chronic prostatitis

symptoms of chronic prostatitis

Symptoms of the disease:

  • Pain in the region of the prostate. In some cases, the pain spreads to the lower back, groin, and anus. Unilateral pain radiating to one of the testicles is not a symptom of the disease.
  • Impaired libido.
  • Premature or delayed ejaculation. The duration of sexual intercourse may differ depending on the stage of development of the disease. At the initial stage, ejaculation occurs prematurely, in a more advanced form, the pathology is manifested by an increase in the duration of sexual intercourse.
  • Deterioration of the emotional richness of the orgasm.
  • Loss of qualitative and quantitative properties of sperm.
  • Frequent urination at night. Pain when going to the bathroom.

Description of the disease

The defeat of the prostate gland by pathogenic microorganisms is called prostatitis. The prostate gland is a male organ, so only male patients are susceptible to the development of pathology.

Inflammation in the tissues of the prostate gland can be expressed by various symptoms. To make a diagnosis, the doctor performs a series of diagnostic measurements. It is impossible to diagnose and treat prostatitis on your own. You need to contact a qualified professional.

According to statistics, prostatitis is the most common disease of the male reproductive system. Often the pathology is diagnosed in young men. The average age of patients diagnosed with prostatitis is 45 years.

Signs of the development of the disease

Chronic prostatitis has a large number of symptoms. Signs of the development of the disease differ depending on the degree of its development. Symptoms can be unstable in a patient, pronounced, or, conversely, hidden. Signs of the development of the disease:

  • Feeling of discomfort and pain for at least 90 days. A person experiences pain in the perineum. In some cases, the pain covers the groin, lower back, and scrotum.
  • Lack of erection. Sexual disorders are periodically observed in the patient. Complete impotence does not occur.
  • premature ejaculationAt the initial stage of the development of the disease, the patient has premature ejaculation. At a later stage of development, ejaculation is delayed. The level of emotions decreases when receiving an orgasm. The sperm becomes smaller, its characteristics deteriorate.
  • Frequent urination. Patients experience frequent visits to the bathroom at night. When urinating, a person feels pain and burning. In some cases, with chronic prostatitis, patients experience urinary incontinence.

Stages of chronic prostatitis

Symptoms of the disease may vary depending on the stage of prostatitis. It is important for a specialist to determine the degree of development of the disease. This depends on the treatment method. There are several stages of chronic prostatitis:

  • exudative. Patients experience pain in the groin, scrotum. The time interval between bathroom visits at night is reduced. Some patients feel discomfort during orgasm. Erections can be painful.
  • Alternative. The pain becomes more intense. Its localization is the inguinal region, pubis. Pain during urination is absent, the time intervals between visits to the toilet are reduced. There is no erectile dysfunction.
  • proliferative. In a man with this stage of the disease, the erection may decrease. When visiting the toilet, the deterioration in the force of the urine stream is determined visually.
  • cicatricialThere is a feeling of heaviness in the groin area. A person often visits the bathroom during the day and at night. There is a deterioration in the erection. Also, ejaculation is weak or completely absent.

Keep in mind that the symptoms of each stage may not appear in their entirety. In this regard, it is impossible to independently determine the stage of the disease. You should contact a qualified professional. To make a diagnosis, a number of diagnostic measures will be required.

Reasons for the development of chronic prostatitis.

There are several causes of the disease. Prostatitis is a multifactorial disease. Reasons for the development of chronic prostatitis:

  • Infectious diseases, sexually transmitted. There are sexually transmitted diseases that develop in a patient for a long time without symptoms. Sometimes there are cases of improper treatment of diseases of this type. Against the background of the development of sexually transmitted diseases, chronic prostatitis occurs as a complication. Sexually transmitted infections reach the prostate gland and affect its tissues. The result is an inflammatory response.
  • Impaired blood circulation in the pelvic organs. The prostate fills with blood. The vessels exert pressure on the tissues of the prostate gland. This causes a deterioration in the supply of oxygen and leads to the disruption of the prostate gland. A sedentary lifestyle can lead to circulation problems. Also, wearing tight underwear negatively affects blood circulation in the pelvic organs.
  • Reflux of urine. In some cases, if the process of urination is disturbed, the urine begins to move in the opposite direction and enters the ducts of the prostate gland. Urine entering the prostate causes tissue irritation. This, in turn, leads to the development of chronic prostatitis.
  • Abstinence from sexual intercourse or its interruption. The secret formed in the prostate gland does not leave it. In some cases, it may not be completely removed. Stagnation leads to an increase in the size of the prostate gland and the development of the inflammatory process.

