Chronic prostatitis (MKB-10. N41.1 code) is referred to as an inflammatory process that is observed in the tissues of the prostate for more than three months.Its feature is that in almost 70% of all cases without symptoms.And only 15% of the patients complain about the manifestations of the disease.All other men have symptoms that only partially indicate the development of prostatitis and often contact other diseases.Therefore, it is so important if there are signs when a doctor tells you after the examination how to treat chronic prostatitis.
The peculiarity of the disease
Chronic prostatitis can not only diagnose in older people.People of young and middle -aged are also subject to the disease.Danger is the one who leads a sitting lifestyle who adhere to sexual abstinence or experience physical exertion in the perineum.This means that the likelihood of chronic prostatitis among drivers, athletes are much higher than everyone else.
Chronic prostatitis takes first place in prevalence among all diseases of the reproductive system of men, followed by cancer and benign hyperplasia of the prostate of the DGPG (prostate -adenom).About every third man faces inflammation of the prostate, and every fifth of them suffers from a chronic form of the disease.
In most cases, the cause of chronic prostatitis is the transferred diseases of the genitational system caused by infections.It is caused a little less often by inflammatory processes associated with a change in the hormonal background of a man.
classification
Similar to other inflammatory diseases, chronic prostatitis can have acute and chronic stages.The classification is based on the following functions:
- The presence of leukocytes in the urine.
- The presence of pathogenic bacteria in urine, ejaculate or the secret of the gland.
Based on the classification, the following types of diseases exist:
- Asymptomatic inflammatory prostatitis is characterized by the lack of symptoms of chronic prostatitis.It is possible to identify it by chance when the patient addresses a doctor with a different illness.
- Acute bacterial prostatitis.The patient has acute inflammation of the prostate tissue, there are pathogens in the urine, which leads to an increase in temperature and the development of the body's poisoning.
- Chronic bacterial prostatitis.The doctor determines typical signs of chronic inflammation.And when analyzing urine and secret, the high content of leukocytes and bacteria is detected.
- Chronic pain syndrome in the pool.Such pain is considered the main symptom because bacteria are not detected.In order to diagnose chronic prostatitis, the syndrome in a man should be observed for at least 3 months.
Causes of the disease
The main cause of chronic prostatitis is the penetration of pathogens (enterococci, intestinal or prayer poles, etc.) into the prostate, etc.).Go to the prostate, bacteria can be in three ways:
- Through the urethra.
- Through blood.
- By lymph.
According to statistics, 90% of the cases of chronic prostatitis are a result of the development of acute prostatitis or a complication of urethritis.
In addition to a prostate of bacteria, the causes of chronic prostatitis can be as follows:
- Sexual infections (StPP): herpes, trichomonas, gonococcus, chlamydia etc.
- Stagnation processes in the pelvic area that can cause inflammation of the prostate.
- Reduce immunity.This can lead to: vitamin deficiency, violation of the balance of hormones, hypothermia, allergic reactions, significant physical and emotional stress, non -infected infections, etc.
- A sitting lifestyle.
- Light weight.
- Irregular sex life or disorders in the intimate area.
- Step injuries.
- Wear narrow lines.
- Irrational nutrition (dominance in the diet of spicy foods).
- Food to urinate.
- Violation of the chair.
All of this can lead to circulatory diseases in the pelvic area and contribute to stagnant phenomena and the development of the inflammatory process.The consequences of the lack of therapy are infertility and impotence.
Symptoms of the disease
Signs of chronic prostatitis can be very different.Most of the time the patient complains about:
- Reduce performance.
- Fast tiredness.
- Increased irritability.
- Fear.
- Sleeping injury.
- Lethargy.
- Loss of appetite.
- Increased sweating.
Among the local symptoms:
- Urine disorder.The patient feels frequent efforts, pain at the beginning and at the end of urination.
- A painful pain that can give in to the groin area, the sacrum, the scrotum, the Sublane bone or the rectum.
- Pain for sex.
- Discharge in the voltage of the pelvic muscles.
In contrast to the acute phase, there is often a violation of sexual functions in the event of a chronic illness.This is associated with the fact that stagnant also influences inflammatory processes on the nerve endings that provide the transfer of impulses to the brain.As a result, a violation of an erection is possible, weakening weaker or ejaculation (premature ejaculation), sensations during an orgasm (deleted orgasm).Such symptoms of chronic prostatitis in men lead to fear of closeness, irritability and, as a result, sexual neurosis arise.
