Chronic prostatitis: symptoms, causes, treatment and prevention

symptoms and causes of prostatitis

Prostatitis is diagnosed only in men. It is one of the most common diseases of the male reproductive system, with 4 out of 5 men experiencing symptoms of prostatitis at least once in their lives.

Most often, prostatitis occurs at the peak of sexual activity in men aged 20-40 years. Every 10 men are diagnosed with chronic prostatitis. It is characterized by periods of exacerbation and remission and is masqueraded as a number of other diseases.

Symptoms of chronic prostatitis include the following:

  • Abdominal discomfort and aching pains, with periodic cramps lasting less than a quarter or more. Pain may appear in the back, legs, scrotum, anus. It is especially painful to be with urine and discharge.
  • Penile erection worsens and sexual desire weakens. First, premature ejaculation develops, and over time, on the contrary, ejaculation practically does not occur, it is very difficult to achieve.
  • Urinary excretion is painful and incomplete. There is always a feeling of incomplete emptying of the bladder.
  • A person's quality of life sometimes deteriorates.

There are 2 types of chronic prostatitis: bacterial and bacterial.

Bacterial (infectious) prostatitis occurs with constant changes in acute exacerbations and remissions, infection and bacteria are found in the secretions of the prostate.

In this case, nearby organs, such as the urethra, neck of the bladder, vas deferens can also be affected, and therefore the disease manifests itself in different ways. An accurate diagnosis can be made after a thorough examination.

The disease often manifests itself as follows:

  • Frequent and painful urination.
  • Burning in the urethra.
  • Premature ejaculation.
  • Small mucous discharge from the urethra.
  • Serious sexual dysfunction.

All of this has a profound effect on a person's ability to work and mental state, leading to long-term depression and neurasthenia.

Abacterial chronic prostatitis is a disease in which bacteria are not found in the secretions of the prostate gland. This form is very difficult to diagnose, as evidenced by numerous reviews of men in various forums. It is also very difficult to find the right treatment regimen.


So far, doctors are faced with many uncertainties in the origin of this disease. This greatly complicates the treatment process.

Even ultrasound and laboratory tests of secretions may not show the presence of an inflammatory process. According to the recommendations of the European Association of Urologists, the main symptoms of bacterial prostatitis are:

  • Appears in middle-aged men.
  • Prolonged pain in the pelvis and groin.
  • Impaired urinary function and frequent imperative challenges.
  • Erectile dysfunction and pain during ejaculation.
  • Chronic congestive prostatitis: exacerbation and remission
  • Chronic congestive prostatitis is characterized by several stages of development, manifesting themselves with different symptoms:
  • Exudative - the man feels sharp pain in the groin, scrotum and pubic area.
  • Erection problems and accelerated ejaculation are observed.
  • Alternatively, the patient complains of discomfort in the groin, scrotum and pubis.
  • During sexual intercourse, there is frequent urination and rapid ejaculation.
  • Proliferation - the patient notes a constant feeling of frequent urination with a weak flow, not completely emptying the bladder. And ejaculation, on the contrary, is difficult and slow.
  • Cicatricial changes - at this stage, the prostate tissue begins to thicken intensively. The patient complains of discomfort in the pelvis and groin, the desire to urinate frequently with a thin stream, and incomplete ejaculation. Erection is very weak or absent, ejaculation is almost impossible, and orgasm is weak without a bright impression. Prostatitis progresses to the stage of chronic prostatitis of unstable remission, when constant pain is observed and remission occurs in just a few hours.

As for the classification, it is customary to use the US NIH classification, which divides the disease into types: acute and chronic bacterial, chronic with no signs of inflammation and congestion, as well as histological.

Factors and causes of chronic prostatitis in men

Although almost everyone has some germs of chronic prostatitis in their body, only a few get sick. How to explain the development of such a disease in a particular situation?

Experts determine the occurrence of chronic prostatitis not only by the presence of infection in the body, but also by conditions that affect the development of the disease.

The most common causes of chronic prostatitis in men are:

  • blood stasis in the prostate gland caused by a sedentary lifestyle;
  • unstable sex life;
  • uncomfortable and extremely tight clothing;
  • frequent hypothermia;
  • injuries, as well as infections of various organs of the genitourinary system;
  • nutrition;
  • constant stress;
  • often drink and smoke.

The diagnosis begins with a conversation with the patient, who must clearly and completely state what is bothering him. The doctor should find out why the patient develops chronic prostatitis, all the possible causes and symptoms, and how they manifest themselves. The doctor must explain everything down to the smallest detail, which will depend on how well the diagnosis is made and the effective and comprehensive treatment is prescribed.

After that, you need to palpate and pass the secret for bacteriological analysis, so you can determine the presence of infections and study the resistance of bacteria to antibiotics.


Palpation is performed by a urologist through the rectum. This procedure allows you to study the size and pain of the prostate. Probing can also detect hemorrhoids, adenomas or prostate cancer. Ultrasound of the prostate will give accurate information about the condition of the body.

