Chronic prostatitis (ICD code 10 - N 41.1) is the most common disease of the male genital area. Pathology is an inflammatory process in the prostate gland, which occurs against the background of stagnant processes or infection of the organ by various microorganisms.
Chronic prostatitis can be primary or secondary; it is often a complication of acute prostatitis that was treated incorrectly or untimely. The disease most often occurs in mature men, older than 50-60 years. But in severe cases, the pathology is also diagnosed in patients of fertile age: from 30 to 50 years.
Causes of chronic prostatitis
There is a huge list of causes and factors that can provoke chronic prostatitis. First of all, these are infectious diseases of the prostate gland and age-related changes, congestive processes in the prostate.
Acute prostatitis very often becomes the cause of the development of a chronic form of the disease. The fact is that men in most cases do not dare to consult an andrologist for pain in the pelvis. As a result, the inflammatory process can go away on its own, if the immune system copes, or provoke suppuration. In any case, a complication arises in the form of chronicity of the process.
In older patients, chronic prostatitis is associated with poor circulation in the pelvis and lack of sexual life. The prostate secretes a special secretion that enters the ejaculate during ejaculation. If a man does not have sex and does not masturbate, the fluid stagnates, thickens, and the prostate gland degrades. The same thing happens when there is insufficient blood circulation, the prostate lacks nutrients.
Stagnant processes in the prostate can also be provoked by interrupted sexual intercourse or unrealized arousal. If a man has an erection, the synthesis of prostate juice increases, but ejaculation does not occur - the excess fluid stagnates.
Doctors identify a number of factors that contribute to the development of chronic prostatitis in men:
- A passive lifestyle is a direct path to the formation of stagnant processes in the pelvis, poor circulation, and the appearance of adhesions.
- Poor nutrition, an abundance of fatty and unhealthy food, obesity.
- Incorrect sexual activity.
- Hypothermia of the genitals.
- Chronic inflammatory processes in the body, including the upper respiratory tract, caries, history of urogenital infections, etc.
- Chronic.
- Endocrine disorders, hormonal imbalances.
- Injuries to the genital organs.
- Weakened immunity, vitamin deficiency.
- Chronic fatigue, depression.
Regular consumption of alcohol and smoking increases the risk of chronic prostatitis. The fact is that these substances provoke a spasm of the vascular system, disrupting blood circulation. If this happens constantly, the vessels stop functioning normally, and the internal organs do not receive nutrition.
Signs of chronic prostatitis in men
Symptoms of chronic prostatitis appear to varying degrees. During the period of remission, the symptoms can be very mild, so patients are in no rush to see a doctor. Exacerbation of chronic prostatitis is accompanied by the following symptoms:
- in the perineum and lower abdomen, which extend into the penis and rectum.
- Pain during ejaculation.
- Various forms of urination disorders: frequent urge, urinary retention, pain and burning, sluggish stream of urine.
- The addition of infection is accompanied by an increase and a general deterioration in well-being.
- Infertility during the year may be a sign of chronic prostatitis, since the disease disrupts the process of sperm production.
- The advanced form of the disease is accompanied by various forms of erectile dysfunction: rapid ejaculation, weakening of erection during sexual intercourse, impotence.
During remission, patients complain of dull pain, especially after active physical activity or a hard day at work. As the pathology progresses, the signs become more pronounced.
If at the first stage, disorders of the excretory system are practically invisible, only frequent urination is observed, and the man begins to get up to go to the toilet at night. Then at stages 2-3 of the disease, patients begin to actively push so that urine production begins. The last stage of the disease is accompanied by acute urinary retention.
The same thing happens with erectile function. At the initial stage of the disease, only slight deviations are visible: the duration of sexual intercourse decreases, an erection is sometimes insufficient if the man is tired. At the last stage of chronic prostatitis, patients complain of complete impotence, not even wet dreams occur.
Treatment of chronic prostatitis with drugs
Many men are sure that chronic prostatitis is forever, so there is no need to treat it, it is just a waste of money and time. This is a complete misconception. It is necessary to treat chronic prostatitis, and it is better to start doing this as early as possible.
Of course, no one can guarantee that after a course of pills, prostatitis will go away and never bother you again. Any chronic process requires constant monitoring and adequate treatment. But we can say with confidence that the right approach to therapy will help restore normal urination and return a man to healthy erectile function.
Treatment of chronic prostatitis is a long and quite labor-intensive process. The patient is prescribed to take medications, attend physiotherapeutic treatment, diet, sanatorium holidays, and regular sex life. You definitely need to reconsider your lifestyle, start eating right, doing exercises, and pay attention to your psychological health.
First of all, the patient is prescribed medications. If a bacterial infection is detected, then for chronic prostatitis the following is prescribed:
- and etc.
Antispasmodics are prescribed for pain and spasms:
- No-shpa;
- Papaverine et al.
For normal removal of prostatic fluid, the following are indicated:
- Urorek;
- Silodosin et al.
It is strongly not recommended to use these groups of drugs for self-medication. It is very important to choose the right remedy and select the dosage, otherwise the therapy may not only be ineffective, but also significantly harm the body. It must be remembered that all medications have side effects, and even uncontrolled use of ascorbic acid can cause serious problems.
In the complex treatment of chronic prostatitis, vitamins and immunomodulators must be prescribed. This is necessary to compensate for the lack of nutrients. If problems with blood circulation are observed, venotonic drugs and blood thinners are indicated. The decision to prescribe such medications is made by the doctor based on test results.
Massage for chronic prostatitis
The most important stage in the treatment of chronic prostatitis is and. It is worth immediately noting that such methods are used exclusively during the period of remission. During an exacerbation of chronic prostatitis, with infectious inflammation, in the presence of cysts, tumors, massage should not be done. Stimulation of the prostate in such cases can lead to increased pain, swelling of the gland, and damage to it.
You can massage the prostate at home, but you should not try to do it yourself; it is better to ask your wife, or go to a medical facility. For many men, this procedure is quite unpleasant, because the massage is performed through the anus.
The man undresses to the waist, lies on his side, pulling his knees to his stomach, or takes a knee-elbow position. The massage therapist puts on a glove and applies medical Vaseline to the index finger.
The finger is carefully inserted into the rectum, while it is better for the patient to relax as much as possible. If the anus is tense, the massage will seem very painful. For a couple of minutes, the massage therapist gently strokes the prostate area.
