The main approach for the treatment of chronic prostatitis in men

Urologists consult with patients with chronic prostatitis

Unfortunately, more and more often young men, and sometimes even teenagers, are diagnosed with chronic prostatitis.

It is a consequence of frequent inflammation of the prostate gland and the transition of the acute process to a chronic latent form.

The disease is characterized by a prolonged development with unusual symptoms, which are usually vague or almost absent. Although it is believed that chronic prostatitis inevitably occurs on the background of the acute stage, in practice, this form of the disease is often detected by chance during routine examinations.

When there is no severity and complications, a man may not know his problem for a long time. Therefore, treatment of chronic prostatitis is usually delayed and begins already in the final stages, when it is no longer possible to stop the process quickly.

Symptoms and signs of chronic prostate inflammation in men

Discomfort in the perineum in a man is a sign of chronic prostatitis.

The disease may not be noticeable for a long time. Minor pain and slight discomfort are not a cause for concern. Such symptoms pass quite quickly and without the intervention of a doctor.

The peculiarity of this disease lies in the fact that when the infection enters the prostate, the entire genitourinary system and adjacent tissues are involved in the process, which gives rise to additional urological complications.

Develop pyelonephritis, cystitis, damage to the reproductive system with complications in the form of urethritis, vesiculitis, infertility, adenomas and cancer.

The symptomatology of the disease depends on the nature of the inflammatory process, the duration of the disease, on the degree of damage to neighboring organs, on the regularity of sexual intercourse. Also, an important role is played by the type of life (active or passive) led by a man.

Causes that trigger the onset of chronic forms of the disease:

Bacteria can cause chronic prostatitis
  • infections of the genitourinary system and prostate (ureaplasmosis, chlamydia, candidiasis, mycoplasmosis, gonococcal and herpesvirus infections);
  • violation of blood flow in the small pelvis, leading to congestion;
  • decreased immunity of various etiologies;
  • physical inactivity and sedentary, sedentary work;
  • irregular intimate life, prolonged abstinence, sexual dysfunction without orgasm;
  • overwork, injuries and damage;
  • alcohol and spicy food abuse;
  • urinary retention and stool disorders (constipation).

All these reasons lead to congestion and inflammation. They facilitate the penetration of infection, and this can lead to complications, as well as impotence and complete infertility.

Chronic prostatitis is divided into three main types:

  • bacteria, in which the infection is found in the secretions of the prostate;
  • non -bacterial, when there is no pathogenic microflora in secret;
  • prostatodynia, when the characteristic symptoms of a chronic form of prostatitis are present, but no pathological changes in prostate secretion are found (this is called chronic pelvic pain syndrome).
Pain in the rectum during defecation is a symptom of chronic prostatitis

Symptoms of chronic prostatitis:

  • pain and cramping in the rectum during bowel movements;
  • discomfort and feeling of a foreign body in the perineum;
  • burning sensation and inability to empty the bladder completely;
  • frequent and painful urge to urinate;
  • decreased libido and erections;
  • discharge of mucus from the urethra;
  • exciting sensations in the sacral and groin areas;
  • sensation stupidity or complete absence during orgasm.

There are also asymptomatic forms of the disease. Often, it does not manifest itself for a long time and is determined by the results of ultrasound scans, as well as in laboratory studies of the secretion of the prostate gland.

When at least one of the signs appears, a man should consult a doctor and undergo the examination he prescribes.

How to cure chronic prostatitis?

The treatment of chronic prostatitis is one of the most difficult tasks faced by modern medicine.

The disease persists in a latent form and is not always detected at an early stage.

Men go to the doctor when symptoms of exacerbation with complications appear. Therefore, treatment depends on the phase of the disease, the degree of bacterial or viral damage and the nature of the pathological process.

To cure the patient completely, it is necessary to carry out a variety of different methods of therapy. Only this approach can achieve positive results.

