The first signs of prostatitis in men can occur at a young age and if quality medical care is not provided, the disease can turn into a latent form and continue with minor symptoms: discomfort when urinatingand sexual intercourse, pain in the perineum and lower back. If you do not pay attention to these symptoms, chronic prostatitis progresses, the treatment of which is more difficult and longer.
An experienced urologist will tell you what a chronic prostate means and how dangerous it can be. Even a single inflammation without effective treatment can result in the disease progressing to a severe recurrent form.
Causes of chronic prostatitis
Chronic prostatitis is the result of poor quality treatment of an acute inflammatory process. Men are often negligent about their health or simply reluctant to contact specialists. As a result, the disease progresses.
A urologist treats the prostate professionally. He will tell you what chronic prostatitis is in men, why it occurs and how unpredictable it is. The specialist will accurately determine the etiological factors. This directly affects the effectiveness of the applied treatment methods. Many do not know where chronic prostatitis comes from, which is caused by some infectious pathogens (E. coli, streptococcus, staphylococcus, fungus), and some factors are just a triggering mechanism.
Predisposing factors
The causative agents of prostatitis are microbial agents: Pseudomonas aeruginosa, staphylococcus aureus, Escherichia coli. But the causes of chronic prostatitis can be associated with the following predisposing factors:
- reduced immunity;
- hypothermia;
- damage to the genitourinary organs;
- stress;
- drinking alcohol and very spicy food;
- overload in the pelvic region;
- constipation;
- smoking, chronic intoxication of the body with destructive substances;
- sedentary lifestyle;
- presence of foci of chronic infection;
- venereal diseases.
Men tend to crawl referring to specialists. Often the woman is the initiator of the consultation with the urologist. If the man has chronic prostatitis, treatment should begin immediately. Otherwise, you can start the course of the disease, which will turn into a severe chronic form and begin to give complications.
Signs of Disease
Signs of chronic prostatitis in men in remission are almost completely absent. Minor pain syndrome is permanent, but the discomfort is moderate. After hypothermia, prolonged abstinence, chronic prostatitis may worsen, the symptoms of which increase depending on the condition of the man.Whenever a worsening occurs, the symptoms characteristic of chronic prostatitis in men appear:
- heaviness and pain in the perineum;
- signs of body intoxication;
- urinary disorder;
- radiation of pain in the penis or anus;
- prostate is asymmetrical and painful to the touch;
- chills, weakness, fever.
Typically, the pain intensifies at the beginning and end of urination. Unpleasant sensations are usually given to the rectum, sacrum and penis. Pain syndrome also appears after intimate contact, it is especially acute during sperm secretion. Urination during forgiveness may be painless, but it is usually more frequent. At the same time, there is a difficulty in starting the microphone.
Urine flow is intermittent, there is a feeling of incomplete emptying of the bladder. In the morning there is a burning sensation in the urethra. Filament formations are often found in morning urine. This means that the inflammatory process is chronic.
Impact on sexual performance
Problems of male potency often arise against the background of a prolonged course of the inflammatory process, which disrupts prostate function, reduces libido and can even cause infertility. With such complications, chronic prostatitis occurs - the causes of erectile dysfunction are often associated with a slow infectious and inflammatory process. Until the causative agents of the disease are eliminated, the effect of predisposing factors is not eliminated, power will not be restored.
Diagnosis of chronic prostatitis
Comprehensive diagnosis will help determine the course features and causes of chronic prostatitis in men. First of all, experts prescribe a rectal examination of the prostate gland. During the procedure, the specialist determines the clarity of the contours and boundaries of the organ, the degree of pain. In the future, ultrasound is performed to identify specific functional and structural changes.
TRUZI
Prostate ultrasound (TRUS) is a safe and informative method for visualizing the main structures of the prostate and adjacent urogenital organs. Studies are performed both through the abdominal wall and transrectally - through the rectum. In case of difficulty urinating, the specialist examines the bladder and determines the remaining urine.
Ultrasound diagnosis allows you to choose the most effective treatment for chronic prostatitis in men, as well as to evaluate the effectiveness of the methods already used. Lack of radiation exposure in the body allows the use of ultrasound as often as required by a specific clinical situation.
Examination of prostate secretions and ureteroscopy
Prostate secretion is collected after urination and gland massage. The study of biomaterials allows you to identify the pathogenic microflora, determine the level of leukocytes and the number of lecine grains. The method makes it possible to classify the nature of the pathological process, to understand how a man should be treated and what medications to use. The diagnosis is not accompanied by painful sensations, it is easily perceived by a man.
