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Chronic prostatitis: signs, symptoms and treatment, tablets and techniques

The prostate gland is the most vulnerable organ in the male body. Diseases of the prostate are found in every third male at the age of 20 years. In this case, hyperplasia of the prostate and adenoma, leading to problems with erection, are most often a consequence of chronic prostatitis. That is why it is necessary to know the characteristic signs of chronic prostatitis and how to treat it.


Chronic prostatitis - what is it?

Chronic prostatitis is a long-term inflammatory process in the prostate gland. The term unites several forms of the disease, manifested by similar clinical symptoms.

Chronic prostatitis

Categories of chronic prostatitis:

  1. Infectious - provoked by bacteria, fungus or virus;
  2. Non-infectious (stagnant) - otherwise called chronic pelvic pain syndrome, occurs with or without inflammation;
  3. Asymptomatic - with complete absence of clinical manifestations, inflammation is detected only after a thorough examination of the prostate.

In 95% of cases, non-infectious chronic prostatitis is diagnosed. At the same time, stagnation in the prostate - its secretion or circulation in the veins - comes to the forefront of inflammation.

The risk of chronic prostatitis is increased in people:

  • leading an irregular sexual life, regularly practicing interruption of sexual intercourse in order to avoid a partner's pregnancy;
  • employees of offices and drivers (sedentary work provokes blood stasis in the pelvis);
  • preferring to wear tight underwear;
  • abusing alcohol and smoking.

Chronic prostatitis: signs of exacerbation

Symptoms of chronic prostatitis

Chronic prostatitis develops gradually and for many years can not cause concern. Periodically a man can celebrate:

  1. Unpleasant sensations in the crotch area;
  2. Pain of minimal intensity with characteristic irradiation in the sacrum, rectum, genital organs;
  3. Some increase in urination with the appearance of pain and minor pathological discharge from the urethral canal, a weak stream of urine;
  4. Soreness of the glans penis after ejaculation (disappears within 30 min.);
  5. Burning in the urethra, the appearance of soreness in sexual intercourse.

Stress, hypothermia, an infected infection, leading to a weakened immune system, and the use of spicy food / alcohol can trigger an exacerbation of chronic prostatitis. At the same time, the intensity of painful manifestations increases and resembles acute inflammation.

With the development of the disease and involvement in the pathological process of nerves, erectile dysfunction is increasingly intensifying, which significantly affects the psychological state of the patient.

However, chronic prostatitis is fraught not only with a violation of potency - a weak erection, a decrease in sensations during orgasm or their complete absence, premature ejaculation.

Often the disease leads to the development of cystitis, pyelonephritis and inflammation of the testicles, which aggravate the course of the underlying pathology. In addition, the risk of formation of stones in the prostate, adenoma or the appearance of a malignant tumor is significantly increased. In the long course of chronic prostatitis, infertility develops.

Symptoms of chronic prostatitis by forms and stages

Symptoms of chronic prostatitis depend on the form of the disease and the stage of the disease (exacerbation or remission).

Bacterial chronic prostatitis

Symptoms of chronic prostatitis caused by pathogenic microflora, periodically occur with varying intensity. During an exacerbation the symptoms of inflammation are most pronounced. Infectious, chronically leaking prostatitis is manifested:

  • Common signs of inflammation in the body - fever, weakness, chills, muscle pains (occur when exacerbated);
  • a syndrome of local inflammation - soreness in the lower abdomen, increasing with sexual intercourse, after defecation and urination, with prolonged absence of intimacy;
  • Disorders from the genitourinary system - intermittent urination, impaired erectile function;
  • Deviations in laboratory studies are detection in the secretion of the prostate and urine analysis of bacteria / fungi, signs of inflammation in the blood test (leukocytosis, elevated ESR) and urine (leukocyturia, protein).

Outside the exacerbation of inflammation, the signs of chronic prostatitis are erased. Complaints of the patient more indicate a disturbed urination, a decrease in sexual desire and other erectile disorders, which cause pronounced nervousness.

Non-infectious chronic prostatitis : chronic pelvic pain syndrome

The name itself indicates a symptom predominant for a given type of chronic prostatitis - pain sensations. Due to the low intensity of pain, chronic non-infectious chronic prostatitis often remains without attention.

Over time, the pains increase somewhat, and in the clinical picture symptoms of impaired sexual function appear due to the progression of stagnant phenomena and a decrease in the muscular tone of the pelvic floor and the urethra sphincter.

Often the disease is completely asymptomatic. The diagnosis of chronic prostatitis is made when there are signs of inflammation of the prostate and its hyperplasia during diagnostic tests. In the analysis of urine, leucocyturia can be periodically recorded.

