your feet. This helps contract the muscles of the anus and perineum.

How long is chronic prostatitis treated and how to get rid of it forever?

Antibiotic therapy lasts 1-3 months, depending on the negligence of the disease. If necessary, additional treatment with small doses of antibiotics may be prescribed. Lipophilic antibiotics best cope with this task.

To forget this problem forever, you need to change your lifestyle, eat properly, not refresh yourself and give your body a break.

Why is chronic prostatitis dangerous?

Chronic prostatitis is characterized by acute exacerbations of the disease, which are replaced by remissions. When the pain subsides, it becomes easier and the husband decides that he can handle the problem on his own, instead of contacting a urologist quickly. However, the delay will not help here, as with each worsening the inflammation will increase.

Inflammation can affect nearby organs, leading to cystitis, pyelonephritis, and vesicles. As a result, a man can develop infertility.

What antibiotics should you take for chronic prostatitis?

A number of penicillins are often used. Tetracycline antibiotics are often prescribed for mycoplasmas and chlamydia.

Fluoroquinolones are very effective and penetrate well into prostate tissue. Macrolides accumulate well in prostate tissue and quickly remove toxins.

Is it possible to have sex with a chronic prostate?

If the disease is caused by an infection, then it is better to abstain from sex so as not to infect the partner. Although you can use a condom. It is simply necessary to have sex, because when aroused, the blood rushes to the prostate gland and it begins to shrink. Also, during ejaculation, the pelvic floor muscles contract strongly, which is considered a good self-massage.

Prevention of chronic prostatitis in men and its features

Prevention of chronic prostatitis in men involves a healthy lifestyle and daily exercise. You can stretch and relax the scrotum constantly from time to time.

With each urination stop the current slightly, so the bladder sphincter will harden in some way. Such high-quality exercises will allow blood to circulate well through the prostate veins, as well as improve metabolic processes in the body.