Effective medicine and its use scheme

For the treatment of chronic bacterial prostatitis, antibiotics are used that can suppress the pathogenic microflora.

Therefore, group antibacterial drugs such as fluoroquinolones, macrolides, tetracyclines, cephalosporins can be prescribed.

In the chronic form of the disease, antibacterial drugs are used for a long time to achieve a good therapeutic effect. The duration of admission depends on many factors, the duration of therapy required can vary from 2 to 6 weeks.

Also, for the treatment of chronic forms of the disease, medications are needed that increase blood flow, relieve congestion, antispasmodics and painkillers.

Medications used for chronic forms of the disease include:

Drug therapy for chronic prostatitis
  • preparation with creeping palm fruit extract, which has anti-inflammatory, antiandrogenic, vasoprotective effect. It is used in the treatment of chronic non -bacterial prostatitis and hyperplasia;
  • agents with bovine prostate extract, which improve the condition of the prostate gland and microcirculation, reduce the degree of edema, prevent thrombus formation and normalize the secretory function of epithelial cells;
  • complex of biologically active beekeeping products, which have wound healing, anti-inflammatory and regenerative effects;
  • cream with local irritants and significant vasodilator effect.

Drug therapy can only be prescribed by a doctor; it is impossible to cure oneself with prostatitis.

Rectal prostate sequence

Prostate massage for the treatment of chronic prostatitis

An effective method to cure chronic prostatitis is prostate massage. It can be done in a hospital or at home.

The most effective way is a bouge massage.A special device is inserted into the urethra, after which a light massaging movement is performed.

The same procedure should be performed by a specialist in a stationary state. Rectal massage can be done freely through the anus using fingers with a full bladder. The prostate is in contact with the wall of the anterior rectum and is located 5 cm from the anus.

During the massage, a few drops of prostate secretion are released. It is necessary to pay attention to its color and consistency. Usually, the secret should be transparent. If there is blood or dark stains there, you need to see a doctor. Painful sensations, as well as enlarged glands, also speak to the problem.

Most doctors believe that rectal massage should be performed in an inpatient setting to avoid complications and achieve maximum therapeutic effect.

Therapeutic gymnastics and physiotherapy

Many men find rectal massage unacceptable for themselves, despite its effectiveness. For this category of patients, doctors have developed a set of special gymnastic and physiotherapy exercises.

A man doing gymnastic exercises with chronic prostatitis

Physiotherapeutic treatment methods include:

  • laser and magnetothermotherapy;
  • hydromassage;
  • acupuncture and stimulation of the sacrum and lumbar region;
  • a set of Kegel exercises;
  • massage with a tennis ball.

Exercise and physiotherapy in each case are selected individually, as there are some contraindications, and only a specialist will help to prescribe a safe and effective method.

Principles of nutrition

Particular attention in the chronic form of the disease requires therapeutic dietary therapy.

Proper nutritional intake for chronic prostatitis in men

The principles and goals of the diet are as follows:

  • minimize irritating factors so as not to trigger additional inflammation;
  • ensure normal blood supply and prevent atherosclerosis;
  • if possible, reduce the frequency of urination;
  • normalize the work of the gastrointestinal tract;
  • increase immunity.

Products that will be restricted or excluded completely:

  • alcohol;
  • carbonated drinks;
  • smoked meats, butters, as well as fatty meats and saturated soups;
  • spicy, sour and very salty foods;
  • mushrooms, liver, kidneys and processed foods;
  • foods that cause gas production (beans, cauliflower).
In chronic prostatitis, it is useful to include dairy products in the menu.

But it is useful to use:

  • all kinds of dairy products, especially homemade cottage cheese, yogurt;
  • fresh juices and compotes;
  • fish and lean meats;
  • honey;
  • porridge;
  • foods containing zinc (seafood, pumpkin seeds).

Nutrition should be varied and balanced in nutrients; it is better to consult a dietitian for dietary selection.