Methods of treatment of chronic prostatitis

Treatment of chronic prostatitis

In each case, the treatment of chronic prostatitis requires an individual selection of a therapeutic regimen. This takes into account the cause of the disease (infection, stagnation of secretion or venous blood), the duration of the course and the presence of an aggravating pathology.


  • Antibiotic drugs - antibiotic treatment (Ciprofloxacin, Amoxicillin, Azithromycin, Levofloxacin, Clarithromycin) is indicated only in cases of severe inflammation, detection of a bacterial agent in the urine or secretion of the prostate. Antibiotic therapy lasts 2-8 weeks. At the end of the course, the symptoms of the disease often remain in full, although the infectious factor is completely eliminated.
  • Alfa-adrenoblockers (Terazonin, Tramzulosin, Alfuzozin) - are prescribed with increased intra-urethral pressure, hypertension of the muscles of the bladder. Their use has no effect in violation of innervation of muscles and pelvic floor miodystrophy.
  • Symptomatic treatment of chronic prostatitis - for the management of pain syndrome, NSAIDs (Diclofenac, Ketorolac) are often used in tablets, and the use of selective antidepressants (Imipramine, Fluoxetine) is recommended to eliminate anxiety.
    Hormone therapy - treatment with antiandrogens and androgens is carried out in accordance with the hormone level abnormalities.
  • Immunostimulants - are prescribed only with proven laboratory immunodeficiency.
  • The means regulating the level of uric acid, - are advisable only when detecting stones in the prostate. Most often the doctor appoints Allopurinol. However, the drug is effective only against urates.
  • Vitaminotherapy - the means of choice for the treatment of chronic prostatitis become available vitamin-mineral complexes. Replacing them with advertised dietary supplements does not bring a curative result, except for excessive waste of money.

Surgical treatment of prostatitis

Depending on the pathological process that provoked chronic prostatitis, transurethral resection of the prostate (often replacing an open operation), endoscopic drainage of the formed prostate cyst, surgical correction of seminal vesicles with a broken outflow of secretion.

With common sclerosis, prostatectomy is performed. With hyperplasia of the prostate, ablation methods are effective - microwave thermotherapy and laser ablation.

Other methods of treatment of chronic prostatitis

Some doctors actively prescribe to patients with chronic prostatitis various methods of physical impact on the prostate. However, most of them have a number of contraindications and are prescribed only in certain cases:

  • Prostate massage (only a small part of the gland is available) with hyperplastic changes in the organ can provoke acute urinary retention and promotes the spread of the inflammatory process (up to the development of sepsis). Also, massage can not be performed with stones and cysts of the prostate, expressed by venous stasis. The release of the prostate from a stagnant secretion best occurs with natural ejaculation.
  • Gymnastics for the bladder - special exercises for lengthening the intervals between urination to 4-5 hours are effective in violation of the muscle tone of the bladder and its sphincter. However, their effectiveness is markedly reduced in myofascial syndrome, caused by neurodystrophic changes.
  • Instillation - a deep infusion of drugs into the urethra is very painful and fraught with complications.
  • Electrostimulation, transrectal ultrasound and phonophoresis, magnetotherapy and other methods of muscle stimulation are advisable in using only with reduced tone of the pelvic floor muscles. Physioprocedures give only temporary relief, and a lasting effect is achieved when the cause of the disease is eliminated.
  • Folk methods - home recipes (pumpkin seeds with honey, spirituous infusion of aspen bark and others) are applied only with the approval of the treating andrologist and in no way replace the drug therapy.

Prognosis: is it possible to cure chronic prostatitis?

The prognosis for chronic prostatitis directly depends on the timeliness of the patient's treatment for qualified help. As you may have noticed, the symptoms and treatment of chronic prostatitis in men are closely related - in the absence of hyperplastic changes in the gland and neurodystrophy, provided a complex treatment, you can achieve a persistent improvement in the condition.

It is also important to radically reconsider your life: to exclude the factors provoking stagnation, to get rid of bad habits and to eat fully.

briz_ _
2017-08-16 05:14:18
Thank you
Yegor Klechko
2017-11-07 06:07:20
if there is already dysfunction, then what is the prognosis? Can treatment with drugs and smartprost already or not?
doctor Daria
2017-12-26 12:28:15
Erectile dysfunction is not always a consequence of prostatitis. Necessarily it is necessary to be surveyed at the urologist, it will help to establish the exact cause of the disease. It is also important in the treatment to identify the form, as the therapy schemes differ significantly from each other. In most cases, erectile dysfunction is associated with neurological problems, when the patient sharpens his attention to problems with the prostate gland. To treat it is necessary, as the gland becomes a constant source of infection, and a prolonged course will promote the replacement of the gland tissues with scarring, followed by blockage of the vas deferens or the formation of a reduced number of sperm in the sperm.

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