What does chronic prostatitis mean in men. Chronic prostatitis and its consequences for men. Possible consequences of re-inflammation

Chronic prostatitis- one of the most common diseases among men of mature age. Inflammation of the prostate significantly reduces the quality of life, causing psychosomatic and sexual disorders. The lack of sufficient information about the nature of this disease makes the treatment of chronic prostatitis challenging task requiring a lot of patience from both the patient and his doctor.

Prostatitis is an inflammatory and degenerative lesion of the prostate gland.

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The American National Institutes of Health (NIH USA) has developed and proposed the following classification chronic prostatitis:

• chronic bacterial prostatitis;
• chronic non-bacterial prostatitis (with and without signs of inflammation);
• chronic asymptomatic prostatitis.

Modern andrologists adhere to this classification in the diagnosis and treatment of inflammatory diseases of the prostate. Separately allocated acute prostatitis. Knowing which category the identified pathology belongs to, the doctor will be able to choose the optimal therapy regimen and achieve significant success in treating the disease.

Causes and risk factors

The division into bacterial and non-bacterial chronic prostatitis is not accidental. Various causes of the disease determine the tactics of treatment and largely affect the outcome of the disease.

Chronic bacterial prostatitis

Chronic bacterial prostatitis occurs in 10-15% of patients. The direct cause of the development of the disease is the penetration into the prostate of pathogenic and opportunistic flora. By definition, the prostate gland is free of bacteria. Infection of the prostate is possible through the urethra, as well as hematogenous and lymphogenous routes. During the examination, the following microorganisms are most often detected:

• coli (up to 95%);
• Proteus;
• klebsiella;
• pseudomonas.

Representatives of gram-positive flora (staphylococci, streptococci) are quite rare. In some cases, the growth of two or more microorganisms (mixed infection) is noted. Possible infection with pathogenic flora (chlamydia, gonococci, etc.).

Most of the microorganisms detected during the examination are representatives of the normal microflora. Under normal conditions, they do not harm the body and exist peacefully on the mucous membranes of the urinary system and digestive tract. Under certain conditions, the growth and reproduction of conditionally pathogenic flora occurs, which leads to inflammation of the prostate tissues and the appearance of all symptoms of the disease.

Risk factors development of chronic bacterial prostatitis:

• non-compliance with personal hygiene;
• hypothermia;
• genital trauma;
• inflammatory diseases of the urinary system;

All this leads to a decrease in local and general immunity and the natural reproduction of conditionally pathogenic flora in the prostate. It is not excluded the introduction of infection through the urethra in inflammatory diseases of the genital tract. The likelihood of developing prostatitis increases with the existing,.

Chronic non-bacterial prostatitis

There are several theories of the occurrence of this form of the disease:

1. Theory of chemical inflammation. The reflux of urine into the prostate during urination leads to the deposition of urate and the development of inflammation. Urethro-prostatic reflux is promoted by narrowing of the urethra () and other developmental anomalies.
2. immune theory. The version is based on autoimmune damage to prostate tissue as a result of exposure to bacterial antigens. The hereditary predisposition to this form of pathology is considered.
3. neurogenic theory. Violation of innervation in the pelvic area provokes and leads to the development of prostatitis.

In the development of non-bacterial prostatitis, the following also deserve special attention: risk factors:

• long sedentary work;
• sedentary lifestyle;
• bad habits;
• stress and emotional overload;
• prolonged sexual abstinence (see).

These risk factors provoke the development of congestion in the prostate, lead to impaired microcirculation in the pelvic organs. The microbial factor plays a role only at the initial stages of the development of the disease. In the future, its value decreases, and autoimmune processes and trophic disorders in the tissues of the prostate gland come to the fore.

According to statistics, 85-90% of men have non-bacterial chronic prostatitis (not directly associated with infection with pathogenic or opportunistic bacteria).

Symptoms

Chronic prostatitis occurs mainly in men aged 25-40 years. With age, the likelihood of developing the disease increases. In old age, inflammation of the prostate gland is often combined with adenoma - a benign tumor of the prostate.

signs chronic prostatitis:

• dull aching pain in the lower abdomen;
• irradiation of pain in the groin, scrotum, perineum, lower back, sacrum;
• increased discomfort during intercourse and during bowel movements.

