Chronic prostatitis. Symptoms and treatment

Chronic prostatitis

The first signs of prostatitis in men can appear at a young age and if quality medical care is not provided, the disease can turn into a latent form and progress with minor symptoms: urinary discomfort andcontact, pain in the perineum and lower back. If you do not pay attention to these symptoms, chronic prostatitis develops, the treatment of which is more difficult and longer.

An experienced urologist will tell you what chronic prostatitis means and how dangerous it can be. Even a single inflammation without effective treatment can lead to the transition of the disease to a severe recurrent form.

The causes of chronic prostatitis

Chronic prostatitis is the result of poor quality treatment of an acute inflammatory process. Men often neglect their health or simply hesitate to contact specialists. As a result, the disease progresses.

A urologist treats the prostate professionally. It will tell you what chronic prostatitis is in men, why it occurs and how unpredictable it is. The specialist will pinpoint the causal factors. This directly affects the effectiveness of the applied treatment methods. Many do not know what chronic prostatitis is caused by, that it is caused by certain infectious pathogens (E. coli, streptococci, staphylococci, fungi) and some factors are just an activation mechanism.

Predisposing factors

The causative agent of prostatitis are microbial agents: Pseudomonas aeruginosa, staphylococcus aureus, Escherichia coli. But the causes of chronic prostatitis can be related to the following predisposing factors:

  • reduced immunity.
  • hypothermia?
  • urogenital injuries?
  • stress?
  • drinking alcohol and very spicy food.
  • congestion in the pelvic area?
  • constipation?
  • smoking, chronic poisoning of the body with destructive substances.
  • sedentary lifestyle
  • presence of foci of chronic infection?
  • venereal diseases.
Prolonged exposure to one or more predisposing factors leads to the progression of chronic prostatitis in men. The disease occurs at any age, young men with a history of sexually transmitted diseases, other infectious processes of the prostate and urinary tract organs often suffer.

Men tend to delay referring to experts. Often the wife is the initiator of the consultation with the urologist. If the husband has chronic prostatitis, treatment should begin immediately. Otherwise, you can start the course of the disease, which will turn into a severe chronic form and begin to give complications.

Signs of disease

Signs of chronic prostatitis in men who are in remission are almost completely absent. Minor pain syndrome is permanent, but the discomfort is moderate. After hypothermia, prolonged abstinence, chronic prostatitis may worsen, the symptoms of which increase depending on the condition of the man.

Whenever a worsening occurs, the typical symptoms of chronic prostatitis appear in men:

  • heaviness and pain in the perineum?
  • signs of poisoning by the body?
  • urinary disorder
  • radiation pain in the penis or anus.
  • the prostate is asymmetrical and painful to the touch.
  • chills, weakness, fever.

Typically, the pain intensifies at the beginning and end of urination. Unpleasant sensations are usually given in the rectum, sacrum and penis. The pain syndrome also occurs after close contact, it is particularly acute during sperm excretion. Urinary incontinence may be painless, but it is usually more common. At the same time, there is difficulty in starting the microphone.

Urine flow becomes intermittent, there is a feeling of incomplete emptying of the bladder. In the morning there is a burning sensation in the urethra. Filamentous formations are often found in the morning urine. This means that the inflammatory process is chronic.

Effects on sexual performance

Men's power problems often occur as part of a prolonged course of the inflammatory process, which disrupts prostate function, reduces libido and can even cause infertility. With such complications, chronic prostatitis occurs - the causes of erectile dysfunction are often associated with a slow infectious and inflammatory process. Until the causative agents of the disease are eliminated, the effect of the predisposing factors is not eliminated, the power will not be restored

Diagnosis of chronic prostatitis

A complete diagnosis will help determine the course of the course and the causes of chronic prostatitis in men. First of all, specialists prescribe a rectal examination of the prostate. During the procedure, the specialist determines the clarity of the contours and boundaries of the organ, the degree of pain. In the future, ultrasound is performed to detect specific functional and structural changes.


Prostate Ultrasound (TRUS) is a safe, informative method for imaging the main structures of the prostate and adjacent urogenital organs. Studies are performed both through the abdominal wall and structurally - through the rectum. In case of difficulty urinating, the specialist additionally examines the bladder and determines the remnants of urine.

Ultrasound diagnosis allows you to choose the most effective treatment for chronic prostatitis in men, as well as to evaluate the effectiveness of the methods already used. The absence of radiation exposure in the body allows the use of ultrasound as often as required by a particular clinical condition.

