What is chronic prostatitis and can it be cured

The prostate is a particularly important organ that only men have. It is called the second heart of a man. However, 80% of them have chronic prostatitis by the age of 70-80. The prostate gland is located in the pelvic cavity under the bladder, as if hugging the initial section of the urethra.

Despite its small size (3x4x2 cm), it plays an important role in the male body. This small “heart” weighing only 16 grams ensures the movement of sperm along the vas deferens, producing a special fluid for them. She is involved in the formation of libido.

A logical question arises – if it is so important for men, why do they catch on only in the later stages of the disease? Is this an inevitable process or a consequence of a man’s incorrect life attitudes regarding the prostate?

Types of prostatitis

According to the classification, there are only two of them:

  • spicy;
  • chronic.

Acute prostatitis, as a rule, is the lot of young (age 20-40 years), active, but not very picky men in sexual relations. cause of infection. Often these are STDs (diseases that are predominantly sexually transmitted – chlamydia, ureaplasma , mycoplasma) or sexually transmitted diseases (Trichomonas, gonococcus). The cause can be viruses, fungi, and conditionally pathogenic bacterial flora.

The proportion of acute forms of the disease is small. Only 5%.

It’s important to remember. Symptoms of acute prostatitis will not go unnoticed. When they appear, you should immediately consult a doctor and undergo a full course of treatment. The result of self-treatment or neglect of the advice of a doctor is a direct path to a neglected condition.

Chronic prostatitis can be:

  • primary;
  • secondary.

With regard to the secondary, it is clear that he was not treated or was poorly treated for an acute one that turned into a chronic form.

With the primary, everything is more difficult. A man may not only not suffer from acute prostatitis, he may not even have an infectious agent, there may not be any symptoms and suddenly a chronic form! Why?

Causes of chronic prostatitis

Primary prostatitis is also called abacterial , denying its infectious nature, or congestive. The last name reflects the reasons for its occurrence. The product of the vital activity of the gland, its secret, accumulating in its ducts, causes stagnation. A similar process occurs in the venous and lymphatic vessels of the prostate.

Factors contributing to stagnation:

  • hypodynamia;
  • sedentary work (office workers, truckers);
  • irregular sex;
  • tight shorts made of synthetic fabrics;
  • alcohol abuse;
  • decreased immunity;
  • constant sources of chronic infection in the body;
  • prolonged stress;
  • chronic fatigue syndrome;
  • hormonal disorders;
  • smoking;
  • improper nutrition.

Symptoms of a chronic course

The danger is that at the beginning of the development of chronic prostatitis, there are no symptoms, the disease is asymptomatic. Only a man who is very attentive to his health can pay attention to early manifestations:

  • occasional discomfort in the perineum;
  • weak pain radiating to the sacrum, testicles, rectum;
  • disorders of the act of urination;
  • slight discharge from the urethra.

Gradually, the signs of the disease increase in frequency and intensity. Any of the provoking risk factors can cause exacerbation of prostatitis.

Complications of advanced form of prostatitis

Running prostatitis makes itself felt with more pronounced symptoms and consequences.

  1. Aching pains in the perineum become almost constant, give to the testicles, penis, rectum. Going to the toilet becomes a painful ordeal, urination is painful, frequent, sometimes it is difficult to urinate.
  2. At this stage, it is possible to attach an infection from untreated chronic foci. The inflammatory process captures the urethra, bladder, kidneys. Urethritis, cystitis, pyelonephritis develops.
  • A dangerous complication is inflammation of the seminal vesicles (vesiculitis), testicles and their appendages ( orchiepididymitis ). The consequences of this often lead to infertility.
  • The spinal nerves involved in erection pass through the prostate gland, so the chronic type will be manifested by erectile dysfunction.
  • Older men with chronic congestive prostatitis are more likely to develop prostate adenoma, which may require surgery. Prostate adenoma increases the risk of developing oncology – prostate cancer.
  • Prolonged stagnation of the prostate secretion contributes to its transition to the calculous form. In the ducts of the gland, urates, phosphates, oxalates and calcifications are formed . The pains become even more pronounced, spread to the scrotum, rectum, lower limbs, aggravated by walking, defecation, and sexual intercourse. Blood appears in the urine and semen.