Very common urination disorders:

• frequent urination;
• excretion of urine in small portions;
• the appearance or intensification of pain during urination;
• sluggish and intermittent urine stream.

The last symptom is characteristic of prostate adenoma, which often occurs against the background of chronic prostatitis.

With a long course of the disease, disorders in the sexual sphere are noted:

• decreased libido;
• deterioration of erection;
• reduction in the duration of sexual intercourse;
• pulling pains in the lower abdomen after ejaculation;
• lack of spontaneous morning erection.

Chronic prostatitis is one of the leading causes of erectile dysfunction, in which a man cannot achieve and maintain an erection sufficient for a full sexual intercourse. Such a condition significantly disrupts the course of life, can cause depression and other psycho-emotional disorders.

Chronic asymptomatic prostatitis occurs without any clinical manifestations. The disease is discovered by chance during examination by a urologist. Although there are no symptoms, inflammation of the prostate gland can lead to serious complications, erectile dysfunction and other health problems.

Complications

Running prostatitis provokes the development of such conditions:

• prostate abscess;
• cystitis and pyelonephritis (inflammation of the bladder and kidneys);
• vesiculitis (inflammation of seminal vesicles);
• erectile dysfunction;
• infertility.

The sooner the disease is detected and treatment is started, the greater the chance of a favorable outcome of the disease.

Diagnostics

The following methods are used to detect chronic prostatitis:

Urologist examination

At a personal appointment, the doctor focuses on the patient's complaints. Be sure to examine the external genitalia, and carried out. On palpation, the doctor evaluates the size and shape of the gland. In the case of chronic prostatitis, the organ will be somewhat enlarged in size. The procedure is combined with taking for microbiological research.

Four glass sample

The main method to identify the inflammatory process in the prostate and distinguish it from other diseases. The collection of material takes place in several stages. In the morning, after 5-6 hours of abstinence from the toilet, a man urinates in two jars - for the first (initial) and for the second (middle) portion of urine. In the first portion, the contents of the urethra are washed off, in the second - the bladder. The third portion of urine is collected after prostate massage and allows you to assess the condition of the prostate gland. Separately, the secret of the prostate gland is collected for bacteriological culture.

In the analysis of urine, two parameters are evaluated: the number of leukocytes and erythrocytes. In diseases of the prostate, the level of leukocytes rises in the third portion of urine. Normally, their number does not exceed 10 in the field of view.

Microbiological research

When conducting a three-cup sample, not only the number of leukocytes is estimated, but material is also taken for bacteriological seeding. If chronic prostatitis is suspected, the doctor is especially interested in the third portion of urine. Based on the results of the examination, the doctor can identify the causative agent of the disease and select the optimal antibiotic therapy.

Of diagnostic value is the detection of opportunistic bacteria in a titer of more than 10 3 CFU / ml or the detection of unambiguously pathogenic microorganisms in any quantity.

Bacteriological culture of prostate secretion

Bacteriological culture of prostate fluid makes it possible to assess the nature of the process (infectious or not) and determine the type of pathogen

Before taking the third portion of urine during prostate massage, the doctor takes the allocated secret for bacteriological examination. The result obtained also allows you to determine the diagnosis and treatment tactics.

Diagnostic criteria for chronic bacterial prostatitis:

• Detection in the third portion of urine or prostate secretion of opportunistic microorganisms in a titer above 10 3 CFU / ml.
• Detection in the third portion of urine or prostate secretion of opportunistic bacteria, the number of which is significantly (10 times) higher than in the second portion of urine.
• Detection in the third portion of urine or prostate secretion of pathogenic microorganisms.

ultrasound

Ultrasound examination allows you to assess the size of the organ and identify concomitant pathology. Often, chronic prostatitis is combined with.

Principles of treatment

The goal of therapy for chronic prostatitis is to eliminate the inflammatory process, activate blood flow and improve the nutrition of the organ. If pathogenic or opportunistic microorganisms are detected in high titer, they are eliminated. Particular attention is paid to the correction of lifestyle and stimulation of the body's defenses.

Medical treatment

For the treatment of chronic prostatitis, the following are used: medicines:

• selected according to the identified pathogen.
• Anti-inflammatory drugs to reduce inflammation and relieve pain.
• Means that facilitate urination (relaxing the muscles of the urethra and stimulating the outflow of urine.).
• Drugs that increase blood flow in the pelvic organs.

