Chronic prostatitis - symptoms and treatment

Experts call the prostate the most vulnerable organ in men. The most common inflammation of the prostate, causing a lot of discomfort to the patient. If the inflammatory process lasts more than 3 months, we can talk about the chronic form of the disease. The problem of how to treat chronic prostatitis is faced by every third representative of the stronger sex. It is possible to cure the disease, but this will require qualified medical assistance. You should not delay the complex treatment of a chronic disease, because it causes the appearance of adenoma and prostate hyperplasia, as well as a decrease in erectile function.

medical consultation for chronic prostatitis

What is meant by diagnosis?

Usually, men are not inclined to listen to their own well-being, so the inflammatory process in the prostate takes a prolonged form. The danger of the disease lies in the fact that it can be completely asymptomatic. First, urethritis develops, and if you do not seek medical help, complications cannot be avoided. Over time, chronic prostatitis is formed in men, the symptoms and treatment of which are individual. Chronic prostatitis forms:

Name Diagnosis
infectious It occurs due to damage to the prostate by viruses, fungi or bacteria. It is revealed through a laboratory analysis of blood and urine.
stagnant It continues with pain in the pelvic region, most of the time it is chronic. Symptoms of a congestive form are sometimes similar to signs of an inflammatory process.
Asymptomatic There are no clinical manifestations of inflammation, which is why a man may not see a doctor for a long time. It is possible to identify the disease just by examining the prostate.

Many men are diagnosed with chronic congestive prostatitis (non-infectious etiology). Inflammation in this case affects the secret of the prostate and veins.

appearance reasons

The causes of chronic prostatitis are varied:

  • Prolonged withdrawal from intimacy or very active sex life;
  • The presence of various perineal lesions (when cycling or cycling);
  • Irrational menu (lack of nutrients and excess of fried foods, fats and smoked foods);
  • Repeated infection of Organs genitals;
  • Reduced immunity;
  • Diseases of Organs urogenital organs;
  • Inactive and sedentary lifestyle;
  • Underwear too tight and tight;
  • Interruptus;
  • Phimosis in history;
  • Anal sex without additional protection (condom).

The disease affects both the elderly and middle-aged and even young men:

  1. With an inactive sex life, prostatitis occurs due to stagnation of prostate secretion.
  2. Athletes are at risk because they lift weights and are prone to microtrauma to prostate tissue.
  3. Long-haul flight drivers suffer from stagnation of blood in Organs pelvic organs.
  4. Winter fishing fans are at risk due to constant hypothermia of the body.

Among common male diseases, chronic prostatitis is around 20%. Every fifth patient who sees a doctor suffers from a chronic form of the disease. The disease is "getting younger" because modern guys are promiscuous, not thinking about their own safety. In order not to get confused about how to get rid of chronic prostatitis, it is enough to take care of elemental protection against sexually transmitted diseases.

dizziness in chronic prostatitis

It is worth thinking about the fact that the chronic form of the disease leads to a violation of the erection of the penis and a decrease in sexual satisfaction during ejaculation. On this basis, fear of intimacy, irritability, doubt begin. All this still leads to neuroses for sexual reasons.

forms of infection

Doctors note two forms of infection with an infectious form of prostatitis:

  1. Urinogenic (ascending). Specific microorganisms through the urethra enter the prostate. The prostate gland is normally sterile, no bacteria will be detected during the examination. There are cases when microorganisms live in the human body, but their concentration is not sufficient for the development of the disease. If the microflora is disturbed, infection of the organ begins, which leads to the development of inflammation. Do not exclude the risk of infection and damage to neighboring organs, when a man suffers from hemorrhoids or cystitis. In this case, dangerous microorganisms enter the prostate through the lymphogenic pathway.
  2. Hematogenic. The agent causing the infection enters the prostate through the bloodstream. The diseases that can cause this type of infection are varied: acute flu, caries, etc. If at the same time there is venous congestion in the prostate, there is a high risk of chronic prostatitis, the treatment of which will take a long time.

Urologists identify two predisposing factors that lead to hematogenous infection:

  1. Congenital. Anatomical features of the prostate, including changes in muscle tissue structure or disturbances in the circulatory system.
  2. Acquired. Causes of chronic prostatitis include trauma to the genitals, cravings for alcohol, prolonged smoking, a history of infectious diseases, and frequent hypothermia.