Diagnosis of chronic prostatitis

In the case of an asymptomatic course , it is very difficult to make a diagnosis.

  • If a man has at least one of the above signs of the onset of the disease, you should consult a urologist or andrologist.
  • In order to exclude the infectious process, the doctor will prescribe an examination for sexual infections.
  • Conduct a digital examination of the prostate through the rectum.
  • The prostate juice obtained during the study will be sent for bacteriological examination.
  • He will give you a referral for an ultrasound of the prostate.
  • Of the general clinical methods of laboratory diagnostics, a general analysis of blood and urine is performed.

The prostate can be diagnosed by ultrasound either transabdominally or transrectally . The last method is more informative. During the study, the doctor measures the size and calculates the volume of the gland, determines its structure and contour, the presence of formations.

Echo-signs of asymptomatic prostatitis:

  • an increase in the size of the prostate;
  • increase in volume up to 20 and above cm3;
  • heterogeneous structure with the phenomena of fibrosis, scarring;
  • detection of calcifications .

Ultrasound allows a differential diagnosis with another pathology of the prostate (adenoma, cancer).

Treatment of chronic prostatitis

The diagnosis is made, it’s time to be treated . The earlier the disease is detected, the more effective the result of treatment will be, an integrated approach to therapy is mandatory.

Medical therapy

The leading place is occupied by such a form of drugs as rectal suppositories.

Their advantages:

  • drug delivery directly to the focus;
  • elimination of effects on the gastrointestinal tract.

There are also disadvantages:

  • the ampoule of the rectum must be cleared of feces (defecation or enema);
  • after the introduction of the candle, you need to lie down for 15-20 minutes, and this does not always work out.

Candles for prostatitis

Candles with the effect of anesthesia Novocaine Papaverine diclofenac Prostatilen
Antibiotic suppositories Bioprost Levomycetin Synthomycin
Candles immunomodulatory Methyluracil Longidaza Genferon
Candles with herbal ingredients Adenoprosin Propolis
Candles with animal ingredients Vitaprost Uroprost

Antibacterial agents

In case of exacerbation, it is prescribed orally. The doctor may prescribe these pills for the treatment of prostatitis:

  • Tsiprinol ;
  • Nolicin ;
  • Biseptol;
  • 5-NOC.

Hormone therapy for prostatitis

Hormonal changes in prostatitis are present, but hormone therapy is prescribed only by a doctor and only with the most stringent indications.


Use hardware techniques with a predominant thermal effect on the affected area.

Appointed finger massage of the prostate, in between courses:

  • microwave therapy;
  • inductothermy;
  • diadynamic ;
  • electrophoresis with dimexide ;
  • amplipulse ;
  • UHF.

Herbal treatment

At home, you can treat prostatitis with herbs. It is most useful to do this with the help of enemas with decoctions of herbs. A decoction of chamomile flowers has long been used, you can add dimexide to it in a ratio of 10: 1. ( chamomile: dimexide ).

The herbal treatment regimen for a chronic disease consists of several phases:

  • uroseptics (bearberry, lingonberry, field horsetail);
  • infective (chamomile, St. John’s wort, Ivan-tea);
  • restoration of sexual function (ginseng, aralia, eleutherococcus);
  • elimination of stagnation (sweet clover, chestnut).

Alternative therapy methods

Considerable experience has been accumulated.

  1. Beekeeping products are widely used, there is a method of making honey rectal suppositories at home.
  2. It is recommended to eat pumpkin seeds with honey.
  3. A decoction of the Ussuri pear.
  4. A mixture of juices of asparagus, carrots , beets, cucumbers.
  5. Decoction of parsley seeds.
  6. Infusion of garlic.
  7. You can use fir oil as a means for sedentary warm baths.

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