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Congenital prostatitis in men - causes and treatment

Prostatitis is a urological inflammatory disease that affects the prostate gland. Most often, middle-aged and older men are affected by this disease (sometimes found in younger guys).

It is divided into two groups: infectious (when microbes, bacteria, microorganisms enter the prostate) and non-infectious (violation of the blood circulation in the pelvic organs). Consider one of the varieties of the disease of a non-infectious group - congestive prostatitis.

Congestive prostatitis - what is it?

Congenital prostatitis is a non-communicable disease of the prostate that results from stagnant processes in the pelvic area.

The prostate gland plays an important role in the sexual function of men. She produces secret (responsible for sperm activity), substances (prostaglandins) contributing to increased blood flow to the penis at the time of erection. Participates in the process of testosterone production, promotes the release of sperm during orgasm. Prevents reverse urine flow during sexual arousal.

Failure of these functions leads to circulatory disorders in the veins of the small pelvis. There is a squeezing of the prostate, leading to incomplete emptying of its lobes from the accumulated secret. It remains overfilled with blood, which leads to a violation of its functions, a change in size, structure. This contributes to the appearance of congestive prostatitis.

Occurrence factors

The main causes leading to venous congestion in the prostate and the onset of the disease are:

  • Impaired prostate function.
  • Genetic predisposition to stagnation.
  • Decreased physical activity (sedentary lifestyle)
  • Doing irregular sex or lack thereof.
  • Interruption of sexual intercourse (ending with incomplete ejaculation)
  • Complication after suffering inflammatory and infectious diseases of the pelvic organs.
  • Overweight.
  • Eating salty, fatty, fried, spicy, smoked foods,
  • Excessive alcohol consumption.
  • Wearing tight-fitting clothes and underwear.

Causes of Congestive Prostatitis

Congestive or congestive prostatitis is most often diagnosed in men of an older age group. The main cause of the disease is a stagnant process in the prostate that occurs when the following factors are exposed to the body:

  • passive, sedentary lifestyle,
  • lack of sex or very rare sexual intercourse,
  • interrupted sexual intercourse for a long time,
  • varicose veins of the pelvic organs, which leads to circulatory disorders,
  • violation of the blood supply to the prostate,
  • chronic prostatitis, adhesions, stones in the prostate.

Chronic congestive prostatitis can occur against the background of several negative factors. The love of alcohol and smoking also have a beneficial effect on the development of pathology. Nicotine and ethyl alcohol provoke a vasospasm, impairing blood circulation even more, which also leads to stagnant processes in the prostate gland.

Congestive prostatitis and its symptoms

Symptoms of congestive prostatitis are mild, especially compared with the acute bacterial form of the disease. If with an infectious prostatitis the patient is concerned about pain, urinary retention, body temperature may rise, then congestive prostatitis develops for many years and symptoms gradually appear.

A man with a stagnant process in the prostate gland has problems with urination. First, the patient begins to visit the toilet more and more often, especially at night. Then it becomes more difficult to empty the bladder, you have to push, urine is allocated dropwise.

If at this stage the man does not receive treatment, stones called calcinates form in the prostatitis. Congenital prostatitis with calcifications is accompanied by more severe symptoms, in particular, pain in the groin, during urination and erection, and acute urinary retention.

In the end, congestive prostatitis leads to impotence, urinary incontinence, constant pain. At the same time, patients experience emotional instability, they become irritable, insecure. To avoid such consequences, you should consult a doctor for any problems with urination, even minor ones, and get a consultation.

Treatment of congestive prostatitis

Congestive prostatitis is a chronic disease that does not require hospitalization; treatment is carried out on an outpatient basis. Therapy largely depends on the results of the examination, which will be carried out when contacting a doctor. Therefore, there can be no talk of any self-medication; it is highly likely to lead to a worsening of the condition over time.

During the examination, the patient must pass urine and prostate juice tests, a smear from the urethra, blood tests. If an infectious agent has been identified, then antibacterial therapy will be prescribed first. To normalize the outflow of urine, alpha-blockers, antispasmodics are prescribed.

The main goal of congestive prostatitis therapy is to restore normal nutrition in the gland. For this, the patient is shown:

  • Every day do exercises, walk as much as possible, walk. It will not be superfluous to go in for sports, for example, swimming, cycling.
  • Have regular sex, preferably every 3 days. Interrupted intercourse is strictly contraindicated. It is necessary to avoid arousal in the idle, an erection must necessarily end with an ejaculation.
  • Normalize weight. Obesity or malnutrition must not be tolerated.
  • Normalize nutrition, it should be balanced, healthy and tasty. Fatty, spicy, salty, very sweet, alcohol, coffee are excluded.

With congestive prostatitis, not complicated by calcifications and infection, prostate massage is useful. It helps to provoke the outflow of prostate fluid, improve blood circulation in the pelvis.

It will not be superfluous to carry out a general massage in the lower back and lower abdomen, perineum. Daily rubbing will help improve circulation in the pelvic area.

If the patient has calcifications in the prostate gland, or is concerned about pain, it is prohibited to stimulate the prostate. It is necessary to consult a doctor and eliminate the acute inflammatory process, only with the permission of the andrologist physical effects are possible.

Conception with congestive prostatitis

Unfortunately, congestive prostatitis is a chronic pathology that cannot be completely cured. But if a man begins to heal on time and changes his lifestyle once and for all, pathological changes in prostatitis can be stopped. In this case, it is always possible to restore normal function to the body, restore potency and the process of urination.

The longer the prostate is deprived of proper nutrition, the more it degrades and collapses. If the prostate gland does not function well, the patient runs the risk of getting kidney stones, pyelonephritis, and incontinence. Against the background of congestive prostatitis, a tumor is more likely to appear in the gland, including malignant, and the subsequent death of the patient.

