Congestive prostatitis: causes, symptoms and treatment
Congestive prostatitis is an inflammation of the prostate of non-infectious origin associated with persistent congestion in the veins of the small pelvis, which leads to impaired drainage in the lobules of the prostate gland. The formation of the disease is also influenced by a number of factors, including metabolic disorders, physical inactivity, sexual abstinence, etc. Congestive prostatitis is also called congestive prostatitis.
Congestive prostatitis is not uncommon. It is diagnosed in 40% of all men with prostatitis. Moreover, in the risk group, both young people of childbearing age and men after 60 years of age and older.
Content:
- Reasons for stagnant prostatitis
- Stagnant Prostatitis Symptoms
- Diagnostics of the stagnant prostatitis
- Treatment of congestive prostatitis
Reasons for stagnant prostatitis
The causes of congestive prostatitis lie in a number of factors:
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In the first place among the reasons for the development of congestive prostatitis, experts put sexual dysrhythmia and sexual dysrhythmia. Especially dangerous in this regard are often repeated sexual arousal without subsequent physiological emptying of the secret. The same applies to incomplete ejaculation during interrupted sexual intercourse, as well as in the absence of emotional coloring during intimacy, during masturbation.
- Doctors note that sexual excess is dangerous, especially if it was preceded by prolonged abstinence.
- Anatomical reasons. Firstly, the presence of a reticular form of the urogenital venous plexus will lead to stagnation. Secondly, congenital weakness of the venous walls and insufficiency of the valves of the veins affects the malnutrition of the prostate gland.
- Injuries. Any postponed spinal injuries, spinal cord injuries, innervation disorders negatively affect the condition of the prostate gland.
- Anomalies in the development of adjacent organs - the bladder, intestines.
- Physical inactivity. If a man leads a sedentary lifestyle, this leads to the fact that the blood stagnates in the pelvic organs, venous stasis occurs and inflammation of the prostate gland develops.
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The cause of the development of congestive prostatitis can be diseases of the spinal column. This is osteochondrosis, herniated intervertebral discs. Such phenomena contribute to the formation of a prolonged spasm, or, on the contrary, lead to the expansion of the vessels of the prostate, which is the cause of its abacterial inflammation. In the event that the vessels remain constricted for a long time, this causes circulatory disorders, and if, on the contrary, they are dilated for a long time, this contributes to the formation of stagnation. Both factors are equally dangerous in terms of the development of prostatitis.
- The intoxication of the body negatively affects the state of the prostate gland - alcoholic (causes paralysis of small vessels) and nicotinic (causes prolonged spasm of small vessels). In combination with a sedentary lifestyle, bad habits can lead to the development of congestive prostatitis.
- The following factors can lead to a violation of salt metabolism in the body, which contributes to the development of stagnant prostatitis: systematic hypothermia, excess nutrition, hormonal disruptions, non-compliance with the drinking regime, chronic colitis with diarrhea, and a lack of potassium in the body.
- An increase in local temperature in the pelvic area compared to body temperature as a whole can lead to the development of congestive prostatitis. This is especially dangerous if this phenomenon is observed on an ongoing basis, which is possible with diseases such as: varicocele, varicose veins, hemorrhoids.
Stagnant Prostatitis Symptoms
The symptoms of congestive prostatitis do not always unambiguously indicate problems with the prostate gland, which often misleads patients.
The clinical picture of the disease is as follows:
- The unpleasant sensations arising in the perineal region come to the fore. The pain may be mild, appear periodically. They radiate to the sacrum, to the pubic area. The unpleasant sensations tend to intensify after prolonged sitting. Standing work has a similar effect.
- Patients indicate mild daytime pollakiuria (frequent urination), nocturia (frequent urination at night), in some cases - stranguria (urination dropwise). However, at the initial stages of the development of the disease, such violations of urination are weakly expressed, so men, as a rule, put up with them. Frequent urination is rare, but still sometimes comes to the fore, contributing to the onset of urgency.
- There may be a feeling of a full bladder, a feeling of a foreign body in the perineum and rectum.
- At night, a man may be bothered by prolonged and painful erections that occur unnecessarily. Sexual intercourse, vigorous physical activity, emptying the bladder remove this erection.
- The veins of the lower extremities are often dilated, hemorrhoids and scrotal veins are possible.
- For stagnant prostatitis, a decrease in libido, premature ejaculation, sluggish erection, or its absence is characteristic when there are adequate conditions for this.
- Hemospermia with blood in the semen is also quite common.
- Indirect signs indicating stagnant prostatitis are fatigue, pain in the lower extremities, neurotic disorders.