The danger of ignoring the disease lies in the fact that, at this stage, the symptoms of chronic prostatitis in men are most often absent or insignificant. The patient believes that the disease can be cured with the help of folk remedies, but these methods are ineffective. Treatment regimens are only done by a specialist after a thorough examination and gathering of the necessary information.

warning signs

Symptoms of chronic prostatitis are different depending on the stage of the disease and its form:

The shape signals
Bacterial (infectious) Feeling weak, chills, fever, muscle pain, pain in the lower abdomen (may be made worse by sexual intercourse and prolonged abstinence), painful urination, weak stream pressure when urinating, frequent urination at night. Pain can be seen in the thighs, perineum, and rectum, which is why signs of chronic prostatitis are mistaken for hemorrhoids.
bacterial specific All of the above signs are observed, to which mucus-like discharge from the urethra can be added.
abacterial The symptoms of congestive prostatitis are difficult to ignore because of the intense pain. It is located in the perineum and thighs. Discomfort is felt in the head of the penis. The pain is aggravated by the interruption of sexual intercourse, as well as prolonged abstinence from intimacy.

The consequences of chronic prostatitis depend on the duration of the disease:

  • adenoma;
  • Oncology;
  • Sclerosis of the prostate and bladder neck;
  • erectile dysfunction;
  • Infertility;
  • Decreased testosterone levels.

The danger of the disease does not just lie in the fact that prostatitis can be confused with another disease. If the acute phase passes, the symptoms of chronic prostatitis disappear and treatment is not carried out. The man no longer cares about his health and does not go to the doctor. However, there comes a time when the signs begin to seriously bother and interfere with normal life, but the disease has already passed into a prolonged phase. Treatment of congestive prostatitis will take much longer if the disease is not diagnosed at the first stage.

doctor prescribes treatment for chronic prostatitis


The symptoms of other diseases are very similar to those of chronic prostatitis. Is it possible to cure the disease without tests? It is unlikely, because only an accurate diagnosis will determine the form and stage of development of prostatitis. Discomfort can be caused by:

  • tuberculosis;
  • adenoma;
  • Tumor.

Only a thorough examination can confirm or exclude the diagnosis. There are two types of search:

  • Instrumental;
  • Laboratory.

After talking to the patient and taking a history, the urologist or andrologist will ask you to perform a series of tests:

  • General analysis of urine;
  • General blood analysis;
  • Analysis of prostatic secretion;
  • Blood test for PSA.

A urine sample is collected three times to obtain more accurate data on the change in composition:

  • epithelial cells;
  • leukocytes;
  • Pathogenic pathogens of infections;
  • non-specific bacteria.

Doctors know what chronic prostatitis is and how difficult it is to diagnose. The modern method of transrectal ultrasound (TRUS) allows you to do this precisely:

  1. A device with an ultrasound probe is carefully inserted into the patient's anus.
  2. As the prostate is firmly attached to the wall of the rectum, the specialist has a good opportunity to study the prostate in detail and make an accurate diagnosis.

Conventional ultrasound makes it possible to determine the change in the density of the prostate, its size, the presence of fibrous foci, abscesses and stones.

Before curing chronic prostatitis, the doctor must recheck the diagnosis. If in doubt, he may refer the patient for an MRI or CT scan to rule out the presence of a tumor focus. If a man has bladder outlet obstruction, an x-ray will be needed to determine the cause of the condition.

Conservative treatments

medications for the treatment of chronic prostatitis

The treatment regimen for chronic prostatitis is prescribed only by a professional urologist and is selected individually. The doctor takes into account the cause of the disease, the duration of the disease and such a factor as an aggravating pathology. If congestive or infectious prostatitis is at an early stage, treatment can be with medications:

  1. Antibiotic therapy. Prostatitis is curable with antibacterial drugs if the bacterial agent is detected in prostate secretions or urine. Inflammation should be pronounced. The course lasts no more than 2 months, and the price of treatment for chronic prostatitis depends on the prescribed drugs. The dosage of each drug is prescribed individually, and self-medication is fraught with complications. Reviews after treatment of prostatitis with antibiotics are not always positive, but there are reasons for this. Sometimes symptoms persist towards the end of the course even though the infection has been defeated.
  2. Elimination of symptoms. For the treatment of chronic prostatitis in men, drugs that stop the pain are often used. The course of therapy may also include the use of antidepressants to reduce anxiety levels.
  3. Alpha blockers. A course of these drugs is prescribed if the doctor has diagnosed bladder muscle hypertonicity or increased intraurethral pressure. However, the medications are ineffective if the patient has pelvic floor myodystrophy or impaired muscle innervation.
  4. hormone therapy. It is performed based on the results of a hormone test. Androgens and antiandrogens are used.
  5. Vitamin therapy. With mindless nutrition, nutrient deficiency is replenished due to the vitamin-mineral complex. Experts do not recommend replacing it with popular food supplements, as "pacifiers" will not help at all.
  6. Normalization of uric acid levels. Methods of treatment of chronic prostatitis with the help of regulators are effective only in the presence of stones in the prostate.
  7. Immunostimulants. Prostatitis is treated in this way only with laboratory-proven immunodeficiency.

