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Chronic prostatitis is an inflammation of the prostate gland in men. This is one of the most common urological diseases in men under 50 and the third most common in people over 50 (after benign prostatic hyperplasia and prostate cancer). The task of doctors is to transfer the disease to the stage of stable clinical remission with the help of treatment. But this absolutely does not mean that after some time the exacerbation of chronic prostatitis will not happen again.
Chronic is considered prostatitis, the symptoms of which are observed for more than 3 months.
Classification of prostatitis
Currently, the US National Institutes of Health classification is widely used throughout the world. It includes:
- acute bacterial prostatitis;
- chronic bacterial prostatitis;
- chronic abacterial prostatitis or chronic pelvic pain syndrome, including with and without an inflammatory component;
- asymptomatic prostatitis with the presence of inflammation.
“The presence of chronic prostatitis greatly affects the health, well-being, psychological state of a man,” says PhD Sergei Tverdokhleb. – Studies have shown that in terms of reducing the quality of life, this pathology can be put on a par with myocardial infarction, angina pectoris, and even Crohn’s disease. Exacerbations of chronic prostatitis, the presence of complications can not only cause physical discomfort, but also lead to sexual and psychological disorders. The causes of exacerbation are all the same factors that lead to the occurrence of chronic prostatitis.
Causes of chronic prostatitis
- frequent change of sexual partners;
- intoxication – alcohol and nicotine;
- sedentary lifestyle;
- change in the spectrum of pathogenic microflora;
- the presence of mixed infection (3 or more microorganisms);
- violation of the antimicrobial barrier of the urethra;
- neurogenic disorders (diseases of the spine, leading to a violation of the innervation of the pelvic organs);
- hormonal disorders.
Also, the cause of exacerbation of chronic prostatitis can be an irregular sexual life of a man. There is venous stasis, the secretion of the prostate gland stagnates and the disease recurs. Work associated with a sedentary lifestyle, such as drivers or office workers, can also be negatively affected. Especially if there is no opportunity to go to the toilet for a long time.
And it is natural that re-infection, or the low effectiveness of the therapy prescribed initially, leads to an exacerbation of chronic prostatitis.
Symptoms of exacerbation of chronic prostatitis
- pain and discomfort in the pelvic area in men;
- violation of the process of urination;
- sexual disorders (decreased libido, erectile dysfunction).
Pain can be localized in the lower abdomen, radiating to the rectum, perineum, penis, scrotum, testicles. They can be quite intense, constant, pulling. Violation of the process of urination is manifested in a change in the speed of urine flow, frequency of urination, etc. After that, there may be a feeling of incomplete emptying of the bladder. All these symptoms negatively affect the well-being of a man and worsen the patient’s quality of life.
The man focuses on his problem and begins to avoid sexual intercourse. In the future, such patients may develop hormonal disorders, so these symptoms are not enough to evaluate during the examination, it will be necessary to conduct a number of comprehensive studies.
Treatment of exacerbation of chronic prostatitis
Basic principles of treatment:
- restoration of microcirculation in the prostate gland;
- antibacterial therapy;
- massage and electrical stimulation of the prostate gland;
- physical methods of influence (electrophoresis, magnetotherapy, laser therapy, etc.);
- the use of enzyme preparations;
- prescription of prostate protectors;
- symptomatic (local) treatment;
- immunotropic therapy;
- vitamin therapy.
Medical therapy:
- antibiotics – inhibit the growth of pathogenic flora;
- Alpha-1-blockers – improve the quality of urination;
- non-steroidal anti-inflammatory drugs (NSAIDs) – have anti-inflammatory and analgesic effects;
- plant extracts – tonic and also anti-inflammatory effects;
- immunomodulatory therapy – increasing the body’s defenses;
- tranquilizers and antidepressants – improving the psychological state of the patient;
- drugs that affect blood circulation;
- bioregulatory amines – prostate protectors – improving the quality of prostate secretion + anti-inflammatory effect;
- enzyme therapy – improving the rheological properties of sperm;
- vitamins and minerals.
Prevention of exacerbation of chronic prostatitis
First, in the treatment of chronic prostatitis, it is necessary to examine both sexual partners. A woman also needs to be examined by a gynecologist for infectious diseases of the urogenital area. Otherwise, if a man has undergone antibiotic therapy, but his partner has not, reinfection is guaranteed. If a man often changes sexual partners, without using barrier means of protection, you can be treated endlessly. In this case, the spectrum of pathogenic microflora will constantly change, the risk of sexually transmitted diseases (STDs) is high.
Secondly, regular sex life with a proven partner is always a guarantee of health, do not forget about it. Refusal of bad habits, good nutrition, physical activity – all components of a healthy lifestyle also significantly reduce the risk of relapse. Men who, on duty, are forced to sit for a long time, need to do a warm-up from time to time.
Thirdly, herbal medicine can be used to maintain men’s health. It can be all kinds of baths with medicinal herbs, microclysters with chamomile and calendula, mummy, decoctions of herbs or aspen bark. You can also pay attention to dietary supplements, but only after consulting a doctor!