An equally formidable complication is infertility. The fact is that the prostate gland not only regulates the process of urination, it also secrets prostatic juice - an important component of male ejaculate. Prostate juice is ejected during ejaculation, enveloping sperm. It is a stimulant and makes them actively move when they enter the vagina.

With congestive prostatitis, prostate juice stagnates, changes its composition, and is not thrown out in the right amount during ejaculation. As a result, spermatozoa remain slow and die quickly in the acidic environment of the vagina, not having time to penetrate the uterus, pregnancy in this case is unlikely.

In addition, congestive prostatitis is often accompanied by chronic infections. Due to circulatory disorders, the prostate becomes defenseless against pathogenic microorganisms, they easily penetrate the organ and take root there. Naturally, pathogens do not have the best effect on sperm, they make them non-viable.

Do not forget that the stagnant process in the small pelvis necessarily leads to impotence. If blood circulation is impaired in the prostate and the patient is not being treated, then the penis and testicles will soon be lacking in nutrition, and erection and ejaculation will become physically impossible phenomena.

Conception with congestive prostatitis is possible, but for this a man will have to go a difficult and long way. First of all, of course, it is necessary to be examined and begin to be treated, as well as radically change your lifestyle. The duration of therapy is usually at least 3 months, after which the patient gives a spermogram to assess sperm quality.

Natural conception is unlikely, especially in mature patients, as the health of a woman has a huge impact. At the same time, it is rarely possible to achieve high sperm motility even after treatment.

Therefore, couples with male factor infertility are often recommended to undergo in vitro fertilization. In this case, the embryologist selects viable sperm, manually fertilizes the eggs with them, and then places the embryo in the woman’s uterus.


Congenital prostatitis is a disease that greatly impairs the patient’s quality of life, so you need to take this disorder very seriously.

If a man is concerned about problems with urination or potency, you need to drop all doubts and immediately contact an andrologist. The sooner prostatitis is diagnosed, the easier it will be to get rid of it.

What is congestive prostatitis?

Due to trophic disturbance, the organ swells and grows in size, a non-infectious inflammatory process develops. Due to the increase in the organ, the urethra is compressed, which causes the development of urination disorders.

Stagnation of prostate secretion entails a violation of sexual function - weakening potency, difficulty in achieving an erection and ejaculation. Perhaps the development of pain after ejaculation due to a complicated outflow of prostate secretion.

The disease is diagnosed in more than 80% of cases of urination disorders and the presence of pelvic pain in men older than 45 years. Pathology is considered a disease of office workers, since the main factor determining the development of congestive prostatitis is physical inactivity.

Unlike other forms of the disease, congestive prostatitis is characterized by a protracted course. Perhaps a long asymptomatic course of the disease.

Men with sedentary work are especially at risk for congestive prostatitis.

Causes of the disease

Congestive prostatitis develops due to stagnation of the secretion in the prostate gland, due to which the second name of the disease is congestive prostatitis. First of all, stagnation is formed due to the thickening of the secretion of the prostate. The reason for this phenomenon is the lack of regular ejaculation. Prolonged sexual abstinence leads to the fact that the lobules of the body are not emptied. The secret accumulates and begins to thicken, which violates the trophic organ.

The second reason for the development of congestive prostatitis is pathology of a cardiovascular nature. Heart failure, coronary heart disease and hypertension lead to a deterioration in peripheral circulation. This primarily affects the blood flow of the pelvis. As a result of insufficient blood flow, metabolic processes in the prostate are slowed down, which provokes thickening of the secretion and the development of prostatitis.

Additional factors causing the development of the disease:

  • lack of exercise
  • excess weight,
  • hormonal disorders
  • frequent stresses
  • bad habits.

Prostate health is directly related to the functioning of the cardiovascular system, sexual activity and lifestyle of a man.

Despite the fact that congestive prostatitis is considered a disease of older men, young men who lead an unhealthy lifestyle are not immune from the development of the disease. Bad habits, an unbalanced diet, obesity and lack of regular sex lead to poor prostate health.

An active lifestyle and regular sex will not allow stagnant processes to develop.

Symptoms of the disease

Chronic congestive prostatitis can be asymptomatic for a long time. Exacerbation of symptoms occurs against a background of decreased immunity, stress or hypothermia.

Signs and symptoms of congestive prostatitis, compared with the bacterial form of inflammation, are moderate. These include:

  • frequent urination
  • a feeling of heaviness in the anus, aggravated by bowel movements,
  • bladder cramps
  • weakening potency.

The increase in urge to the toilet is observed at night. This is due to an increase in edema of the prostate and irritation of the bladder.

Due to circulatory disorders, weakening of sexual desire is noted. Over time, this can lead to impaired erection, due to insufficient blood flow to the genitals.

Chronic non-infectious prostatitis can worsen against the background of conditions accompanied by a decrease in immunity - colds, hypothermia, severe stress. This is accompanied by increased symptoms. Increased urination is observed in the afternoon, there is a pronounced pain syndrome in the perineum, bladder and anus.

Congestive prostatitis is not accompanied by fever and intoxication symptoms, since inflammation is caused by non-infectious causes.

Permanent visits to the toilet do not bring relief

Another common name for a disease

Many men know firsthand about prostatitis. Not to mention the forms of an unpleasant ailment in men, the varieties of inflammatory reactions in the prostate are represented by a dozen, if the cause of the disease is taken as the basis for the classification.

One type of prostatitis occurs without infection, but due to irregular sex life and a sedentary lifestyle.

In practice, this variety is called stagnant, and in the medical literature is known as "congestive prostatitis."