Prostate secretion test and ureteroscopy

Prostate secretion is collected after urination and massage of the glands. The study of biomaterials allows you to identify the pathogenic microflora, determine the level of leukocytes and the number of lecithin granules. The method makes it possible to classify the nature of the pathological process, to understand how a man should be treated and what drugs to use. The diagnosis is not accompanied by painful sensations, it is easily perceived by a man.

In case of decreased urinary function, blood in the urine and erectile dysfunction, it is recommended that you have a urethroscopy. This procedure allows you to evaluate the urethra and perform specific treatments using endoscopic equipment.

Additional research methods

Additional diagnostic methods are used to clarify the clinical picture, to determine the exact causes of the inflammatory process. Chronic prostatitis must be differentiated from neurogenic bladder and other similar diseases that have similar symptoms. Specialists prescribe electromyography, urodynamic diagnostic methods. They allow a qualitative differentiation of chronic inflammation from other diseases.

Chronic prostatitis often leads to hyperplastic processes, glandular tissue proliferation, adenoma development and malignancies. To rule out a cancerous process, it is necessary to perform PSA diagnostics. The method involves determining the level of prostate-specific antigen, with an increase in which one may suspect the growth of malignant cells. To clarify the nature of the identified formations, it is necessary to perform a biopsy of the prostate, followed by a morphological study of the given material.

Possible complications

Chronic prostatitis significantly reduces a man's quality of life. The prolonged course of the inflammatory process, in one way or another, disrupts reproductive function, weakens libido and threatens with various infectious complications. The most unpleasant consequences of the disease are impotence and reproductive disorders. Persistent inflammation changes the tissues of the prostate, contributing to their proliferation, hormonal abnormalities, the early onset of menopause and the development of the adenoma.

The chronic course of the disease can lead to urinary incontinence, stones and cysts in the prostate. As the disease progresses, sclerosis of the prostate develops. This condition is the final stage of prostate inflammation. The body accumulates collagen with the formation of dense tissues. The urethra narrows, there are problems with power. Such changes are characteristic of benign prostatic hyperplasia, which at any time can lead to malignant cell growth and the formation of cancerous tumors.

Treatment functions

Chronic inflammation of the prostate is not easily treated. But recovery is possible or the pathology progresses to a prolonged stage of remission. The effectiveness of medical procedures depends on the timeliness of seeking medical help.

A man must strictly follow the recommendations of the treating physician, to avoid the action of predisposing factors: hypothermia, scoliosis, sexually transmitted diseases, anxiety. It is important to remember that even a viral viral infection can aggravate the disease with the onset of severe pain and urinary tract disorders.


Bacterial prostatitis is treated with antibiotics. They are prescribed for several weeks. Non-steroidal anti-inflammatory drugs are used to increase the comfort of the patient's life, to fight the main acute symptoms. Adrenergic blockers are effective in restoring urodynamics, regular outflow of prostate secretions and relieving muscle tension in the gland. Paraprostatic blockade in combination with acupuncture effectively treat even severe pain syndrome.

If a man feels anxious in the context of a chronic inflammatory process, sedatives or tranquilizers may be used. However, such drugs must be prescribed by qualified specialists who are well aware of the specific clinical case.


Physiotherapy uses medical electrophoresis, ultrasound therapy and magnetotherapy. Acupuncture is also used in combination with analgesic blockers. In addition, the use of therapeutic sitz baths, enemas and special urethral instillations is recommended. Drip medication is good for chronic inflammatory processes.

The technique ensures that a large amount of the agent enters the pathological focus directly. A high concentration of the drug remains for a long time. This allows you to deal effectively with a slow infectious process. The drug should be kept for 30-40 minutes, limiting urination.

Surgical treatment

In case of ineffectiveness or inability to use conservative techniques and physiotherapy, it is necessary to perform surgical treatment. It is mainly required for the removal of urethral retention. In case of prostate sclerosis, transurethral resection is performed using endoscopic techniques. The method is used if the patient has severe concomitant diseases of internal organs that do not allow conventional prostatectomy.

In case of recurrent phimosis as part of a chronic infectious process, it is recommended that the foreskin be circumcised. The operation is performed according to indications and only in the conditions of the urological department.

Disease prognosis

The prognosis of the disease is determined by the timeliness and effectiveness of the prescribed treatment, the duration of treatment of the inflammatory process, the age of the man and the presence of certain concomitant disorders. Without prescription, preventive measures, including normalization of the activity and prevention of sexually transmitted diseases, can reduce the number of relapses per year and transfer the disease to a prolonged recession.