Congestive prostatitis: provoking factors and course of the disease

If the inflammatory process in the prostate gland is caused by congestion, the disease is called congestive, congestive or non-infectious prostatitis.

Inflammation of the prostate develops due to incomplete emptying of the lobules filled with blood. Most often, congestive prostatitis in men occurs due to irregular sex life, which happens with older patients.

However, there are cases of the disease occurring against the background of chronic prostatitis and a number of other provoking factors.

Causes of congestive prostatitis

The main and main cause of the pathology is disruption of normal blood circulation in the pelvic organs. But prostate stagnation occurs due to factors such as:

1. Acute and/or chronic disease of an infectious nature. The infection enters the prostate through the urethra, rectum or lymphatic vessels;
2. Hormonal imbalance in the patient’s body;
3. Increased sexual activity leading to sexual exhaustion;
4. The practice of coitus interruptus;
5. Arousal that does not reach ejaculation;
6. Prolonged sexual intercourse with prolongation and “containment” of ejaculation;
7. Insufficient prostate emptying;
8. A sedentary lifestyle leading to poor circulation in the pelvic organs;
9. Varicose veins of the pelvic organs;
10. Injury or damage to the pelvic organs.

Factors can be combined and supplemented by individual reasons. It is possible to find out the provoking factor of a urological disease only by undergoing a full course of examination by a specialist.

By type, congestive prostatitis is divided as follows:

• Venous. Similar stagnation in men occurs if there are pathological changes in the venous system. For example, varicose veins of the lower extremities: the veins dilate, blood accumulates in the pelvic organ systems, which leads to the transition of the phenomenon to the prostate and causes the development of pathology.
• Congestive. The form of the disease is characterized by incomplete emptying of the gland, which leads to an increase in the inflammatory process - more common in mature men.
• Cognitive prostatitis is a pathology with implicit symptoms, dangerous for its complications. Stagnation leads to irreversible consequences of the glandular organ - detachment of the epithelial layers of tissue.
• Chronic congestive prostatitis. It appears due to irregular sex life, frequent masturbation, sedentary lifestyle and other factors. The main symptom is that seminal fluid comes out in the form of clots. The prostate gland increases in volume, which is dangerous due to the possibility of developing more complex pathologies.
• Infectious. It develops due to infection through the genitourinary system during the course of congestive pathology, which intensifies the inflammatory process and worsens the general condition of the patient.

Important! Only a specialist can identify the type and form of the pathology. Self-medication of congestive inflammation of the prostate gland without consulting a doctor is dangerous and is possible only in the early stages of the disease.

Symptoms of congestive prostatitis

In the first stages of prostate stagnation, the symptoms are subtle and blurred. This is what complicates timely diagnosis of the problem. But there are still some signs of pathology:

• aching sensations in the groin, replaced by burning, pain after long walks, standing;
• radiating pain to the sacrum area, inner thigh;
• decreased libido;
• feeling of incomplete emptying of the prostate – incomplete orgasm;
• poor erection;
• pain during urination;
• night acts of urine evacuation are characterized by a thin or intermittent stream;
• sharp stabbing pain in the groin, radiating to the anal area;
• deterioration in general health: weakness, fatigue, absent-mindedness.

The development of pathology from an acute form to a chronic one leads to an increase in pain syndromes - the discomfort becomes stable. Attacks of pain become more frequent and are localized in the groin.

However, acute relapses are replaced by remission and the patient believes that he has gotten rid of the disease, and congestive prostatitis has already turned into chronic, dangerous by inflammation of the excretory ducts and detachment of epithelial tissues.

Important! The most dangerous symptom is stopping urination. If a patient has a similar phenomenon, you should immediately consult a doctor, regardless of whether the syndrome is aggravated by pain symptoms or other signs of prostate stagnation.

Diagnosis of congestive prostatitis

The nonspecificity of the disease makes diagnosis difficult. In order not to be mistaken with the conclusions, the urologist conducts a number of examinations:

1. Palpation and rectal examination to assess the condition of the prostate gland and rectal hemorrhoids;
2. Blood and urine tests;
3. Analysis of prostate secretory fluid to determine resistance to drug groups;
4. Ultrasound;
5. In special cases, CT scans and examinations of the genitourinary system are prescribed - this allows us to clarify the cause of the pathology.

Only after a diagnosis is made, treatment for congestive prostatitis is prescribed. It should be remembered that the disease can be successfully eliminated at any stage, but preservation of full sexual abilities is possible with early treatment.

Treatment of congestive prostatitis

To select an effective treatment option for congestion in the prostate gland, an examination is carried out and an individual course of therapy is prescribed.

Today, medicine has a lot of possibilities for healing the disease: medication, physiotherapy, surgery, as well as folk methods of eliminating the problem help all patients without exception, but only the attending specialist can tell you how to treat congestive prostatitis.

Medicines

Drug therapy is prescribed using antibacterial agents, alpha-blockers, muscle relaxants, hormonal and phytotherapeutic agents.

Antibacterial drugs are indicated for the treatment of congestive prostatitis caused by infections, but the drug should be taken together with a group of drugs to maintain immunity.

The choice of medication is influenced by the bacterium that causes the pathology.

