Chronic prostatitis: symptoms, causes, treatment and prevention

symptoms and causes of prostatitis

Prostatitis is diagnosed exclusively in men. It is one of the most common 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 disguised as a number of other diseases.

Symptoms of chronic prostatitis include the following:

  • Discomfort and painful pain in the lower abdomen, with periodic cramps that do not go away for a quarter or more. Pain may occur in the lower back, legs, scrotum, anus. It is especially painful to urinate and ejaculate.
  • Penile erection worsens and sexual desire weakens. First, premature ejaculation develops and over time, on the contrary, ejaculation practically does not happen, it becomes very difficult to achieve this.
  • Urination becomes painful and incomplete. There is a feeling of incomplete emptying of the bladder all the time.
  • A man's quality of life sometimes deteriorates.

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

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

In this case, nearby organs can be affected, such as the urethra, bladder neck, vas deferens, 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.
  • Slight mucous discharge from the urethra.
  • Serious sexual dysfunction.

All this strongly affects the ability to work and mental state of men, which leads to prolonged depression and neurasthenia.

Abacterial chronic prostatitis is a disease in which bacteria are not found in the secretions 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.


So far, doctors have faced many unclear factors about the origin of this disease. This significantly 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 occurs in middle-aged men.
  • Prolonged pain in the pelvis and groin.
  • Impaired urination and frequent 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 - the man feels sharp 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.
  • 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 incomplete emptying of the bladder. On the contrary, ejaculation 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 pubis, frequent urge to urinate with 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 goes into a stage of chronic prostatitis of unstable remission, in which there is constant pain and remission occurs in just a few hours.

As for 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 some microbes of chronic prostatitis, only a few get sick. How can the development of such a disease be explained in a particular case?

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 include:

  • stagnation of blood contained in the prostate caused by a sedentary lifestyle;
  • unstable sex life;
  • uncomfortable and rather tight clothes;
  • 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 understand why the patient has developed chronic prostatitis, to understand all the possible causes and symptoms, how they manifest themselves. The doctor must tell everything down to the smallest detail, this will depend on how correctly the diagnosis will be made and effective and comprehensive treatment will be prescribed.

Then you need to palpate and pass on the secret of bacteriological analysis, thanks to which you can determine the presence of infections and understand the resistance of bacteria to antibiotics.


Palpation is performed by a urologist through the rectum. This procedure allows to determine the size and pain of the prostate. Hemorrhoids, adenoma or prostate cancer can also be found during probing. Prostate ultrasound will provide accurate data on the condition 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, he will need to take pieces of prostate tissue for a biopsy that 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 the attending physician can choose the right drug, its dosage and duration of treatment.

Usually the drugs are taken for 10-15 days. Repeated tests are then given, based on the results of which the doctor will determine whether the patient has recovered or whether additional treatment is needed.

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

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

Massage is usually prescribed as an adjunct to antibiotic therapy.

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

Laser therapy and ultraphoresis are used for treatment. The use of mud, enemas with mineral waters 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, abscesses or prostate adenoma are found.


Diagnosis and treatment should be performed in a medical facility under the constant supervision of qualified physicians.

By contacting a doctor in time, you can achieve a quick cure. There will be long-term remission at the start of treatment. You can talk about a 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 quickly and effectively cure chronic prostatitis with folk remedies?

The treatment can be carried out with the help of folk remedies. In folk medicine the most popular is the use of chamomile infusion, yarrow and sage. These micro-enemas are very good at relieving inflammation in the prostate gland.

To prepare such a microclyster, take two tablespoons of chamomile and pour 100 g of grass. boiling water. You can also use horse chestnut bark for treatment, which is poured with alcohol and kept for 10 days in a dark place.

Helps and a decoction of onions. It is necessary to finely chop two large onions and pour them with boiling water in a half-liter jar. The jar is wrapped in a towel and left to steam for 2 hours. Then every hour you should drink 50 grams of broth.

How to cure impotence in chronic prostatitis?

Impotence can be cured at home by following a set of measures.

You need to choose the right drugs that will help fill the corpora cavernosa of the penis with blood. But before that you need to consult a urologist. Modern drugs to increase potency with the active ingredient sildenafil have a good effect.

It is necessary to adjust the diet and switch to a diet. You cannot 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 jogging in the fresh air are very effective in this regard. You also need to make swings with your feet. 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 do the job best.

To forget about this problem forever, you need to change your lifestyle, eat right, not overcool and give your 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 consulting a urologist. Here, however, the delay will not help, because with each exacerbation of inflammation will increase.

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

What antibiotics to take for chronic prostatitis?

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

Fluoroquinolones are very effective and penetrate well into prostate tissues. Macrolides accumulate well in the tissues of the prostate 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 just necessary to have sex, because when aroused, the blood rushes to the prostate gland and it begins to shrink. 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 includes a healthy lifestyle and daily exercise. You can constantly strain and relax the scrotum from time to time.

At each urination, stop the jet a little, so that the bladder sphincter will harden in some way. Such high-quality exercises will allow the blood to circulate well through the veins of the prostate, as well as enhance metabolic processes in the body.