Chronic prostatitis is a long-term inflammatory process localized in the tissues of the prostate and leading to disruption of its functional activity.This disease is common among men.If left untreated, secondary inflammation of other organs of the genitourinary system, the development of erectile dysfunction and infertility can occur.In this article we consider chronic prostatitis in men from the perspective of symptoms and treatment.
Clinical picture of chronic prostatitis
The main symptom of chronic prostatitis is constant aching pain.The pain syndrome is localized in the perineum, groin and suprapubic area.It increases at the beginning and at the end of micturition, during and after ejaculation and when there is no sexual intercourse for a long time.The intensity of the pain varies for each individual patient.Some men report moderate discomfort, others report quite severe pain.
Another characteristic symptom is an increased urge to urinate.A sick man reports that the urge to urinate has become more frequent.In this case, urination itself is accompanied by pain.The patient must strain to begin micturition.The urine stream becomes weaker and more irregular, and there is a constant feeling of incomplete bladder emptying.
Chronic inflammation of the prostate is often associated with sexual dysfunction.Patients with this disease may report weak erections, early ejaculation, decreased libido, frequent nighttime erections, etc.All this has an extremely negative effect on a man's psychological state.
During the exacerbation phase, the clinical picture is complemented by a violation of the general condition.Symptoms such as weakness and reduced performance, loss of appetite and a slight increase in body temperature may occur.
Principles of treatment of chronic prostatitis
For chronic prostatitis, antibacterial drugs are initially prescribed, which are selected depending on the sensitivity of the pathogen.The duration of antibiotic therapy is at least two weeks.
Pain can be relieved with nonsteroidal anti-inflammatory drugs.Taking alpha blockers helps restore urodynamics.
It should be noted that any medicine may only be used as prescribed by a doctor.
For chronic inflammation, prostate massage is one of the main points of treatment.However, it is strictly contraindicated in acute inflammatory processes.
In addition, various physiotherapeutic methods, such as magnetic field therapy or electrophoresis, have proven effective in the treatment of chronic prostatitis.
If complications occur, surgical intervention, such as a transurethral resection of the prostate, may be considered.