Answering the question whether chronic prostatitis is curable, we can safely say that recovery comes quickly with a properly prescribed complex.

Operative method of treatment

The disease usually does not require surgical intervention, except when the complication poses a threat to the health and even life of the patient. Modern surgery practices endoscopic intervention in order to reduce health risks and harm. Surgery is essential for:

  • adenoma;
  • Seed tuber sclerosis;
  • Prostate stones;
  • Prostate sclerosis.

Effective treatment of chronic prostatitis allows you to do without surgery if a man seeks medical advice in time. Do not forget that at the stage of exacerbation of the disease, surgical intervention cannot be performed. The need for such a cardinal method of treatment is determined only by the surgeon after studying the general clinical picture.

Other treatments

Men are often concerned whether chronic prostatitis can be cured in a non-drug way. The doctor may actually prescribe other methods:

  1. Massage. Do not forget about the contraindications and the fact that only a small area of the prostate is available for massage. If there are hyperplastic changes in the prostate, a massage course can lead to acute urinary retention. This, in turn, causes the inflammation to spread further and sepsis to develop. Massage is also prohibited in the presence of venous stasis, prostate cysts and prostate stones. If you need to get rid of a stagnant secret, it's best to release the prostate naturally through ejaculation.
  2. Special gymnastics. It is used to strengthen the bladder and prolong the intervals between urination. Improving sphincter and bladder tone allows you to set a break between bathroom urges for up to 5 hours. Gymnastics is ineffective for neurodystrophic changes and myofascial syndrome.
  3. Muscle stimulation. With reduced tone of the pelvic floor muscles, magnetic therapy, phonophoresis, transrectal ultrasound, or electrical stimulation are used.
  4. Instillation. It is practically not used in modern medicine, as the infusion of drugs into the urethra is accompanied by pain and does not cure prostatitis. The consequences of such treatment can be disastrous.

It is more convenient to ask an andrologist or urologist about how to treat congestive prostatitis with folk remedies. Popular videos on the Internet are full of videos about the qualitative use of alcohol tinctures and pumpkin seeds, but no method can replace drug therapy. How well the disease is treated is also determined by the doctor alone, not YouTube heroes.

useful exercises

A simple set of exercises will improve blood microcirculation in the pelvic region. They can be performed in the morning instead of the usual exercise:

  1. Spread your legs shoulder-width apart, lift your arms and connect at the back of your head. Inhale - slowly sit up and open your knees to the sides, exhale - return to the starting position.
  2. Connect the legs together, hands freely lower along the body. Bend your left leg at the knee, lifting it as high as possible. Repeat the same with the right leg. Run 10 approaches.
  3. Squat down, palms down. Inhale - stand up slowly, open your arms to the sides. Exhale - return to the starting position.
  4. Lie on your stomach, after placing a small ball under it (no bigger than a tennis ball). Focus on the floor and roll the ball on the floor with your stomach. Run 7 approaches.
  5. Lie on your back, bending your knees. Hold the ball between them. Inhale - squeeze your knees, exhale - relax. Do 3 sets, eventually increasing the number of repetitions up to 9 times.
  6. Sit on the floor, focusing on your hands. Place a ball under your buttocks. Try rolling on the floor with the help of your buttocks and genitals.

It helps in the fight against disease and Kegel exercises, which are useful not only for women but also for men.

probable forecasts

Rather than looking for information on how to live with chronic prostatitis, it is more helpful to make an appointment with a specialist. With timely access to a doctor and a reasonably selected course of therapy, you can improve your health. The question of whether chronic prostatitis can be completely cured cannot be answered unequivocally. It all depends on what methods the doctor prescribed and how accurately the patient follows his recommendations.

Experts are very cautious when making predictions about the course of the disease. Is chronic prostatitis treated with assurance? Complete recovery was observed only in rare cases, as most often the disease enters in the form of a prolonged remission. Normalization of parameters of urine and blood is observed, symptoms disappear completely. However, without following a doctor's advice, the disease can return to cause discomfort and complications.