When chronic prostatitis is diagnosed, the methods of treatment are determined by the doctor. This disease is very common along with prostate adenoma and is a rather serious problem for a man's health. Due to chronic prostatitis, the quality of intimate life deteriorates significantly, which is a huge drawback.
This disease is an emerging inflammatory process of the tissues of the prostate gland. But not all men are in a hurry to turn to a specialist for help, and therefore the disease begins significantly, what this will lead to in any case is not always known.
Prostatitis often leads to infertility and the development of an infection that quickly spreads to other internal organs, especially the bladder, testicles and kidneys.
Causes and symptoms of the disease
Researchers have shown that prostatitis is beginning to manifest itself more and more in young people. This is due, first of all, to infection with sexually transmitted infections, such as mycoplasmosis, gonorrhea, ureaplasmosis, and so on. In the case of unprotected intercourse, infection with various diseases and their untimely treatment will inevitably lead to the development of such a disease.
An interesting fact is that the development of this disease can occur due to the presence of a chronic internal disease, and also in the presence of caries. In this case, chronic prostatitis develops as a result of the spread of the infection by the hematogenous route, in another way, this path can be called the spread of infection through the blood inside the body.
Even trivial factors such as unbalanced nutrition, weak immunity, too frequent colds, as well as the use of drugs by a man that negatively affect protective functions, play a role.
Excess weight, lack of mobility and even constipation affect the inhibition of blood circulation in the pelvis, which most likely leads to prostatitis.
In the acute form, prostatitis in a man manifests itself as:
- urinating too often;
- characteristic sensations of defective bladder emptying that occur during urination;
- during bowel movements, pain occurs in the rectal region;
- various pains in the groin and behind the pubis, which are felt more strongly after urination;
- the temperature rises quite often.
Chronic prostatitis is less intense:
- frequent urination, which does not cause particular discomfort to the man and which gets used to it over time;
- unexpressed pain in the pelvis and perineum;
- sudden onset of impotence.
Diagnosis of prostatitis
As soon as a man has noticed a manifestation of the disease, he should immediately consult a urologist, as timely treatment in the early stages will most likely lead to recovery.
The urologist, after the patient's treatment, performs the diagnostics using the following methods:
- Palpation of the gland by penetrating it through the rectum. This procedure for a man is an extremely unpleasant process, but it is necessary, as it will allow the specialist to determine the size, density and structure of the prostate gland.
- Instrumental method, which includes magnetic resonance and ultrasound. The latter procedure is aimed at identifying pathologies of the prostate, kidneys and internal organs. In this case, the ultrasound examination can be performed through the abdominal wall or by transrectal ultrasound, which is performed through the rectum.
- A laboratory method, which can be general or special clinical. The first option includes a blood and urine test.
The second option includes:
- using the PCR technique, infections are detected, for this it is necessary to take a swab from the urethra;
- taking a smear for bacteriological culture;
- PSA analysis;
- prostatic secretion is taken by microscopy.
Treatment
Prostatitis is treated with the following techniques:
- As prescribed by a doctor, a man is prescribed symptomatic medications that can alleviate the patient's condition.
- After proper research, the most effective targeted antibacterial agents are prescribed.
- Immunotherapy drugs.
- Anti-inflammatory drugs.
- After the acute phase, the patient is prescribed physiotherapy by means of prostate massage.
- Stimulation of non-specific resistance.
- The use of sedatives.
- One of the most important treatment methods is to change a man's wrong lifestyle, especially if he has a sedentary job and an unhealthy diet. The most effective way is walking in the fresh air and doing specific gymnastics, which aims to improve blood circulation in the pelvic region.
In the event that chronic prostatitis is present, the specialist may prescribe a few different methods of treatment, which are combined in a series of measures aimed at the speedy recovery of the patient. Of course, prescribed vitamin preparations and herbal medications should not be neglected.
When a urologist prescribes antibiotics, he is guided, first of all, by laboratory tests that show what type of bacteria he should be exposed to. The most popular are drugs from the macrolide group, 5-NOK and similar agents, designed to treat the disease, especially in the acute stage.
In some cases, surgery is indicated as a treatment for chronic prostatitis, this method is mainly necessary when the chronic stage has passed into prostate adenoma or in case of narrowing of the urethra.
In the case of physiotherapy, the specialist may prescribe:
- laser therapy;
- phonophoresis by ultrasound;
- diadinamophoresis;
- microwave hypermia.
Effective treatment of chronic prostatitis is a complex measure that aims not only to alleviate the patient's condition, but also to prevent the possibility of complications.
For a man who has chronic prostatitis, the methods of treatment in this case should in no case interfere with regular sexual intercourse, but in this case it is necessary to take care of the safety for the partner.
It is important for every man to know that the chronic form of prostatitis is a precancerous condition and ignoring and fearful of the prescribed procedures can lead to adenoma and even the development of prostate cancer.