In addition to the above, the causes of inflammation in the prostate gland can be hypothermia, hormonal imbalance, and decreased immunity. Prostatitis can develop against the background of a decrease in the protective properties of the body. In connection with a decrease or increase in the level of hormones, the activity of the prostate cells is canceled.

The specialist needs to determine the cause of prostatitis as accurately as possible. This will allow you to choose the most effective method of treatment for a particular patient. When choosing a technique, the individual characteristics of each patient are taken into account.


Carrying out ineffective treatment or postponing a visit to a specialist for chronic prostatitis can lead to the development of other diseases of the genitourinary system. The presence of complications can be manifested by symptoms characteristic of chronic prostatitis. In this sense, timely diagnosis of complications can be difficult. In most cases, untimely treatment of chronic prostatitis can lead to the development of:

  • vesiculitis. The disease is an inflammation of the seminal vesicles. Symptoms of the pathology are pain in the groin and pelvis. In most cases, the pain is in the lower back and sacrum. Patients report frequent urination, pain during erection and ejaculation. Bloody or purulent inclusions appear in semen and urine.
  • Prostate abscess. Untimely treatment of chronic prostatitis can lead to an abscess of the prostate. This complication is manifested by weakness, high fever. Treatment of the disease in this case is carried out in a hospital.
  • colliculitisPathogenic microorganisms travel from the prostate to the seminal tubercle and infect it. A sign of colliculitis or urethritis is a burning sensation in the urethra. When visiting the bathroom, the burning sensation intensifies. In most cases, the patient complains of pain during orgasm or after ejaculation.
  • Sclerosis of the prostate. Non-compliance with the treatment of chronic prostatitis or untimely access to a doctor can lead to sclerosis of the prostate. Signs of the development of the disease are the presence of pain during urination and the inability to completely empty the bladder.
  • The presence of stones. With chronic inflammation, stones or cysts can form in the prostate gland. Ultrasound will be required to detect cysts or stones.
  • sterility. Late treatment of chronic prostatitis can negatively affect sperm motility and their number. Sperm lose their mobility. Violations provoked by chronic prostatitis lead to male infertility.

Diagnosis of the disease

The presence of several symptoms at the same time honors the development of chronic prostatitis in a patient. In some cases, the disease is asymptomatic. The specialist uses a series of measures to make a diagnosis.

The doctor conducts an examination, questioning the patient. In addition, she studies the medical documentation, while the specialist pays attention to diseases of the genitourinary system that were previously transferred. If necessary, she appoint instrumental and laboratory diagnostics.

Instrumental diagnosis

It is possible to diagnose chronic prostatitis with the help of an ultrasound examination. Ultrasound is performed rectally. To conduct a study, a specialist needs to place a specialized sensor in the patient's rectum. With the help of this type of study, the doctor can determine the size of the prostate, its structure and density. Also, the specialist during the study draws attention to the absence of stones and cysts.

The doctor may prescribe a microscopic examination of the prostatic secretion to the patient. This diagnostic method allows you to determine violations in the work of the prostate gland. In addition to microscopic examination of the secret, the level of male hormones in the patient is checked. Exceeding the norm can lead to tissue growth, and its lack provokes disturbances in the work of the prostate.

laboratory diagnosis

The use of laboratory diagnostics of chronic prostatitis makes it possible to determine the form of the disease and the cause of its occurrence. The following laboratory tests are possible:

  • The discharge from the patient's urethra is taken for analysis. In the laboratory, the presence of leukocytes, bacterial, fungal or viral flora is checked at discharge.
  • A scraping is taken from the patient's urethra. Laboratory research allows you to identify agents that are sexually transmitted.
  • For microscopic examination, the secret of the prostate gland is taken from the patient.

