Chronic prostatitis (MKB-10. N41.1 Code) is called an inflammatory process that has been observed for more than three months in the tissues of the prostate gland.Its characteristic is that in almost 70% of all cases it goes without any symptoms.And only 15% of patients complain of the disease.All other men have symptoms that only partially show the development of prostatitis and can often associate with other diseases.Therefore, it is so important when signs appear to see a doctor who will tell you how to treat chronic prostatitis after the study.
The peculiarity of the disease
Chronic prostatitis can be diagnosed not only in the elderly.People from young and medium years are also the subject of the disease.At risk are those who lead a sedentary lifestyle, adhere to sexual abstinence or experience physical exertion in the perineum.That is, the likelihood of chronic prostatitis in drivers, athletes are much higher than all others.
Among all the diseases of the reproductive system of men, chronic prostatitis occupies the first place in spread, followed by cancer and benign prostate hyperplasia of DGPG (prostate adenoma).Approximately every third man is facing prostate inflammation and every fifth of them suffers from a chronic form of the disease.
In most cases, the cause of chronic prostatitis is the transmitted diseases of the genotian system caused by infections.A little more rarely caused by inflammatory processes associated with a change in the hormonal origin of a man.
Classification
Like other inflammatory diseases, chronic prostatitis can have an acute and chronic stage.Its classification is based on the following characteristics:
- The presence of leukocytes in the urine.
- The presence of pathogenic bacteria in the urine, ejaculate or secret of the gland.
Based on the classification, there are the following types of diseases:
- Asymptomatic inflammatory prostatitis is characterized by the lack of symptoms of chronic prostatitis.It is possible to identify it by accident when the patient addresses a doctor with another disease.
- Acute bacterial prostatitis.The patient has acute inflammation of the prostate tissues, pathogens are present in the urine, which leads to an increase in temperature and the development of intoxication of the body.
- Chronic bacterial prostatitis.The doctor notes typical signs of chronic inflammation.Also, in the analysis of urine and the secret, the high content of leukocytes and bacteria is detected.
- Chronic pelvic pain syndrome.Such pain is considered a major symptom as bacteria are not detected.In order to diagnose chronic prostatitis, the syndrome should be observed in a person for at least 3 months.
The causes of the disease
The main cause of chronic prostatitis is the penetration of pathogens (enterococci, intestinal or prayer sticks, etc.) into the prostate gland, etc.).Go to the prostate, bacteria can be in three ways:
- Through the urethra.
- Through blood.
- Through lymph.
According to statistics, 90% of cases of chronic prostatitis are a consequence of the development of acute prostatitis or complication of urethritis.
In addition to entering the prostate of bacteria, the causes of chronic prostatitis can be as follows:
- Sexual infections (STPP): Herpes, Trichomonas, Gonococcus, Chlamydia and others.
- Stagnation processes in the pelvic area that can cause prostate inflammation.
- Reducing immunity.This can lead to: vitamin deficiency, hormone balance, hypothermia, allergic reactions, significant physical and emotional stress, uninfected infections, etc.
- A sedentary lifestyle.
- Light weight.
- Irregular sex life or disorders in the intimate sphere.
- Chat injuries.
- Wearing tight linen.
- Irrational diet (predominance in the diet of spicy foods).
- Urination lining.
- Violation of the chair.
All this can lead to blood circulation in the pelvis, contributes to stagnation phenomena and the development of the inflammatory process.The consequences of lack of therapy are infertility and impotence.
Symptoms of the disease
The signs of chronic prostatitis can be very different.Most often the patient complains about:
- Reducing productivity.
- Rapid fatigue.
- Increased irritability.
- Anxiety.
- Disruption of sleep.
- Lethargy.
- Loss of appetite.
- Increased sweating.
Among the local symptoms:
- Urination disorder.The patient experiences frequent urge, pain at the beginning and end of urination.
- Pain pain that can be attached to the groin, sacrum, scrotum, bone or rectum.
- Pain for sex.
- Disposal at pelvic muscle tension.
Unlike the acute phase, chronic illness often occurs a violation of sexual functions.This is related to the fact that stagnant is also inflammatory processes, affecting the nerve endings that ensure the transmission of the pulses of the brain.As a result, a violation of erection is possible, which weakens or ejaculation (premature ejaculation), the sensations during orgasm (deleted orgasm) are boring.Similar symptoms of chronic prostatitis in men lead to fear of closeness, irritability, and as a result, sexual neurosis develops.
It is not easy to treat chronic prostatitis.How long you will need to take medication depends on the degree of pathology and the duration of the disease.It is important to remember that if the symptoms of the disease have disappeared, it does not mean final treatment.Severe effects of chronic prostatitis include scars of the gland.This process can move to the urethra.
