I was prescribed for chronic prostatitis

Chronic prostatitis - symptoms and treatment

Chronic prostatitis is a long-term inflammation of the prostate gland, with symptoms often absent, which is why most of the male population is unaware of the disease.

The development of a chronic form of prostatitis is a consequence of an acute process, although in practice this is quite rare. As a rule, inflammatory Chronic prostatitis begins gradually, without any unpleasant symptoms and sensations, often the course of the disease is detected in the patient by chance during an ultrasound examination.

The chronic form affects both young men and people of middle and old age. Also, prostatitis threatens those who, by the nature of their activities, lead an inactive lifestyle, feel excessive physical exertion on the perineum, observe sexual abstinence.

Classification

According to the modern classification of prostatitis, developed in 1995, there are several categories of the disease:

In the presence of an infectious component, they speak of bacterial (infectious) chronic prostatitis; in the absence of microbial pathogens - about non-bacterial (non-infectious) prostatitis. It is believed that in 90-95% of all cases there is non-bacterial chronic prostatitis and only in 10-5% - bacterial.

A number of factors can contribute to the occurrence of chronic prostatitis. First of all, this:

For the development of chronic prostatitis, it is important not so much the presence and activity of pathogenic microorganisms as the state of the pelvic organs and blood circulation in them, the presence of concomitant diseases, the level of protective mechanisms.

Symptoms of chronic prostatitis

Most often, with the development of a chronic form of prostatitis, the symptoms practically do not disturb the man. In this case, all the signs of acute prostatitis will not manifest themselves in any way or manifest themselves to a much lesser extent.

The most common symptoms of chronic prostatitis in men are:

• periodic pain and discomfort in the perineum;
• discomfort during defecation and urination;
• irradiation to the anus, thigh, testicles;
• discharge from the urethra.

Changes in the picture of the course of the disease, already not very bright, can be so insignificant that patients with chronic prostatitis do not pay much attention to them.

Exacerbation of chronic prostatitis

Exacerbation of the disease is usually accompanied by the following symptoms:

• pain and burning in the urethra;
• increased urge to urinate;
• pain in the lower abdomen, perineum, and rectum;
• signs of a decrease in sexual activity in men;
• pain during defecation.

According to some doctors, it is also possible to distinguish the psychological symptoms of chronic prostatitis, which include increased irritability, anxiety, fatigue, irascibility, sleep disturbances, obsession and depression.

It is almost impossible to determine all the symptoms in a patient at once, since a man usually has only 2-3 signs of the disease. For example, the most common are erectile dysfunction and pain in the lower abdomen.

Why can prostatitis cause infertility?

The fact is that the prostate gland produces a special secret that ensures the viability of spermatozoa. With inflammation, the secretory function of the prostate deteriorates, which inevitably affects the quality of sperm.

In addition, the prostate gland is actively involved in the regulation of testosterone production and the erection process. That is why chronic prostatitis causes a decrease in erectile function, up to impotence. However, these scenarios for the development of the disease can be avoided if timely and competent treatment is carried out.

Diagnosis

The following procedures are required to help establish / refute the diagnosis:

• rectal examination;
• microscopy of prostate secretions;
• sowing prostate secretion for sensitivity to antibiotics;
• testing for sexually transmitted diseases;
• transrectal ultrasound.

Sometimes additional endoscopic and urodynamic studies are performed.

How to treat chronic prostatitis

If a man has chronic prostatitis, treatment is always long and difficult. Its duration directly depends on the stage of the disease at which the patient turned to a specialist.The therapy involves an integrated approach, that is, a combination of several methods at the same time:

• antibacterial therapy;
• prostate massage;
• physiotherapy procedures;
• correction of diet and lifestyle;
• use of folk remedies;
• surgical treatment.

In addition, anti-inflammatory and antispasmodic drugs are used in the treatment of the chronic form of the disease.

Drug treatment

The choice of drugs depends on the cause and symptoms of the disease. to cure chronic prostatitis of infectious etiology, antibacterial drugs are used:

Analgesics and non-hormonal anti-inflammatory drugs are used to eliminate inflammation and pain.