Alpha adenoblockers are medications that open the sphincters, which stops the impact of impulses affecting the muscle tone of smooth muscles. Taking medications improves the patient's condition, increases the rate of urination, reduces the sensitivity of spasms and pressure on the walls of the bladder. Popular drugs: Tropafen, Alfuzosin, Prazosin.

Herbal medicine is a specially selected complex of herbs used only as an addition to other methods of treatment. Herbal medicine relieves inflammation and swelling well, has an antibacterial effect, and helps disperse congestion in the prostate.

Treatment with hormonal drugs is used to normalize the balance of estrogens and androgens. Therapy relieves inflammation and prevents further development of pathology.

Important! Drug therapy is prescribed only by a specialist. Taking medications on your own is prohibited. Herbal medicine is also contraindicated in patients without an established diagnosis. In the early stages of congestive prostatitis, selecting the wrong complex will be ineffective, in the later stages it will lead to a deterioration in the patient’s condition.

Physiotherapy and its role in effective treatment

A huge number of methods of physiotherapeutic influence on the patient’s body allows you to select the most effective treatment, often without the use of heavy medications. The role of physiotherapy in eliminating the disease is great:

1. Normalization of blood circulation in the pelvic organs;
2. Getting rid of negative symptoms;
3. Restoring normal functionality of the prostate gland;
4. Increased male sexual potency;
5. Prevention of congestion.

Physiotherapeutic methods include:

• Prostate massage. One of the effective ways to treat congestive prostatitis. By improving blood circulation, massage completely eliminates congestion, improves muscle tone and diaphragm, enhances the effect of medications and normalizes the function of the prostate ducts. Contraindications: incomplete emptying of the bladder, organ cancer, cysts, stone formation in the prostate.
• Exercises aimed at strengthening and relaxing the pelvic floor muscles are a “home” treatment option that shows ideal results. A special set of exercises is simple to perform, for example: squeezing and unclenching the anus muscle, but at the same time it is so effective that it allows you to completely get rid of congestive prostatitis and never again experience the threat of pathology.
• Neuromodular (neuromodulator) therapy is treatment with electric currents aimed at eliminating pain syndromes. It is carried out in several ways, the most popular of which is stimulation of the nerve endings of the spinal cord. Percutaneous exposure provides a good result, however, treatment has contraindications and is prescribed on an individual basis.
• Acupuncture massage or acupuncture is a good and effective method that involves inserting special needles into strictly defined points of the body. Goal: activation of restoration processes and normalization of blood flow, acceleration of recovery. But there is a great danger of falling into the hands of a bad specialist and, instead of treatment, getting the problem worse.

The method of treating congestion of the prostate gland with a laser has proven itself very well. The effect on the nerve endings of the cells ensures rapid elimination of the main problem and accompanying negative symptoms.

Important! Physiotherapy, like other treatment methods, is prescribed by a specialist. Seeking help without an established diagnosis is dangerous.

Surgical methods

Treatment of stagnation with surgery is the last resort, which is resorted to in the absence of the effect of other methods of eliminating the pathology. Indications for intervention are:

• narrowing of the urinary channel;
• prostate abscesses;
• prostate sclerosis;
• BPH;
• violation of the outflow of secretions through the seminal vesicles.

There are several surgical techniques; the choice depends on the clinical picture of the pathology and the individual characteristics of the patient.

ethnoscience

Alternative healing options are welcomed by urologists, but only as an addition to traditional methods of eliminating the disease. The good thing about home treatment is that it increases the effectiveness of taking medications, reduces pain and normalizes blood flow.

How to treat congestion in the prostate:

1. Propolis tincture is sold in pharmacies or prepared independently from 100 grams. raw materials (natural) and 1 liter of pure vodka. Mix, leave in a dark, cool place for 14 days (shaking the container occasionally), take dropwise: 7-10 drops 4 times a day before meals. The propolis-based drug provides the fastest possible positive effect and is especially good for chronic congestive prostatitis in older patients.
2. Regular pumpkin seeds will help cure early forms of pathology. 100 gr. Grind the purified raw materials in a mortar to a paste, mix with 1 tbsp. l. good honey, take 1 tsp. on an empty stomach in the morning until the symptoms of the disease are completely eliminated and as a preventive measure.

The simplest and most affordable option for getting rid of congestive prostatitis is eating greens and parsley decoction.

The herb is rightfully considered “masculine” and helps not only to relieve all negative symptoms, but also to normalize blood circulation in the pelvic organs.

You can and should eat fresh greens every day, and also brew 100 grams. herbs 1 l. boiling water, leave for 15-20 minutes and drink as tea throughout the day.

Congestive prostatitis is a curable disease, but a man must understand that treatment should begin as early as possible. There are a lot of factors that provoke pathology, so stagnation can occur in any patient.

Source: https://ManExpert.ru/prostata/prostatit/prostatit-zastoynyy.html

Congestive prostatitis

Prostatitis, or inflammation of the prostate, in the male body has two types: stagnant and infectious. The main reason for the development of infectious prostatitis is viruses and bacteria that have entered the prostate.

Congestive prostatitis (also called congestive) is a very serious problem for both adults and young men all over the world, as it is difficult to treat and requires individual diagnosis for each patient (due to the presence of a large number of symptoms).

What is this pathology, what are its symptoms and causes of development in the male body?