Establishing diagnosis

The diagnosis is made on the basis of the following examinations:

  • palpation of the prostate
  • Ultrasound and TRUS organ
  • Ultrasound of the kidneys and bladder,
  • analysis of prostate secretion,
  • blood and urine tests.

An ultrasound examination is prescribed to exclude the presence of calculi and neoplasms in the prostate gland. Additionally, kidney tests and blood and urine tests may be required to exclude other diseases of the genitourinary system.

Causes of the disease

Congestive prostatitis in the form of congestion in the prostate can cover both the secretion of the follicles of the prostate and the blood in the circulatory bed of all its tissues.

By the nature of the stagnant phenomenon, the causes of the disease are distinguished, combining in 2 groups:

1.The first group includes sources leading to stagnation of fluid in the prostate:

  • complete exclusion of sexual activity,
  • prolonged abstinence from sexual intercourse,
  • rare sexual contacts,
  • rejection of sexual life in favor of a long period of masturbation,
  • incomplete ejaculation due to interruption of sexual intercourse.

2. Sources of blood stasis in the prostate are:

  • obesity of any degree
  • frequent too long acts
  • physical inactivity and prolonged lying time,
  • continuous protection from conception by interruption of sexual intercourse,
  • excessive physical activity.

Drug therapy

To treat congestive prostatitis, a urologist selects a comprehensive treatment regimen for the patient, the main place in which is drug treatment.

With the development of stagnation in the prostate, bacteria are activated that accompany and enhance the inflammatory process.

For the correct treatment regimen, a bacteriological analysis of the secretion of the prostate will be required, after which antibiotics are selected individually.

Usually from antibacterial agents in the practice of treating prostatitis are used:

If typical gram-positive microorganisms are found, you can limit yourself to Kanamycin or Neomycin.

With a staphylococcal environment or an abundance of gram-negative bacteria, preparations of the 2nd generation (Gentamicin) or 3-4 generations (Isepamycin, Amikacin, Netilmicin, etc.) are necessary,

The antibacterial group is the most diverse, it includes several subgroups:

  • Natural (Benzatin phenoxymethylpenicillin) and semi-synthetic origin (Ampicillin, Amoxicillin, etc.) penicillins,
  • Cephalosporins 1st generation (Cefadroxil), 2nd (Cefaclor), 3rd (Ceftriaxone), 4th (Cefepim),
  • Carbapenems (Tienam, Mireksid, etc.) are used only in rare cases of severe stagnant processes that entailed complications,
  • Monobactams are a new antibiotic group, so far represented by 1 representative - Aztreonam.

Represented by 12 antibiotics, but the number of brand names of drugs is several times higher than the number of active substances, the most common of which are Azithromycin, Erythromycin, Clarithromycin and Oleandomycin.

Norfloxacin, Levofloxacin, Perfloxacin, etc.

General information

Prostatitis can be infectious, due to the presence of pathogenic microflora, or congestive, associated with blood congestion, delayed ejaculate and prostate secretion. Congestive or congestive prostatitis (autonomic urogenital syndrome, prostatosis) is an outdated name. Modern experts in the field of urology more often use the term "chronic pelvic pain syndrome without inflammatory response" (SKTB). Prostatitis occurs in 25% of men 35-60 years old, inflammation caused by stagnant processes, is 88-90% of the total number of cases. The potential congestive form of the disease is supported by pathogens in L-forms, fixed on biofilms and not detected by routine methods.


The peripheral zone of the prostate gland consists of ducts that have a poorly developed drainage system that impedes the outflow of secretion. As the prostate enlarges with age, patients develop urinary refluxes into the prostatic tubes. It is noted that many men with prostatitis are more prone to allergies. Scientists believe that such patients may also suffer autoimmune-mediated inflammation caused by a previous infection.

Urine reflux is facilitated by urethral stricture, urinary bladder dysfunction, and BPH. The reflux of even sterile urine leads to chemical irritation, inflammation. Tubular fibrosis is initiated, prerequisites for prostatolithiasis are created, which increases intraductal obstruction, stagnation of the secret. Inadequate drainage of acini triggers an inflammatory reaction, an increase in edema is accompanied by the appearance of symptoms. The condition exacerbates the congestion (stagnation) of blood in the pelvis.

General characteristics and clinical picture of pathology

Congestive prostatitis is a non-infectious inflammation of the prostate gland in which venous blood stasis is observed in the pelvic area and directly in the prostate. The pathological process can be asymptomatic for a long time. That is why patients may not be aware of the presence of any deviations in the functioning of the organs of the genitourinary system.

The mechanism for the development of pathological changes is as follows:

  1. Against the background of the presence of predisposing factors, metabolic processes in the vessels of the small pelvis slow down, which contributes to the violation of circulation in the genital area,
  2. In the segments of the prostate gland, a large amount of secretion accumulates, overwhelming it and contributing to the development of the inflammatory process,
  3. Overflow of the prostate with blood and secretion causes dysfunction of the genitourinary organs.

Symptoms of congestive prostatitis are manifested in the following:

  • Unpleasant sensations arising in the perineum. The pain is periodic, has a weak intensity,
  • Pain in the lower abdomen, which intensifies with physical activity and can give off to the lower leg, thigh or back,
  • The feeling of having a foreign body in the perineum,
  • Difficulty urinating (burning, pain, frequent urges, a feeling of incomplete emptying of the bladder),

Frequent urination in men without pain should alert if more than 1.5 liters of urine are released per day, or six trips to the toilet. See the video below for more details:

  • The appearance of traces of blood in the seminal fluid,
  • Rapid urination and the appearance of painful erections at night,
  • Performance degradation
  • Decreased sexual activity and sexual desire, too fast ejaculation. Pathology can lead to erectile dysfunction,
  • Temperature rise,
  • Difficulty emptying the stomach.