It is not easy to treat chronic prostatitis.How long has to take medication depends on the degree of pathology and the duration of the development of the disease.It is important to note that this does not mean final healing if the symptoms of the disease have disappeared.One of the serious consequences of chronic prostatitis is the scarring of the gland.This process can switch to the urethra.
Diagnosis of the disease
When he goes to the doctor, he asks the patient with the available symptoms.Particular attention is paid to the frequency and type of pain, impaired urination and sexual dysfunction.Due to the fact that chronic prostatitis can occur without manifestations, certain studies are required:
- Clinical and bacterial urine analysis, in which the amount of leukocytes and the presence of pathogenic microorganisms are determined.
- Analysis of the secret that can contain bacteria.
- A scratch from the mucous membrane, in which the amount of leukocytes is determined, the presence of macrophages and amyloid bodies.
- Transportetral ultrasound makes it possible to identify an echoblast chronic prostatitis and determine the condition of the prostate.
A high -quality diagnosis is an essential part of the correct treatment because it enables chronic prostatitis to distinguish between other pathologies with similar signs.
Treatment
This disease should have an integrated approach to therapy.In this case, the patient has to set long treatment.The treatment scheme of chronic prostatitis is individual for each patient.Usually the patient does not need a hospital stay and can be treated at home.A completely different matter is if the acute phase of the disease or its worsening is subject to the background of chronic inflammation of the prostate of the treatment.Antibacterial therapy is used and carried out in a hospital.An operation is required if necessary.
Pharmaceutical therapy
For comprehensive treatment of chronic prostatitis, medication in men, the effect of which is aimed at eliminating the infection, the normalization of the bloodstream and hormone levels.Use:
- Antibiotics.
- Anti -inflammatory non -steroidal medication.
- Anticholinergic remedies.
- Immun modulators.
- Angoprotectors.
- Vasodilative medication.
Before the doctor has made an appointment, he analyzes the pathogen.If the disease is not a bacterial origin, the course of antibiotic therapy is short.In this case, if 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.
An antibacterial therapy for the purpose of prevention is prescribed with a relapse of the disease.For this purpose, a medication is used that was already used during treatment, but in a lower dosage.
If the specialist knows what chronic prostatitis is and what can cause its development, he will pay attention to the pressure within the prostate and its ability to reduce.If this function is reduced, stagnant phenomena and inflammation of the prostate can occur in the pool.Alpha blockers are prescribed to normalize the intrauterine pressure.
You can avoid painful injections and pills with a candle.
In the event of complaints about fast and painful urination, non-steroidal anti-inflammatory drugs are used in connection with alpha blockers.
In this case, when taking antibiotics proved to be ineffective and symptoms such as pain and dysuria are preserved, the treatment is adjusted so that it is arranged:
- Pain charge.Use tricyclic antidepressants.
- Normalization of urination.The treatment is prescribed after urinodynamic analysis.With the hyperactivity of the sphincter, antihistamines, tricyclic antidepressants and rinsing of the bladder are displayed with antiseptic solutions.With the ineffectiveness of such treatment, neuromodulation and physiotherapy are used.
Not -drug methods
In order for the treatment with tablets to be more effective, the doctor can recommend physiotherapy (electrophoresis, phonophoresis, laser therapy, treatment with mud) and transectal hyperthermia, which is carried out taking into account the existing changes in the tissue of the prostate and the associated diseases.At a temperature of 40 degrees, cellular immunity is activated.If it is exposed to a temperature of 45 degrees, the inhibition of the nerve ends occurs, which contributes to stopping the pain.The use of laser therapy has a biostimulating effect.
In the absence of contraindications, the patient is carried out by the prostate gland.Patients are often prescribed psychotherapy and special exercises that can strengthen the muscles of the perineum.
Treatment with folk remedies
In addition to the use of medication, manifestations of chronic prostatitis are treated with folk methods.Such treatment increases immunity and reduces pain.For this purpose, in addition to plant preparations, infusions and decocements of herbs, baths, etc. are used.
The course of treatment with phytoceprarations is at least 1 month and should be prescribed by a doctor, since some of them may have contraindications for use.Treatment with folk methods suggests:
- Plenty of drinks (teas with linden trees, ranks, raspberries).
- Every day before meals you have to drink 1 glass of freshly squeezed juice from carrots, pears and cucumbers.
- When the patient is tortured by pain, needle baths are used, a temperature of 37 degrees.The duration of the procedure is 20 minutes.
- If the patient has no allergy to honey, he is recommended to eat up to 100 grams of products every day.