Determination of PSA levels in the blood allows to exclude or confirm the presence of adenoma and prostate cancer.

If the urologist suspects the presence of a tumor, they will have to take pieces of prostate tissue for a biopsy, which will indicate its presence or absence.

Treatment of chronic prostatitis is a complex and time-consuming process. Today, various methods are used to treat this disease.

Treatment with antibiotics. In this case, antibiotics of the macrolide group and tetracycline are used.

Only the attending physician can choose the right drug, its dose and duration of treatment.

The medication is usually taken within 10-15 days. Repeated tests are then given to determine if the patient is recovering or if additional treatment is needed.

Prostate massage is needed to stop prostate secretion and microcirculation. This is very convenient for fast recovery.

However, massage is prohibited for acute prostatitis, hemorrhoids and rectal cracks.

Massage is usually prescribed as an adjunct to antibiotic therapy.

Physiotherapy is prescribed to improve the condition of the prostate tissue, which accelerates the healing process.

Laser therapy and ultrasound are used for treatment. It is also effective to use mud and enamels with hydrogen sulfide-rich mineral water.

Phytotherapy is used as an additional stimulus to the patient's recovery and is always used in conjunction with other methods. Various herbal remedies are used for treatment.

In some cases, surgery may be indicated if the urethra is too narrow, an abscess, or a prostate adenoma is found.


Diagnosis and treatment should be carried out under the constant supervision of qualified doctors in a medical institution.

By consulting a doctor in a timely manner, you can achieve a speedy recovery. If you start treatment, there will be a long-term remission. When all the symptoms of the disease disappear and laboratory tests show good results, you can talk about a complete recovery.

The most popular questions of patients with chronic prostatitis

How to quickly and effectively treat chronic prostatitis with folk remedies?

Treatment can be carried out with the help of folk remedies. The most popular in folk medicine is the use of chamomile, yarrow, sage infusion. These microclysters are very effective in eliminating inflammation in the prostate gland.

To prepare such a microclyster, take two tablespoons of chamomile and pour 100 g of grass. Hot water. You can also use horse chestnut peel, which is poured with alcohol and stored in the dark for 10 days.

An onion decoction also helps. Finely chop two large onions and pour boiling water in a half-liter jar. The jar is wrapped in a terry towel and allowed to infuse for 2 hours. Then you need to drink 50 grams of broth every hour.

How to treat impotence in chronic prostatitis?

Impotence can be treated at home according to a number of measures.

It is necessary to choose the appropriate medication that will help to fill the cavernous bodies of the penis with blood. But before that you need to consult a urologist. Modern drugs have a good effect on increasing the potential with the active ingredient sildenafil.

You need to adjust your diet and go on a diet. You can not eat fatty foods and foods that reduce testosterone. You need to lean on grains and lean meat, drink juices and green tea.

In addition, do not forget about physical activity. Walking in the fresh air and jogging are very effective in this regard. You also need to swing with your feet. This helps to contract the anus and perineum muscles.

How is chronic prostatitis treated and how to get rid of it forever?

Antibiotic therapy lasts 1-3 months, depending on the severity of the disease. If necessary, additional treatment with antibiotics in small doses may be prescribed. Lipophilic antibiotics cope best with this task.

To forget about this problem forever, you need to change your lifestyle, eat right, do not overcool and relax your body.

Why is chronic prostatitis dangerous?

Chronic prostatitis is characterized by acute exacerbation of the disease, replaced by remissions. When the pain subsides, it becomes easier, and the man decides that he can cope with the problem on his own, instead of going to a urologist quickly. But the delay will not help here, because with each flare, the inflammation will increase.

Inflammation can affect nearby organs and cause cystitis, pyelonephritis and vesiculitis. As a result, men can develop infertility.

What antibiotics should be taken for chronic prostatitis?

A number of penicillins are often used. Tetracycline antibiotics are often prescribed for mycoplasma and chlamydia.

Fluoroquinolones are very effective and penetrate well into prostate tissues. Macrolides accumulate well in prostate tissues and remove toxins quickly.

Is it possible to have sex with chronic prostatitis?

If the disease is caused by an infection, it is better to abstain from sexual intercourse to avoid infecting your partner. Although you can use a condom. You just need to have sex, because when you are aroused, blood flows to the prostate gland and it begins to shrink. Also, the pelvic floor muscles contract strongly during ejaculation, which is considered a good self-massage.

Prevention of chronic prostatitis in men and its features

Prevention of chronic prostatitis in men consists of a healthy lifestyle and daily exercise. You can constantly tense my scrotum and relax it from time to time.

Slightly stop the flow with each urination, so that the sphincter of the bladder will harden to some extent. Such high-quality exercise will allow the blood to circulate well through the vessels of the prostate, as well as strengthen metabolic processes in the body.