The choice of antibiotic will depend on the identified pathogen. When choosing a drug, one should take into account its ability to penetrate the hematoprostatic barrier and accumulate in the tissues of the prostate gland. These conditions correspond to funds from the group of fluoroquinolones. Macrolides and tetracyclines are also used to treat chronic prostatitis.

Upon receipt of the results of bacteriological examination and confirmation of the bacterial nature of the disease, treatment continues for up to 4-6 weeks. This approach allows not only to get rid of the causative agent of the disease, but also to prevent the recurrence of prostatitis.

Unfortunately, antibiotic therapy is not always effective. Many microorganisms safely exist in the prostate secretion for a long time and become resistant to antibiotics. Bacteria form special biofilms and form colonies of microorganisms covered with a complex polysaccharide structure. Antibacterial drugs for the most part are not able to penetrate this biological barrier, which significantly reduces the effectiveness of the therapy. This problem can be avoided by the use of modern antibiotics, which can not only penetrate the prostate tissue and heat up in it, but also pass through biofilms and infect bacteria that are under such serious protection.

Non-drug therapy

Among non-drug methods of treatment, special attention is paid to. The procedure stimulates the blood supply to the prostate gland, eliminates congestion and facilitates the excretion of secretions. The combination of massage and long-term use of antibacterial drugs is the main way to save a man from the unpleasant symptoms of chronic prostatitis.

How does chronic prostatitis affect potency?

chronic inflammation prostate threatens the development of erectile dysfunction. With this pathology, there is a decrease in sexual desire, the frequency and strength of erections decrease, orgasms become painful. In advanced cases, sexual life becomes impossible.

Can chronic prostatitis be cured without antibiotics?

Antibacterial therapy is considered one of the key treatments for chronic prostatitis. In most cases, it is impossible to cope with the disease without antibiotics.

Is it possible to cure chronic prostatitis with folk remedies?

Get rid of chronic prostatitis by traditional medicine methods alone will not work. To achieve the optimal effect, complex treatment is carried out using antibiotics, herbal preparations, anti-inflammatory drugs and physiotherapy methods.

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Prolonged inflammation of the prostate gland, periodically aggravated, is called chronic prostatitis. A constant inflammatory process directly affects the functioning of the prostate.

Chronic prostatitis is the most common pathology in men, which is observed in almost 30% of the stronger sex.

Chronic prostatitis.

Classification of chronic prostatitis

• Acute course of prostatitis.
• Bacterial chronic prostatitis.
• Chronic prostatitis is not of a bacterial nature. Accompanied by chronic pelvic pain syndrome - symptoms that are not associated with the presence of infection. Lasts three months or more.
• III A - chronic prostatitis with the presence of an inflammatory component (causative agents of infection and leukocytes were found in the secretion of the prostate).
• III B - chronic prostatitis with no inflammatory component (pathogens and leukocytes were not found in the prostate).
• Chronic prostatitis is asymptomatic (no symptoms in the presence of leukocytes in the secretion of the prostate).

The risk of disease is increased in people

1. Who lead an irregular intimate life, and also practice coitus interruptus as a way to prevent unwanted pregnancy.
2. Office workers and drivers (a sedentary lifestyle causes stagnation of blood in the pelvis).
3. Who wear tight underwear.
4. Having alcohol and nicotine dependence.

The reasons

Bacterial prostatitis

Bacterial prostatitis.

• hereditary predisposition.
• Regular hypothermia.
• Prolonged abstinence.
• Untimely emptying of the bladder.
• Sedentary lifestyle.
• Diseases of the genitourinary system (urethritis, pyelonephritis, cystitis).
• Sexually transmitted diseases: chlamydia, gonorrhea, trichomoniasis.

Not bacterial inflammation

Venous stasis in the pelvis, provoked by a sedentary lifestyle.

• Stagnation of blood in the veins, provoked by a sedentary lifestyle.
• Wearing tight pants, underwear or shorts.
• Congestion caused by constant compression of the perineum.
• Irregular sex life. Sexual intercourse increases blood circulation in the veins of the prostate.
• Alcohol, nicotine, drug addiction.
• Sedentary lifestyle.

Symptoms

Painful syndrome in the lower abdominal cavity.