Also, in recent years, chronic prostatitis has been treated using drugs that have not previously been used for this purpose: alpha1-blockers (terazosin), 5-a-reductase inhibitors (finasteride), cytokine inhibitors, immunosuppressants (cyclosporine), drugs that affect on the exchange of urates (allopurinol) and citrates.

Physiotherapy

Certain physiotherapeutic procedures, such as laser therapy, electrophoresis, transrectal microwave hyperthermia, ultrasonic phonophoresis and others, also help to improve the trophism of prostate tissues and speed up the healing process.

Also, with chronic prostatitis, therapeutic warm baths, mud therapy, special enemas can be prescribed.

Prostate massage

Improves the drainage of prostate secretion and microcirculation at the level of this organ, which in turn contributes to the speedy recovery of the patient.

Prostate massage should not be performed with acute prostatitis, hemorrhoids, rectal fissures. Prostate massage is usually combined with antibiotic therapy. Numerous clinical studies have shown the high effectiveness of this treatment.

Surgical intervention is possible to remove bacteria-affected areas of the prostate gland.

• Transurethral resection is an operation performed under epidural or intravenous barbiturate anesthesia. The postoperative recovery period lasts no more than a week.

The methods that involve the treatment of chronic prostatitis are determined by the urologist based on diagnostic information and his practical experience. Conducting self-therapy at home based on reviews on the Internet is fraught with consequences.

Exacerbation of chronic prostatitis: main symptoms and treatment

Prostatitis occurs in men of absolutely different ages. Previously, the males of the older generation suffered from this disease, at the moment the disease is getting younger and progressing.

Chronic prostatitis is a disease of the prostate gland in men, characterized by inflammation of the appendages, proceeds in a sluggish current form and is accompanied by acute attacks of pain. As a rule, prostatitis passes into the chronic stage with improper treatment or in the presence of a bacterial infection. The disease progresses slowly and sometimes a man may not realize that he is developing this disease.

Factors provoking exacerbation

Symptoms of the disease

If prostatitis develops in the body, the patient may have the following symptoms:

• Sharp pain in the abdomen and groin.
• Urination is accompanied by pain.
• No sex drive.
• Premature ejaculation.
• Blood in the urine. Appears very rarely. This bleeding is quite difficult to stop, this requires professional medical help.
• Persistent fatigue
• Temperature may increase during exacerbation.

The above symptoms greatly reduce the performance of a man. First of all, this is due to a violation of sexual function and constant pain during urination. Some men are negligent about their health and do not visit a doctor on time. When the symptoms become severe, then the man goes to the urologist for an examination.

To avoid the consequences of an exacerbation, it is necessary to visit a urologist as soon as possible.

What complications can occur during an exacerbation of the disease?

With exacerbation of prostatitis, an inflammatory process develops in the prostate, which affects the pelvic organs. To begin with, the disease spreads to the rectum and bladder. In a chronic course, diseases can occur:

Treatment of prostatitis in the acute stage

It is necessary to start treatment of exacerbation of prostatitis at the first signs of the disease. To remove inflammation will help drug treatment and traditional methods, which are based on lifestyle changes and diet.

Heavy loads are still undesirable, but exercises and daily walks can be done and even necessary. Whoever has a sedentary job needs to get up more often and do a warm-up in order to disperse the blood throughout the body and not aggravate congestion. During the treatment period, it is important to follow a diet. But this does not mean that you need to starve, just observe the measure in fatty foods and do not overeat, it is better to refuse alcoholic beverages.

Prescribing drugs

The exacerbation of the disease is treated with medications. Urologists prescribe drugs depending on what triggered the disease. If inflammation that occurs when an infection enters the body is detected, antibiotic therapy is prescribed, such as norfloxacin and ofloxacin.

Medicines are prescribed after certain tests. If prostatitis is associated with an infectious disease, like ureaplasma, tetracycline antibiotics and macrolides are prescribed. To recover, you must follow the recommendations of doctors and instructions. After a course of therapy, a man takes a second blood test and a smear from the urethra.

