Chronic prostatitis: symptoms, causes, treatment and prevention

symptoms and causes of prostatitis

Prostatitis is diagnosed exclusively in men. This is one of the most common diseases among the diseases of the male reproductive system, 4 out of 5 men have experienced symptoms of prostatitis at least once in their life.

Most often, prostatitis affects men between the ages of 20 and 40 at the height of their sexual activity. Chronic prostatitis is diagnosed in every 10 men. It is characterized by periods of exacerbation and remission and masquerades as a number of other diseases.

Symptoms of chronic prostatitis include the following manifestations:

  • Discomfort and aching pains in the lower abdomen, with periodic cramps that do not go away for a quarter or more. Pain can appear in the lower back, legs, scrotum, anus. It is especially painful to become with urination and ejaculation.
  • Penile erection worsens and sexual desire weakens. First, premature ejaculation develops, and on the contrary, ejaculation practically does not occur, it becomes very difficult to achieve it.
  • Urination becomes painful and incomplete. All the time there is a feeling of incomplete emptying of the bladder.
  • A man's quality of life is sometimes getting worse.

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

Bacterial (infectious) prostatitis occurs with a constant alternation of acute exacerbations and remissions, while infections and bacteria are found in the secret of the prostate.

In this case, neighboring organs, such as the urethra, the bladder neck, the 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.

Most often, the disease manifests itself as follows:

  • Frequent and painful urination.
  • Burning in the urethra.
  • Premature ejaculation.
  • Small mucous discharge from the urethra.
  • Severe disturbances of sexual function.

All of this greatly affects a man's ability to work and mental state, which leads to prolonged depression and neurasthenia.

Chronic abacterial prostatitis is a disease in which bacteria are not found in the secretion of the prostate. This form is very difficult to diagnose, as numerous reviews of men in various forums prove. It is also very difficult to find the right treatment regimen.


Until now, doctors have to face many unclear factors about the origin of this disease. This greatly complicates the treatment process.

Ultrasound and laboratory examinations of the discharge may also not show the presence of an inflammatory process. According to the recommendations of the European Association of Urologists, the main signs of abacterial prostatitis are distinguished:

  • It appears in middle-aged men.
  • Prolonged pain in the pelvic region and groin.
  • Violation of the function of urination and frequent imperative impulses.
  • Erectile dysfunction and pain during ejaculation.
  • Chronic congestive prostatitis: exacerbation and remission
  • Chronic congestive prostatitis is characterized by different stages of development, which are manifested by their different signs:
  • Exudative: A man feels a sharp pain in the groin, scrotum and pubic area.
  • Problems with erection and accelerated ejaculation are observed.
  • Alternative: The patient complains of discomfort in the groin, scrotum and pubis.
  • There are frequent urges to urinate and rapid ejaculation during intercourse.
  • Proliferation - the patient notes frequent urination with a weak flow, a constant feeling of not completely emptying the bladder. And ejaculation becomes, on the contrary, difficult and slow.
  • Scar changes: at this stage, the tissues of the prostate begin to thicken intensely. The patient complains of discomfort in the pelvic and pubic area, frequent need to urinate with a thin stream and incomplete emptying. The erection is very weak or non-existent, ejaculation becomes almost impossible and orgasm is weak, without vivid impressions. Prostatitis passes to the chronic prostatitis stage of unstable remission, in which constant pain is observed and remission occurs only for 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 without signs of inflammation and congestive, as well as histological.

Factors and causes of chronic prostatitis in men

Despite the fact that there are some chronic prostatitis microbes in the body of almost all people, only a few get sick. How can the development of such a disease be explained in a particular case?

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

The most common causes of chronic prostatitis in men include:

  • stagnation of blood, which is contained in the prostate, caused by a sedentary lifestyle;
  • unstable sex life;
  • uncomfortable and rather tight clothing;
  • frequent hypothermia;
  • injuries, as well as infections of various organs of the genitourinary system;
  • malnutrition;
  • constant stress;
  • drink and smoke frequently.

Diagnosis begins with a conversation with the patient, who must accurately and completely tell what worries him. The doctor must find out why the patient developed chronic prostatitis, find out all the possible causes and symptoms, how they manifest themselves. The doctor should tell everything in great detail, it will depend on how correctly the diagnosis will be made, and effective and comprehensive treatment will be prescribed.

