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 lives.

Prostatitis most commonly affects men between the ages of 20 and 40 at the peak of sexual activity. Chronic prostatitis is diagnosed in every 10 men. It is characterized by periods of exacerbation and remission and masking into a number of other diseases.

Symptoms of chronic prostatitis include the following manifestations:

  • Discomfort and pain in the lower abdomen, with periodic cramps not lasting a quarter or longer. Pain can occur in the lower back, legs, scrotum, anus. It is especially painful to urinate and ejaculate.
  • Erection of the penis worsens and sexual desire weakens. First, premature ejaculation develops, and over time, on the contrary, ejaculation practically does not come, it becomes very difficult to achieve.
  • Urination becomes painful and incomplete. There is a feeling of incomplete emptying of the bladder all the time.
  • The quality of human life occasionally deteriorates.

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

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

In that case, nearby organs can also be affected, such as the urethra, bladder neck, vas deferens, so the disease manifests itself in different ways. An accurate diagnosis can be made after a detailed examination.

The disease most often manifests itself in the following way:

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

All this greatly affects a person's ability to work and mental state, which leads to long-term depression and neurasthenia.

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


So far, doctors are faced with many unclear factors in the development of this disease. This greatly complicates the healing 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 signs of abacterial prostatitis are distinguished:

  • It occurs in middle-aged men.
  • Prolonged pain in the pelvis and groin.
  • Violation of urinary function 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 different signs:
  • Exudative - a man feels cutting pain in the groin, scrotum and pubic area.
  • Erection problems and accelerated ejaculation are observed.
  • Alternative - the patient complains of discomfort in the groin, scrotum and pubis.
  • Urges to urinate and rapid ejaculation during intercourse are common.
  • Proliferation - the patient records frequent urination with a weak jet, a constant feeling of incomplete emptying of the bladder. And ejaculation becomes, on the contrary, difficult and slow.
  • Cicatricial changes - at this stage the prostate tissue begins to thicken intensely. The patient complains of discomfort in the pelvic and pubic area, frequent need to urinate in a thin stream and incomplete emptying. Erection is very weak or non-existent, ejaculation becomes almost impossible, and orgasm is weak, without vivid impressions. Prostatitis progresses to the stage of chronic prostatitis of unstable remission, in which constant pain is observed and remission occurs in only a few hours.

Regarding the classification, it is common 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 in the body of almost every person there are microbes of chronic prostatitis, only a few get sick. How to explain the occurrence of such a disease in a particular case?

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

The most common causes of chronic prostatitis in men are:

  • stagnation of blood, located 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;
  • frequent drinking and smoking.

The diagnosis begins with a conversation with the patient, who must say exactly and completely what worries him. The doctor must find out why the patient got chronic prostatitis, find out all the possible causes and symptoms, how they manifest. The doctor should tell everything down to the smallest detail, it will depend on how correctly the diagnosis is made and prescribe effective and comprehensive treatment.

Then you have 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 a urologist through the rectum. This procedure allows determining the size and pain of the prostate. Hemorrhoids, adenomas or prostate cancer can also be detected during probing. An ultrasound of the prostate will give accurate information about the condition of the organs.

By determining the level of PSA in the blood, it is possible to exclude or confirm the presence of adenomas 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.

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

Antibiotic treatment. In this case, macrolide antibiotics and tetracycline are used.

Only a doctor can choose the right medicine, its dose and duration of treatment.

Usually the medication is 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 additional treatment is needed.

Prostate massage is necessary so that the prostate secretion does not stagnate and its microcirculation occurs. This is very convenient for a quick recovery.

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

Massage is usually prescribed as an adjunct to antibiotic therapy.

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

Laser therapy and ultraphoresis are used for treatment. The use of mud, an enema with mineral water rich in hydrogen sulfide, is also effective.

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

In some cases, surgery may be indicated if the urethra is severely narrowed, if an abscess or prostate adenoma is detected.


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

If you consult a doctor in time, you can achieve a quick cure. Prolonged remission will occur at the beginning of treatment. You can talk about a complete recovery when all the symptoms of the disease disappear, and laboratory tests show good results.

Patients' most popular questions about chronic prostatitis

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

Treatment can be carried out with the help of folk remedies. In folk medicine, the most popular is the use of infusions of chamomile, yarrow and sage. These microclysters alleviate the inflammation that takes place in the prostate very well.

To prepare such a microenema, take two tablespoons of chamomile and pour 100 g of grass. boiling water. You can also use wild chestnut bark for treatment, which you pour over with alcohol and store in a dark place for 10 days.

Decoction of onions also helps. It is necessary to finely chop two large onions and pour boiling water over them in a half-liter jar. The jar is wrapped in a terrycloth and left to stand for 2 hours. Then you need to drink 50 grams of soup every hour.

How to cure impotence in chronic prostatitis?

Impotence can be cured at home, with a number of measures.

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

It is necessary to adjust the diet and switch to a diet. You can't eat fatty foods and foods that lower testosterone. It is necessary to rely on cereals and lean meat, drink juices and green tea.

Also, don't forget about physical activity. Walking and jogging in the fresh air are very effective in this regard. You also need to swing your legs. This helps to tighten 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 low 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 properly, not catch a cold and give your body a rest.

Why is chronic prostatitis dangerous?

Chronic prostatitis is characterized by severe exacerbations of the disease that 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 consulting a urologist. However, procrastination will not help here, because with each worsening of the inflammation, it 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?

It is often used in penicillin. Tetracycline antibiotics are often prescribed for mycoplasmas and chlamydia.

Fluoroquinolones are very effective and penetrate prostate tissue 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 he gets aroused, the blood rushes to the prostate and it starts to collect. 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 includes a healthy lifestyle and daily physical activity. From time to time you can constantly strain and relax the scrotum.

Stop urinating a little with each urination, so the sphincter of the urinary bladder will be hardened in some way. Such high-quality exercises will enable good blood circulation through the veins of the prostate, as well as improve metabolic processes in the body.