- At home you can pay attention to propolis or honey using propolis or honey.You have to set them within 1 month.To prepare candles with propolis, take a mixture of glycerin, gelatin and water in proportions of 5: 1: 2. Add propolis there and distribute the mixture to parchment.Place everything in the fridge where the suppositories are fully frozen.
- Before going to bed, it is recommended to make an enema with Wormwood.For this purpose, 1 teaspoon of dry plants is brewed into 1 liter of boiling water.
Treatment with pumpkin seeds, aloe juice, parsley, chestnuts and celandine is also considered effective.Parsley has an anti -inflammatory effect and can restore sexual function.Fitotherapists recommend this treatment with this system:
- Drink 1 tablespoon of parsley juice every day before eating.
- 4 teaspoons of plant seeds pour 250 ml of boiling water and insisted in the thermos for the night.The next day, drink an infusion of 1 tablespoon per hour.
- 100 g of the crushed root of the plant are poured with 1 liter of water, put on a slow fire and cooked for 10 minutes.During the day, a decoction is drunk.
An effective tool are pumpkin seeds.About 30 such seeds contain a daily dose zinc, which is required for male health.You can create such a tool for treatment.500 g of pumpkin seeds are crushed in a meat loop and mixed with 200 grams of natural honey.Balls consist of the resulting mass, as large as a walnut.You have to eat 2 such balls every day.
Propolis helps to strengthen the defense of the body and relieve inflammation.You can buy his tincture in a pharmacy.For treatment, you have to drink a glass of milk with 1 teaspoon of such tincture every day.
In addition, liquid worts and Echinacea are used for treatment, which are also used in cases where the disease occurs without obvious symptoms.
operation
Chronic prostatitis often does not provide any symptoms, and patients seek medical help when serious changes in the prostate gland have occurred and chronic prostatitis are already powerless.In addition, such complications can be a threat to the patient's health.An example of complications can be referred to as prostate.
Due to the fact that such complications are often uncovered in young men, doctors use minimally invasive operations.The indication for its use is: phimosis, involuntary urine release or vice versa its delay, prostate abscess, significant increase in size of the size, urethral blockade or bleeding.There are types of surgical interventions that are displayed for chronic inflammation:
- Counting - is used when the patient has phimosis.The foreskin is dissected during the operation.
- The prostatectomy is a radical operation in which the prostate is completely removed.In the event of suspicion of the existence of a malignant tumor, it is carried out.
- The resection of the prostate is partially removed of the gland in the case of its sclerotic change.
- Elimination of adhesions.
- Drainage of a cyst or abscess.It is generated by endoscopy.A special tube with a camera is used for drainage.Such a device is inserted into the lumen of the urethra and enables the course of the operation to be controlled.
- In the event of complaints from different sexual disorders (violation of orgasm, painful ejaculation, etc.), the patient is carried out by a cut of the erystarch connections.
The result of a surgical intervention depends on the topicality of the diagnosis.In cases where a prostate adenoma is available, manifestations of chronic prostatitis can be lubricated.This is observed in 70% of cases.25% of men learn the development of chronic prostatitis during an adeny examination.And only 5 % of patients - during a preventive examination.
The disease for the operation is the lack of an effect in the conservative treatment of the disease.The operation is therefore necessary to avoid complications and improve the quality of life.
However, it must be taken into account that it is also possible after the operation to return prostatitis.This is done in almost half of those operated.Contraindication for every operation is:
- Diabetes.
- Pathology of the liver.
- Diseases of the breathing system.
- Mental disorders.
- Heart disease.
The forecast of the disease
Anyone who is faced with such a diagnosis is interested in whether chronic prostatitis can be healed?The disease is considered healed if the symptoms do not appear to be significant period, the leukocyte level in the urine is in the normal value, in the secret of the prostate there are no pathogenic bacteria, urine and sexual functions restored.
In most cases, the forecast is favorable in cases in which the disease has not led to irreversible processes, and the patient observes the treatment prescribed to him.
Prevention of the disease
Every man with middle age should prevent the prevention of diseases of the genitarian system, which also help to reduce the likelihood of chronic prostatitis.Enough for that:
- Stick to the basics of a healthy lifestyle, play sports.
- Eat properly.It is important to consume many protein food (low -fat meat and fish, dairy products, eggs) and to limit the amount of animal fats.At the same time, the food in canned food, sharp, 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.You do not have to ignore a medical examination that always contributes to identifying prostatitis in good time and starting your treatment.It is important to note that it is healed when it is recognized in the initial phase and the patient observes all the recipes of the doctor.