• Weak urine stream, discomfort during urination.
• Sensation of an empty bladder.
• Sharp intermittent pain.
• Painful syndrome in the lower abdominal cavity.
• Pain in the perineum radiating to the scrotum.
• Decreased libido, weak erection, rapid ejaculation. Morning involuntary erection periodically disappears, or is absent altogether.
• After intimacy, aching pain in the head of the penis may appear, which disappears after about half an hour.

Complications

Violations of potency (irregular erection, impotence, weak ejaculation, or its complete absence, etc.).

Diseases that provoke the development of chronic prostatitis:

• Vesiculitis (inflammation of the appendages, seminal vesicles, testicles).
• Violations of potency (irregular erection, impotence, weak ejaculation, or its complete absence, etc.).
• Infertility. The cause may be complications of diseases or psychological problems.
• Cancer of the prostate. The number of free radicals in chronic prostatitis can increase, which can trigger the growth of cancer cells.
• Sclerosis of the prostate. Changing the size and compaction of the tissues of the body affects its work. Regular retention of urine in bladder, malfunctions of the urethra - the main causes of pathology.
• Psychological problems. Decreased libido, erectile dysfunction and other signs of chronic prostatitis lead to the fact that a man's self-esteem decreases, and he is in constant stress. The patient may experience depression, nervous breakdowns, irritability, etc.

Diagnostics

If symptoms are present, diagnosing chronic prostatitis is not difficult. With an asymptomatic course of the pathology, in addition to the standard examination or questioning of the patient, the use of additional research methods is required: laboratory and instrumental. It is imperative to determine the state of the patient's immune and nervous systems.

Questionnaires and questionnaires allow you to get complete information about the patient's health status, pain intensity, urination disorders, ejaculation, erection and psycho-emotional mood.

Laboratory diagnostics

Scraping from the urethra.

Methods of laboratory diagnostics make it possible to determine the nature of chronic prostatitis: bacterial or abacterial, as well as to establish the type of pathogen as accurately as possible. If in the fourth urine sample or prostate secretion, the leukocyte count in the PZ is above 10, chronic inflammation of the gland is confirmed. If bacteria are not cultured with elevated leukocytes, the material is examined for the presence of STD pathogens (Sexually Transmitted Diseases).

• A smear from the urethra is examined in the laboratory for the presence of leukocytes, fungal, viral or bacterial flora.
• Scraping from the urethra is examined by PCR for the detection of pathological microorganisms, sexually transmitted.
• Conduct a microscopic examination of the secret of the prostate. The number of leukocytes, amyloid bodies, macrophages and Trousseau-Lallemand is counted. In addition, an immunological and bacteriological study is carried out, with the help of which the amount of non-specific antibodies is determined.
• Ten days after a rectal digital examination, blood is taken to determine the level of PSA in it. If the level exceeds 4.0 ng / ml, then the patient is prescribed a prostate biopsy to confirm or exclude the presence of a malignant tumor in the gland.

The diagnosis is made on the basis of the results of the studies.

Instrumental diagnostics

Apparatus for ultrasound.

TRUS of the gland allows you to identify the form and stage of the pathology. Ultrasound helps to exclude other diseases, monitor the effectiveness of the therapy used, determine the size of the prostate, the echo structure of the organ, as well as the density and uniformity of the seminal vesicles. Myography and urodynamic studies of the pelvic floor muscles help to identify neurogenic disorders that often accompany chronic prostatitis.

CT, tomography and MRI are used to establish a differential diagnosis, in particular, prostate cancer. These methods will help to identify pathologies in the pelvic organs or the spinal column.

Treatment of chronic prostatitis

Medical

Folk remedies

1. Pumpkin seeds. Raw pumpkin seeds are peeled. Use 20 pieces before meals three times a day, for three to four months.




Pumpkin seeds.

2. Camomile tea. It is recommended to cook daily in an amount sufficient for daily consumption. Put 30 g of chamomile in a bowl and pour boiling water (200 ml) over it. After insisting for half an hour, strain, carefully squeezing the flowers. The infusion is divided into equal parts and drunk per day. The tool eliminates pain and relieves inflammation in the male gland.




Chamomile infusion.

3. 500 ml lime honey. Take 500 g of honey, aloe leaves and red wine. Combine honey, crushed aloe and wine in a glass bowl. Leave in the refrigerator for a week. Drink tincture in a teaspoon before meals.




Linden honey.