The development of congestive prostatitis occurs due to the formation of congestion in the prostate, which entails the cessation of sexual activity. Stagnation in the organ more often occurs in men who lead an unhealthy lifestyle. It is almost impossible to independently identify this problem, especially if the pathology has already become chronic. The first abnormalities that appear in the prostate gland can only be cured with timely medical care. Therefore, every man should undergo regular routine examinations with a urologist. Treatment of congestive prostatitis with traditional methods is possible only under the supervision of the attending physician. There is no need to make a diagnosis yourself or self-medicate, this can only worsen the problem. Stagnation of blood in the prostate gland has its own characteristic symptoms and causes of development in each specific case, to which men must listen carefully. Inflammation in the prostate is provoked by the fact that the sinuses of the organ are not completely emptied and the gland is constantly filled with excess blood. Congestive prostatitis often develops simultaneously with chronic prostatitis, but can also occur independently.

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Chronic congestive prostatitis

This disease has its own characteristics of the course. It can only be recognized at the initial stage of development using the latest diagnostic methods in modern medical centers. Only a professional can do this.

What is the danger of congestive prostatitis

Prostate congestion is one of the most dangerous phenomena and, in terms of the degree of impact on the body, is equated to cancer. Congestive prostatitis entails dangerous consequences for the male body, which, despite modern medical technologies, are very difficult to eliminate.

Most men simply have no idea how serious this problem is, which is why the ensuing consequences arise: insufficient erection, development of impotence, formation of adenoma and development of prostate cancer.

To fully understand the danger of pathology, you should get to know it better. What you need to know:

• Congestive prostatitis is a urological pathology that causes inflammation of the prostate, which is very difficult to detect.
• The result of self-medication or untimely consultation with a doctor is the transition of the disease to a chronic form, accompanied by potency disorders, erectile dysfunction, psychological problems, urination problems and nervous disorders.

Congestion in the prostate, as a rule, is of a non-infectious nature and develops due to the formation of stagnation of blood and prostate secretion in the organ, caused by individual factors.

Causes of prostatitis

The formation of congestive processes in the prostate can be caused by the following factors:

• The most striking example of a person suffering from congestive prostatitis is an office worker who sits at a computer for days. As a rule, such men do not go to the gym, but mostly travel by car. As a result, there is insufficient oxygen supply to the prostate.
• Irregular ejaculation.
• Features of the structure of this organ.
• Swelling of the prostate due to stagnation of venous blood in the pelvic area.
• Age-related changes.
• Overheating of the body.
• Stool disorders.
• Lack of regular sexual contact. The main keyword here is regular. The condition of the prostate is negatively affected by both the complete absence of sexual activity and the alternation of long abstinence with exhausting “marathons”. Typically, this lifestyle is found among unmarried men.
• Chronic radiculitis.
• Masturbation that has become a habit (this process does not involve complete outflow of seminal fluid).
• Hormonal imbalance in the body.
• Bad habits.
• Frequent interruption of sexual intercourse due to fear of conceiving a child.
• Binge eating.
• Decreased immunity.
• Injuries or inflammations of the pelvic organs caused by excessive physical exertion and constant stress.
• Diseases of the genitourinary organs (urethritis).

Diseases of the genitourinary organs

Sometimes congestive prostatitis can occur due to severe hypothermia. It should be remembered that rubbing with snow after a bath or swimming in an ice hole cannot cause prostatitis. On the contrary, such hardening procedures only improve blood circulation in the prostate.

If a man has already been diagnosed with congestive prostatitis, he can no longer visit the sauna or dive into an ice hole, so as not to provoke the pathology to become chronic.
Congestion in the pelvic area can begin due to the presence of pathology of the rectum (constipation, hemorrhoids).

But the main cause of prostate dysfunction is hypothermia, a sedentary lifestyle of a man in addition to a lack of sexual intercourse.

Symptoms

It is very difficult to identify the symptoms of congestive prostatitis. The main signs of congestive prostatitis:

• impaired urination: intermittent and weak stream, frequent urge (especially at night) and painful sensations;
• poor erection;
• elevated temperature;
• fast fatiguability;
• decreased sperm quality;
• burning sensation and aching pain in the groin and perineum after visiting the gym;
• depression and anxiety;
• decreased libido;
• weak orgasm.

As the disease progresses, the pain stabilizes and becomes more severe. Pain in the perineum is more severe, similar to an attack, sometimes radiating to the anus. Problems begin in sexual life, including impotence.

It is important to remember that chronic prostatitis has the same symptoms, and if you do not start treating the pathology in time, you can cause great harm not only to the activity of the prostate, but also to the entire body. In this case, a comprehensive and professional approach is required.

Diagnostics

It is very difficult to make an accurate diagnosis of “congestive prostatitis,” so it is better to contact professional medical centers, where the doctor will prescribe you a rectal examination of the prostate, which requires careful preparation and examination of the condition of the hemorrhoidal veins of the rectum.

At the same time, the patient must undergo additional examination, including the necessary tests. After this, the secretion is tested for sensitivity to antibiotics.

At the first examination, the urologist performs palpation to identify changes in the prostate:

• organ enlargement;
• possible blurriness of the contours of the gland;
• smoothness of the middle sulcus;
• violation of consistency.