If a man is categorically against this method of treatment, he can massage the prostate through the perineum, but this method is less effective. You can also improve the outflow of fluid and blood circulation in the pelvis with the help of exercises on the pubococcygeus muscle, through active cycling and long walks.
Physiotherapeutic treatment helps improve blood circulation, activate local immunity, and helps destroy adhesive processes. For chronic prostatitis, the following treatment methods are used:
- Magnet;
- Laser;
- Ultrasound therapy;
- Electrical stimulation, etc.
The attending physician chooses the method of therapy, and he pays attention to the stage of the disease and the cause of its occurrence.
Traditional treatment of chronic prostatitis
In the complex treatment of chronic prostatitis, traditional medicine recipes are actively used. But they cannot be used for exacerbation of prostatitis, tumors, infectious diseases, and personal intolerance to the components of the product is also a contraindication.
Recipes for chronic prostatitis:
- Since ancient times, they have been used to treat prostatitis and impotence. To speed up recovery, you need to eat 30 grams of peeled seeds daily. They can be added to salads or used as a healthy snack.
- For chronic prostatitis, pear compote is very useful. But before consuming such a compote, you need to make sure that it is prepared without sugar.
- It is recommended to use herbal decoctions and sea salt 3 times a week. To prepare a decoction, you can use sage, chamomile, calendula, and pine needles. The herb is brewed in boiling water, filtered, and then poured into a bath of warm water. The duration of the procedure is 15 minutes. It is very important to remember that the water should not be hot, and the genitals should not be allowed to overheat.
- Parsley seeds and juice are very useful, and the herb can also be added fresh to various dishes. contains many useful vitamins and also has a positive effect on the reproductive system.
- A well-known remedy is rectal suppositories with. You need to mix propolis with cocoa butter, form candles and store them in the refrigerator. Every month you need to insert 1 suppository into the anus before going to bed.
This is not a panacea for all ills. For chronic prostatitis, they can only be used in complex therapy after consultation with an andrologist.
Prevention of chronic prostatitis
The prevalence of chronic prostatitis makes us think about the need for treatment. To prevent this pathology, you must follow the following recommendations:
- At the first signs of prostatitis, you should immediately consult a doctor. The sooner treatment begins, the less likely it is that the process will become chronic.
- Lead a healthy and active lifestyle.
- Quit alcohol, drugs and tobacco.
- Have sex regularly, and when arousal occurs, try to satisfy your needs.
- Avoid questionable sexual relations, protect yourself with condoms.
- Treat all infectious diseases promptly.
- Strengthen immunity.
- Dress for the weather.
Conclusion
Chronic prostatitis is not a death sentence. Many men live with this pathology for many years, and I don’t know any problems, all thanks to timely treatment and a responsible attitude towards their health. To maintain potency for as long as possible, you need to be regularly examined by an andrologist, as well as take a responsible approach to the treatment of detected diseases.
Inflammation of the prostate gland is a dangerous disease, but not all men are aware of the possible risks and complications. The inflammatory process must be treated. The consequences of prostatitis, if the disease is left to chance, are reflected in the functioning of the entire organism as a whole.
Symptoms of prostatitis are pain, difficulty urinating, weakened erection. These manifestations of the disease are directly related to changes in the prostate gland that occur against the background of the inflammatory process.
With prostatitis, the prostate gland becomes irritated and swollen. An increase in the size of the organ causes specific symptoms due to compression of the urethra and irritation of pain receptors located nearby tissues.
In addition to severe symptoms, which significantly worsen a man’s quality of life, the inflammatory process is dangerous due to structural changes in the tissues of the organ. They occur with low-grade inflammation and are characterized by scar formation. Replacement of the muscle and glandular tissues of the organ with connective tissue leads to disruption of the functionality of the gland. This disease is known as prostate sclerosis, and is diagnosed during a long course of chronic prostatitis without qualified treatment.
The consequences of prostatitis in this case are irreversible without surgical intervention. Symptoms of sclerotic changes in prostate tissue:
- inability to fully empty the bladder;
- inflammation of the bladder and seminal vesicles;
- sharp and cutting pain in the perineum;
- erectile disfunction.
The only treatment for prostate sclerosis is surgery.
The disease is difficult to treat. One of the dangerous consequences of glandular sclerosis is the formation of residual urine, which enters the kidneys and provokes their infection. In addition to discomfort and lack of erection, the pathology can cause the development of acute renal failure. Such complications of prostatitis are observed 5-10 years after the onset of the disease. Factors predisposing to prostate scarring due to prostatitis are older age, vascular atherosclerosis, circulatory disorders, and hypertension.
To treat this pathology, minimally invasive surgical methods are used, for example, laser vaporization of connective tissue. During the procedure, the changed areas of the organ literally evaporate due to laser exposure.
Chronic prostatitis
Acute inflammation of the prostate is characterized by specific symptoms. The disease is successfully treated with antibiotics, but after symptoms have resolved, patients are required to undergo long-term maintenance therapy to restore prostate function.
Many people are interested in: what will happen if prostatitis is not treated, and what are the dangers of this disease?
An incomplete course of treatment for prostate inflammation eventually results in the development of chronic, sluggish prostatitis. The symptoms of this form of the disease are mild, and most often manifest themselves as an increased urge to go to the toilet. Chronic prostatitis may not manifest itself for a long time and may not bother a man, but changes will occur in the prostate gland. Over time, the disease always makes itself felt with a sudden exacerbation of symptoms. This is manifested by acute pain, stagnation of urine, and increased body temperature. During the examination, changes in the organ are usually noted - scars in the tissues, irritation, enlargement of the prostate. Prostatitis and its consequences may not appear immediately, but make themselves felt many years after the onset of the disease.
Chronic prostatitis leads to dysfunction of the organ. This negatively affects a man’s hormonal levels and well-being. First of all, reproductive function suffers. It is very difficult to treat this form of the disease; therapy boils down to preventing an exacerbation of symptoms.
Prostatitis worsens well-being and sex life
Adenoma and malignant neoplasms
The consequences of prostatitis are not always manifested by the development of prostate adenoma - this disease can be considered as an independent pathology. First of all, the development of adenoma is caused by increased production of dihydrotestosterone with a simultaneous decrease in the rate of testosterone synthesis. Predisposing factors are also genetic predisposition and natural aging of the body.
