Chronic prostatitis is considered a long-term inflammatory process localized in the prostate.In this case, a man may feel only mild discomfort, so he does not always consult a doctor.Pathologies have codes according to ICD 10 – N41.1.

Types of prostatitis
The disease develops in case of improper treatment in acute form or without any therapy.The disease appears not only in the elderly but also in young people, caused by reduced physical activity.The organ's morphology and function are disrupted.Treatment of chronic prostatitis should begin as soon as the first symptoms appear.Otherwise, the line's operations will be interrupted forever.Therapy largely depends on what triggered the pathological process.The presented disease can be divided into several groups:
- According to causative factors: infectious;famous;bacteria;caused by fungus, mycoplasma;gonorrhea;mixed.
- According to pathogenic factors, chronic prostatitis has the following types: hematogenous (infection enters the prostate from a pathological focus through the blood);infection by contact (through the walls of neighboring organs);lymphogenous (entry of pathogens through lymph).
Damage to the prostate can cause stasis (thrombosis).It develops due to poor flow of prostatic secretions.Fluid stagnates and inflammation occurs.If the problem is due to blockage of the organ ducts with aggregates (stones), then in this case we can talk about the type of calculus pathology.Chronic prostatitis can also be caused by bacteria or viruses.In the first case, pathogens are necessarily present;The second form occurs due to mechanical damage to the gland or under the influence of other factors, in which there are no pathogens.This is a bacterial variant that occurs in 80% of cases.
Causes and triggers
Before treating chronic prostatitis in men, specialists must find out the cause of their appearance.The following conditions can cause pathology:
- sexually transmitted infections: chlamydia, ureaplasmosis, herpes, gonococcus, fungus;
- violation of circulation in tissues and blood circulation in pelvic organs;
- urological diseases;
- the presence of foci of infection in the body;
- hemorrhoids, as well as chronic constipation;
- injury to genital organs or spinal cord;
- weakened immunity;
- tumor process;
- Hormonal imbalance, dysfunction of the endocrine system;
- heart failure;
- Previous surgical intervention, including on the abdominal organs.
These are the main causes of chronic prostatitis.There are also other negative factors that contribute to the development of the disease:
- frequent general or local hypothermia;
- inactive lifestyle;
- long-term abstinence from sex;
- frequent exposure to stress, mental and physical overload;
- smoke;
- alcohol abuse;
- Diet errors: frequent consumption of fatty foods;
- long-term drug use.
Only by determining the cause can you choose the right treatment tactic for chronic prostatitis.
Symptoms of the disease
The course of the chronic form of the disease is often hidden.That is, the symptoms appear weakly, the man rarely pays attention to them and does not recognize the problem until it becomes more pronounced.He was embarrassed and afraid to see a doctor.However, lack of treatment leads to serious complications, so visiting a specialist should not be delayed for long.Manifestations depend on the stage of chronic prostatitis observed in a person.The following general signs of the disease can be identified:
- Discomfort and pain, which can spread to other parts of the body: legs, anus.The discomfort has persisted for more than 3 months.
- Problems with urination.They are caused by the fact that the enlarged prostate puts pressure on the excretory canal.In this case, the biological fluid cannot drain completely.This leads to increased trips to the bathroom at night.
- Sexual dysfunction.Erections may be irregular and ejaculation may be premature.During sex, men may feel pain.
- Increased irritability, temper, anxiety.
In addition, a man quickly gets tired physically, he develops apathy, gradually turning into a state of depression.Exacerbation of a chronic process is characterized by the following manifestations:
- increased pain intensity;
- burning in the urethra;
- increased urge to go to the toilet;
- increased sweating, tremors;
- severe discomfort in the lower abdomen, rectum and perineum;
- Significant decrease in sexual activity;
- pain syndrome when defecating.
Only 2-3 signs of prostatitis can appear at the same time, so men do not rush to see a doctor.At the same time, the process of chronic destruction within the tissue continues.Gradually, changes in the prostate become irreversible and it will no longer be possible to completely eliminate them.
Diagnostic features
Treatment of chronic prostatitis is necessary only after differential diagnosis of the disease.Otherwise, the patient will be prescribed drugs that may harm him.The following methods are used during testing:
- Microscopic analysis of secretions from the urethra.
- Scrape the mucous membrane and test it with polymerase chain reaction.
- Bacteriological and bacteriological analysis of prostatic secretions.
- Determine immune status.
- Transrectal ultrasound.The main echo signs of chronic prostatitis are an increase in the size and volume of the organ, changes in its structure and the presence of pathological tumors.However, such research is contraindicated for hemorrhoids, proctitis and anal fissures.
- MRI.The specialist will take pictures of each layer of the prostate.Only differential diagnosis can help experts understand the cause of the disease as well as its development characteristics.