Unfortunately, laboratory testing does not reveal the presence of an infectious agent in secretions. The secret is released during the massage and has a changed thick consistency. Many men do not even notice the presence of clots in the seminal fluid during ejaculation. This indicates the presence of congestive prostatitis.

Treatment

After studying the results of tests and examinations, the specialist selects an individual treatment for prostatitis for the patient, the basis of which is antibacterial therapy. At the same time, antispasmodics, immunomodulators and special gymnastics can be prescribed. Treatment of prostatitis at home is possible only under the constant supervision of a doctor.

How to treat congestive prostatitis? Modern medicine has many different methods of treating congestive prostatitis:

Medicines

• Antibacterial agents - each specific antibiotic is influenced by an individual bacterium and the characteristics of the body. Aminoglycosides and beta-lactam drugs are usually prescribed, giving maximum effect in combination with physiotherapy.
• Hormonal medications are necessary to restore imbalances, shrink glands and relieve inflammation in the prostate.
• Alpha-blockers (Prazosin, Tropaphen) help open sphincters, reduce smooth muscle tone and spasms, normalize urination and eliminate pressure on the bladder.

Herbal medicine is effective in relieving pain, swelling and inflammation.
Muscle relaxants reduce the tone of the striated muscles, thereby reducing pain and tension in the pelvic diaphragm.

Physiotherapy

• Prostate massage is the most effective method of treating prostatitis, helping to activate blood flow and eliminate secretion stagnation. In addition, this procedure improves the activity of the gland and enhances the effect of antibiotics.
• A set of special exercises.
• Acupuncture is aimed at activating processes that promote rapid recovery of the body.
• Electrotherapy helps relieve pain.

Additionally, ultrasound treatment, LOD and electrophoresis may be prescribed.

Surgical methods

This is a last resort, which is used only if none of the methods has brought the desired result. Indications for surgical intervention are: severe narrowing of the urethra, prostate abscess, adenoma and sclerosis of the organ.

Folk remedies

Congestion in the prostate gland is quickly eliminated with the help of traditional medicine, in combination with other methods of treatment, which are very much welcomed by urologists. The most effective for eliminating congestion are decoctions (tinctures) made from: pumpkin seeds, propolis, red root and parsley. They normalize the process of urination, relieve pain and inflammation.

Every man should clearly understand that late-diagnosed and neglected congestive prostatitis will certainly go into the chronic stage, which may be treated, but will require a lot of time.

Prevention

In order to minimize the possibility of developing congestive prostatitis or to speed up prostate recovery, you should follow several simple recommendations:

• The main rule is to avoid colds and hypothermia.
• Try to ensure a safe and regular sex life. Completely avoid masturbation and do special exercises for the health and development of the prostate.
• Change your diet by eliminating smoked foods, fatty and spicy foods in large quantities.
• Lead an active lifestyle: walk a lot, play sports or yoga.
• Don't overeat.
• Quit smoking and alcohol.

If a man cares about his health, he should regularly visit a urologist to prevent any problems in the prostate and to eliminate them in a timely manner.

Doctors say that timely treatment of congestive prostatitis in combination with exercises makes it possible to completely get rid of the pathology.

To obtain the desired effect in the treatment of any pathology, the causes of its development must be eliminated.

If prostatitis is not treated

The prostate is a kind of barrier, protecting the male body from all kinds of pathogenic organisms. The prostate gland synthesizes useful substances and secretes secretions, and the main function of the sphincter is to retain urine. With advanced pathology, the gland loses its barrier function against infections.

In addition, congestive prostatitis can cause infection of the kidneys and genitourinary system. All this leads to chronic prostatitis, erectile dysfunction, nervous disorders and infertility.

Therefore, it is important to understand that one pathology always leads to disruption of the activity of other organs, which subsequently leads to a general imbalance.

Doctor of the highest category, Candidate of Medical Sciences, Diploma in General Medicine, Russian State Medical University named after. N. I. Pirogova (2000) Experience 17 years

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Source: https://kisstyle.ru/prostatit/zastojnyj-prostatit/

Congestive prostatitis: symptoms, diagnosis, treatment, prevention

• An incorrect sexual lifestyle in a man can lead to the development of congestive prostatitis, a fairly common disease that does not manifest itself for a long time.
• Congestive (stagnant) prostatitis is one of the types of prostatitis, manifested in the form of inflammation of the prostate gland when stagnation occurs in it: the lobules of the prostate are not completely emptied of the secreted secretion, and there is overcrowding with blood.
• The prostate is a male organ, the secretion it secretes is part of sperm; also covers the entrance and exit of the bladder during an erection.

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Etiology (causes)

Congestive prostatitis has a non-infectious (non-bacterial) nature of formation, as a result of stagnation of prostate secretions.

Most often, this disease affects the male population of mature age, especially against the background of existing chronic prostatitis. Young people who lead a sedentary lifestyle with irregular sexual intercourse are also at risk.

Stagnation of secretions and blood in the prostate is caused by :

• sperm retention, in the absence of regular ejaculation;
• disorders of venous circulation in the pelvic area.

Factors provoking the disease:

• absence or irregularity of sexual life;
• incomplete emptying of the seminiferous tubules during masturbation or interrupted sexual intercourse;
• excessive sexual activity also leads to the development of the disease;
• a sedentary lifestyle, as a result of constipation, hemorrhoids; diseases of the heart and blood vessels lead to congestion in the veins of the male pelvis;
• hormonal imbalances as a result of dysfunction of the prostate gland itself.