Also used for treatment:

• Anti-inflammatory drugs, such as ibuprofen.
• Diuretics (usually fruit drinks, teas)
• Alpha-adrenergic blockers, for example, lessonstal.
• Suppositories for rectal administration (prostatilen, prostamolen)
• Enzymes that speed up processes (enzymes)
• Vitamin complexes.

In case of exacerbation of chronic prostatitis, prostate massage is prescribed, various physiotherapy procedures that can increase the body's immune system and cope with various infections. The doctor may recommend doing microclysters based on medicinal herbs. It is better to carry out the procedure before going to bed.

Is it possible to have sex in the treatment of exacerbation of chronic prostatitis? Yes, if the disease is not provoked by an infection. In any case, it is better to protect yourself so as not to infect your sexual partner. Having sex with prostatitis will help improve the blood circulation of the organ and eliminate congestion.

The most effective treatment for chronic prostatitis!

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, you need to know what causes it to appear.

Good health, dear readers. Alexander Burusov is in touch - an expert of the men's club "Viva Men", and we continue to understand the problem of chronic prostatitis.

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 get started.

Causes of the onset and exacerbation of the disease

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.

Impaired 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.

The 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;
• intercourse interruption;
• smoking, taking 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, in case 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 cannot always be cured completely - this is the cause of chronic prostatitis. The most common pathogens are:

• Trichomonas;
• mycoplasmas;
• gonococci;
• gardnerella;
• ureaplasma;
• chlamydia;
• mushrooms;
• viruses;
• E. coli;
• streptococci;
• enterococci;
• staphylococcus.

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 prostate secretion in e 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

Symptomatics of chronic prostatitis in men:

• feelings of discomfort, pain above the pubis;
• pain shoots intermittently into rectum and sacrum;
• increased urination and soreness, especially after hypothermia, stress;
• uncharacteristic highlights;
• disorders of ejaculation, erection;
• premature ejaculation;
• excessive sweating;
• sleep disorder;
• periodic increase in body temperature no 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 chronic prostatitis treated?

It is necessary to highlight the main areas of treatment:

• drugs;
• normalization of the regime of work and rest;
• rational nutrition;
• giving up 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 prostatitis therapy.

Drug 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 tests. The main directions of drug therapy:

• antibiotics;
• anti-inflammatory drugs;
• antispasmodics to improve urine flow;
• 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.

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 as:

• tetracyclines;
• certain cephalosporins;
• levofloxacin;
• clarithromycin.

Groups of antibacterial drugs used to treat bacterial prostatitis:

The course of treatment with one antibiotic is 7-10 days, depending on the results of the tests. 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.

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

• ultrasound;
• general blood test;
• examination of prostate secretions;
• PCR;
• TRUS;
• uroflowmetry.

Nonsteroidal 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 1 capsule of omez or omeprazole in the evening for prophylactic purposes.

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

Immunomodulators

In order to correct immune disorders, drugs are used:

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

Vitamins and microelements normalize nonspecific resistance of the body.

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 moderate function of stimulating immunity.

• lidase;
• vitreous body;
• aloe.

To block adrenoreceptors in the tissues of the prostate, bladder, urethra, the following are used:

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

These drugs are prescribed by a doctor to:

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 blood viscosity and achieve good fluidity in the capillary bed.

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

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

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 are prescribed.

Physiotherapeutic methods of influence

The following methods of treating a chronic process are used to influence the prostate:

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

Physiotherapy treatment is contraindicated in concomitant prostate adenoma.

The severity of psychological abnormalities and depressive manifestations depends on how long 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.

Nutritional recommendations

Standard recommendations for all chronic diseases in the form of refusing fried, salty, peppery, smoked foods are not sufficient 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.

They contain:

• silicon, which normalizes the formation of hormones in the body;
• vitamins of group B, 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, the following are used: natural honey, perga, subpestilence, royal jelly, dead bees, bee pollen.

Bee products have the following effects:

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

Folk 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.

It is possible to use the following medicinal herbs:

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

The cure of chronic prostatitis depends on the long-term use of 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 the above drugs give a good effect in the treatment of prostatitis of inflammatory, congestive, hormonal etiology.

WARNING:

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It takes about 20 minutes a day to complete, and you will see 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