Chronic prostatitis is an inflammatory disease of the prostate gland that is long lasting and difficult to treat. Unlike acute prostatitis, chronic prostatitis is caused not only by infectious agents, but also by various disorders of the nervous and endocrine systems of men.
What is the prostate gland and what is its function?
Anatomically, the prostate gland is below the bladder and surrounds the urinary tract on all sides. There are two main functions of the prostate gland:
- urinary - the prostate gland is the transit organ through which the urinary tract passes;
- sperm - secretes bile secretions into the lumen of the ureter, ensuring sperm motility and vitality.
Chronic prostatitis is an inflammation of the prostate gland. Usually, the disease appears after an episode of prostatitis due to ineffective treatment.
In the case of a damaged prostate gland, the excretion of the prostate is disrupted, and one of the most unlikely consequences of inflammatory prostate gland inflammation - infertility.
Prostate functions are controlled by a complex chain of hormonal interactions (androgens, estrogens, pituitary hormones), so a disturbance in the hormonal flow leads to damage. of the prostate gland.
Causes of chronic prostatitis
The main cause of chronic prostatitis is untreated acute prostatitis. Inadequate antibiotic treatment, at the same time an infection depresses the body's immune system and failure to comply with a doctor's orders are the main causes of acute prostatitis to a chronic form. This form of chronic prostatitis is called primary.
A distinction is made between chronic prostatitis, which begins on its own. The chronic inflammatory form of the prostate gland is called secondary.
Main factors influencing the development of secondary chronic prostatitis:
- Violation of the blood supply to the prostate gland.
- Weakened immune system
- Alcohol abuse.
- Abuse of spicy foods.
- Violation of male sex life (sex life too intense or too rarely intercourse).
- Hypothermia or overheating.
- Frequent bowel dysfunction (constipation).
- Passive lifestyle.
In most cases of chronic prostatitis, bacterial infections are the main cause of the disease. Due to the above factors, the likelihood of bacterial infection increases dramatically, immunity and blood supply to the organs are impaired resulting in an inadequate response to the infection by the body. That is why chronic prostatitis is slow, long-lasting and difficult to cure completely.
Symptoms of chronic prostatitis
The course of chronic prostatitis is characterized by an alternation of long periods of calm and short periods of exacerbations.
During sedation, the illness may not show any symptoms and may not cause discomfort. Such periods can last for months, even years. During the exacerbation of chronic prostatitis, repeated urination, pain and discomfort in the perineum is possible. Sometimes the pain can spread to the testicles and groin. Pain increases with long sitting and decreases after physical activity. A prominent symptom of the disease is slow-flowing urination due to impaired prostate urethra protective function. After urination, an increase in prostate secretion is often observed - a cloudy secretion of the prostate gland. Since the prostate gland is the center of ejaculation in men, sexual dysfunction is observed in chronic prostatitis. They are manifested by a disorder of the penis's ability to erect and the failure to reach orgasm. These symptoms are combined with the prostate's inability to synthesize enough prostate fluid, leading to infertility.
A separate disease with similar symptoms is prostatic insufficiency. It differs from chronic prostatitis in that there is no infection in the prostate gland, since the main cause of prostatic insufficiency is neurocrine disorders in the body.
Diagnosis of chronic prostatitis
It is quite difficult to diagnose chronic prostatitis, as the inflammatory process is slow, and it is difficult to prove the presence of a bacterial infection.
- At the first stage of diagnosis, a digital rectal examination is performed. This type of diagnosis is based on a digital examination of the rectum, through which you can palpate the prostate gland and evaluate changes in the structure of the prostate gland (pasty, painful, and pasty).
- The second stage of diagnosis is prostate fluid analysis. To do this, massage the prostate gland to stimulate secretion, then the material is examined with microscopy and bacteria. The presence of bacteria, lecithin granules and white blood cells in the fluid indicates prostatitis.
- Sometimes these diagnostic techniques are not enough to give an accurate diagnostic formula. In such cases, tool test methods are performed. These include an ultrasound of the prostate gland (enlargement or sclerosis of the gland, residual urine in the bladder) and computed tomography. In difficult clinical cases, when it is difficult to distinguish chronic prostatitis from adenoma, a prostate biopsy - removal of the glandular tissue for histological examination.
How to treat chronic prostatitis
Treatment for chronic prostatitis must be comprehensive and includes antibiotic therapy, restorative therapy, and local effects on the gland.
The main link in the treatment of chronic prostatitis is antibiotic therapy. Before prescribing an antibiotic, it is necessary to determine the sensitivity of the pathogen. The choice of an antibiotic group depends on the results of this test. Usually, good effects are due to cephalosporin, macrolide antibiotics, tetracyclin antibiotics, and diuretics. To re-absorb infiltrates that occur in a chronically inflamed prostate, hyaluronidase is prescribed. The course of treatment lasts an average of 15 days. Sometimes, for the greater effectiveness of antibiotic therapy, it is necessary to aggravate the slow inflammatory process in the gland by introducing an immunomodulator.
Topical physiotherapy should be accompanied by drug treatment:
- Massage the prostate gland.
- Hot enema with chamomile infusion.
- Rectal prolapse.
- Rectal sludge therapy.
- Take a hot bath.
- Acupressure (acupuncture, laser acupuncture).
- UHF therapy.
The course of treatment must be combined with an active lifestyle and guaranteed to eliminate the use of alcohol and spicy foods.
Prognosis of chronic prostatitis
Chronic prostatitis is a disease that is very difficult to treat completely. In about 25% of cases, it may be only to prevent an exacerbation, but not to cure the disease. Chronic forms of prostatitis are particularly difficult to treat, complicated by obstruction of the lower lobe (narrowing) of the urinary tract.