Symptoms

Attention! Congestive prostatitis is not an acute form of the disease, so a man may not notice the manifestations of this disease for a long time.

The main symptoms of congestive prostatitis that you should pay attention to relate to disorders in the human genitourinary system:

• painful sensations when urinating;
• decreased potency and quality of orgasm.

Additional signs : pain in the lower abdomen and perineum; difficulty in defecation; general weakness and increased fatigue; decreased sex drive.

Important! Prolonged painful prostatitis syndrome without establishing the infectious nature of the disease indicates the development of a chronic form.

1. Chronic congestive prostatitis or chronic pelvic pain syndrome develops unnoticed, against the background of sluggish symptoms of non-bacterial prostatitis or as a result of complications of other diseases.
2. During the development of the chronic form of prostatitis, dilation of the vessels of the prostate gland occurs, and then scar-sclerotic changes (wrinkling) of the gland itself.
3. Factors provoking the development of chronic prostatitis:

• disorders in the human genitourinary system;
• inflammatory processes in the kidneys or bladder,
• viral or fungal diseases, sexually transmitted diseases;
• lumbosacral radiculitis;
• general decrease in immunity;
• specific working conditions leading to venous congestion in the pelvic area (for example, a driver of a vehicle).

Complications of congestive prostatitis include: prostate abscess, impotence, infertility.

Diagnostics

Methods for diagnosing prostatitis include:

• digital rectal examination of the prostate;
• assessment of hemorrhoidal veins of the rectum;
• Ultrasound of the prostate gland;
• taking tests for bacteriological examination of urine and secretions, as well as for microscopic examination of secretions;
• An immunological and hormonal chart of the patient is compiled.

To exclude other diseases, X-rays, magnetic or computed tomography, and some endoscopic examinations may be necessary.

Treatment

How to treat congestive prostatitis? If symptoms of congestive prostatitis are detected, you should immediately contact a urologist.

Based on the results of the examination and the tests obtained, the doctor will make a diagnosis and prescribe adequate therapy. Self-medication is unacceptable!

Therapy for congestive prostatitis is complex and is selected individually for each patient.

Drug treatment

Prescription of antibacterial therapy. Despite the fact that congestive prostatitis is not bacterial, it can be a complication of another infectious disease of the body, which should be cured with antibacterial therapy.

Important! Before prescribing antibiotics, it is necessary to determine the sensitivity of prostatic secretions to their groups. Also, during therapy it is necessary to undergo tests in order to draw a conclusion about the appropriateness of the prescribed treatment.

Use of non-steroidal anti-inflammatory drugs: Ibuprofen, Aspirin, Ortofen. The remedies will help reduce inflammation and relieve pain.

Antispasmodics alpha-adrenergic blockers: Dalfaz, Omnic are widely used for congestive prostatitis, they help relieve muscle spasm in the prostate area, thereby promoting the outflow of secretions. Prescribed by a doctor.

The use of drugs that improve blood circulation in the pelvis and prostate gland: Phlebodia 600.

Immunomodulators : Vitaprost, Polyoxidonium, Longidaza.

ethnoscience

Traditional medicine is based on the use of natural remedies and is characterized by a mild therapeutic effect (reduction of inflammation, pain, swelling) and the absence of side effects.

1. The most effective remedy : twist half a kilo of raw pumpkin seeds and mix with 1 glass of honey. Make small balls from the pulp, eat a ball 2 times a day before meals.
2. The use of propolis will have an analgesic and antispasmodic effect. Evaporate 40 g of propolis in a glass of alcohol. K 0.1 gr. add 2 grams of the resulting substance. cocoa butter, form a candle. Use 1 suppository rectally every day for a month. You can also purchase ready-made candles with beekeeping products: Apis, Propolis-D.
3. Chestnut tincture will help get rid of inflammation . Peel the brown peel, chop, pour boiling water and leave to infuse in a thermos overnight. Then strain and drink instead of tea for a month. The course must be repeated 3 times per goal.
4. the overall strengthening of the body : a mixture of freshly squeezed beet, carrot, and cucumber juices. Drink 500 ml per day.

Diet

The patient’s diet and drinking plenty of fluids play a big role in recovery.

The diet is based on the basic rules of healthy eating. In case of chronic congestive prostatitis, you should limit the intake of fatty meat and fish broths, spices, onions, garlic, and foods that cause flatulence (dairy products, cabbage, legumes).

Heating

Procedures that produce a thermal effect that helps improve capillary blood flow, metabolic processes in organ cells, and enhance the outflow of secretions and lymph include thermal methods of exposure using special devices that increase the temperature in the prostate tissue from 45 to 70 degrees.