The consequences of congestive prostatitis, in which adequate treatment is not carried out, are the development of various pathologies. It:

  1. Pyelonephritis, renal failure. A similar complication develops if the inflammatory process is aggravated by the addition of an infectious microorganism,
  2. Erectile dysfunction, which over time can lead to infertility,
  3. The formation of calculi in the prostate gland. The development of this pathology is due to the fact that the seminal fluid thickens during the inflammation and, over time, can provoke a blockage of the ducts,

  1. Urinary incontinence,
  2. The formation of cysts. This is due to a slowdown in metabolic processes in the tissues,
  3. The development of a malignant tumor.

The severity of complications provoked by congestive prostatitis depends on at what stage the pathological process was diagnosed, and whether it was complicated by the infection.


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

  • First stage. The prevalence of exudation, emigration, arterial and venous hyperemia, which entails damage to the microvasculature, destruction of the gland tissue, is characteristic. 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. Initial processes of proliferation of connective tissue develop, the symptomatology decreases. Microcirculation suffers due to thrombosis, which exacerbates sclerosis. At this stage, in most patients sexual dysfunction joins: the erection and the intensity of the orgasm are weakened, premature ejaculation develops, or vice versa, the man has difficulty in reaching a climax.
  • Third stage. Pronounced fibrosclerotic changes are typical. It is proved that the growth of connective tissue stimulates not only inflammation, but also ischemia accompanying congestive prostatitis. Complaints about difficulty urinating are characteristic, involvement in the pathological process of the kidneys is noted.

Causes of the disease

Congestive prostatitis occurs under the influence of factors such as:

  • Containment of ejaculation when excited,
  • Incomplete ejaculation (which usually occurs with interrupted intercourse)
  • Prolonged abstinence,
  • The presence of diseases associated with pathological changes in the veins (varicocele, hemorrhoids, varicose veins),
  • Anatomical features: chronic insufficiency of vein valves, congenital weakness of the walls of blood vessels,
  • Sedentary lifestyle,

Dermatovenerologist, urologist Lenkin Sergey Gennadevich will tell more about the stagnant form of the disease:

  • Body hypothermia,
  • Hormonal fluctuations,
  • Obesity,
  • Intoxication of the body with alcohol or nicotine,
  • Increased psycho-emotional stress,
  • Frequent masturbation that does not contribute to the complete emptying of the seminal tract,
  • Lack of regular sex life,
  • Constipation or prolonged diarrhea,
  • Pathology of the rectum.

Symptoms of Congestive Prostatitis

Pathology is manifested by a variety of symptoms. Most patients describe pain as persistent discomfort in the perianal region, scrotum or penis. Some note increased perineal pain when sitting. Irradiation of pain is variable - in the lower back, inner thighs, tailbone. Edema of the gland often contributes to the difficulty in starting the act of urination, weakening the stream of urine. The stagnant type of inflammation against the background of vascular pathology is often accompanied by hemospermia - the appearance of blood in semen.

Symptoms of bladder irritation are represented by frequent urges, urgent urinary incontinence. With a long-existing pathology, depressive disorders form. To date, it is debatable - psycho-emotional characteristics lead to the appearance of discomfort in the perineum or vice versa, pain caused by swelling of the prostate gland affects the mental state of men. An increase in temperature with chills indicates the transition of abacterial congestive prostatitis to infectious and the need for pathognomonic treatment.

Pathology Diagnostics

If there is a suspicion of congestive prostatitis, the patient is prescribed the following diagnostic measures:

  1. A general blood test, with the help of which signs of an inflammatory process are detected,
  2. General analysis of urine. This method determines the presence of inflammation in the genitourinary system,
  1. A biochemical blood test to exclude or confirm the presence of kidney disease,
  2. Finger examination of the prostate, which allows you to evaluate its shape, size and consistency,

Diagnosis of congestive prostatitis

  1. Ultrasound of the prostate, bladder, kidney. With the help of this event, the form of the disease is evaluated,
  2. Sowing secretions on flora and sensitivity to antibacterial drugs. This procedure is required if inflammatory changes in the secretion of the prostate are observed,
  3. Screening test for prostate cancer. The study is prescribed for men over the age of 45 in the event that the results of ultrasound show focal changes.

After diagnosis, determine the course of 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. The role of the prostate gland is the production of fluid for sperm, normally it has a special composition that has a protective function for male germ cells. An insufficient amount of nutrients, a change in the biochemical properties of the prostatic secretion inevitably affects the quality of the ejaculate, in men with congestive prostatitis, infertility is more often diagnosed.

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 renal pelvis system. In response to reflux, hydronephrosis, persistent pyelonephritis with a violation of the functional ability of the kidneys, can join. 50% of men develop sexual dysfunction: painful ejaculation, dyspareunia, uncomfortable nightly erections, which worsens the quality of life, negatively affects relationships in a couple.

Treatment of congestive prostatitis

The patient is recommended to normalize sex life, since regular ejaculation helps drainage of the acini, improves microcirculation. An interrupted or prolonged sexual intercourse provoking congestion is unacceptable. A number of products that increase the chemical aggressiveness of urine are indicated - their use leads to increased symptoms of congestive prostatitis. Spices, coffee, marinades, smoked meats, alcoholic and carbonated drinks should be limited, but better excluded. Treatment of congestive inflammation of the prostate can be conservative and prompt.