4. Infusion of celandine. Take a drop of juice for half a glass of boiled water. Drink the solution in the morning after breakfast. Increase the dosage by one drop daily. The maximum dose is 30 drops. Then reduce the dosage by one drop per day. At the end of the course, a two-week break is taken, after which the medicine can be taken again.




Infusion of celandine.

5. Parsley juice. For the treatment of chronic prostate, parsley stems and leaves are finely chopped or ground in a mortar. Put the mass on gauze and strain the resulting juice. Take the medicine before meals, preferably 30 minutes before. The dose of juice per reception is one or two tablespoons. The frequency of administration is three times a day.




Parsley juice.

6. Propolis. Propolis tincture on alcohol is taken for chronic prostatitis for six months. Grate 100 g piece of propolis on a fine grater. Pour the crushed mass with 200 ml of pure medical alcohol. Place the solution in a glass container and store for at least 10 days in a dark place, shaking every three days. Strain the tincture.




Propolis.

Candles made from propolis reduce inflammation in the gland, relieve pain and restore all the cells of the body. Freeze 7 grams of propolis and finely grate. Melt one hundred grams of goat fat and combine it with propolis. From the cooled mixture, make candles, 1.5 - 2 cm long.

Diet

Proper nutrition with inflammation of the prostate gland is the way to recovery.

You should not go to extremes with chronic prostatitis and exclude any products. Nutrition should be complete so that a man can receive all the necessary vitamins, minerals and nutrients. Dietary restrictions can lead to the fact that iron will not receive important elements required for its operation. The diet of a patient with chronic prostatitis should consist of easily digestible foods so that the body does not spend a lot of effort on digesting food. Forces are needed by the body to fight pathology. It is not recommended to practice fasting without coordinating it with a specialist. Refusal of food will lead to a breakdown, which is unacceptable for a patient suffering from a chronic form of prostatitis. Recommend to spend unloading days. Improper nutrition can disrupt the functioning of the prostate gland, so adjusting the daily diet is included in the course of therapy.

Surgical treatment

Surgical intervention is carried out only if the development of pathology poses a threat to the life and health of a man.

Endoscopic intervention- a modern method of surgical treatment, in which invasive intervention is minimized. Patient recovery is faster. indicated for blockage of the excretory and seminal ducts, sclerosis of the seminal tubercle. The operation is indicated for diagnosing sclerosis of the prostate and seminal vesicle, the presence of calcifications in the gland, adenoma. If during the operation the secret is thick, serous-purulent and viscous, then the gland is completely removed by electroresection, performing spot coagulation of the vessels and installing a trocar cystostomy. With an exacerbation of the pathology, surgical intervention is categorically contraindicated.

Physiotherapy treatment

The doctor prescribes physiotherapy for prostatitis, based on factors such as the age of the patient, the form of the disease, and the presence of other serious diseases.

1. Thermotherapy- with the help of specific equipment, controlled uniform heating of the male gland and urethra is performed. The procedure is carried out by the transuretal or transrectal method, when heating is carried out through the rectum or urethra. Thermal exposure enhances local arterial and capillary blood flow, increases the number of functionally active capillaries, enhances the protective properties of the body, stimulates the lymph outflow and removal of harmful particles to the maximum, optimizes local metabolism.
2. laser therapy- the course of treatment is determined individually, depending on the form and stage of the pathology. On average, five to seven procedures are enough. They act on the organ through the skin or transrectally. Promotes speedy recovery and relief of symptoms.
3. Needle ablation- outpatient minimally invasive intervention. Used to eliminate the symptoms of prostatitis.

Other treatments

Prostate massage.

1. Prostate massage- helps to cure and prevent the development of the disease. The procedure is performed by a specialist using antiseptics and asepsis to prevent infection from entering the organ. It can cause acute urinary retention and the spread of inflammation (up to sepsis), if hyperplastic changes are observed in the organ. Massage is contraindicated in severe stagnation of blood in the veins, the presence of stones and cysts in the prostate. The best way rid the prostate of stagnant secret - natural ejaculation.
2. Gymnastics for the bladder- with a weakening of the muscle tone of the bladder and its sphincter, urinary incontinence is observed. To eliminate these symptoms, special exercises are effective.
3. Instillation- drugs are injected into the back of the urethra. To make the procedure painless, local anesthesia is performed. The specialist determines the number of sessions individually. May lead to complications.