Sports loads

Doing simple exercises every day will help eliminate congestion in the prostate gland and venous vessels of the small pelvis, improve blood circulation, microcirculation, and oxygen exchange :

1. When urinating, hold the flow of urine for a few seconds; this process will involve the muscles that need to be developed. Repeat interrupting the stream up to 5 times, then relax and complete the process.
2. Contraction of the anus muscles: tighten the buttocks, squeeze the anus. The exercise can be done in normal life circumstances (sitting at a table, while walking) 30 times, up to 5 approaches per day. When performed over a long period of time, increase the frequency of contractions to 100 times.
3. Standing: - slowly squat, spreading your knees to the sides; — raise your knees one by one as high as possible, while keeping your back straight; tilts and turns the body left and right, back and forth. Perform 5 times in 2 approaches.
4. While sitting or lying on your back, hold the ball between your knees for 6 seconds and relax. Sit on the ball and roll it between the perineum, massaging this area.
5. Exercise “Birch”: lying on your back, raise your legs up, stretch as high as possible for 15 seconds, supporting your lower back with your hands.
6. Lie on your back, bend your knees, raise your pelvis, spreading your knees to the sides. Perform up to 8 times in three steps.
7. Lying on your stomach or side, lift your straightened legs off the floor by 5 cm and hold them in the air for a few seconds. Repeat 10 times on each leg.
8. Sit on the floor: - straining your buttocks, move around, imitating steps (100 steps); - Leaning forward, try to reach your feet.

Important! Exercises No. 1 and 2 were developed by gynecologist Kegel and are used all over the world, especially in the fight against congestive prostatitis. During exercise, pain may occur in the lower abdomen. Do not stop doing gymnastics; after training the muscles, the discomfort will go away.

Playing sports is not only a method of choice for the treatment of congestive prostatitis, but also a way to prevent the disease.

Prevention

The following will help prevent the development of the disease:

• healthy and active lifestyle;
• regular sex life, preferably with a regular partner;
• do not overcool and promptly treat diseases of the gastrointestinal tract, heart, kidneys, and bladder.

Source: https://LechenieBolezney.com/urology/prostatitis/vidy/kognestivnyj.html

Congestive prostatitis

Congestive prostatitis is a pathological process in the prostate gland caused by congestion. Pathogenic flora is not detected; microscopy of prostate secretions, semen and urine may reveal leukocytes. Symptoms include constant aching pain in the perineum, dysuria. Diagnostics is based on the results of bacterial culture of biomaterial and TRUS. There is no single treatment regimen for congestive prostatitis; massage, physiotherapy, antimicrobial drugs, and alpha-blockers are prescribed. An individual approach is required, taking into account the existing symptoms. If conservative treatment fails, surgery is possible.

Prostatitis can be infectious, caused by the presence of pathogenic microflora, or stagnant, associated with blood congestion, retention of ejaculate and prostate secretions. Congestive or congestive prostatitis (vegetative urogenital syndrome, prostatosis) is an outdated name.

Modern specialists in the field of urology more often use the term “chronic pelvic pain syndrome without inflammatory response” (CPPS). Prostatitis occurs in 25% of men 35-60 years old, inflammation caused by congestive processes accounts for 88-90% of the total number of cases.

The potentially congestive form of the disease is supported by pathogens that are in L-forms, fixed on biofilms and not detected by routine methods.

Congestive prostatitis

The causes of congestive prostatitis can be associated both with the gland itself and with extraprostatic factors. The exact etiology is unknown, probably due to stagnation of secretions in the prostate or is a consequence of venous congestion in the pelvic organs and scrotum.

Some urologists regard the condition as psychosomatic. The line between bacterial and abacterial inflammation is very arbitrary; with immunosuppression of any origin, due to the addition of secondary microflora, the process becomes infectious.

Congestive prostatitis is caused by:

• Internal urological causes . Functional or structural pathology of the bladder: cervical obstruction, inability of the external sphincter to relax during bowel movements, impaired detrusor contractility contribute to urinary retention and, due to compression of the vessels, blood stagnation. Prostate hyperplasia and tumor, urethral stricture, and obstructive bladder stone are also considered potential causes of venous congestion.
• Compression . Blood circulation is hampered due to compression of the venous plexus by a retroperitoneal tumor, metastases, and intestinal loops filled with feces (constipation). The vessels of the genitourinary plexus dilate, blood flow slows down, tissues experience oxygen starvation and are replaced by non-functional structures. Part of the blood is deposited and switched off from circulation.
• Behavioral factors . Refusal of sexual activity, irregular ejaculation and the use of interrupted sexual intercourse as a means of preventing unwanted pregnancy cause blood flow and swelling of the prostate tissue. During ejaculation, this gland is not completely drained. Constant masturbation can lead to congestive prostatitis, because... For the development of an erection, a rush of blood to the genitals is necessary.

Predisposing factors include low physical activity, hypothermia and overheating, poor diet with a predominance of spicy, smoked foods.

Alcohol and nicotine affect the tone of the vascular wall, disrupt redox processes and permeability, which provokes swelling.

The main prerequisites for the formation of congestive prostatitis with an effect on all organs of the male genital area (vesicles, testicles) are considered to be anomalies of the vascular system of the pelvis - valvular insufficiency, congenital weakness of the venous wall.

The peripheral zone of the prostate gland consists of ducts that have a poorly developed drainage system, which impedes the outflow of secretions.

As the prostate enlarges with age, patients develop reflux of urine into the prostatic tubes. It has been noted that many men suffering from prostatitis are more prone to allergies.

Scientists believe that such patients may also suffer from autoimmune-mediated inflammation caused by a previous infection.

Fibrosis of the tubules is initiated, preconditions are created for prostatolithiasis, which increases intraductal obstruction and stagnation of secretions.