Diagnosis of congestive prostatitis

For signs of disease, consult a urologist. First of all blood, urine and gland juice are examined. Deviations of indicators from the norms indicate the presence of an inflammatory process. To exclude an infectious factor, biological fluids are analyzed by methods of bacterial seeding, microscopy, PCR (analysis for genital infections). With congestive prostatitis, bacteria are usually not detected, as are genital infections.

An important diagnostic measure is the assessment of blood flow in the area of ​​the prostate. This is done using phlebography - a regtgen study after the administration of a contrast medium. It is injected into the superficial vein of the penis or into the corpora cavernosa. Contrast allows you to accurately identify the pattern of the vascular network, to determine the presence of blood clots.

To determine the size and structure of the prostate, identify areas of fibrosis, a rectal ultrasound scan is performed.. With congestive prostatitis, the gland looks either enlarged due to edema, or reduced due to atrophy. During the procedure, the doctor draws attention to the location of the seminal vesicles, their condition.

Transrectal ultrasound of the prostate

With erectile dysfunction on the background of congestive prostatitis, cavernosography is performed - a study of the structure of the porous bodies of the penis. The required solid erection for this is achieved by the introduction of papaverine.

Palpation examination of the prostate through the rectum with congestive prostatitis often shows sickle-shaped atrophy - retraction of the middle part of the gland. Its sensitivity can be either reduced or increased.

Urine flow rate is measured using uroflowmetry. A study of bladder reflexes is also being conducted.

With congestive prostatitis, a spermogram can be prescribed. Against the background of pathology, the following changes occur:

  1. The volume of ejaculate is reduced.
  2. Sperm are inactive.
  3. Semen viscosity increases (due to gland dysfunction).

To determine the effect of congestive prostatitis on the testicles, a hormone test is prescribed. In the presence of violations, the level of androgens will be reduced, and the amount of pituitary hormones will increase.

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. With a sluggish urinary stream, the need for straining is prescribed by alpha-blockers. Urgent urination is neutralized by anticholinergics. It has been proven that 5-alpha reductase inhibitors reduce the severity of clinical manifestations by reducing the response of macrophages and leukocytes and their migration to the area of ​​inflammation.

Painkillers, non-steroidal anti-inflammatory drugs and muscle relaxants can help with pain and muscle cramps. It is justified to include in the treatment regimen agents that normalize microcirculation - phlebotonics (venotonics). If the stagnant process supports androgen deficiency, resort to hormone replacement therapy. Patients with anxious, suspicious, depressive disorders are advised to consult a psychiatrist who will select the optimal antidepressant.

With stagnant inflammation of the prostate, physiotherapeutic procedures help normalize men's health. They use laser and magnetotherapy, electrophoresis, etc. The treatment of dysuria, improvement of sexual function is facilitated by spa treatment: the use of alkalizing mineral waters, paraffin and mud applications, massage showers. In some patients, normalization of well-being is noted when performing exercise therapy to reduce the tension of the pelvic muscles. Prostatic massage does not replace natural ejaculation, but improves blood circulation and organ drainage.

Minimally invasive treatments

With the failure of conservative therapy, high-tech interventions are considered - transurethral resection of the prostate, high-intensity focused ultrasound ablation. The most effective transrectal hyperthermia is a non-invasive method, which is based on the principle of thermal diffusion (the prostate is affected by unfocused microwave energy). Heat increases tissue metabolism, reduces congestive manifestations, and has a neuroanalgesic effect. Data on the effectiveness of procedures in the treatment of congestive prostatitis is limited.

Forecast and Prevention

The prognosis for life is favorable, but chronic pelvic pain is difficult to treat. Sometimes congestive prostatitis self-resolves over time. A long-existing circulatory disorder leads to sclerosis of the gland tissue, which is manifested by a deterioration in sperm parameters. The prognosis for congestive prostatitis largely depends on the patient's compliance with all recommendations, lifestyle changes.

Prevention involves playing sports, refusing to lift weights, normalizing sexual relations, and avoiding the consumption of coffee and alcohol. When sedentary work is recommended to interrupt to perform physical exercises, use a pillow. Underwear and trousers are preferred in a free cut. Patients are observed by a urologist with a periodic assessment of prostate secretion for inflammation and ultrasound, if necessary, receive antibacterial treatment, prostate massage sessions.

Clinical manifestations

The course of the disease is not acute. Symptoms of congestive prostatitis do not appear immediately, they are characterized by a slow development, so men for a long time may not be aware of the existence of this problem.

They begin to be alert when certain symptoms appear:

  • Pain during urination.
  • Slight soreness in the perineal region, transmitted to the lumbosacral and giving to the inner thighs.
  • Strengthening pain, with prolonged abstinence,
  • Violation of sexual function (weak erection, lack of sexual desire)
  • Rapid and difficult urination.
  • Sensation of incomplete emptying of the bladder.
  • Violation of bowel movements.
  • Feeling of burning in the urethra.
  • Dissatisfaction with sexual intercourse.
  • Change in sperm consistency (clots and lumps are present),
  • Temperature rise.
  • The onset of depressive states.

With the transition of congestive prostatitis to a chronic form, the glandular tissue of the prostate is replaced by connective tissue.

To prevent this situation, you should immediately contact a urologist (if there is the slightest problem with urination).

Diagnostic measures

Diagnosis of this disease is to determine the nature and course of the disease.

  • Rectal examination of the prostate.
  • Examination of hemorrhoidal veins of the rectum.
  • Bacterial study of secretion and sperm analysis.
  • Conducting a blood test (to check the white blood cell count)
  • Transrectal ultrasound to assess the status of the prostate (size, shape, consistency).

Correctly performed diagnosis plays an important role in the appointment of treatment.