Next, it is necessary to palpate and pass the secret to bacteriological analysis, thanks to which it is possible to determine the presence of infections and find out the resistance of bacteria to antibiotics.


Palpation is performed by the urologist through the rectum. This procedure allows you to find out the size and pain of the prostate. Hemorrhoids, adenoma or prostate cancer may also be detected during the survey. Ultrasound of the prostate will provide accurate data on the state of the organ.

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

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

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

Treatment with antibiotics. In this case, antibiotics from the group of macrolides and tetracyclines are used.

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

Medicines are usually taken for 10-15 days. Subsequently, repeated tests are administered, based on the results of which the doctor will determine whether the patient has recovered or whether additional treatment is required.

Prostate massage is necessary so that the secretion of the prostate does not stagnate and its microcirculation occurs. This is very conducive to a speedy recovery.

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

Massage is usually prescribed as an adjunct to antibiotic treatment.

Physiotherapy is prescribed to improve the condition of the tissues of the prostate gland, due to which the healing process is accelerated.

For treatment, laser therapy and ultraphoresis are used. The use of muds and enemas with mineral waters rich in hydrogen sulphide is also effective.

Herbal medicine 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 even if the urethra is very narrow, the presence of abscesses or prostate adenoma is detected.


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

By contacting a doctor in time, you can get a quick cure. By starting treatment, there will be a long-term remission. You can talk about full recovery when all the symptoms of the disease disappear and laboratory tests show good results.

The most popular questions from patients about chronic prostatitis

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

Treatment can be carried out with the help of folk remedies. In folk medicine, the most popular is the use of infusion of chamomile, yarrow and sage. These microenemas very well relieve inflammation that occurs in the prostate gland.

To prepare such a microclister, take two tablespoons of chamomile and pour 100 gr of grass. boiling water. Also, for treatment, you can use the peel of the horse chestnut, which is poured with alcohol and stored for 10 days in a dark place.

An onion decoction also helps. It is necessary to finely chop two large onions and pour them with boiling water into a half-liter jar. The jar is wrapped with a terry towel and left to ferment for 2 hours. So every hour you need to drink 50 grams of broth.

How to cure impotence in chronic prostatitis?

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

It is necessary to choose suitable drugs that help fill the cavernous bodies of the penis with blood. But first a consultation with a urologist is required. Modern drugs for increasing potency with the active ingredient sildenafil have a good effect.

It is necessary to adjust the diet and go on a diet. You cannot eat fatty foods and foods that deplete testosterone. It is necessary to lean on cereals and lean meat, drink juices and green tea.

Also, don't forget about physical activity. Walking and running light in the fresh air are very effective in this regard. You also need to do swings with your legs. This helps to contract the muscles of the anus and perineum.

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

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

To forget about this problem forever, you need to change your lifestyle, eat right, not overcool and give the body a rest.

Why is chronic prostatitis dangerous?

Chronic prostatitis is characterized by severe exacerbations of the disease, which are replaced by remissions. When the pain subsides, it becomes easier and the man decides that he can cope with this problem on his own, instead of quickly contacting a urologist. However, the delay will not help here, as with each exacerbation the inflammation will increase.

Inflammation can affect nearby organs, leading to cystitis, pyelonephritis, and vesiculitis. As a result, a man can develop infertility.

What antibiotics to take for chronic prostatitis?

Often used a number of penicillins. Tetracyclines antibiotics are often prescribed for mycoplasma and chlamydia.

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

Is it possible to have sex with chronic prostatitis?

If the disease is caused by an infection, it is better to refrain from sex so as not to infect your partner. Although you can use a condom. It is simply necessary to have sex, because when aroused, blood flows to the prostate gland and begins to contract. Also, during ejaculation, the pelvic muscles contract strongly, which is considered a good self-massage.

Prevention of chronic prostatitis in men and its characteristics

Prevention of chronic prostatitis in men involves a healthy lifestyle and daily exercise. From time to time you can constantly strain and relax the scrotum.

With each urination, stop the flow a little, so the bladder sphincter will be somewhat hardened. Such high-quality exercises will allow blood to circulate well through the veins of the prostate, as well as improve metabolic processes in the body.