Nevertheless, the relationship between chronic prostatitis and the development of adenoma is clearly visible. A sluggish inflammatory process leads to prostate dysfunction. The prostate is a hormone-dependent organ, therefore, if its functioning is disrupted, there is a disruption in the production and absorption of sex hormones. At the same time, there is an increase in androgen synthesis. Dihydrotestestron serves as a kind of fuel for the functioning of the prostate gland, so its excess is absorbed by the gland tissue. Against this background, there is a rapid enlargement of the prostate and structural changes in the tissues of the organ, known as benign hyperplasia or adenoma.
Symptoms of adenoma are primarily associated with impaired urine outflow and bladder function. Quite often, men are faced with the inability to urinate. The development of acute urinary retention requires hospitalization and catheter placement.
Prostate adenoma cannot be treated. Even surgical intervention does not guarantee the absence of relapse in the future, except for radical prostatectomy. Even after laser prostate surgery, men must take pills that block androgen production for life to prevent recurrence of prostate hyperplasia.
The relationship between prostate cancer and prostatitis is controversial. On the one hand, oncopathology occurs in men who have never encountered prostatitis in their lives, but on the other hand, the percentage of cancer among patients who have had prostate inflammation is much higher. Thus, doctors agree that prostatitis is not a guarantee of the development of cancer, but is a serious prerequisite for malignant neoplasm in the prostate. Such consequences of prostatitis are very dangerous; they significantly shorten a man’s life and in some cases lead to death.
Prostatitis is considered a provoking factor for tumors in the prostate
Disorders of the urinary system
The consequences of chronic prostatitis for men often result in disruption of the urinary system. Constant compression of the urethra by the swollen prostate leads to a narrowing of its lumen. This prevents the bladder from emptying normally. Symptoms of this condition:
- constant urge to urinate;
- feeling of incomplete emptying of the bladder;
- the need to strain the groin muscles when urinating;
- weak stream of urine;
- burning and pain in the urethra.
With prostatitis, complications lie in the risk of kidney dysfunction. This is due to stagnation of residual urine in the bladder due to its dysfunction, which provides a favorable environment for the proliferation of pathogenic microorganisms. With infected urine, pathogenic agents are thrown into the kidneys, causing them to become infected. Inflammation of the kidneys can lead to serious impairment of their function, including the development of failure.
To eliminate a condition in which the bladder does not empty completely, an operation is performed during which a valve is installed to ensure stable operation of the urinary system. This is a last resort; a catheter is usually used to empty the bladder.
Reproductive system dysfunction
The most common complication of prostatitis, which makes itself felt quite quickly, is disruption of the reproductive system, a gradual decrease in fertility with further infertility.
First of all, potency suffers. Usually this is not due to physiological changes, but to psychological stress due to specific symptoms of prostatitis. Over time, due to the thickening of prostate juice and a decrease in the lumen of the urethra, problems with ejaculation appear - the patient either ejaculates too quickly or cannot achieve orgasm during sex. All this ultimately leads to erectile dysfunction, up to complete sexual impotence.
Decreased fertility is due to changes in the composition of prostate juice. The first thing that chronic prostatitis leads to is a violation of sperm motility. This is due to a reduction in the number of lecithin grains in the prostate secretion. As the disease progresses, these protein compounds completely disappear, so over time the man loses the ability to fertilize and is diagnosed with infertility.
Prostatitis reduces the ability to conceive
The only way to prevent such consequences is a timely course of comprehensive treatment of prostatitis. If, after treatment of the underlying disease, a man still has problems with erection, additional therapy is indicated to restore sexual function. It is important to remember: almost any complication can be prevented if you do not let the disease take its course. Any signs of erectile dysfunction, decreased desire for the opposite sex, or other consequences of prostatitis in men should be discussed in a timely manner with your doctor.
Complications from the nervous system
In addition to functional disorders in the functioning of the organs of the genitourinary system, as a result of untreated prostatitis, problems with the nervous system remain. These complications include:
- depression;
- apathy;
- asthenic syndrome;
- neuroses.
Such disturbances in the functioning of the nervous system always entail a decrease in cognitive functions - memory, attention, mental abilities. In this case, performance always suffers, which negatively affects the patient’s quality of life.
Disorders of the nervous system are caused by constant stress and psycho-emotional stress that accompany the symptoms of prostatitis. Due to the constant urge to go to the toilet, a man does not get enough sleep, and this becomes the first alarm signal indicating the imminent appearance of nervous disorders.
A psychotherapist and neurologist can help cure such complications. To do this, it is necessary to take medications that normalize the activity of the nervous system and allow you to fight stress and increased mental stress. Particular attention should be paid to depression remaining after an exacerbation of prostatitis. This is a dangerous condition that has a destructive effect on the nervous system and human psyche.
If you are depressed, you cannot do without the help of a specialist.
Complications of acute bacterial inflammation
Complications that are difficult to treat and radically change the patient’s life are observed with chronic prostatitis. As a rule, such consequences develop over years, but do not appear overnight. At the same time, acute infectious prostatitis can lead to serious complications that require urgent hospitalization. We are talking about a prostate abscess - a dangerous pathology in which a cavity filled with pus forms in the prostate gland and necrotic changes in the tissue begin. This condition can lead to infection of the entire body. Abscess rupture, without timely hospitalization, can cause death.
Prostatitis is a dangerous pathology that leads to serious consequences that affect the entire body as a whole. Complications can be prevented only by timely treatment of this disease.
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Some men, more often in adulthood, develop problems with urination, decreased erection and decreased libido. This is due to a disease called chronic prostatitis, the symptoms and therapy of which are discussed in this article.
Chronic prostatitis is the result of frequent inflammation of the prostate gland, which is a small muscular organ. The prostate is located under the bladder and covers the initial part of the urinary canal. It produces a secretion that affects the activity of sperm and their resistance to external manifestations.
Inflammation of the prostate is considered a common urological disease in men. Chronic prostatitis is a consequence of an untreated acute form of the disease, with inflammation of the tissue of the glandular organ due to infection or the development of congestion. This urological inflammation is divided into 2 main groups:
Infectious. Caused by viruses, bacteria, fungi, which are transmitted through the bloodstream and lymph during unprotected sexual intercourse.
Stagnant. They develop due to the accumulation of the secret substance of the gland and stagnation of venous blood.
An inflamed enlarged prostate puts pressure on the urethra and interferes with the flow of urine. Having the shape of a chestnut, its main role is to produce an important component of sperm, which affects reproductive function.