Disease Control Methods

Treatment of congestive prostatitis is not particularly difficult, but to avoid complications (infertility, sexual dysfunctions, impotence), self-medication is not worth it, it is recommended that the course of treatment be strictly supervised by a doctor.

Treatment should be primarily aimed at normalizing blood circulation in the prostate gland and improving metabolic processes. This is facilitated by the use of such methods:

  • Establishing a regular sex life.
  • Use of venotonics (Aescusan, Ascorutin, Venza) to improve blood circulation in the pelvis.
  • The use of immunostimulants (Pentoxyl, Splenina, Thymogen, Timalina) to enhance immunity.
  • The use of a complex of vitamins.
  • The use of antispasmodic drugs (Midokalma, Tolperila, Baralgina etc.) to relieve pain, cramping and tension in the pelvic area.
  • Warming up the prostate gland with the help of electric current, ultrasound, microwave radiation (to improve blood circulation in the prostate),
  • Carrying out a massage of the prostate (specialist) to increase blood flow and relieve stagnation in the prostate gland.
  • Conducting physiotherapeutic procedures (magnetotherapy, electrophoresis, laser and ultrasound therapy)
  • The use of drug collections in the form of microclysters (after consultation with a doctor).

Preventative measures

To exclude the occurrence of prostatitis and improve the quality of life, each man should adhere to some recommendations:

  1. Maintaining an active lifestyle (performing special exercises to strengthen the muscles of the perineum and anus)
  2. Regular sexual activity with a constant partner.
  3. Exclusion of hypothermia.
  4. Compliance with the drinking regime.
  5. Limit the intake of spicy, salty, smoked dishes.
  6. Eradication of bad habits (alcohol and smoking)
  7. Body weight monitoring.
  8. Regular preventive examinations (in order to detect abnormalities in the functioning of the prostate).

The implementation of these recommendations should be the norm for every man who cares about his health.

Treatment principle

With congestive prostatitis, treatment does not require antibiotics, since there is no focal point of infection in the prostate. The main therapeutic measures for congestive prostatitis are aimed at improving trophism of the prostate gland. This is achieved by taking medication and using physiotherapy.

First-line drugs for the treatment of congestive prostatitis:

  • Prostatilen or Vitaprost,
  • Afala
  • Prostamol Uno,
  • Cernilton,
  • gentos drops.

The listed drugs have an anti-inflammatory effect, which is aimed at stopping inflammation in the prostate.

The goal of treatment is to improve the function of the gland and remove inflammation.

Prostatilen and Vitaprost are complete analogues. They contain protein extracted from the prostate glands of cattle. Drugs is a bioactive substance that is completely absorbed by the tissues of the prostate. Means are released in tablets, solution for injection and in the form of rectal suppositories. It is rectal suppositories that have gained wide popularity among men who have encountered this disease.

Afala is a homeopathic remedy and contains protein antibodies to PSA. Such a drug relieves swelling of the prostate gland and normalizes its work.

Prostamol Uno is prescribed to reduce inflammation, swelling and normalization of urodynamics. The drug is available in capsules, making it convenient to take.

Cernilton is a stimulant of immunity, which improves the protective function of the body and normalizes the functionality of the prostate. The drug is available in tablets and is used in addition to suppositories with anti-inflammatory properties.

Gentos drops prevent the progression of the disease, increase immunity and improve the functioning of the prostate gland. This homeopathic remedy does not replace conservative therapy, so it is prescribed as part of complex therapy, but not as an independent drug.

Treatment can be supplemented with candles with propolis, pumpkin oil or sea buckthorn oil in the composition. Such drugs reduce swelling and inflammation.

In addition, magnetotherapy, radio wave therapy, electrophoresis and other physiotherapeutic methods are prescribed to normalize the circulation of the pelvic organs.


They are relaxants for smooth muscle cells of the bladder.

The results of the use of α-blockers are found in normalizing the process of urination, an antispasmodic effect in relation to the bladder, and an overall improvement in the patient’s health status.

The list of α-blockers for the treatment of congestion in the prostate includes Tamsulosin, Terazosin, Doxazosin, Alfuzosin, etc.

The therapeutic effect after using these drugs is noted 10-14 days after the start of treatment.

Since the cause of the disease, α-blockers are not able to eliminate, their use in the course of treatment refers to the tasks of the "second line".

Chronic subspecies

Chronic congestive prostatitis is accompanied by periodic relapses, after which temporary relief comes. With a long course, it can lead to complications with reproductive health.

The number of viable sperm is sharply reduced. Sex drive is also reduced. Local inflammation does not affect the well-being of the man as a whole. Therefore, body temperature increases in rare cases.

Treatment methods

The approach to treatment depends on the specifics of the disease. Therapy is aimed at improving blood circulation in the pelvis and eliminating the inflammatory process.

Most often, medications are prescribed. Their effectiveness is enhanced by physiotherapy. If necessary, prescribe a course of therapeutic massage.


Treatment of congestive prostatitis involves taking medication. They are selected individually, after receiving the results of a comprehensive examination.

The following groups of drugs are used:

  • painkillers
  • immunomodulators
  • muscle relaxants
  • anti-inflammatory drugs
  • hormonal drugs.

Treatment approach

The treatment of congestive prostatitis is complex. The basis of therapy is taking medication.

Table 1. Medicines used for congestive prostatitis

Drug groupName and purpose
AntibioticsDrugs are required to suppress the inflammatory process.

With congestive prostatitis, the following drugs are prescribed:

· "Cefaclor"

Alpha blockersDrugs in this group are relaxants for the bladder. They are used to normalize the process of urination, relieve spasm of the bladder. Such tablets do not eliminate the main cause of congestive prostatitis, therefore, they perform an auxiliary function in the process of therapy.