Inadequate drainage of the acini triggers an inflammatory reaction, increasing swelling is accompanied by the appearance of symptoms. The condition is aggravated by congestion (stagnation) of blood in the pelvis.

The general classification of prostatitis includes acute (I) and chronic (II) bacterial forms. Category III includes subtype IIIa – CPPS with inflammation and IIIb – CPPS without it. Congestive prostatitis is considered a manifestation of CPPS with the absence of an inflammatory response (IIIb). There is a clinical differentiation that takes into account the pathogenetic and morphological features of the disease:

• First stage. Characterized by the predominance of processes of exudation, emigration, arterial and venous hyperemia, resulting in damage to the microvasculature and destruction of glandular tissue. These changes are recorded during the first years from the onset of the disease. The clinical picture at the first stage is most pronounced.
• Second stage. The initial processes of connective tissue proliferation develop, and symptoms decrease. Due to thrombus formation, microcirculation suffers, which aggravates sclerosis. At this stage, most patients experience sexual dysfunction: the erection and intensity of orgasm weaken, premature ejaculation develops, or vice versa, the man experiences difficulties in achieving climax.
• Third stage . Severe fibrosclerotic changes are typical. It has been proven that the proliferation of connective tissue is stimulated not only by inflammation, but also by ischemia that accompanies congestive prostatitis. Complaints of difficulty urinating are typical, and kidney involvement in the pathological process is noted.

The pathology manifests itself with a variety of symptoms. Most patients describe the pain as constant discomfort in the perianal area, scrotum or penis. Some note increased perineal pain when sitting.

The irradiation of pain is variable - to the lower back, inner thighs, tailbone. Swelling of the gland often makes it difficult to start urination and weakens the urine stream.

A congestive type of inflammation against the background of vascular pathology is often accompanied by hemospermia - the appearance of blood in the semen.

Symptoms of bladder irritation include frequent urge and urge urinary incontinence. With long-term pathology, depressive disorders develop.

It is still debatable whether psycho-emotional characteristics lead to discomfort in the perineum or, conversely, pain caused by swelling of the prostate gland affects the mental state of a man.

An increase in temperature with chills indicates the transition of abacterial congestive prostatitis to infectious and the need to begin pathognomonic treatment.

Congestive prostatitis with the addition of microflora can become acute bacterial. Neighboring organs and structures may be involved in the inflammatory process: vesicles, bladder, testicles.

Insufficient amounts of nutrients and changes in the biochemical properties of prostatic secretions inevitably affect the quality of the ejaculate; men with congestive prostatitis are more often diagnosed with infertility.

With severe swelling of the organ, part of the urine after urination remains in the bladder, which leads to the formation of pathological reflux of urine into the ureters and the renal collecting system.

In response to reflux, hydronephrosis and persistent pyelonephritis with impaired renal function may occur.

50% of men develop sexual dysfunction: painful ejaculation, dyspareunia, uncomfortable nocturnal erections, which worsens the quality of life and negatively affects the relationship in a couple.

Determining the origin of symptoms is crucial for the effective treatment of congestive prostatitis, therefore various questionnaires have been developed to facilitate diagnosis: I-PSS, UPOINT.

These questionnaires are available in Russified form; they are used by urologists and andrologists in their practice. To exclude myofascial syndrome, consultation with a neurologist is indicated.

On palpation, the prostate is enlarged, moderately painful; the congestive nature of the disease is evidenced by varicose veins of the rectum. Diagnosis of congestive prostatitis includes:

• Laboratory testing . A microscopic and cultural examination of prostate juice is performed. A slight increase in the number of leukocytes under microscopy and negative bacterial culture results confirm abacterial congestive inflammation. PCR tests are carried out to exclude the sexually transmitted nature of the disease. In the third portion of urine after the massage, more pronounced leukocyturia is detected. To exclude a bladder tumor, urine cytology can be performed; in patients over 40-45 years old, a PSA blood test is justified.
• Visual methods of research . The main instrumental diagnostic method remains TRUS, ultrasound of the bladder. The results of cystourethrography are informative in confirming dysfunction of the bladder neck, revealing intraprostatic and ejaculatory reflux of urine, and urethral stricture. In case of pronounced weakening of the jet, uroflowmetry is performed. The tension of the pelvic floor muscles is assessed using a videourodynamic study.

Differential diagnosis is carried out with bladder carcinoma, BPH, interstitial cystitis.

Similar manifestations are observed in genitourinary tuberculosis and urethral stricture, since these nosologies are also characterized by pain in the lower abdomen, symptoms of dysuria, and difficulty urinating.

Congestive prostatitis is distinguished from bacterial prostatitis; in addition, all pathological processes that are accompanied by CPPS in men must be excluded.

A number of products have been identified that increase the chemical aggressiveness of urine - their consumption leads to increased symptoms of congestive prostatitis. Spices, coffee, marinades, smoked foods, alcoholic and carbonated drinks should be limited, or better yet excluded.

Treatment of congestive inflammation of the prostate gland can be conservative and surgical.

Conservative therapy

The treatment regimen is selected individually, depending on the prevailing symptoms. In many patients, improvement occurs after taking antibacterial drugs, which is explained by incomplete diagnosis of latent infections.