Chronic prostatitis has a code according to ICD 10 (International Classification of Diseases): N41.1. It differs from acute in duration, is prone to repetition and arises from it. The disease develops over a long period of time; symptomatic signs are absent or mild.
Causes of chronic prostatitis
Chronic prostatitis is caused by a bacterial infection, which contributes to the maintenance of inflammation in the gland tissue. All this takes place against the background of a decrease in immune defense in people who often suffer from acute respiratory infections, somatic diseases, due to nervous overload, constant stress and bad habits.
Chronic prostatitis inflames for several years and may not bother a man, who practically does not notice slight pain and discomfort in the groin area, radiating to the sacrum, genitals or anus. The danger of the disease is that inflamed tissue with associated infection affects the entire urinary system and contributes to the development of urological processes such as pyelonephritis and cystitis, can upset the reproductive system and be complicated by urethritis, vesiculitis, orchiepididymitis, infertility, and prostate cancer.
Inflammation of chronic prostatitis depends on the phase of inflammation activity, duration, pathological process of neighboring organs, irregularity of sexual activity and physical inactivity.
Chronic prostatitis appears for the following reasons:
- Infections. They affect glandular tissue and the urethra and are sexually transmitted. These include trichomonas, chlamydia, gonococcus, yeast, mycoplasma, herpes virus, etc.
- Stagnation of the secret. Poor blood circulation in the genital area contributes to inflammation of the gland.
- Immunity impairment. Contributing factors: vitamin deficiency, allergies, untreated infectious foci, hormone imbalance, physical and mental overload, hypothermia of the genital area among extreme sports enthusiasts.
- Low physical activity and high weight. The sitting position of office workers, officials, and drivers disrupts blood circulation and promotes inflammation.
- Irregularity and disorders of intimate life. This includes interruption of sexual intercourse, abstinence for a long time, artificial prolongation of sex, and lack of orgasm.
- Injuries. Damage, shaking, increased vibration load of the perineal muscles.
- Abuse of spicy foods.
- Tight underwear.
- Bowel disturbances (constipation) and urinary retention.
All of the above reasons, as a result of stagnation and impaired blood supply, favor the entry of microorganisms into the gland and the appearance of inflammation, which often recurs, and in the absence of effective therapy leads to impotence and infertility.
Entry of microbes into the gland
Microorganisms enter the prostate through the lymph flow or through the blood. Infection occurs along an ascending path, when microbes rise to the prostate from the external opening of the urethra, and along a descending path. The second method characterizes the infection entering the gland with contaminated urine, where it multiplies and destroys its tissue.
Normally, the prostate gland is always sterile and does not contain pathological bacteria. The presence of urological diseases can facilitate the penetration of pathogens into it. The same applies to sexually transmitted diseases suffered in the past or present at the moment.
Inflammation of the anus and urethra are causes of secondary infection of the prostate.
Expert opinion
Sergey Yurievich
Ask a question to an expertMicroorganisms are more easily transmitted through unprotected sex.
Types of chronic inflammation of the prostate
Mature and older people are more likely to suffer from prostate inflammation than young men. There are main forms of the chronic process, as well as nonspecific chronic prostatitis - asymptomatic inflammation, which is characterized by the absence of all signs.
Chronic bacterial prostatitis The patient is diagnosed when the infectious process persists for a long time, and bacteria are found in tests of prostate substances.
Signs of chronic prostatitis of the bacterial form arise on the basis of the acute form. It can develop suddenly, with chills and high fever; frequent urge to difficult and painful urination, sharp pain in the groin and lower back, the presence of colorless and white discharge from the urination channel.
The untreated acute form develops into an exacerbation of chronic prostatitis and causes the constant presence of dysuria, problems with potency, and pain in the entire genital area of a man.
Nonbacterial chronic prostatitis does not detect bacteria in laboratory tests. The gland becomes inflamed due to autoimmune tissue damage.
Stagnant (congestive) chronic prostate t develops against the background of venous stagnation and unstable intimate life. It is characterized by low libido, weak erection, pale orgasmic feelings, and a decrease in the quality of ejaculate. In addition, congestive chronic prostatitis is accompanied by frequent urination in the morning or at night.
Prostatodynia is a form of inflammation of the prostate gland with thickening of its tissue. The frequent urge to urinate when the process is difficult is disturbing; urine comes out in small portions, accompanied by nagging discomfort in the perineum.
Signs of illness
The symptoms of chronic prostatitis of all types are similar to each other and differ only in some features, unless they occur in an asymptomatic form, which is revealed only during a special urological examination, when a man consults a doctor when he discovers sexual disorders.
Chronic prostatitis is prone to a variety of clinical manifestations. Men experience common symptoms such as short temper, fatigue, decreased performance, increased irritability, loss of appetite and sleep disturbances.
The general symptoms include the following main signs:
Pain syndrome. There are cutting pains in the lower abdomen and lower back, which intensify during intimacy after a long period of abstinence. There is a general feeling of poor health, accompanied by headaches.
External manifestations. In the morning, there is abundant discharge from the urethra of a transparent or purulent nature. White threads or flakes may be present in the urine.
Dysuria. Frequent urges to urinate in small portions at night are accompanied by difficulty, cutting, burning, and nagging pain in the perineum. Acute urinary retention or involuntary “leakage” develops.
Disorders in intimate life. Pain occurs, sexual desire decreases, instant ejaculation occurs, a weak orgasm occurs, and sexual neurosis develops.
Symptoms of bacterial chronic prostatitis are conventionally divided into three types of disorders:
- disruption of the urinary apparatus;
- accompanied by pain in the urethra and anus during ejaculation;
- emotional lability associated with the physical state of this disease.
The man explains fatigue, sexual failure and nervousness by physical exhaustion and insufficient rest. But in fact, he should be examined and treated by a doctor. It’s great if annual medical examinations contribute to early detection of the disease.
Symptoms of exacerbation of chronic prostatitis, even after treatment, tend to recur. A man should monitor his health, improve his sex life and try to avoid provoking factors that influence relapses.
With timely treatment, chronic prostatitis does not develop into consequences, such as lack of libido and infertility, during reproductive age.
Expert opinion
Sergey Yurievich
Doctor of Urology and Andrology. And at the same time just a good person.
Ask a question to an expertIf you detect at least one of the above symptoms, you should contact a urologist as soon as possible.
Complications of chronic prostatitis
Long-term inflammation of the prostate, in the absence of timely treatment, is fraught with complications for men's health. The following consequences may occur:
- Chronic pyelonephritis, cystitis, narrowing and scarring of the urethra, requiring complex treatment with antibiotics, symptomatic drugs and surgical procedures.
