Congestive prostatitis: symptoms, diagnosis and treatment

Prostatitis is an inflammatory disease of the prostate gland that mainly affects older men. According to statistics, one or another form of the disease is diagnosed in almost 40% of men over 50 years. Congestive prostatitis is a non-infectious inflammation of the prostate caused by a violation of organ trophism.

What is congestive prostatitis?

Stagnant prostatitis develops due to a violation of trophic processes in the prostate gland and pelvic organs. Trophism refers to all metabolic processes occurring in the organs - blood circulation, lymph movement, dynamics of prostate secretion.

The disease is characterized by a number of specific symptoms, the appearance of which is caused by swelling of the inflamed organ. Due to the stagnation of secretions in the prostate, its lobules are not completely emptied, which leads to inflammation and enlargement of the organ. As a result of these processes, the prostate compresses the bladder and urethra, which explains the appearance of the symptoms of the disease.

Unlike the acute form of inflammation provoked by pathogens, congestive prostatitis can last for many years without severe symptoms. During this period, there is a gradual violation of prostate trophism, the organ is depleted and over time the disease is felt with a sudden exacerbation.

Congestive prostatitis is usually diagnosed either accidentally, during a routine examination by a urologist, or during an exacerbation, when the man is facing severe symptoms.

The disease requires long-term complex treatment. The prognosis for recovery depends on the timely detection of congestive prostatitis. In some cases, men live for decades with chronic inflammation, forced to undergo regular treatment to avoid exacerbations of the disease.

see a doctor for congestive prostatitis

Stagnant prostatitis develops asymptomatically for years. His treatment will also last a long time.

Reasons for development

Stagnant prostatitis or chronic non-infectious prostatitis is a direct consequence of a poor lifestyle. Disruption of metabolic processes in the prostate develops over a long period of time. The causes of the disease are:

  • hypodynamia;
  • obesity;
  • malnutrition;
  • sexual abstinence;
  • chronic stress;
  • bad habits;
  • phlebeurism;
  • chronic constipation.

The main enemy of prostate health is lack of physical activity. Lack of physical activity leads to deterioration of blood circulation in the lower body, including the pelvic organs, which over time provokes a thickening of prostate secretion and the development of an inflammatory process.

Lack of physical activity, burdened by being overweight, is a shortcut to prostatitis. It is no coincidence that stagnant prostatitis is considered to be a disease of office workers, as long hours of sitting at a desk lead to circulatory disorders in the pelvis and prostate.

Chronic stress, decreased immunity and hypothermia in the lower body are indirect causes of prostatitis. In a stagnant, slow inflammatory process, these factors act as triggers to exacerbate the symptoms of the disease.

Another enemy of men's health is chronic constipation. Difficulties, irregular bowel movements lead to the fact that thick stools passing through the intestines irritate the prostate. At the moment of emptying the intestines, the trophism is disturbed. In rare constipation, this is not dangerous, but regular disorders of defecation lead to irritation of the prostate with subsequent development of prostatitis.

sedentary work as a cause of congestive prostatitis

Stagnant prostatitis is a common problem for office workers.

Why is prostatitis dangerous?

Stagnant prostatitis is accompanied by specific symptoms that significantly impair a man's quality of life. In addition to the constant discomfort, the disease progresses, leading to the development of dangerous complications.

First of all, potency suffers. Impaired blood circulation, thickening of secretions and impaired contractile function of the prostate gland leads to the fact that sex is not pleasurable, but is accompanied by discomfort and pain. Over time, the problem worsens, so in addition to the loss of libido, erectile dysfunction occurs. Blood does not flow into the penis in sufficient volume, which leads to weakening of the erection and threatens erectile dysfunction.

Stagnant prostatitis can cause infertility in men.

A fairly common complication of slow inflammation is backwashing, which can cause kidney infection and pyelonephritis.

Lack of timely therapy for congestive prostatitis can lead to the formation of stones in the prostate gland, the removal of which often requires surgery.

Symptoms of the disease

The symptoms of congestive prostatitis are manifested by impaired urination. Beyond the exacerbation of the disease, there is heaviness in the bladder, frequent desire to use the toilet and a decrease in urine pressure. Occasionally there may be pain in the bladder that spreads to the lower abdomen and perineum. The pain is spastic, spasms appear and subside.

In congestive prostatitis in men there are problems with potency and ejaculation. In this case, it is possible both to increase the duration of sexual intercourse and premature ejaculation. The climax is accompanied by pain in the urethra.

The signs of inflammation of the prostate gland in congestive prostatitis intensify at the time of exacerbation. This occurs against a background of reduced immunity, severe stress, fatigue or hypothermia. The symptoms are acute. The number of urges to urinate can be up to 8 times per hour. Bladder emptying does not bring relief as it feels heavy and full. The pain syndrome is acute, there is a feeling of heaviness in the rectum, which is caused by swelling of the prostate. In rare cases, hematuria - blood in the urine - may occur. After urination and ejaculation, pain and burning in the urethra are felt.