Pathology treatment

Treatment of chronic prostatitis is not a short-term process.Eliminating the pathology will take a long time and be complicated.This program includes not only medications, but also physiotherapeutic procedures and folk remedies.Many patients need the help of a psychologist.Spa treatments at specialized facilities are also helpful.It will be impossible to completely eliminate the disease if it has reached an advanced stage.Medical treatment will allow you to quickly reduce the symptoms, as well as eliminate the cause of the disease.In addition, the patient is prescribed drugs that stimulate metabolic processes.To increase the chance of recovery, in addition to medication, patients also need a reasonable diet.The diet includes the exclusion of fatty and spicy foods, canned foods, smoked foods, sweets and spices.It's better to limit your salt intake.Alcohol and tobacco are strictly prohibited.
Non-drug treatment
In addition to medication, the patient will need physical therapy.It reinforces the positive effect of the main plan.Such treatment affects not only the affected tissues, but also blood circulation and metabolism.The main condition for successful therapy is the use of certain techniques.Patients are often prescribed the following procedures:
- Electrophoresis.It stimulates the regenerative properties of affected tissues and eliminates pain.Thanks to this procedure, the drug penetrates deeper and blood flow is activated.
- Phonology.
- Laser therapy.
- Magnet treatment.
- Microwave therapy.It creates a regenerating effect and improves metabolism.Nerve conduction is restored.
- Supersonic.It has a pronounced anti-inflammatory effect, helps restore sexual function and relieve pain.
- Touch measurement.
- Instill the medicine into the urethra.
Mud baths and therapeutic douching are considered equally useful.All of these procedures can be used as monotherapy and in combination with other medications.Thanks to physiotherapy, it is possible to consolidate long-term positive effects.Prostate massage is considered popular.It eliminates stagnant processes and improves drainage of prostatic secretions and activates microcirculation.For bacterial forms of pathology, it is used more often.However, there are certain contraindications to use: internal cancer, adenoma or other formations, stones in the ducts, hemorrhoids or fissures in the anus.
Folk recipes
If the pathological process becomes chronic, treatment is required.Folk remedies will help achieve stable remission.But they should be used at the early stages of the disease.The following recipes will be effective:
- Kalanchoe leaves.It is necessary to squeeze the juice from the plant and mix it with the same amount of water.You should consume 100-150 ml per day for a month.
- Bearberry tincture.You will need hay and vodka in a ratio of 1:10.The mixture should infuse for 14 days in the refrigerator.The medicine is taken twice a day, 15 drops.The treatment course lasts a month.
- Pear juice.
- Juice and parsley seeds.Ingredients can be added to foods.
- Bee pollen.You need to mix it with water in a 1:3 ratio.You should drink 1 cup per day.Treatment in this way will take 1 month.
- Mix honey and pumpkin seeds.All components are taken in equal quantities.Roll the resulting mixture into a ball.They are stored in the refrigerator.Patients need to eat 2-3 pieces per day.The treatment course lasts 30 days.
- Rectal suppositories based on propolis.They need to be treated for at least a month.
Chronic prostatitis can be treated at home, but the disease cannot be completely cured without a doctor's intervention.In addition, such therapy will continue for more than a year.
Surgical intervention
Chronic prostatitis is not the end or a death sentence.It is important for a man to understand this.But if the treatment is not performed completely correctly or when conservative methods are ineffective, the patient will have to undergo surgical intervention.There are several types of operations:
- Endoscopic transablation.It is performed under anesthesia and is considered the safest option.Thanks to the procedure, it is possible to reduce the pressure of the prostate on the urinary tract.Recovery period lasts no more than a week.
- The laser removes the affected tissue.This operation is safe and characterized by no blood loss.
- Removal of the prostate.It can be partial or complete.At the same time, experts try to maintain a person's erectile function.
For surgical intervention, certain indications are required: persistent problems with urination, the risk of developing an oncological process, a significant decrease in the patient's quality of life.
Complications may occur
If treatment is started late, consequences are inevitable.The following complications of chronic prostatitis are distinguished:
- urethritis;
- impotence or other erection problems;
- infertility;
- difficulty urinating;
- reduced ejaculate formation or its complete absence;
- cystitis, kidney damage;
- the development of a malignant process;
- the spread of the inflammatory process to the entire reproductive system;
- scarring of prostate tissue, in which the affected areas are unable to perform necessary functions.
Complications of chronic prostatitis cannot always be eliminated, so it is better to prevent their occurrence.
Prognosis and prevention
Prognosis depends on the stage at which treatment is started and its effectiveness.Chronic prostatitis can be cured if the patient applies it in the early stages of development.Otherwise, the inflammatory process will persist for a long time and gradually reduce the man's quality of life.People with this diagnosis are not accepted into the army.The occurrence of pathology can be prevented.To do this, you must follow the following precautionary rules:
- Don't ignore sexual hygiene.
- Try not to change sexual partners often.
- Timely treatment of urinary diseases.
- Normalizes nutrition and regularity of sexual activity.
- Exercise, move more.
- Avoid developing constipation.Additionally, bladder emptying must be timely.
- Avoid hypothermia and overheating of the genitals.
- Avoid stressful, physically and mentally overwhelming situations.
Chronic prostatitis is a complex disease that requires long-term treatment.A man will have to acknowledge his diagnosis and accept it.Only in this case can he get rid of the problem.


