- UCD, inflammation of the bladder with acute urinary retention, which requires surgical intervention.
- . A characteristic symptom is general weakness, high fever, increased sweating, chills, and disturbances in consciousness.
- Sepsis (in patients with diabetes).
- Male infertility. Epididymitis also develops.
- or . Occurs after prolonged untreated prostatitis, complicated by adenoma - a benign formation. Under unfavorable factors, the neoplasm degenerates into a cancerous tumor. With hyperplasia, purulent melting of the tissue occurs. In both cases the prognosis is unfavorable.
Why is chronic prostatitis dangerous? A constantly ongoing disease can lead to sclerosis, urination disorders, cysts and stones (single and multiple).
Prostate sclerosis can develop over several years due to hormonal imbalance. There is pain when urinating, and the flow of fluid is intermittent and sluggish.
Vesiculitis occurs when the seminal vesicles become inflamed. Semen and urine contain pus or bloody streaks.
With epididymitis, the testicles and their appendages become inflamed. I am concerned about pain and swelling of the groin area. All this can occur against the background of fever and deterioration in general health. In most cases, the disease ends in infertility, the therapy of which is long-term and, often, ineffective.
The course of chronic prostatitis is wavy, with periodic exacerbations. During periods of subsidence, the disease may not make itself felt.
Expert opinion
Sergey Yurievich
Doctor of Urology and Andrology. And at the same time just a good person.
Ask a question to an expertA man should be very attentive to himself and consult a doctor in a timely manner.
Diagnosis of chronic prostatitis
It is advisable not to let the disease take its course, and pay a visit to doctors (urologist or andrologist), who will conduct a thorough questioning and establish a medical history, offer to undergo an ultrasound of the prostate, take tests for a genital infection, and also painlessly examine the gland rectally.
Examination of the gland through the anus with the index finger allows the doctor to make a correct diagnosis, determine the degree of inflammation, and also obtain a sample of prostate secretion. Such a study helps to determine the size, pain, shape, and consistency.
Upon rectal palpation, an enlarged gland, a pain symptom, a soft inelastic consistency, and immobility of the rectal mucous tissue are detected.
Culture of the prostate substance is always carried out before therapy to determine the sensitivity of the microflora to the drugs.
Diagnosis of chronic prostatitis, in addition to rectal, includes the following methods:
- Ultrasound and (transrectal) prostate and surrounding organs.
- Uroflowmetry. Shows the duration of urination rate. A sign of the disease is a decrease in the rate below 10 ml/s.
- Laboratory tests: general urine analysis (leukocytosis, microbes, protein), prostate substance (pathogenic microflora for PCR and RIF determination), urethral smears for the presence of sexually transmitted infections, analysis of gland enzymes.
- Computer urodynamic study, nuclear magnetic tomography.
- Urethrocystoscopy, urography.
- X-ray of the pelvic organs.
- Blood test: general analysis and (prostate-specific antigen). Determining the PSA level in the bloodstream for chronic prostatitis is an important diagnostic step, since this analysis also excludes prostate cancer.
- . Can be prescribed if a tumor is suspected.
A man at the doctor should not be shy, and should tell in detail about all the factors in the onset of the disease and all complaints. Based on the history and tests, the correct diagnosis will be made and adequate therapy will be prescribed.
Treatment of chronic prostatitis
Treatment tactics for the disease include a course of antibacterial drugs, immunostimulants, anti-inflammatory drugs, hormonal drugs, physiotherapeutic procedures, laser and sanatorium treatment, and in severe cases, surgical intervention.
To immediately relieve pain, taking analgesics and warm sitz baths may be recommended. The therapy is complemented by mandatory massage of the gland, which reduces stagnation, improves blood circulation and secretion.
The course of treatment of chronic prostatitis with the help of massage is carried out only outside of exacerbations and involves at least 10 sessions. The procedure is carried out by applying slight pressure on the gland through the rectum with a sterile glove with anesthetic ointment, until the prostate secretion is separated through the urethra.
Is it possible to cure chronic prostatitis forever?
Modern medicine uses drug therapy to maintain processes in the prostate at a normal level for up to 3 years. Then it is advisable to repeat the courses of treatment.
The treatment regimen for chronic prostatitis lasts about a month. Patients with severe disease are subject to hospitalization. Antibiotics for chronic prostatitis are necessary to suppress the infection. They are used for 14 days. The dosage and appropriate medicine are selected by the doctor. Most often, drugs of the macrolide group (Erythromycin, Oleandomycin) and tetracycline are used, as well as another group: Monomycin, Kanamycin, Gentamicin, 5-NOK, etc.
They can also choose an antibacterial drug from fluoroquinolones (Levofloxacin, Ciprofloxacin, etc.), which have a detrimental effect on all types of bacteria, killing them. It is better if they are prescribed after receiving test results.
During exacerbation of chronic prostatitis, antibiotics penetrate well through the walls of the gland. They are prescribed intramuscularly or intravenously.
If the above antibiotics do not help with chronic prostatitis, after 2 weeks, then macrolides (, Sumamed) or cephalosporins (Kefzol, Cefazolin) are prescribed. Therapy is adjusted several times.
Treatment of chronic prostatitis with antibiotics is advisable for the bacterial form of the disease.
What other medications treat chronic prostatitis in men? They use a cheap sulfonamide drug, which in its action is in the range of drugs, next to antibacterial drugs -. Usually, relief from the unpleasant sensations of the disease, after taking Biseptol, occurs within a day.
Alpha blockers are drugs for the treatment of chronic prostatitis, relaxing the muscles of the urethra and facilitating the flow of urine and prostate substances. This group includes Tamsulosin, Alfuzosin, Dalfaz,. They eliminate the unpleasant symptoms of inflammation.
Anti-inflammatory drugs for chronic prostatitis - non-steroidal pain relievers: Nimesulide, Meloxicam, Ketoprofen, Tempalgin, etc.
Treatment of bacterial chronic prostatitis also uses hormonal drugs (Prednisolone, Dexamethasone). In case of severe intoxication, in a hospital, Hemodez, Disol, etc. are administered intravenously.
A good cure for chronic prostatitis is Prostatilen and propolis suppositories.
Immunomodulator drugs for the treatment of chronic prostatitis in men are Timolin, Thymosin. They reduce the formation of blood clots, relieve tissue swelling, and normalize blood microcirculation.