How to get rid of the disease using folk remedies?

Popular methods for treating chronic prostatitis have also proven themselves well. They are distinguished by their simplicity and safety, but nevertheless, any method has its own indications and contraindications, which are due to the individual characteristics of the organism and the presence of corresponding diseases.

In folk medicine, it is widely used:

Folk remedies to get rid of chronic forms of prostatitis
  • the use of fresh juice of carrots, beets, cucumbers, elderberry;
  • the use of medicinal baths with concentrated pine conifers;
  • microclysters and candles with wormwood and other medicinal herbs;
  • honey therapy, use of propolis.

Useful is the use of parsley and pumpkin seeds, which have a stimulating effect on the prostate gland and contain all the trace elements necessary for its normal function.

There are many effective alternative methods to get rid of chronic forms of prostatitis, but first you need to consult a doctor.

Surgical therapy

In cases where drug therapy and other complex conservative treatment methods do not give the desired result, and at the same time there are negative dynamics of pathological processes, they use surgery.Surgery for advanced chronic prostatitisinterfere.

Types of surgery for chronic prostatitis:

  • drainage, used for purulent inflammation and abscesses of the prostate gland;
  • resection, which involves partial removal of the gland. With this option, surgical access is carried out through an incision or puncture in the abdomen, through the urethra;
  • prostatectomywhen the gland is completely removed. It is used in extreme cases, especially for malignant adenomas;
  • be circumcised- a rare and not always effective surgical method, which involves cutting the foreskin.

Surgical intervention for chronic prostatitis is an extreme measure, and in order not to bring it to such a state, it is necessary to consult a doctor at the first symptom.

Estimate the cost of a course of medication

The cost of chronic prostatitis therapy is calculated individually

The treatment of chronic prostatitis is very individual and varied so many factors influence the price, the cost of therapy can vary in a very wide range.

It all depends on the ongoing process, the duration of treatment required, the medications and procedures used. Therefore, in each case, the price will be individual.

Potential consequences of re -inflammation

Impotence in a man - a sad consequence of the recurrence of chronic prostatitis

Under unfavorable conditions, the inflammatory process can recur. Frequent disease severity leads to irreversible changes and serious complications.

Not only does pain and discomfort arise, the entire genitourinary and reproductive systems suffer, potency may be reduced, or complete impotence may occur.

And in the advanced form, prostate hyperplasia develops and, consequently, cancer (adenoma). Keep in mind that it is easier to prevent any disease than to cure it, especially in its chronic form.

Prevention, or what to do to not get sick

By observing preventive measures and recommendations, men can protect themselves from chronic prostatitis or minimize the risk of disease. For this you need:

Exercise to help prevent chronic prostatitis
  • to lead an active lifestyle;
  • wear loose and comfortable underwear made of natural fabrics;
  • balance the diet so that the body receives the right amount of vitamins and minerals, especially zinc;
  • quitting bad habits (alcohol and smoking);
  • living a regular intimate life;
  • do not be too cold, go in for sports, harden, strengthen the immune system;
  • avoid stressful situations, if necessary, take sedatives of natural origin (valerian, motherwort, peony).

All men after the age of 20 are recommended to have a scheduled annual visit to a urologist.


There are many reviews on the network about the treatment of chronic prostatitis. They touch on traditional and folk methods.

If we analyze the opinions of different people, we get the following picture:

  • drug therapy helps a large number of men;
  • massage, physiotherapy and gymnastics relieve painful symptoms;
  • own medicines and the use of only folk remedies rarely give positive results;
  • when all possible options are involved, almost everyone gets better.

Treatment of chronic prostatitis is not an easy task. Difficulties arise because of untimely diagnosis, which occurs because of the fault of the patient himself, because men are very reluctant to go to the doctor with such problems.

However, modern methods allow you to completely get rid of the disease, restore health, and restore a lifestyle completely.