Are they drafted into the army with prostatitis?

Prostatitis is not included in the list of diseases that are an obstacle to military service. A man is not subject to conscription only if he must undergo treatment in a hospital at least three times a year according to the testimony of a specialist.

How to live with chronic prostatitis

Chronic prostatitis is not a sentence.

Men who regularly undergo treatment for chronic prostatitis lead a normal life. They do not have problems with ejaculation and erection. A man suffering from a chronic form of prostatitis may not limit his intimate life. If there is no discomfort or pain during intercourse, it will only not harm, but it will also be extremely useful! However, it is worth remembering that too active sexual life can lead to an exacerbation of the pathology. If inflammation of the prostate has not spread to nearby internal organs, with the conception of children should not be a problem. If sperm is released during intercourse, conception is possible. It is advisable to undergo a semen analysis to determine the viability of the sperm.

Prevention

Simple rules for the prevention of chronic prostatitis:

• The chronic stage is always the result of late diagnosed, incorrectly treated or undertreated acute prostatitis. Therefore, you need to regularly undergo a medical examination with a urologist.
• Protect the pelvic region from hypothermia and injury.
• Get rid of nicotine and alcohol addiction.
• To live an active lifestyle.
• Avoid stressful situations.

Any man between the ages of 20 and 50 can develop chronic prostatitis. It is necessary to follow simple preventive measures to reduce the risk of developing pathology.

Inflammation of the prostate gland, that is, the prostate, regardless of the cause of the disease, as a rule, acquires a chronic course. In order for effective treatment of chronic prostatitis to be achieved, it is necessary to know for what reasons it appears.

Good health, dear readers. Alexander Burusov is in touch - an expert of the Viva Men men's club, and we continue to understand the problem, its causes, symptoms and treatment options.

In this article, we will try to figure out what is the best way to treat this terrible disease, what options are at our disposal. Let's start to analyze the most modern and most effective methods treatment of prostatitis in men.

Inflammatory diseases of the genitourinary system, rectum due to close contact with the prostate gland lead to the formation of an inflammatory focus in it. The vessels that feed the prostate are branches of the arteries of the bladder, rectum, posterior sacral artery, deep artery of the thigh. Any infectious focus that exists in these organs can get into the gland.

The presence of a chronic infection of any localization, for example, the paranasal sinuses, leads to a weakening of the immune system, and conditionally pathogenic microorganisms present on the skin, in the intestines, and the urethra become pathogenic. This leads to the development of a chronic process.

Violation of the blood circulation of the prostate gland due to stagnation of blood against the background of reduced physical activity leads to a deterioration in the supply of drugs to the prostate gland and complicates the treatment of chronic prostatitis in men.

An increase in blood flow to the organs located in the small pelvis occurs not only due to low physical activity, but also from a number of factors:

• irregular sex life;
• interruption of sexual intercourse;
• smoking, drinking alcohol;
• varicose veins of the lower extremities;
• paraproctitis and proctitis;
• thrombophlebitis of hemorrhoidal veins against the background of chronic hemorrhoids;
• cracks and fistulas of the anus;
• the tone of the vascular wall is regulated by the sympathetic and parasympathetic nervous system, with the disease of which the inflow and outflow of blood from the organ is disturbed;
• perineal injury in equestrians, cyclists, motorcyclists.

With urogenital sexually transmitted infections, the disease is not always completely cured - this is the cause of the development of chronic prostatitis. The most common pathogens are:

• trichomonas;
• mycoplasmas;
• gonococci;
• gardnerella;
• ureaplasma;
• chlamydia;
• mushrooms;
• viruses;
• coli;
• streptococci;
• enterococci;
• staphylococci.

These microorganisms are difficult to cure.

Hormonal activity after 40 years in a man gradually begins to fade. At first it is asymptomatic.

A decrease in testosterone production over and over again leads to a slight stagnation of the secretion of the prostate gland in its granules. Little by little this stagnation increases. Substances contained in the secretion of the prostate are not completely removed. The secretory, motor, barrier function of the prostate secretion begins to suffer.

Citric acid, which is in the prostatic juice, performs a bactericidal function, dilutes it. With stagnation of citric acid is not enough, a bacterial infection begins to develop. The level of citric acid in the prostatic juice is directly related to the amount of testosterone in the blood.