For sluggish urinary stream and the need to strain, alpha-blockers are prescribed. Urinary urgency is neutralized with anticholinergic drugs.

5-alpha reductase inhibitors have been shown to reduce the severity of clinical manifestations by reducing the response of macrophages and leukocytes and their migration into the inflammatory zone.

Pain relievers, nonsteroidal anti-inflammatory drugs, and muscle relaxants can help relieve pain and muscle spasms. It is reasonable to include in the treatment regimen drugs that normalize microcirculation – phlebotonics (venotonics).

If the stagnant process supports androgen deficiency, they resort to hormone replacement therapy.

Patients with anxiety-hypnotic and depressive disorders are advised to consult a psychiatrist who will select the optimal antidepressant.

With congestive inflammation of the prostate, physiotherapeutic procedures help normalize men's health. They use laser and magnetic therapy, electrophoresis, etc.

In some patients, normalization of well-being is noted when performing exercise therapy to reduce tension in the pelvic muscles. Prostatic massage does not replace natural ejaculation, but improves blood circulation and drainage of the organ.

Minimally invasive treatment methods

If conservative therapy is unsuccessful, high-tech interventions are considered - transurethral resection of the prostate, high-intensity focused ultrasound ablation.

The most effective is transrectal hyperthermia - a non-invasive method based on the principle of thermal diffusion (the prostate is exposed to unfocused microwave energy).

Heat increases tissue metabolism, reduces congestive symptoms, and has a neuroanalgesic effect. Data on the effectiveness of procedures in the treatment of congestive prostatitis are limited.

The prognosis for life is favorable, but chronic pelvic pain is difficult to treat. Sometimes congestive prostatitis resolves spontaneously over time.

A long-term circulatory disorder leads to sclerosis of the gland tissue, which is manifested by a deterioration in spermogram parameters.

The prognosis for congestive prostatitis largely depends on the patient’s compliance with all recommendations and lifestyle changes.

Prevention involves playing sports, avoiding heavy lifting, normalizing sexual relationships, and avoiding consumption of coffee and alcohol. When working sedentarily, it is recommended to take breaks to do physical exercises and use a pillow.

Source: https://www.KrasotaiMedicina.ru/diseases/zabolevanija_andrology/congestive-prostatitis

Main signs and treatment of congestive prostatitis

Non-bacterial forms of prostatitis occur in men of different ages, causing the development of characteristic dysuric symptoms that negatively affect the patient’s quality of life.

Timely diagnosis of congestive prostatitis associated with obstruction of the ducts of the prostatic gland or stagnation of blood in the pelvic organs makes it possible to select effective therapy aimed at eliminating the causes of the pathology and existing symptoms.

Doctors always tell men that if any minimal symptoms appear, they should seek professional medical help immediately. Attempts at self-medication lead to rapid progression of the disease or the development of negative consequences of prostatitis, which are difficult to treat.

The occurrence of pathology

• irregular sexual life, characterized by the development of congestion in the ducts of the prostatic glands. This type of disease is called congestive prostatitis and occurs in men of different ages. It is important to note that excessive sexual intercourse also negatively affects the condition of the prostate gland;
• Inflammatory processes in the pelvic organs can lead to the development of prostatitis due to impaired blood circulation in the vessels and the spread of infection to the prostate. Inflammation occurs against the background of general or local hypothermia, inadequate physical activity, chronic stress, etc.;
• stagnant changes in the vascular bed occur in men with impaired venous outflow from the pelvic veins. This situation is associated with low physical activity of a person during the day, varicose veins and traumatic injuries to this anatomical region.

These factors can occur together, leading to rapid development of the disease and low effectiveness of therapy. It is important to note that treatment of congestive prostatitis will lead to a man’s complete recovery only if all of the listed factors are eliminated from his life, since otherwise, frequent relapses of the pathology are possible.

Clinical manifestations

The development of congestive prostatitis takes several months. As a rule, the first signs of the disease do not cause serious concern for a man and see a doctor. Patients experience mild pain in the perineal area, which sometimes spreads through the urethra and into the male genital organs. In addition, there may be discomfort and burning in the urethra, which intensifies when going to the toilet.

Further progression of the disease in the absence of treatment leads to the fact that the symptoms of congestive prostatitis become pronounced. The pain intensifies significantly and persists constantly.

Urination leads to increased pain, and the sensations themselves radiate to the lower back, leg, etc. Erectile dysfunction gradually develops, which can result in impotence.

With severe swelling of the prostate, the patient develops dysuric disorders: urination becomes frequent, including at night, and after going to the toilet the feeling of residual urine in the bladder persists. Severe pain and constant discomfort lead to the development of insomnia and depression. Men experience general weakness and loss of appetite.

Congestive changes in the prostate gland are chronic. When diagnosing the disease, it often turns out that men have had discomfort and periodic pain for several years.

At the same time, chronic congestive prostatitis can be effectively treated in the initial stages of the disease, when changes in the prostate are functional and temporary.

In the absence of treatment, against the background of stagnation in the prostate gland, the development of adverse consequences is possible: bacterial infection with the occurrence of severe intoxication syndrome (fever, headaches, general weakness), acute urinary retention, sexual dysfunction and impotence.

Source: https://prostatitaid.ru/prostatit/zastojnyj.html