Prostatilen is used intramuscularly for 10 days, in combination with Vitaprost (rectal suppositories) 1 piece at night.
Tablets for chronic prostatitis - Wobenzym (pack of 90 pieces), Speman (100 tablets).
Vitamin E or Viardot, and sedatives and antidepressants are also prescribed.
Physiotherapy uses methods that normalize and enhance blood circulation, combat stagnation and increase the effectiveness of drug treatment, accelerating the healing process and relieving glandular pain syndrome.
The following are used: ultrasound waves, electromagnetic waves, rectal electrophoresis, UHF, laser treatment, etc. In addition, mud therapy and special enemas are used.
You can be treated at home with the Vitafon acoustic therapy device. It relieves inflammation in 3 sessions and does not require massage.
Is chronic prostatitis treated with homeopathic medicines? A dietary supplement from the Bulgarian pharmaceutical company Stamax from the fruits of the dwarf palm tree has a beneficial effect on the reproductive system.
Surgical methods are used for narrowing of the urethra and prostate abscesses.
Nutrition for chronic prostatitis should be fortified, high in fiber, fermented milk products, as well as foods rich in zinc.
For men, the diet is limited to strong broths and sauces, fatty, hot spicy foods, legumes, radishes and cabbage.
Therapy for the disease should be accompanied by exercise therapy with leg lifting, squats, and intense walking for 30 minutes daily. strengthen the perineal muscles and increase blood supply to the groin area.
Therapy for prostatitis is a long process that requires an integrated approach, timely initiation and close interaction between the doctor and the patient.
Treatment of chronic prostatitis with folk remedies
Treatment of chronic prostatitis with folk remedies is no less popular, along with the main drug treatment. It is carried out for uncomplicated forms and periodic recurrences of the disease. Traditional methods strengthen the immune system, increasing the body's resistance to infection and alleviating pain.
How to treat chronic prostatitis in men at home?
To do this, use herbal baths, ingestion of herbal decoctions and infusions, it is recommended to take vegetable and fruit juices, and use the beneficial properties of food.
Traditional medicine is used in a course of 30 days. They are safe and accessible to everyone. Any man can choose the most suitable method for him, of which there are a huge number. The main thing here is to know about the side effects of these drugs in the presence of chronic diseases of the stomach and intestines. It is also better to coordinate the use of traditional methods with your doctor.
Chronic prostatitis can be cured with the following popular folk methods:
- It is recommended to drink a lot of liquid in the form of teas with raspberries, linden, rose hips, with the addition of natural honey, and kefir for constipation.
- Take cucumber, carrot, beet and pear juices on an empty stomach up to 600 ml daily. You can drink 1 tbsp of elderberry juice for 10 days. l. in the morning, after drinking a glass of mineral or purified water.
- Warm phyto-baths can be used for pain symptoms, in the absence of fever, to relieve inflammation and relaxation. Coniferous baths (made from pine) are especially useful. A ready-made pharmacy infusion or a self-prepared one is added to a bath of water at a temperature of 37 C. Or you can sit in a basin. The duration of the procedure in the evenings should be no more than 20 minutes daily, in the evening.
- Honey therapy (in the absence of contraindications) includes the consumption of honey in an amount of 10 kg. That is, when it ends, it means the course has been completed. 100-200 g are eaten instead of sugar. The healing effect appears in the form of disappearance of pain and discomfort in the groin.
- Homemade suppositories (rectal) are used for 1 month with breaks of 10 days (two courses): honey candles: 1 tsp. honey, 1 egg, 3 tbsp. l. the flour is stirred well and frozen after shaping, administered in the evening;
suppositories with propolis: Mix 0.1 g of the substance with 2 g of cocoa butter. Form a candle from the mixture and place it overnight.
- with wormwood before bed for a week - 1 tsp. Brew 1 liter of dry wormwood. boiling water, leave and cool, then strain, and inject 100 ml into the anus. Pour the second part of the infusion (50 ml) into the urination channel with a syringe without a needle or a miniature syringe.
Effective treatment of chronic prostatitis is carried out using the beneficial properties of pumpkin seeds, chestnut seeds, Kalanchoe juice, or hazel.
Chronic prostatitis is well treated with parsley, which relieves inflammation, restores sexual function and contains many useful microelements and vitamins:
- The juice of the plant is taken three times a day, 1 tbsp. l.;
- crushed roots (0.5 cups) are boiled for 10 minutes in 1 liter of water and then drunk as water during the day;
- 4 tsp. seeds are brewed in a thermos with 1 glass of boiling water, infused and drunk 1 tbsp. l. 5 times a day.
An ancient remedy with a large amount of zinc, necessary for the male body. Every day it is recommended to eat 30 seeds (daily dose of zinc) before meals.
How to treat chronic prostatitis with pumpkin seeds?
0.5 kg of raw seeds are passed through a meat grinder, 200 g of honey is poured into them and small balls are made. Every day before meals you need to eat 2 balls, chewing them thoroughly. Therapy continues until they end. Once a year is enough.
Propolis relieves inflammation well and improves immunity. It is sold in pharmacies in the form of a 10% and 30% solution, and there is an extract in beekeepers' shops. This remedy quickly relieves the symptoms of the disease. In the form of drops, it can be taken orally, in combination with milk.
There are many more traditional medicine methods. For example, decoctions of herbs such as St. John's wort, goldenrod, echinacea, and licorice root consist of components that treat asymptomatic non-bacterial prostatitis. It is possible to use rectal suppositories with extracts of these plants.
Is it possible to cure chronic prostatitis?
This disease has this ability: once it appears in the body, it will remain with the man forever. Therefore, you need to take all possible methods - medications, folk remedies and do special exercises to maintain the functioning of the prostate gland in a normal state and prevent recurrences of the disease.
Prevention of chronic prostatitis
Prostatitis is always easier to prevent than to treat for a long time. By resorting to preventive measures, you can protect yourself from the disease itself and its complications.
Prevention of chronic prostatitis involves using the following methods:
- Wearing comfortable natural underwear. Tight, fashionable, tight swimming trunks negatively affect blood circulation in the male genital area.
- Physical activity. To maintain health, men are recommended to do morning exercises, walk up to 4 km, and train the muscles of the perineum and buttocks (10 tensions and relaxations each).