In case of impaired urinary function, blood in the urine and erectile dysfunction, it is recommended that you undergo ureteroscopy. This procedure allows you to assess the urethra and perform specific treatments using endoscopic equipment.
Additional research methods
Additional diagnostic methods are used to clarify the clinical picture, to determine the exact causes of the inflammatory process. Chronic prostatitis should be differentiated from neurogenic bladder and other similar diseases that have similar symptoms. Specialists prescribe electromyography, urodynamic diagnostic methods. They allow qualitative differentiation of chronic inflammation from other diseases.
Chronic prostatitis often leads to hyperplastic processes, proliferation of glandular tissue, adenoma growth and malignant neoplasms. To rule out a cancerous process, it is necessary to perform PSA diagnosis. The method involves determining the level of prostate specific antigen, with an increase in which malignant cell growth may be suspected. To clarify the nature of the formations identified, it is necessary to perform a biopsy of the prostate gland, followed by a morphological study of the given material.Possible complications
Chronic prostatitis significantly reduces a man's quality of life. Prolonged course of the inflammatory process, in one way or another, disrupts reproductive function, weakens libido and threatens various infectious complications. The most unpleasant consequences of the disease are impotence and reproductive disorders. Persistent inflammation alters prostate gland tissue, contributing to their proliferation, hormonal abnormalities, early onset of menopause, and adenoma growth.
Chronic course of the disease can lead to urinary incontinence, stones and cysts in the prostate. As the disease progresses, prostate sclerosis develops. This pathological condition is the final stage of prostate inflammation. The body accumulates collagen with the formation of dense tissue. The urethra narrows, there are problems with potency. Such changes are characteristic of benign prostatic hyperplasia, which at any time can lead to malignant growth of cells and the formation of cancerous tumors.
Treatment characteristics
Chronic inflammation of the prostate does not heal easily. But healing is possible or the pathology passing into a prolonged phase of remission. The effectiveness of medical procedures depends on the time frame of seeking medical help.
A man should strictly follow the recommendations of the attending physician, avoid the action of predisposing factors: hypothermia, scrotal trauma, sexually transmitted diseases, the impact of stress. Importers It is important to remember that even a banal viral infection can aggravate the disease with the appearance of intense pain and disruption of the urinary system.
Drug therapy
Bacterial prostatitis is treated with antibiotics. They are prescribed for several weeks. To increase the comfort of the patient's life, to combat the main acute symptoms, non-steroidal anti-inflammatory drugs are used. Adrenergic blockers are effective in restoring urodynamics, regular release of prostate secretions, and relieving muscle tension in the gland. Paraprostatic blockers in combination with acupuncture effectively cope with intense pain syndrome as well.
If a man feels anxious against the background of a chronic inflammatory process, sedatives or tranquilizers may be used. But such drugs should be prescribed by qualified specialists who are well acquainted with the specific clinical case.
Physiotherapy
Physiotherapy uses medical electrophoresis, ultrasound treatment and magnetotherapy. Acupuncture is also used in combination with analgesic blockages. Furthermore, it is recommended to use therapeutic sitz baths, enemas and special instillations in the urethra. Drip administration of drugs is good for chronic inflammatory processes.
The technique ensures that a large amount of agent is introduced directly into the pathological focus. A high concentration of the drug remains for a long time. This allows you to effectively deal with a slow infectious process. The drug should be held for 30-40 minutes, limiting urination.
Surgical Treatment
In case of ineffectiveness or impossibility to use conservative techniques and physiotherapy, it is necessary to perform surgical treatment. It is mainly required to remove urethral strictures. In the case of prostate sclerosis, transurethral resection is performed using endoscopic techniques. The method is used if the patient has severe concomitant diseases of internal organs that do not allow classical prostatectomy.
In case of recurrent phimosis against the background of a chronic infectious process, it is recommended to perform therapeutic circumcision of the foreskin. The operation is performed according to the indications and only in the conditions of the urological department.
Prediction of the disease
The prognosis of the disease is determined by the time and effectiveness of the prescribed treatment, the duration of treatment of the inflammatory process, the age of the man and the presence of some concomitant disorders. Depending on medical prescriptions, the implementation of preventive measures, including the normalization of intimate activity and the prevention of sexually transmitted diseases, it is possible to reduce the number of relapses per year and transfer the disease to a state of prolonged remission.