Chronic prostatitis is the most common inflammatory disease of the organs of male genital system. It is the case with both young and elderly men. According to statistics 8 out of 10 men somehow face this problem by their 80 years.
What is Chronic Prostatitis?
Prostatitis is the inflammation of prostate gland. Most frequently the emergence of this disease is accounted for by neglected infections of genitourinary system. The development of such an inflammation, in its turn, may be caused by hypothermia, lack of physical activity, decrease in immunity due to other disorders, sexually transmitted diseases, pernicious habits, constant fatigue and stress. The peak of sickness rate falls on 20-40 years. It is sometimes not that simple to diagnose prostatitis. The fact is that its symptoms are similar to those of other maladies, so it may be difficult to understand whether this or that case is the case of prostatitis or some other affection. There are two kinds of the disease – acute bacterial and chronic prostatitis. The first type is that of infrequent occurrence (no more than 5% of all the cases). The other 95% is chronic prostatitis; it is very seldom the consequence of the acute form.
The Symptoms of Chronic Prostatitis
The first symptom is the appearance of nagging or lancinating pain in the lower abdomen. Sometimes the pain affects a thigh or a small of the back and becomes more acute after ejaculation. Among other symptoms of chronic prostatitis is sexual disorder which develops very rapidly – libido decreases, there appear problems with the erection and the continuity of coitus. The pain begins to accompany urination. It you have noticed such symptoms, on no account must you practice self-treatment – this is the evident reason to see a doctor.
Laboratory Signs of Chronic Prostatitis
It is not only a patient’s complaints that help to make a diagnosis; there are also laboratory analyses being necessary for detecting it – an analysis of urine, ejaculate, secretion of prostate gland, etc. An ultrasound investigation is employed for defining the size and the form of prostate. In chronic bacterial prostatitis there are erythrocytes detected in microscopic examination of gland secretion. Escherichia coli, enterobacter, Klebsiella or other microorganisms are to be found in the ejaculate. In chronic non-bacterial prostatitis laboratory tests indicate the presence of leukocytes in the secretion of gland and in the third portion of urine.
Methods of the Treatment
As a rule, prostatitis is successfully treated with conservative methods. However, the therapy must be complex. The mode of life is also of great importance – imbalanced diet, sedentary lifestyle and casual sex play a great role in the development of chronic prostatitis.
A medical therapy consists in prescribing pain-killing and anti-inflammatory preparations, as well as drugs stimulating the regenerative and immunomodulatory functions of body cells – Lavamisolum, Timalinum, Prodigiosanum, Methyluracilum. The treatment is most likely to require a course of taking antibiotics – Wilprafen, Macropen, Azithromycinum. The course continues approximately one and a half months. To prevent the development of dysbacteriosis, probiotic drugs are prescribed.
Prostate massage is carried out manually through the anus. It’s not the most pleasant procedure, but its effectiveness is very high.
The treatment of prostatitis by thermal physiotherapy gives good results due to the improvement of microcirculation and absorption of drugs into the tissue. The physiotherapeutic procedures include ultrasonic heating and irrigation with antibacterial solution by using enemas.
Many health centers successfully treat chronic prostatitis by means of balneotherapy, that is, by using mineral waters. This kind of treatment usually involves low-mineralized water (both internally and as baths). The most famous balneological resorts where prostatitis is treated are Yevpatoriya, Saki, Truskavets, Morshyn, Zheleznovodsk.
Patients having prostatitis must keep to a strict diet. First, alcohol is to be refused as it strengthens pain and inflammation. Fatty meat, legumes, mushrooms, bypasses, salty and spicy dishes, tea and coffee, sodas and cakes are forbidden. The diet should include zinc-rich foods (found in seafood and pumpkin seeds). It is recommended to eat more vegetables (except those that promote flatulence – for example, cauliflower), dairy products, cereals and dried fruit.
Surgery for prostatitis is assigned infrequently. The risk of complications and failure of treatment as well as a relatively long period of rehabilitation outweighs the benefits that can bring surgery. So the operation in this case is an extreme measure. The main methods of surgical treatment of prostatitis include:
- prostatectomy — the complete removal of the prostate;
- resection – the removal of the part of gland;
- circumcision – circular amputation of the entire foreskin for preventing the development of prostatitis and treatment of the chronic forms;
- drainage of the abscess with the intention of releasing it from purulent contents.
Undoubtedly, the prevention of prostatitis is much easier than treatment. To prevent the development of this disease, always use barrier protection, try to move as much as possible, keep to a proper diet and avoid hypothermia.