Myths about prostatitis

Prostatitis for men, the word is as terrible as alimony. Or even scarier. Because it can hook everyone. What actually causes prostatitis, what it leads to and whether it can be cured, we asked experts in this field.

Will prostatitis appear if you sit in the cold or go fishing?

The main cause of prostatitis in young people is infection. Moreover, sexually transmitted. Chlamydia, gonorrhea, etc., experts explain. – In elderly patients, inflammation most often occurs from a common E. coli. And this is where hypothermia can really play a role. Immunity falls, a harmless bacterium multiplies too much, gets in the wrong place and causes inflammation of the genitourinary system.

Fishing in this case is secondary, experts agree. – Hypothermia can be a trigger that reduces immunity, triggers the reproduction of microbes and provokes inflammation. And while fishing, we got cold or walked home from work and got our feet wet – it doesn’t matter anymore.

Does prostatitis come from cycling?

Well, of course, there is no prostatitis from cycling. It is a myth and misconception that the prostate is injured and inflammation develops from exposure to a narrow saddle, experts explain.

A large number of studies have been conducted on whether cycling causes inflammation of the prostate gland, experts say. None of them showed a direct connection. Not with the food itself on the bike, not with the size of the seat, not with its softness or rigidity. It is even believed that in patients with chronic prostatitis, when cycling, fitness or swimming, the blood begins to circulate better, stagnation goes away, spasms are relieved and the associated pain disappears.

Is it true that prostatitis develops from sedentary work

This is one of the popular theories. That sedentary work, like irregular sex, leads to stagnation in the prostate gland. In fact, these opinions do not find scientific confirmation, experts say. “For some people, excessive sedentary lifestyles—drivers, taxi drivers, truckers—can create a congestion that makes it easier for bacteria to attach. But in itself a sedentary lifestyle cannot cause prostatitis. No infection, no prostatitis. Also, they did not find confirmation of the version that the lack of regular sex causes prostatitis. There is no data on this.

“Working in the office, sitting in an armchair, then the road home driving a car, then your favorite sofa – a sedentary lifestyle really leads to stagnation of blood in the pelvis and legs,” experts explain. – This provokes the development of many diseases, for example, varicose veins, impotence, hemorrhoids. Including, it has a bad effect on the function of the prostate gland. Therefore, it cannot be said that prostatitis develops from sedentary work, but a sedentary lifestyle can “help” if the process does begin. True, recently the concept of “congestive prostatitis”, that is, congestive, has appeared. In this case, there is no infection and inflammation of the prostate, but heaviness in the perineum, pain and deterioration in the flow of urine is due to stagnation of blood.

Does prostatitis cause erection problems?

Here we need to divide the question into two parts. If prostatitis is acute, with high fever, pain. pain in the crotch and constantly want to go to the toilet in a small way, there is no time for intimacy with the lady of the heart. In chronic prostatitis, the picture is slightly different.

“If a patient has a long-term recurring inflammation of the prostate gland, this can gradually lead to a violation of the quality of erection,” experts say. – The nerves from the penis to the brain run very tightly on the sides of the prostate. Patients with chronic pelvic pain (a condition in which the symptoms are similar to prostatitis, but in fact there is no inflammation or infection) may have problems. But they are psychological in nature. People experience pain, often cannot find the right treatment, and this can lead to depression. Especially if someone told them that erection problems will now begin. There is no direct connection with prostatitis!

Prostatitis is for life

“Acute prostatitis, if you treat it on time, competently and correctly, 10-14 days in the hospital and then another 2 weeks at home, and then avoid hypothermia, questionable sex, exercise, will not bother you anymore,” experts say. – It is impossible to get rid of chronic prostatitis, but you can achieve an improvement in well-being. For some patients, this requires a course every 3 months, for some patients one good course is enough to drown out the disease for several years.

Prostatitis causes adenoma and prostate cancer

“Prostate cancer and hyperplasia (formerly called “prostate adenoma”) are two diseases that can occur in parallel in men after 50 years,” experts say. — Prostate cancer is generally the most common cancer in men over 60 in our country. It is number 2 among all cancers in men. Many studies have been conducted, but there is no clear reliable connection between the transition of chronic prostatitis to oncology. Also, as there is no connection between the transition of prostatitis to adenoma.

Both processes occur due to a failure at the genetic level and changes in hormone levels. Prostate cancer at an early stage may not manifest itself in any way. The only way to identify it is to donate blood for a total PSA. We, urologists, recommend that all men over the age of 50 donate blood for PSA once a year.

Ultrasound of the prostate helps to diagnose prostatitis 100%

— Yes, the method of ultrasound diagnostics is used when making a diagnosis along with blood, urine and other tests. But on the basis of this study alone, a diagnosis cannot be made, experts explain. “Unfortunately, many patients sign up for prostate ultrasound themselves. Somewhere something pricked or they decided to check “just in case”, to make a check by age. They do an examination, hear such a diagnosis from an uzist, start to panic, run around doctors, receive treatment, although they may not have complaints and problems in general. Very often, the diagnosis of “chronic prostatitis” is made on the basis of microliths – small stones in the prostate on ultrasound. This is a real problem! Many ultrasound doctors, seeing changes in the prostate gland (and every third man has abnormalities on ultrasound), immediately make a diagnosis. Although it has been proven that there really is no connection between these small stones and chronic prostatitis.

Even if such changes are found on ultrasound, a man does not need to panic. Often, if the rest of the tests are normal and there are no complaints, there is no need to engage in treatment! We treat the patient and his disease, not the picture on the ultrasound.