- Proper fortified nutrition with the addition of foods high in zinc and vitamin B (meat, walnuts, kefir, rye bread, pumpkin seeds, bran, seaweed, oysters, prunes, parsley, honey, garlic). It is advisable to avoid sauces, mayonnaise, spicy, fried and canned foods.
- Regular intimate life. Interrupted acts, casual relationships should be avoided (this is a prevention against all types of sexual infections), masturbation (if it is impossible to have intercourse, for cleansing and preventing stagnation).
- Strengthening the immune system. It is recommended to take vitamins and complexes during seasonal outbreaks of colds, treatment of chronic foci of infection (carious teeth, tonsillitis, pyelonephritis), and timely treatment of sexually transmitted diseases. It is necessary to harden yourself, engage in moderate sports, avoid hypothermia of all types, and wash in a contrast shower.
- Elimination of bad habits. Quitting smoking, drinking alcohol and drugs is important.
- Eliminate stress. It is necessary to remove the irritating factor and learn not to react to the negativity of the external environment. If it is impossible to restrain your emotions, you can recommend taking antidepressants or valerian tablets, motherwort or peony tincture. You need to find something you like and not get nervous over trifles.
Long-term inflammation of the prostate gland, which periodically worsens, is called chronic prostatitis. A constant inflammatory process directly affects the functioning of the prostate.
Chronic prostatitis is the most common pathology in men, which is observed in almost 30% of the stronger sex.
Chronic prostatitis.
Classification of chronic prostatitis
- Acute course of prostatitis.
- Bacterial chronic prostatitis.
- Chronic prostatitis is not bacterial in nature. Accompanied by chronic pelvic pain syndrome - symptoms not associated with the presence of infection. Lasts three months or longer.
- III A – chronic prostatitis with the presence of an inflammatory component (infectious agents and leukocytes were found in the prostate secretion).
- III B – chronic prostatitis with the absence of an inflammatory component (pathogens and leukocytes were not detected in the prostate).
- Chronic prostatitis is asymptomatic (no symptoms in the presence of leukocytes in the prostate secretion).
The risk of disease is increased in people
- Who lead an irregular intimate life, and also practice interrupted sexual intercourse as a way to prevent unwanted pregnancy.
- Office workers and drivers (a sedentary lifestyle causes blood stagnation in the pelvis).
- Who wear tight underwear.
- Those with alcohol and nicotine addiction.
Causes
Bacterial prostatitis
Bacterial prostatitis.
- Hereditary predisposition.
- Regular hypothermia.
- Long-term abstinence.
- Delayed emptying of the bladder.
- Sedentary lifestyle.
- Diseases of the genitourinary system (urethritis, pyelonephritis, cystitis).
- Sexually transmitted diseases: chlamydia, gonorrhea, trichomoniasis.
Not bacterial inflammation
Venous congestion in the pelvis, provoked by a sedentary lifestyle.
- Stagnation of blood in the veins, provoked by a sedentary lifestyle.
- Wearing tight pants, underwear or shorts.
- Congestion caused by constant compression of the perineum.
- Irregular sex life. Sexual intercourse increases blood circulation in the veins of the prostate.
- Alcohol, nicotine, drug addiction.
- Sedentary lifestyle.
Symptoms
Painful syndrome in the lower abdominal cavity.
- Weak stream of urine, discomfort during urination.
- Feeling of the bladder not emptying.
- Sharp periodic pain.
- Painful syndrome in the lower abdominal cavity.
- Pain in the perineum, radiating to the scrotum.
- Decreased libido, weak erection, rapid ejaculation. Morning involuntary erection periodically disappears or is absent altogether.
- After intimacy, aching pain may appear in the head of the penis, which goes away after about half an hour.
Complications
Potency disorders (irregular erection, impotence, weak ejaculation or its complete absence, etc.).
Diseases that provoke the development of chronic prostatitis:- Vesiculitis (inflammation of the appendages, seminal vesicles, testicles).
- Potency disorders (irregular erection, impotence, weak ejaculation or its complete absence, etc.).
- Infertility. The cause may be complications of diseases or psychological problems.
- Prostate cancer. The number of free radicals in chronic prostatitis may increase, which can trigger the growth of cancer cells.
- Prostate sclerosis. Changing the size and compaction of organ tissue affects its functioning. Regular retention of urine in the bladder and malfunctioning of the urethra are the main causes of the pathology.
- Psychological problems. Decreased libido, erectile dysfunction and other signs of chronic prostatitis lead to a man’s self-esteem decreasing and he is in constant stress. The patient may experience depression, nervous breakdowns, irritability, etc.
Diagnostics
If symptoms are present, diagnosing chronic prostatitis will not be difficult. In case of asymptomatic pathology, in addition to a standard examination or questioning of the patient, the use of additional research methods is required: laboratory and instrumental. It is imperative to determine the state of the patient’s immune and nervous systems. 
Questionnaires and questionnaires allow you to obtain complete information about the patient’s health status, pain intensity, urination disorders, ejaculation, erection and psycho-emotional mood.
Laboratory diagnostics
Scraping from the urethra.
Laboratory diagnostic methods make it possible to determine the nature of chronic prostatitis: bacterial or abacterial, and also to determine the type of pathogen as accurately as possible. If in the fourth urine sample or prostate secretion the leukocyte count in the prostate is above 10, chronic inflammation of the gland is confirmed. If bacteria are not sown when leukocytes are elevated, the material is examined for the presence of STD pathogens (Sexually Transmitted Diseases).
- A smear from the urethra is examined in the laboratory for the presence of leukocytes, fungal, viral or bacterial flora.
- A scraping from the urethra is examined by PCR to detect pathological microorganisms that are sexually transmitted.
- A microscopic examination of prostate secretion is performed. The number of leukocytes, amyloid bodies, macrophages and Trousseau-Lallement is counted. In addition, immunological and bacteriological studies are carried out, with the help of which the amount of nonspecific antibodies is determined.
- Ten days after the digital rectal examination, blood is taken to determine its PSA level. If the level exceeds 4.0 ng/ml, then the patient is prescribed a prostate biopsy to confirm or exclude the presence of a malignant tumor in the gland.
Instrumental diagnostics
Ultrasound device.
TRUS of the gland allows you to identify the form and stage of the pathology. Ultrasound helps to exclude other diseases, monitor the effectiveness of the therapy used, determine the size of the prostate, the echo structure of the organ, as well as the density and uniformity of the seminal vesicles. Myography and urodynamic studies of the pelvic floor muscles help identify neurogenic disorders that often accompany chronic prostatitis.