For pathology, the following types of drugs are used:

Hormonal drugsMedicines of this group are required for hormonal disorders that provoked stagnation in the pelvic area. Hormonal drugs are also used to prevent prostate cancer, which may be caused by congestive prostatitis.

In the course of therapy are used:

· "Prednisolone"

Muscle relaxantsChronic congestive prostatitis causes severe pain, pelvic muscle tension, and cramping. Muscle relaxants are usually administered intramuscularly.

To eliminate the symptoms, apply:

In addition to medicines, patients with congestive prostatitis are shown physiotherapeutic procedures:

  • Electrophoresis
  • Galvanization,
  • Light therapy (laser, ultraviolet, infrared rays),
  • Magnetotherapy
  • Paraffin applications.

The photo shows a massage of the lower abdomen. In the treatment of prostatitis, the sacro-pelvic and iliac-tibial areas are also massaged.

Physiotherapeutic procedures improve the absorption of drugs by the body, accelerate the excretion of decay products from the prostate, and stimulate metabolic processes in it.

Another therapeutic method is a contrast shower on the perineum. The procedure helps stimulate blood flow. Initially, the area of ​​the perineum is exposed to water at a temperature of 40-45 degrees (for 30 seconds), then - with cool water at room temperature for 15 seconds.

Also, a massage on the lower abdomen and back has a positive effect on the prostate with congestion. The procedure should be carried out by specialists.

Another component of the treatment of congestive prostatitis is therapeutic exercises. The following exercises are recommended:

  1. Shallow squats and fixing the body in this position for 3-5 seconds,
  2. Push-ups from the floor or any surface - a chair, a wall,

Sports psychologist, trainer of the highest category Vyacheslav Gerasimov will show several exercises to eliminate prostatitis:

  1. Butt lift from supine position
  2. "Bicycle" from a supine position,
  3. Stand on the shoulders, or "birch".


Adrenergic blocking is necessary to eliminate the symptoms of the disease and increase the effectiveness of other drugs. The therapeutic effect is based on the constant accumulation of active components in the tissue of an organ.

The most common drugs in this group include:

Dosage and regimen is set by the doctor.

Violation of the recommendations leads to side effects.

Treatment of pathology with folk remedies

Folk remedies are also used to eliminate manifestations of congestive prostatitis. Recommended:

  • Reception of decoctions of lingonberry leaves, dill seeds, birch bark, parsley root. They reduce inflammation, have decongestant and diuretic effects,
  • Reception of warm baths with the addition of essential oils of pine, juniper, cedar. Just add a few drops of oil to the water,
  • Adding a tablespoon of flaxseed oil to the prepared food on a daily basis,
  • Eating raw pumpkin seeds (a handful every day).

Also, men suffering from congestive prostatitis are recommended:

  1. Eat properly, maintaining a balance of proteins, fats and carbohydrates.You should abandon smoked meats, spices, spicy dishes and consume more fresh fruits and vegetables,
  2. Have regular sex, do not practice interrupted intercourse as a method of contraception,
  3. Exercise at least moderately. Swimming is the best sport to prevent the development of congestive prostatitis.

Exercise for prostatitis increases blood flow, normalizing the prostate

  1. Avoid hypothermia,
  2. Timely contact a urologist, when the first deviations appear,
  3. Monitor weight, prevent obesity,
  4. Examine the prostate gland annually (men over 40).

Congestive prostatitis is a dangerous phenomenon that not only reduces the quality of life of a man, but can also cause serious deviations such as infertility and the development of a malignant tumor. The disease must be treated. In order for the therapy to bring a positive result, it is necessary to consult a specialist as soon as possible when the first signs of impaired functioning of the genitourinary system appear.

Hormone treatment

Hormone therapy helps prevent the development of oncology. It treats the inflammatory process and improves metabolic processes in the tissues. The drug is selected by the doctor individually.

Most often they use Prosteride, Androkur or Finasteride. They are produced in the form of tablets and solutions for injection.

Muscle relaxants

With congestive prostatitis, muscle relaxants are required. They relieve pain and eliminate blood stasis by reducing muscle tone. Drugs are administered via intramuscular injection. The duration of treatment is 10 days. In most cases, Midokalm or Tolperil is prescribed.

Herbal Extract Medicines

Medicines based on herbal components have a restorative effect on the body. They enhance local immunity and improve blood circulation in the pelvis.

The following drugs are in special demand:

  1. Gentos. It is a complex of natural extracts in the form of drops and tablets for oral administration. The cost varies from 500 to 600 rubles.
  2. Tykveol. The main active ingredient is pumpkin oil. The price does not exceed 450 rubles per package.
  3. Cernitol. It has a powerful strengthening effect on the body. Consists of wheat extract. A package of 200 capsules costs around 2800 rubles.


Physiotherapy sessions are aimed at improving blood flow in the pelvis. The main methods of exposure are therapeutic gymnastics and prostate massage. In some cases, electrical stimulation or galvanization is performed.

These procedures reinforce basic therapy. Galvanization is carried out using low voltage current. Electrical stimulation involves contraction of the muscles of the prostate by exposure to pulsed current.

Traditional treatment

Alternative therapy is recommended to be used only after consultation with a doctor. Herbal decoctions are taken orally or used for microclysters. As a result of treatment, the inflammatory process is markedly reduced, and uncomfortable sensations are eliminated.

A decoction of the following components has a positive effect on male genital organs:

Disease prevention

Compliance with the principles of prevention prevents the development of congestive prostatitis. This will avoid future complications such as infertility and erectile dysfunction.