Clinical picture of the disease

Symptoms of chronic prostatitis in men:

• sensations of discomfort, pain above the pubis;
• pain shoots intermittently into rectum and sacrum;
• increased urination and soreness, especially after hypothermia, stress;
• uncharacteristic discharge;
• disorders of ejaculation, erection;
• premature ejaculation;
• increased sweating;
• sleep disturbance;
• periodic increase in body temperature not more than 37.2-37.3 0 C in the evening.

The treatment of chronic prostatitis in men depends on which symptoms predominate: pain, impaired urination or sexual dysfunction.

The main components of the treatment of the disease

Is there a cure for chronic prostatitis?

It is necessary to highlight the main directions of treatment:

• medicines;
• normalization of the regime of work and rest;
• balanced diet;
• rejection of bad habits;
• physiotherapy, massage;
• folk remedies.

It is necessary to treat not only with medication, but a complex application of all methods is necessary. It is impossible to give preference to any one direction of treatment of prostatitis.

Medical treatment

Effective treatment of prostatitis should be aimed at eliminating the cause of prostatitis. Medications are selected individually by the doctor after performing the necessary diagnostic studies. Let's figure it out what and how to treat prostatitis if it has already acquired a chronic form. The main directions of drug therapy:

• antibiotics;
• anti-inflammatory drugs;
• antispasmodics to improve the outflow of urine;
• uroantiseptics to eliminate infections of the urinary system;
• drugs that improve arterial and venous blood flow;
• drugs that improve fluidity, reduce blood viscosity;
• vitamins;
• enzymes;
• sedatives, psychotherapeutic effects;
• correction of immune disorders;
• treatment of metabolic diseases and hormonal dysfunction.

Antibacterial therapy

Whether chronic prostatitis is curable will depend on well-chosen antibiotic therapy. It is important to note that the therapy and treatment of prostatitis will be most effective only if the type and stage of the disease is correctly determined.

Antibiotics are selected those that penetrate well into the prostate, effectively act on the causative agent of the infection. Some pathogens of chronic prostatitis, such as ureaplasma, are not sensitive to such strong drugs, how:

• tetracyclines;
• some cephalosporins;
• levofloxacin;
• clarithromycin.

How to treat chronic prostatitis with antibiotics?

Groups of antibacterial drugs used to treat bacterial prostatitis:

1. Fluoroquinolones (normfloxacin, ofloxacin, ciprofloxacin, lomefloxacin).
2. Macrolides (erythromycin, azithromycin).
3. Tetracyclines (doxycycline, metacycline).
4. Derivatives of 5-nitroimidazole (metronidazole, tinidazole).
5. Cephalosporins 3-5 generations.
6. Lincosamines (Clindamycin).
7. Sulfonamides.

The course of treatment with one antibiotic is 7-10 days, depending on the results of the tests. AT without fail during treatment with antibacterial agents, antifungal drugs are prescribed, agents that normalize the microflora of the gastrointestinal tract.

In total, the course of antibiotic therapy takes from 2 to 4 weeks.

Routes of administration of antibiotics:

• inside in tablets;
• intramuscularly;
• intravenously;
• inside the prostate
• endolymphatic.

What to treat and what specific antibiotic to use, the doctor will tell you, based on the data of the examination, examination:

• general blood analysis;
• study of prostate secretion;
• TRUS;
• uroflowmetry.

Non-steroidal anti-inflammatory drugs

The effect of non-steroidal anti-inflammatory drugs (NSAIDs) is associated with the normalization of the permeability of the vascular wall, the restoration of microcirculation. They reduce the formation and prevent the absorption of existing inflammatory mediators. We must remember the property of NSAIDs, to form ulcers in the stomach and duodenum.

How to cure chronic prostatitis without getting a stomach ulcer? It is necessary to take for prophylactic purposes 1 capsule of omez or omeprazole in the evening.

It is considered most rational to use rectal suppositories with NPS, for example, indomethacin.

Immunomodulators

In order to correct immune disorders, drugs are used:

• metaluracil;
• taktivin;
• imunofan;
• levomisole;
• immunofan.

Drugs are prescribed by a doctor, dosages are selected individually.

Nonspecific resistance of the organism is normalized by vitamins and microelements.

Enzymes

Enzyme preparations improve the access of antibiotics and NSAIDs to the prostate, destroying the adhesions that are always present in a chronic inflammatory process.

