The prostate is the auxiliary reproductive gland at the beginning of the urinary tract in men. Chronic prostatitis is the inflammation of the prostate gland.
The prostate is the auxiliary reproductive gland at the beginning of the urinary tract in men. Chronic prostatitis is the inflammation of the prostate gland. Although prostatitis might develop secondarily due to bacterial infections, 90% of cases do not have bacterial infections. Prostatitis is mainly divided into 2 groups:
Chronic prostatitis might show multiple clinical symptoms:
Generally, chronic prostatitis has a clinical diagnosis. It is not possible to diagnose it with a special test. The clinical history and examination of the patient guide the doctor.
Prostatitis can be divided into 2 types: bacterial and non-bacterial. Bacterial prostatitis is caused by urinary tract infection spreading to the prostate from sperm tubes, and inflammatory prostatitis is caused by urine spreading to the prostate from semen tubes. Urinary tract infections, prostate enlargement, urethra strictures and office work increase the risk of prostatitis.
Chronic prostatitis is a hard-to-treat disease. The main aim of the treatment is to eliminate the symptoms. The treatment includes eliminating the inflammation with a 4- to 6-week antibiotic treatment, releasing urination with certain medication and interventions, decreasing stress levels and relieving pain or spasms.
The treatment takes at least 4–6 weeks and can go up to 2–3 months. Some patients might have attacks and experience symptoms later.
Chronic prostatitis is a chronic pelvic pain syndrome. Therefore, surgical treatments are debated. Additionally, the side effects (urinary incontinence and sexual problems) due to surgical treatment are problematic since this disease is seen among young men.
Chronic prostatitis can be controlled if treated. Nonetheless, there can be relapses. However, if patients follow a doctor’s recommendations, relapses can be prevented. Prostatitis patients should be careful about the following:
Chronic prostatitis cases often do not experience infertility. However, advanced diseases might decrease semen amounts and decrease the chances of natural pregnancy.
One of the things chronic prostatitis patients ask about is prostate cancer risk in advanced ages. These studies show that chronic prostatitis does not increase prostate cancer risk.
Chronic prostatitis treatment is difficult and a long journey for the patient and the doctor. Technological advancements offer doctors the chance to develop new approaches. The methods followed for the patients who didn’t experience benefits from the treatment are as follows:
You can read our other articles to learn more about these methods.
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