It is recommended to consider the following:

  1. Prostatitis is able to develop as a result of hypothermia.
  2. Regular sex life (at least 3-4 times a week) will help to avoid stagnant processes in the prostate.
  3. Physical activity and an active lifestyle will improve the blood circulation in the pelvis.
  4. Quitting alcohol and smoking will have a positive effect on blood circulation, which will reduce the risk of congestion.
  5. Timely visits to the urologist guarantee an early diagnosis of diseases preceding the prostate.
  6. High-quality genital hygiene and protected sexual intercourse will help to avoid infectious diseases.

The success of therapeutic actions is directly dependent on the speed of decision-making after detecting symptoms of the disease. At the initial stage, the disease responds better to therapy. Therefore, it is important not to ignore the characteristic symptoms.


The following agents are included in the composition of drug therapy for congestive prostatitis:

  1. Antibiotics (to exclude an undetected infection): cephalosporins, macrolides, aminoglycosides.
  2. Non-steroidal anti-inflammatory (to relieve pain and swelling).
  3. Antiplatelet agents - blood thinners (Eskuzan, nicotinic acid, injectable heparin).
  4. Venotonic - funds that strengthen the structure and improve the elasticity of the venous walls.
  5. Muscle relaxants andalpha-blockers to normalize the outflow of urine.
  6. Hepatoprotectors to improve the functioning of the liver (in order to timely eliminate toxins).
Hepatoprotectors - drugs that are used for various liver diseases
  1. Hormonal drugs (antiandrogens) to reduce the activity of prostate juice production.
  2. Nervous system stimulants (phosphorus preparations).
  3. Immunomodulators to reduce the activity of antibodies.
  4. Means for improving blood microcirculation ("Halidor").
  5. Sedativesif congestive prostatitis caused the development of neurosis.

In case of urination disorders and spontaneous erections, Pantogam is prescribed. If congestive prostatitis is accompanied by leakage of urine (due to muscular atrophy), then Imezin is used.

Herbal preparations, dietary supplements

In the treatment of congestive prostatitis are actively used. herbal extract preparations: "Prostamol Uno", "Prostanorm." They effectively improve blood flow, relieve inflammation, and regulate metabolic processes.

The price of the drug in the Russian Federation is from 662 rubles

Peptide-based suppositories are used to accelerate the regeneration of prostate tissue.: “Prostatilen”, “Vitaprost”, “Samprost”. With congestive prostatitis are also prescribed ichthyol candleshaving a locally irritating effect, due to which the blood flow improves.


From physiotherapeutic methods (types of physiotherapy with prostatitis) most often used magnetotherapy, which allows to achieve a decrease in blood viscosity. The low inductance field stimulates lymph and blood flow.

With congestive prostatitis rectal and external massage of the prostate is shown (not during exacerbation), physical activity (swimming, walking). At home, you can produce prostate massage using a special massager (sold in intimate goods stores).

In the treatment of congestive prostatitis is also used. magnetic laser therapy. After 10 procedures, spasms, inflammation and pain are relieved, and an erection improves.

Normalization of the hormonal background contributes to laser puncture - impact on bioactive points of the lower back with helium-neon laser radiation.

To improve blood flow and saturation of blood with antithrombotic substances, hirudotherapy (treatment with leeches) is useful. During the procedure, excess blood is taken, the active components are injected.


Surgical intervention for congestive prostatitis aims to eliminate complications of the disease and obstacles to normal blood flow. For example, it is used in the development of an abscess of the prostate - a foci of suppuration, which must be eliminated by opening and subsequent drainage.

With varicose veins of the extremities caused by valvular insufficiency, the affected areas are excised, and the joints with the veins of the genitourinary system are ligated.

Surgical intervention is also used for varicose veins of the spermatic cord, inguinal-scrotal hernia, hemorrhoids.

If congestive prostatitis is provoked by venous valve insufficiency, pathologically dilated vessels, then a healthy lifestyle and a number of drugs should be taken for life.

Congenital prostatitis prophylaxis

There are no measures that can 100% help prevent congestive prostatitis, since the cause of its development may be congenital structural features of the vascular network. But even then maximally smooth out the manifestations of pathology, subject to a number of rules:

  • Avoid hypovitaminosis,
  • Exercise regularly (3-4 active workouts per week),
  • Control body weight, prevent obesity, which creates a load on the vessels,
  • During sedentary work, periodically warm up, squat, walk, raising his knees high,

  • Drink more water. 2/3 of the diet should be fruits and vegetables to prevent constipation. Spicy dishes, smoked meats are not recommended,
  • Eliminate foci of infection (caries, tonsillitis),
  • Do not use interruption of sexual intercourse as a method of contraception,
  • Lead a moderate but regular sex life (sex or masturbation),
  • Refuse alcohol and smoking.

If at the same time as congestive prostatitis there is varicose veins on the legs, then wearing special stockings is necessary. Flat feet are also an aggravating factor, so it is important to choose comfortable orthopedic shoes.

Hormonal drugs

Before prescribing antiandrogen drugs, the andrologist carefully familiarizes himself with the results of a hormonal blood test and prescribes the appropriate hormonal drug.

From the entire list of numerous hormonal drugs aimed at lowering the level of androgens in the blood, the doctor will choose the most optimal drug for a certain amount of hormones.

The list includes about 30 anti-androgenic drugs: Androkur, Buserelin, Zerlon, Finasteride, Prosteride, etc.

The need for hormonal drugs is associated with the prevention of prostate cancer, a source for development, which can serve as congestive prostatitis.

In the practice of treating prostatitis, non-andrological hormones can be used: Dexamethasone, Prednisolone, etc.

Hormonal drugs begin to be used in case of low effectiveness of non-steroidal anti-inflammatory drugs (derivatives of Nimesulide, Meloxicam, Diclofenac).

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