In addition, enzymes have a moderately pronounced function of stimulating the immune system.

List of drugs:

• lidase;
• vitreous body;
• aloe.

For the blockade of adrenergic receptors in the tissues of the prostate, bladder, urethra, the following are used:

• prazosin;
• alfuzosin:
• doxazosin;
• terazosin;
• tamsulosin.

How to treat chronic prostatitis with alpha-adrenergic blockers?

These drugs are prescribed by a doctor for the purpose of:

1. Eliminate spasm from the neck of the bladder, which develops against the background of edema and inflammation.
2. Improve urine outflow, normalize physiological urination.
3. Coordinate the work of the muscles and sphincters of the bladder.

Normalization of blood flow with drugs

Normal blood flow is achieved with an adequate diameter of the arteries that bring blood to the veins involved in the outflow of oxygen-depleted blood. It is also necessary to reduce the viscosity of the blood and achieve its good fluidity in the capillary bed.

For this, drugs of different groups are used:

• trental;
• cavinton;
• rheopolyglucin;
• detralex;
• troxerutin.

To achieve a good result in the treatment of chronic prostate diseases, it is necessary to treat inflammatory diseases of the urethra, bladder and kidneys. For this purpose, drugs are used:

• nitroxoline;
• phytolysin;
• kanefron.

Prostatitis inevitably reduces potency, weakens libido, disrupts erection. These phenomena are always accompanied by symptoms of dysphoria, low mood background, mood swings. With these symptoms, sedatives, anxiolytics, antidepressants.

Physiotherapeutic methods of exposure

To influence the prostate, the following methods of treatment of a chronic process are used:

• ultrasound
• electrophoresis;
• baths with hot water with decoctions of chamomile, linden, sage, thyme;
• warm enemas
• prostate massage through the rectum;
• hirudotherapy
• inductothermy;
• microwave resonance therapy.

Physiotherapy treatment is contraindicated in concomitant prostate adenoma.

The severity of psychological abnormalities and depressive manifestations depends on how much chronic prostatitis is treated. To speed up the process to treatment, in the absence of contraindications, it is necessary to add physiotherapeutic methods of exposure.

Standard recommendations for all chronic diseases in the form of refusing fried, salty, peppered, smoked foods are insufficient in this situation. Effective treatment of prostatitis depends on a rational, balanced diet. It is necessary to add foods such as celery, ginger, turmeric, api products to food.

• silicon, which normalizes the formation of hormones in the body;
• B vitamins, remove toxins and restore redox processes;
• chromium, germanium, selenium, zinc normalize the work of the sympathetic and parasympathetic system;
• vitamins C, A normalize the permeability of the cell membrane, have antioxidant properties;
• essential amino acids, omega 3, which rejuvenate sexual function.

For apitherapy used: natural honey, perga, subpestilence, royal jelly, dead bees, bee pollen.

Bee products have the following effects:

• bactericidal;
• fungicidal;
• bacteriostatic;
• tonic;
• antiviral;
• immunomodulatory effect.

Alternative treatment

The course of treatment of chronic prostatitis is necessarily supplemented with medicinal herbs, which must take into account all of the listed mechanisms for the development of the disease. Then the effect of therapy will be achieved in full.

The following medicinal herbs can be used:

• nettle, sage, bearberry;
• mint, plantain, hernia;
• wild rose, yarrow, wormwood;
• thyme, birch buds, linden flowers;
• marshwort, chamomile, motherwort.

Cure of chronic prostatitis depends on long-term use medicinal herbs according to the scheme in combination with anti-relapse courses of drug therapy.

Decoctions, infusions for oral administration, for baths, for microclysters are used. It is not recommended to use tinctures, that is, alcohol-containing drugs. This hinders the successful treatment of chronic urogenital diseases.

All of these drugs give a good effect in the treatment of prostatitis of inflammatory, congestive, hormonal etiology.

ATTENTION:

If you want to cure chronic prostatitis and its complications in a short time, get rid of vascular erectile dysfunction and prevent adenoma from developing, be sure to check out our comprehensive effective home improvement program.

It takes approximately 20 minutes a day, and you will get the first noticeable results within a few weeks. This program is the first program of its kind in the CIS, which has fully proven its effectiveness in the treatment of chronic prostatitis and vascular erectile dysfunction.

Sincerely, Alexander Burusov