Diagnosis
When he goes to a doctor, he will ask the patient with the symptoms available.Particular attention is paid to the frequency and nature of pain, impaired urination, sexual dysfunction.But due to the fact that chronic prostatitis may occur without any manifestations, some studies are needed:
- Clinical and bacterial urine analysis, which determines the amount of leukocytes and the presence of pathogenic microorganisms.
- Analysis of the secret that may contain bacteria.
- Scraping from the mucosa, which determines the amount of leukocytes, the presence of macrophages and amyloid bodies.
- Transurethral ultrasound makes it possible to identify echooboblast of chronic prostatitis and to determine the state of the prostate.
High quality diagnosis is a significant part of proper treatment as it allows to distinguish chronic prostatitis from other pathologies with similar signs.
Treatment
This disease should have an integrated approach to therapy.In this case, the patient should be adjusted to long treatment.The treatment regimen for chronic prostatitis will be individual for each patient.Usually the patient does not need hospitalization and he or she can be treated at home.A completely different question is when the acute phase of the disease or its exacerbation of the background of chronic prostate inflammation is the subject of treatment.Antibacterial therapy is used in the hospital and dentoxic is performed.Operation is required if necessary.
Drug therapy
For the complete treatment of chronic prostatitis, men are prescribed medicines, the effect of which is aimed at eliminating infection, normalizing blood circulation and hormone levels.To do this, use:
- Antibiotics.
- Anti -inflammatory non -steroidal drugs.
- Anticholinergic agents.
- Immunomodulators.
- Angioprotectors.
- Vasodilative medicines.
Before he arranged a meeting, the doctor will analyze the pathogen.If the disease is not bacterial origin, then the course of antibiotic therapy will be short.In the case where it is not possible to determine the type of pathological microflora with laboratory methods, a histological analysis of the tissue of the prostate is used.
With recurrence of the disease, antibacterial therapy is prescribed for prevention.This uses a medicine that has already been used during treatment but at a lower dose.
Knowing what chronic prostatitis is and what its development can cause, the specialist will pay attention to the pressure inside the prostate gland and its ability to decrease.If this function is reduced, then stagnant phenomena and inflammation of the prostate can occur in the pelvis.Alpha-blockers are prescribed to normalize intrauterine pressure.
You can avoid painful injections and take pills with a candle.
For complaints of rapid and painful urination, non-steroidal anti-inflammatory drugs are used in conjunction with alpha blockers.
In the event that when taking antibiotics, it proved ineffective and symptoms such as soreness and dyisuria are preserved, the treatment is adjusted so that it is directed to:
- Elimination of pain.To do this, use tricyclic antidepressants.
- Normalize urination.Treatment is prescribed after urinodynamic analysis.The hyperactivity of the sphincter shows antihistamines, tricyclic antidepressants and rinsing of the bladder with antiseptic solutions.With the ineffectiveness of such treatment, neuromodulation and physiotherapy are used.
Methods without medicine
In order for the treatment with tablets to be more effective, the doctor may recommend physiotherapy (electrophoresis, phonophoresis, laser therapy, mud treatment) and transrectal hyperthermia, which is performed, taking into account the existing changes in the tissue of the prostate and related diseases.When exposed to a temperature of 40 degrees, cellular immunity is activated.When exposed to a temperature of 45 degrees, nerve endings occur, which helps to stop the pain.The use of laser therapy has a biostimulatory effect.
In the absence of contraindications, the patient is performed by the prostate gland.Often, patients are prescribed a course of psychotherapy and special exercises that can enhance the muscles of the perineum.
Folk remedies
Along with the use of medicines, the manifestations of chronic prostatitis are treated by folk methods.Such treatment increases immunity and reduces pain.For this, in addition to herbal preparations, infusions and decoctions of herbs, baths and more are used.
The course of treatment with phytopreparations is at least 1 month and should be prescribed by a doctor, as some of them may have contraindications for use.Treatment with folk methods implies:
- Abundant drink (teas with lindzhi, rose, raspberries).
- You should drink 1 cup of freshly squeezed carrot juice, pears, cucumber every day before meals.
- If the patient is tormented by pain, coniferous baths are used, a temperature of 37 degrees.The duration of the procedure is 20 minutes.
- If the patient is not allergic to honey, it is recommended to eat up to 100 grams of product daily.
- At home, you can independently make suppositories based on propolis or honey.You should place them within 1 month.To prepare candles with propolis, take a mixture of glycerol, gelatin and water in a proportions of 5: 1: 2. Add propolis there and spread the mixture over parchment.Put everything in the refrigerator where the supplers are completely frozen.
