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 diseases of the male reproductive system, 4 out of 5 men have experienced symptoms of prostatitis at least once in their lives.

Most often, prostatitis affects men aged 20–40 years at the peak 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 longer. Pain can appear in the lower back, legs, scrotum, anus. It is especially painful to become with urination and ejaculation.
  • Erection of the penis worsens and sexual desire weakens. First, premature ejaculation develops, and over time, on the contrary, ejaculation practically does not occur, it becomes very difficult to achieve this.
  • Urination becomes painful and incomplete. All the time there is a feeling of incomplete emptying of the bladder.
  • The quality of life of a man is deteriorating at times.

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

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

In this case, nearby organs, such as the urethra, the neck of the bladder, the vas deferens, may 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 urethra.
  • Premature ejaculation.
  • Small mucous discharge from the urethra.
  • Serious disorders of sexual function.

All this greatly affects the working capacity and mental state of a man, which leads to prolonged depression and neurasthenia.

Abacterial chronic prostatitis is a disease in which bacteria are not found in the secretion of the prostate. 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.


Until now, doctors are faced with many unclear factors of the origin of this disease. This greatly complicates the treatment process.

Even ultrasound and laboratory tests of the secretion may 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 in the groin.
  • Violation of the function of urination and frequent imperative urges.
  • Erectile dysfunction and pain during ejaculation.
  • Chronic congestive prostatitis: exacerbation and remission
  • Chronic congestive prostatitis is characterized by several stages of development, which are manifested by their different signs:
  • Exudative - a man feels a cutting pain in the groin, scrotum and in the pubic area.
  • Erection problems 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 stream, a constant feeling of not completely emptying the bladder. And ejaculation becomes, on the contrary, difficult and slow.
  • Cicatricial changes - at this stage, the prostate tissues begin to intensively thicken. The patient complains of discomfort in the pelvic and pubic area, frequent urge to urinate with a thin stream and incomplete emptying. The erection is very weak or non-existent, ejaculation becomes almost impossible, and the orgasm is weak, without vivid impressions. Prostatitis passes into the stage of chronic prostatitis 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 factor that there are some microbes of chronic prostatitis in the body of almost every person, only a few get sick. How can one explain the development of such a disease in a particular case?

Experts determine the occurrence of chronic prostatitis not only by the presence of an infection in the body, but also by 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 narrow clothing;
  • frequent hypothermia;
  • injuries, as well as infections of various organs of the genitourinary system;
  • malnutrition;
  • constant stress;
  • frequent drinking and smoking.

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 to the smallest detail, it will depend on how correctly the diagnosis will be made and effective and comprehensive treatment will be prescribed.

Next, you need to palpate and pass the secret for bacteriological analysis, thanks to which you can 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 makes it possible to find out the size and soreness of the prostate. When probing, hemorrhoids, adenoma or prostate cancer can also be detected. Ultrasound of the prostate will provide accurate data on the state of the organ.

Determining the level of PSA in the blood makes it possible 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 show 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 dosage and duration of treatment.

Usually medicines are taken for 10-15 days. After that, repeated tests are given, according to 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 additional therapy 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. It is also effective to use mud, enemas with mineral waters rich in hydrogen sulfide.

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

In some cases, surgical intervention may also be indicated if the urethra is very narrowed, 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 achieve a quick cure. Starting treatment, there will be a long-term remission. You can talk about complete 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 microclysters very well relieve inflammation that takes place in the prostate gland.

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

A decoction of the onion also helps. It is necessary to finely chop two large onions and pour them with boiling water in a half-liter jar. The jar is wrapped with a terry towel and allowed to brew for 2 hours. Then every hour you need to drink 50 grams of broth.

How to cure impotence in chronic prostatitis?

Impotence can be cured at home, subject to a set of measures.

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

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

Also, do not forget about physical activity. Walking and light running 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 neglect of the disease. If necessary, additional treatment with small doses of antibiotics may be prescribed. Lipophilic antibiotics cope best with this task.

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

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

What antibiotics to take for chronic prostatitis?

Often used a number of penicillins. Tetracycline antibiotics are often prescribed for mycoplasmas and chlamydia.

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

Is it possible to have sex with chronic prostatitis?

If the disease is caused by an infection, then it is better to abstain from sex so as not to infect your partner. Although you can use a condom. It is simply necessary to have sex, because when excited, blood rushes to the prostate gland, and it 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 features

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

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