Treatment of chronic prostatitis
Medication
Folk remedies
- Pumpkin seeds. Raw pumpkin seeds are peeled. Take 20 pieces before meals three times a day, for three to four months.
- Camomile tea. It is recommended to prepare daily in quantities sufficient for daily consumption. Place 30 g of chamomile in a bowl and pour boiling water (200 ml) over it. After leaving for half an hour, strain, carefully squeezing out the flowers. Divide the infusion into equal parts and drink the day before. The product eliminates pain and relieves inflammation in the male gland.
- 500 ml linden honey. Take 500 g of honey, aloe leaves and red wine. In a glass bowl, combine honey, crushed aloe and wine. Leave in the refrigerator for a week. Drink a teaspoon of tincture before meals.
- Infusion of celandine. Take a drop of juice for half a glass of boiled water. Drink the solution in the morning after breakfast. Increase the dosage by one drop daily. The maximum dose is 30 drops. Then reduce the dosage by one drop per day. At the end of the course, take a two-week break, after which the medicine can be taken again.
- Parsley juice. To treat chronic prostate disease, finely chop the stems and leaves of parsley or grind them in a mortar. Place the mixture on cheesecloth and strain the resulting juice. Take the medicine before meals, preferably 30 minutes before. The dose of juice per reception is one or two tablespoons. Frequency of administration three times a day.
- Propolis. Propolis tincture with alcohol is taken for chronic prostatitis for six months. Grate 100 g piece of propolis on a fine grater. Pour 200 ml of pure medical alcohol into the crushed mass. Place the solution in a glass container and store for at least 10 days in a dark place, shaking every three days. Strain the tincture.
Pumpkin seeds.
Chamomile infusion.
Linden honey.
Infusion of celandine.
Parsley juice.
Propolis.
Suppositories made from propolis reduce inflammation in the gland, relieve pain and restore all cells of the organ. Freeze 7 grams of propolis and finely grate. Melt one hundred grams of goat fat and combine it with propolis. Make candles from the cooled mixture, 1.5 - 2 cm long.
Diet
Proper nutrition for inflammation of the prostate gland is the path to recovery.
If you have chronic prostatitis, you should not go to extremes and exclude any foods. Nutrition must be complete so that a man can receive all the necessary vitamins, minerals and nutrients. Dietary restrictions can cause the gland to not receive important elements necessary for its function. The diet of a patient with chronic prostatitis should consist of easily digestible foods so that the body does not spend a lot of effort on digesting food. The body needs strength to fight pathology. It is not recommended to practice fasting without consulting a specialist. Refusal to eat will lead to loss of strength, which is unacceptable for a patient suffering from a chronic form of prostatitis. It is recommended to carry out fasting days. Poor nutrition can disrupt the functioning of the prostate gland, so adjusting the daily diet is part of the course of therapy.
Surgical treatment
Surgery is performed only if the development of the pathology poses a threat to the life and health of the man.
Endoscopic intervention– a modern method of surgical treatment in which invasive intervention is minimized. The patient's rehabilitation occurs faster. indicated for blockage of the excretory and seminal ducts, sclerosis of the spermatic tubercle. The operation is indicated for diagnosing sclerosis of the prostate and seminal vesicle, the presence of calcifications in the gland, and adenoma. If during the operation the secretion is thick, serous-purulent and viscous, then the gland is completely removed using electrical resection, performing pinpoint coagulation of the vessels and installing a trocar cystostomy. In case of exacerbation of the pathology, surgical intervention is strictly contraindicated.Physiotherapeutic treatment
Physiotherapy for prostatitis is prescribed by a doctor, based on factors such as the patient’s age, form of the disease, and the presence of other serious diseases.
- Thermotherapy— using specific equipment, controlled, uniform heating of the male gland and urethra is performed. The procedure is carried out using the transuretal or transrectal method, when heating is carried out through the rectum or urethra. Thermal effects enhance local arterial and capillary blood flow, increase the number of functionally active capillaries, increase the body's protective properties, maximally stimulate lymph flow and the removal of harmful particles, and optimize local metabolism.
- Laser therapy— the course of treatment is determined individually, depending on the form and stage of the pathology. On average, five to seven procedures are enough. They act on the organ through the skin or transrectally. Promotes speedy recovery and relief of symptoms.
- Needle ablation— outpatient minimally invasive intervention. Used to eliminate the symptoms of prostatitis.
Other treatments
Prostate massage.
- Prostate massage- Helps cure and prevent the development of the disease. The procedure is performed by a specialist using antiseptics and aseptics to prevent infection from entering the organ. It can cause acute urinary retention and the spread of inflammation (even sepsis) if hyperplastic changes are observed in the organ. Massage is contraindicated in cases of severe stagnation of blood in the veins, stones and cysts in the prostate. The best way to rid the prostate of stagnant secretions is natural ejaculation.
- Bladder exercises- when the muscle tone of the bladder and its sphincter is weakened, urinary incontinence occurs. To eliminate these symptoms, special exercises are effective.
- Instillation- medications are infused into the back of the urethra. To make the procedure painless, local anesthesia is performed. The number of sessions is determined individually by the specialist. May lead to complications.
Are you drafted into the army with prostatitis?
Prostatitis is not included in the list of diseases that are an obstacle to compulsory military service. A man is not subject to conscription only if he must undergo treatment in a hospital at least three times a year according to the testimony of a specialist.How to live with chronic prostatitis
Chronic prostatitis is not a death sentence.
Men who regularly undergo treatment for chronic prostatitis lead a normal lifestyle. They do not have problems with ejaculation and erection. A man suffering from a chronic form of prostatitis may not limit his intimate life. If there is no discomfort or pain during sexual intercourse, it will not only do no harm, but will also be extremely beneficial! However, it is worth remembering that an overly active sex life can lead to an exacerbation of the pathology. If the prostate inflammation has not spread to nearby internal organs, there should be no problems conceiving children. If sperm is released during sexual intercourse, conception is possible. It is advisable to undergo a spermogram analysis to determine sperm viability.
Prevention
Simple rules for the prevention of chronic prostatitis:- The chronic stage is always a consequence of late diagnosed, incorrectly treated or untreated acute prostatitis. Therefore, you need to undergo regular medical examinations with a urologist.
- Protect the pelvic area from hypothermia and injury.
- Get rid of nicotine and alcohol addiction.
- To live an active lifestyle.
- Avoid stressful situations.