Diagnostics of the stagnant prostatitis
Diagnosis of congestive prostatitis necessarily includes palpation of the prostate gland, the posterior urethra. In this case, the doctor detects their increased or decreased sensitivity. Possible release of a meager aseptic secretion.
Another informative method for diagnosing stagnation in the prostate gland is organ rheography. The procedure is well tolerated by patients and takes no more than 15 minutes. It allows you to judge about violations of venous outflow, about the state of vascular tone, about their elasticity. The presence of dystrophic changes in the tissues of the gland is indicated by the difficulty of blood flow to it.
Additional information about the state of the organ can be obtained through echotomography of the gland, ultrasound of the pelvic organs.
As for laboratory diagnostic methods, the patient will need to pass the following tests:
- Ultrasound of the prostate. The doctor will understand from the picture the state of the chair gland. It is done first, before the secret is taken. After taking the secret, it is pointless to do ultrasound.
- Prostate secretion and ejaculate. In this case, leukocytosis in the secret is not expressed, however, there are layers of stratified squamous and cylindrical epithelium.
- Blood for coagulogram, thromboelastography.
Treatment of congestive prostatitis
Treatment of congestive prostatitis involves anti-inflammatory therapy. For this purpose, patients are prescribed Acetylsalicylic acid, Trental. A drug such as Eskuzan is also able to relieve inflammation.
Achieve long-term remission, get rid of congestion in the prostate gland allows heparin therapy. The drug is administered intravenously, the dosage is selected by the doctor. You need two courses of treatment for 4 days with a break in the same period.
If patients suffer from severe pain syndrome, which happens infrequently, pain relievers are prescribed. In the complex treatment regimen, drugs aimed at thinning the blood must be present (Curantil, Acetylsalicylic acid, Niktinic acid, Eskuzan).
Read more: Specific treatment regimen for chronic prostatitis
Compliance with the general regime is shown. It is important for patients to adhere to a diet with restriction of fatty and spicy foods. Food should be balanced with the obligatory inclusion of vegetables, fruits, oils, dairy products in the diet. The intestines and bladder must be emptied in a timely manner.
Sexual regimen is no less important, with regular intercourse. The same goes for sexual hygiene. It is important to stop drinking alcohol, smoking, as this leads to increased stagnation. Harmful occupational factors should be minimized - these are vibrations, hypothermia, physical inactivity, prolonged physical activity.
Doctors recommend that their patients do daily exercise from a complex of physiotherapy exercises (the best exercise for prostatitis). They should include loads aimed at improving breathing, but an increase in the tone of the pelvic floor muscles, abdominal muscles, the higher the physical activity, especially in the case when prostatitis is a consequence of physical inactivity, the better. You need to go in for walking, swimming, sports games. If work, on the contrary, is associated with increased physical activity, then it is necessary to alternate it with periods of rest. During this time, the legs should be kept in an elevated position. Wearing elastic stockings for varicose veins is mandatory.
Vitamin therapy is an important component of treatment. Patients are recommended to take vitamin complexes - Unicap, Pangexavit, Undevit, Gendevit, etc. Phosphorus preparations (Fitin, Lipocerebrin, etc.) allow to normalize the activity of the central nervous system. With depressive moods, you can take Glutamic acid. Tincture of valerian, calendula, motherwort is used for increased irritability. If disorders of the nervous system are more pronounced, then a neurologist's consultation is indicated.
Drugs that strengthen the walls of blood vessels, improve blood circulation are Venoruton, Trental, Complamin. The normalization of microcirculation in the pelvic organs is achieved thanks to the monthly course of Galidor.
Surgery is carried out if congestive prostatitis is caused by valve insufficiency of the veins of the lower extremities.
If the patient complains of dysuric disorders, then Pantogam may be prescribed. This drug allows you to reduce the frequency of urge to urinate, get rid of inadequate nighttime erections without compromising erectile function in general.
As for physiotherapeutic techniques, a positive result can be achieved through the complex application of magnetic laser exposure.
In general, congestive prostatitis responds well to treatment and has a favorable prognosis. However, the longer a man delays in contacting a specialist, the higher the risks of developing various complications, including: chronic prostatitis, bacterial prostatitis, prostate adenoma, varicocele, infertility, impotence, etc.
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Author of the article: Lebedev Andrey Sergeevich | Urologist
Education: Diploma in the specialty "Andrology" received after completing residency at the Department of Endoscopic Urology of the Russian Medical Academy of Postgraduate Education in the urological center of the Central Clinical Hospital No. 1 of JSC Russian Railways (2007). Postgraduate studies were completed here by 2010.