Stagnant prostatitis is not a bacterial inflammation, which is why fever in this form of the disease is extremely rare. However, due to constant discomfort in the perineum, symptoms of general malaise are noted - drowsiness, irritability and loss of strength. Quite often the course of congestive prostatitis is aggravated by insomnia due to increased nocturnal desire to use the toilet, which is caused by swelling of the prostate in the evening and at night.

insomnia with congestive prostatitis

Frequent urination does not provide relief or sleep


Congestive prostatitis is diagnosed by rectal examination of the prostate gland by a urologist. This is done by massaging the prostate or TRUS.

Ultrasound diagnosis is considered a non-informative method because it shows the presence of inflammation, but not the nature of its development. For this reason, the most informative is the analysis of prostate secretion. By the nature of the changes in the composition of the prostate secretion, stagnant prostatitis and its complications are diagnosed.

To rule out adenoma and other disorders, an MRI of the prostate is additionally prescribed.

Principle of treatment

The treatment of congestive prostatitis is a long process. The therapy is aimed at relieving inflammation and edema, improving urodynamics and restoring metabolic processes in the body.

In addition to the specific therapy, patients are prescribed diet, exercise and physiotherapy. All these methods pursue one goal - to normalize the flow of prostate secretion and improve blood circulation to the body.

Drug therapy

In congestive prostatitis, treatment includes symptomatic and specific therapy.

Symptomatic treatment includes the use of antispasmodics, analgesics and nonsteroidal anti-inflammatory drugs. Such drugs can relieve pain and discomfort, improve urination, but do not affect the functionality of the prostate gland.

Unlike infectious prostatitis, congestive inflammation does not reveal pathogenic agents in the secretion of the prostate gland, which is why antibiotic therapy is inappropriate.

For treatment are used:

  • alpha blockers;
  • antispasmodics;
  • non-steroidal anti-inflammatory drugs;
  • phytopreparations;
  • rectal suppositories to restore prostate function.

Taking alpha-blockers helps to improve urodynamics. These drugs have a muscle relaxing effect, reducing the tone of the bladder, which facilitates urination. In congestive prostatitis, treatment with these drugs is practiced in a short course due to the large number of side effects.

Non-steroidal anti-inflammatory drugs in the form of tablets or rectal suppositories are used to relieve inflammation. The treatment lasts no more than a week, 1-2 suppositories per day. Reduces inflammation and swelling of the prostate gland, and also relieves pain. NSAID injection may also be practiced, but only as directed by a physician.

Conventional antispasmodics can help relieve pain in the bladder and perineum. The drug is taken as needed, but not more often than three times a day, one tablet.

The main part of the treatment of congestive prostatitis is the use of herbal medicines, vitamins and immunostimulants, whose action is aimed at restoring the prostate gland.

The therapy can be supplemented with phytopreparations in candles with bee products in the composition, ichthyol or pumpkin seed oil. These medicines can be bought at the pharmacy or prepared yourself. They have anti-inflammatory properties and stimulate the immune system.

You should consult your doctor on how to treat congestive prostatitis. The duration of treatment depends on the severity of the symptoms, but usually takes at least three months.

drugs for the treatment of congestive prostatitis

The main goal of therapy is to restore glandular trophism.

Folk remedies

You can supplement the treatment with folk remedies. The following recipes will help cure prostatitis.

  1. Eryngium or erythematosus in congestive prostatitis can relieve inflammation and speed prostate recovery. The root of the plant is used for treatment. Dry and cut with a knife. Then pour 30 g of the root with three cups of hot water and cook on low heat for half an hour, avoiding boiling. Filter the broth and take half a cup every day for a month.
  2. Candles with propolis and honey will help relieve inflammation. To prepare, melt 200 g of badger fat, add to it 40 ml of propolis tincture and a tablespoon of honey. The mass is poured on stretch film and left in the refrigerator. When the product hardens, it is cut with a knife into small torpedo-shaped pieces the size of a little finger. These suppositories are stored separately in the refrigerator. The treatment lasts three weeks, the suppositories are placed in the anus at night, 1 per day
  3. You can use cocoa butter and pumpkin seed oil to make healing candles. Proportions - 10 ml of pumpkin seed oil per 100 ml of cocoa butter.

Folk remedies can also be used to prevent exacerbation of prostatitis. In this case, the course of treatment is reduced to two weeks.

Massage and physiotherapy

In congestive prostatitis, prostate massage and physiotherapy are prescribed to improve blood circulation. The massage is performed in courses of 10-15 procedures.

Physiotherapy methods are chosen by a doctor. Acupuncture, hirudotherapy, electrophoresis, magnetic therapy, darsonvalization are usually practiced in prostatitis. Good effect is achieved with ultrasound and shock wave therapy.

In addition, there are a number of machines for the treatment of prostatitis for home use. Before buying such a device, you should consult your doctor.

Lifestyle and prevention

Avoiding bad habits and a balanced diet will help speed recovery from prostatitis. Natural prostate protectors should be introduced into the diet - pumpkin seeds, pumpkin seed oil, honey, citrus fruits, walnuts.

You need to normalize your daily life and exercise regularly. An important role in the treatment of congestive prostatitis is given to regular sexual activity, as sex eliminates the cause of the disease - the stagnation of prostate secretion.

Once you understand what stagnant prostatitis is, you need to know how to prevent its development. Preventing the disease comes down to taking care of their own health. In order for the prostate to be healthy, it is necessary to provide moderate but regular physical activity, to prevent hypothermia of the pelvic organs and to strengthen the immune system.