Chronic prostatitis is a prolonged inflammatory process located in the tissues of the prostate gland and causing an interruption of its functional activity.This disease is widespread among men.If left untreated, it can lead to secondary inflammation of other organs of the genitourinary system, the development of erectile dysfunction and infertility.In this article we will look at chronic prostatitis in men from the point of view of symptoms and treatment.
Clinical picture of chronic prostatitis.
The main symptom of chronic prostatitis is constant pain.The pain syndrome is localized in the perineum, groin and suprapubic region.It intensifies at the beginning and end of urination, during and after ejaculation and with a prolonged absence of sexual intercourse.The intensity of pain varies for each individual patient.Some men report moderate discomfort, others report quite severe pain.
Another characteristic symptom is an increased need to urinate.A sick man indicates that the urge to urinate has become more frequent.In this case, the process of urination itself is accompanied by pain.The patient must make an effort to initiate urination.The urine stream becomes weaker and intermittent and there is a constant sensation of incomplete emptying of the bladder.
Chronic inflammation of the prostate is often accompanied by sexual dysfunction.Patients with this disease may report weak erections, premature ejaculation, decreased libido, frequent nocturnal erections, etc.All this has an extremely negative impact on the psychological state of a man.
During the exacerbation period, the clinical picture is complemented by an alteration in the general condition.Symptoms such as weakness and decreased performance, loss of appetite and a slight increase in body temperature may appear.
Principles of treatment of chronic prostatitis.
First of all, with chronic prostatitis, antibacterial drugs are prescribed, selected depending on the sensitivity of the pathogen.The course of antibiotic therapy is at least two weeks.
The pain can be relieved with nonsteroidal anti-inflammatory drugs.Taking alpha blockers will help restore urodynamics.
It should be noted that any medication can only be used as prescribed by a doctor.
For chronic inflammation, one of the main treatment points is prostate massage.However, it is strictly contraindicated in acute inflammatory processes.
In addition, various physiotherapeutic methods have proven effective in the treatment of chronic prostatitis, for example, magnetotherapy or electrophoresis.
If complications develop, surgical intervention, for example transurethral resection of the prostate, may be considered.