Conducting a complex of laboratory and instrumental studies allows you to determine the cause of the development of prostatitis and the stage of its development. After conducting research and collecting anamnesis, the doctor can make an accurate diagnosis and prescribe the most effective method of treatment for each patient.

Treatment of prostatitis

If you have symptoms of chronic prostatitis, you should contact a qualified specialist. The urologist, the andrologist is engaged in the treatment of the disease. The patient is prescribed complex therapy aimed at a consistent solution to the problem. In addition to taking medications, therapy involves changing a person's lifestyle, eliminating bad habits, normalizing sexual life, proper nutrition, etc.

therapeutic treatment

Patient care is complex. Both medications and specialized exercises are used. The most common procedure in the treatment of chronic prostatitis is prostate massage. The specialist massages the prostate with his index finger. Massage is done through the anus. Before the procedure, the specialist puts on a rubber glove and lubricates it with a specialized lubricant.

During the massage, blood circulation in the prostate gland is activated. This has a beneficial effect on the prostate and speeds up the restoration of damaged tissues. By pressing on the gland, its secret enters the urethra. A specialist can take liquid for microscopic examination in order to monitor the dynamics of treatment.

If necessary, a person is prescribed magnetic and laser therapy. Procedures are performed in a complex. Microwave therapy is also used for treatment. The method involves the use of high-frequency waves. During the procedure, the temperature of the treated area rises. This helps speed up the healing process.

Medical treatment

Various medications can be used to treat prostatitis. The specialist selects drugs based on the individual characteristics of the patient and the stage of the disease. It is impossible to choose medication on your own. You will need to see a doctor.

To reduce the swelling of the prostate gland, the patient is prescribed drugs that suppress the action of male hormones. Reducing the size of the prostate improves the flow of secretions into the urethra. In turn, it improves the passage of urine to the urethra and activates blood circulation.

If necessary, patients are prescribed adrenoblockers. These drugs belong to a group of drugs that act on receptors on muscle cells in the bladder and prostate. This approach prevents urine from entering the prostate during reflux.

In the presence of an infection that caused the development of the disease, antibacterial drugs are prescribed. Before prescribing an antibiotic, a specialist must carry out a series of diagnostic measures to detect the infection. The choice of drug is influenced not only by the presence of infection, but also by its sensitivity to the main types of antibiotics. This approach allows you to prescribe the most effective treatment.

Nonsteroidal anti-inflammatory drugs are used to relieve inflammation. Medications of this type reduce the inflammatory response which, in turn, reduces swelling and pain in the patient. The method of taking the medication may vary.

Surgical intervention

In some cases, to eliminate complications resulting from incorrect treatment or its absence, surgical intervention is performed. Specialists use a minimally invasive transurethral electroresection.

Lifestyle with prostatitis:

  • Regular exercise. A man needs to lead an active lifestyle and perform certain exercises on a daily basis. This is necessary to strengthen the muscles of the small pelvis. This approach will improve blood circulation and eliminate blood stasis.
  • usual sex lifeA person's sex life should be regular. It is necessary to exclude interruption of sexual intercourse or artificial prolongation with the help of drugs. Prolonged abstinence or interruption of sexual intercourse leads to stagnation of the secretion of the prostate gland. This, in turn, is dangerous for the appearance of inflammation.
  • Permanent sexual partner. It is necessary to exclude promiscuity. A large number of sexual partners can lead to the development of sexually transmitted diseases.
  • Spacious bedding. A man needs to wear clothes and underwear that do not interfere with normal blood circulation in the pelvic organs.
  • Avoid hypothermia.

How to deal with?

therapeutic treatment

The most common procedure is prostate massage. In some cases, microwave, magnetic and laser therapy is carried out. Therapeutic treatment accelerates the patient's recovery process.

Medical treatment

Specialists prescribe antibacterial and anti-inflammatory drugs. If necessary, prescribe drugs that reduce the level of the male hormone in the blood. The appointment of drugs and their dosage must be carried out by a qualified specialist.


Surgery is primarily used to treat complications that result from the development of chronic prostatitis. For operations, transurethral equipment is used.

The specialists of the specialized medical center are highly qualified, which allows them to effectively treat chronic prostatitis. For the diagnosis and treatment of diseases, high-tech equipment and high-quality medicines are used.