Chronic prostatitis

Chronic prostatitis ranks first in terms of prevalence among inflammatory diseases of the male reproductive system and one of the first places among male diseases in general. The average age of those with chronic prostatitis is 43 years. By the age of 80, up to 30% of men suffer from acute or Chronic prostatitis. Chronic prostatitis is caused by infection and congestion in the prostate gland. More often susceptible to people whose profession is associated with prolonged sitting (drivers, mental workers), as well as hypothermia and vibration. Often, prostatitis occurs due to abnormalities in the sexual sphere (sexual excesses or, conversely, sexual abstinence, interrupted sexual intercourse, abuse of masturbation, lack of regularity and rhythm of sexual activity). The infectious agent often enters the organ from the urethra through the excretory ducts of the prostate gland. The microflora in the urethra of a healthy person can be different without causing pathological changes. The presence of the pathogen is not always a sufficient condition for the onset of chronic prostatitis. What matters is the state of the body's defense mechanisms, which can be weakened by alcohol, hypothermia. Infection can occur with casual sexual intercourse, frequent change of sexual partner. The causative agent of infection can be introduced into the prostate gland from other foci of inflammation: proctitis, colitis, dental caries, inflamed tonsils, otitis media, pneumonia, bronchitis, gastrointestinal inflammation, hemorrhoids, varicose veins of the spermatic cord, lower extremities. Contribute to stagnation in the prostate gland and chronic diseases: polyarthritis, osteochondrosis, pathology of the cardiovascular system. The presence of one of these factors or their combination can cause the development of chronic prostatitis. The symptoms of chronic prostatitis are very variable from minor manifestations to bright manifestations.

The main and most common symptoms:

• pain in the perineum or lower abdomen;
• frequent, painful urination;
• discomfort in the perineum after intercourse;
• premature or, on the contrary, delayed ejaculation.

Signs of prostatitis in different patients may not coincide, so only a specialist can make the correct diagnosis. Don't try to change it! Currently, the urologist's arsenal includes clinical and laboratory, ultrasound, urodynamic and radiological research methods. Diagnosis of prostatitis is always complex, since it is necessary to take into account the form and stage of the disease, complications and other factors that determine the nature of the treatment. Therefore, the scope and sequence of the examination should be determined by a specialist. Treatment of chronic prostatitis is complex and requires an individual approach. The complexity and variety of pathological changes in the prostate exclude the possibility of inventing some kind of universal cure for prostatitis. First, you need to eliminate risk factors such as physical inactivity, alcohol, stress. Normalization of sexual activity is necessary. Only by eliminating these factors, one can expect favorable results from further therapeutic actions. As a drug treatment, anti-inflammatory therapy, drugs that improve trophism and microcirculation of the prostate tissue are used. Physiotherapy and prostate massage have a good effect. The selection of an antibacterial drug, dose and regimen for the treatment of prostatitis should always be made individually and only after the necessary analyzes of the urogenital microflora. You should never interrupt or stop taking the drug without consulting a doctor. Treatment of chronic prostatitis requires patience and effort, both from the attending physician and from the patient himself. Even if a positive result is achieved, the patient must strictly follow the recommendations of the urologist and undergo periodic examination. For the prevention of prostatitis, it is important to organize your life so that it contains as little risk factor for the development of this disease as possible. It is recommended to establish a balanced diet, limit the consumption of spicy and fatty foods, do not abuse alcohol, and maintain a stable normal weight. Do not overcool and move as much as possible. It is necessary to have a regular sex life, without long periods of abstinence, in order to maintain a constant circulation of sperm and an active supply of blood to the prostate gland. True, do not forget that the development of prostatitis is often provoked by sexually transmitted infections, so sex should not only be regular, but also necessarily protected. Ideally, every man should undergo a preventive examination by a urologist at least once a year. First of all, it is necessary to examine the secret of the prostate and perform an ultrasound examination of the prostate, and after 40 years, it is necessary to donate blood for tumor markers.