- Before going to bed, it is recommended to make an enema with wormwood.To do this, 1 teaspoon of dried plants are boiled in 1 liter of boiling water.
Treatment with pumpkin seeds, aloe juice, parsley, chestnut and cellar is also considered effective.Parsley has an anti -inflammatory effect and is able to restore sexual function.FITOTHEPRISTS recommend this treatment with this plant:
- Drink 1 tablespoon of parsley juice every day before meals.
- 4 teaspoons of vegetable seeds pour 250 ml of boiling water and insist in a thermos overnight.The next day, they drink an infusion of 1 tbsp every hour.
- 100 g of crushed root of the plant is poured with 1 liter of water, place low heat and cook for 10 minutes.During the day, a decoction is drunk.
An effective tool is pumpkin seeds.About 30 such seeds contain a daily dose of zinc, which is necessary for the health of men.You can make such a tool for treatment.500 g of pumpkin seeds are crushed in a meat mill and mixed with 200 grams of natural honey.The balls are made from the resulting mass, the size of the walnut.You should eat 2 such balls every day.
Propolis helps to strengthen the body's defenses and relieve inflammation.You can buy his tincture at a pharmacy.For treatment you should drink a glass of milk every day with 1 teaspoon such tincture.
In addition, the decoctions of lifting, the case of St. John, Echinacea are used for treatment, which are also used in cases where the disease occurs without obvious symptoms.
Surgery
Often, chronic prostatitis does not give symptoms and patients seek medical attention when serious changes in the prostate gland have occurred and chronic prostatitis is already powerless.In addition, such complications can pose a threat to the patient's health.An example of a complication may be called prostate sclerosis.
Due to the fact that such complications are often detected in young men, doctors use minimally invasive surgery.The indication of its use is: phimosis, involuntary release of urine or, conversely, its slowdown, prostate abscess, significant enlargement of the gland in size, urethral blockade or bleeding.There are types of surgery that are indicated for chronic inflammation:
- Circicia - is used when the patient has phimosis.During the surgery, the foreskin is divorced.
- Prostatectomy is a radical surgery during which the prostate is completely removed.It is carried out in case of suspicion of the presence of a malignant tumor.
- Prostate resection is partial removal of the gland in the case of its sclerotic change.
- Elimination of adhesions.
- Drainage of a cyst or abscess.It is produced by endoscopy.A special camera with a camera at the end is used for drainage.Such a device is introduced into the lumen of the urethra and allows the course of the operation to be controlled.
- In the event of complaints of various sexual disorders (orgasm disorder, painful ejaculation, etc.), the patient is performed by incision of the channels of the eristman.
The result of surgery will depend on the timeliness of the diagnosis.In cases where there is prostate adenoma, then the manifestations of chronic prostatitis can be crushed.This is observed in 70% of cases.25% of men learn about the development of chronic prostatitis during adenoma examination.And only 5 % of patients - during a preventive examination.
The condition for surgery is the lack of effect with the conservative treatment of the disease.Surgery is therefore necessary to prevent complications and improve quality of life.
However, it should be borne in mind that even after surgery it is possible to return prostatitis.This happens in almost half of the operated ones.The contraindication to any operation is:
- Diabetes.
- Pathology of the liver.
- Diseases of the respiratory system.
- Mental disorders.
- Heart disease.
The prognosis of the disease
Anyone faced with such a diagnosis is interested in whether chronic prostatitis can be cured?The disease is considered to be cured if the symptoms do not occur a significant period of time, the level of leukocytes in the urine is normal, there are no pathogenic bacteria in the secret of the prostate, urination and sexual function.
Most often, the prognosis is favorable in cases where the disease has not led to irreversible processes and the patient monitors his prescribed treatment.
Prevention
Each average person should prevent the prevention of diseases of the geniopolous system, which will also help reduce the likelihood of chronic prostatitis.Enough for this:
- Stick to the basics of a healthy lifestyle, play sports.
- Eat properly.It is important to consume many protein foods (low fat and fish meat, dairy products, eggs) and limit the amount of animal fats.At the same time canned food, spicy, salty dishes, alcohol should be excluded from the menu.
- Regular sex life.It is important to avoid unprotected sex.
In order to prevent prostate disease, every man, especially after 35 years, must monitor health and lead an active life.There is no need to neglect a medical examination, which always helps to identify prostatitis on time and begin its treatment.It is important to remember that it is cured if it is found at the initial stage and the patient monitors all the doctor's prescriptions.