What is Prostatitis?
Prostatitis gets its name from the prostate gland, which is located in the male reproductive system. It is a very common and well-known disease today. The prostate gland is a gland in the male reproductive system. Its location is just below the bladder. The task of the prostate gland in the reproductive system is the secretion of the prostate fluid, which is necessary for sperm and gives it its white color. In medicine, the infection or inflammation of the prostate gland due to various reasons is expressed as prostatitis.
Types of Prostatitis
Although prostatitis is more common in men over 50 years of age, it can be seen in all age groups. Prostatitis, which is quite common in men, is also a painful disease. There are four known types of prostatitis. These are Asymptomatic inflammatory prostatitis, Acute bacterial prostatitis, Chronic bacterial prostatitis and Chronic prostatitis which is also expressed as chronic pelvic pain syndrome (CP/CPPS).
Asymptomatic inflammatory prostatitis
No symptoms are observed in this type of prostatitis. They are usually detected incidentally during different examinations. Asymptomatic inflammatory prostatitis is the condition of inflammation of the prostate gland despite the absence of any symptoms.
Acute Bacterial Prostatitis
Acute bacterial prostatitis is a painful type of prostatitis unlike asymptomatic inflammatory prostatitis. In this type of prostatitis, the prostate gland is acutely infected and inflamed, and the inflammation is painful.
Chronic Bacterial Prostatitis
In chronic bacterial prostatitis, the inflammation persists for a long time and recurs.
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)
Chronic prostatitis, also known as chronic pelvic pain syndrome (CP/CPPS), is the most common form of prostatitis. In this type of prostatitis, infection is seen in both the prostate gland and the nerves around the prostate gland. The biggest symptom of this disease is pain or discomfort in the entire pelvis area.
Why Does Prostatitis Happen?
Prostatitis disease types can have different causes. Basically, prostatitis occurs as a result of inflammation in or around the prostate gland. The cause of this inflammation can be urinary tract infections, traumatic damage to the urinary tract area, or the effect of infections in other parts of the body. Inflammation of the prostate glands can also occur due to sexually transmitted diseases. In cases of prostatitis that occurs without any infection, traumatic damage or nerve damage around the prostate can cause inflammation in the prostate gland. We can list the causes of prostatitis as follows:
- Urinary tract infections, which are very common, are one of the most common causes of prostatitis.
- Chlamydia-type sexually transmitted diseases can also cause inflammation in the prostate gland.
- Occasionally, prostatitis may occur as a result of surgical operations on the urinary tract.
- Causes such as wounds in the urinary tract, urinary tract narrowing,
- Physical traumas that may occur for various reasons in and around the prostate gland, urinary tract,
- Disturbances in the nerve networks around the urinary tract can also trigger inflammation in the prostate gland.
- Viruses such as HIV, which weaken the body's immunity in general,
- As with all other diseases, it has been revealed in academic studies that excessive stress can cause prostatitis.
Symptoms of prostatitis types can also be different from each other. Common symptoms of prostatitis can be listed as follows:
- Asymptomatic inflammatory prostatitis does not show any signs. Therefore, this type of prostatitis can only be detected incidentally by specialist doctors.
- In bacterial prostatitis, there are often symptoms such as pain in the groin, fever, pain and difficulty in urination, and a difference in urine color.
- In chronic bacterial prostatitis, where bacterial prostatitis lasts for a long time and recurs, there are symptoms such as urine color change, pain and difficulty in urination, and frequent urination, as in normal bacterial prostatitis.
- In chronic prostatitis/chronic pelvic pain syndrome, the symptoms are complaints of pain and straining during urination for a long time, pain felt around the anus as well as the area where the urinary tract and prostate gland are located.
Erectile Dysfunction Caused by Prostatitis
Studies have shown that the sources of prostatitis and erection problems may be the same. In other words, it has been seen that inflammations that cause erection problems can also cause prostatitis. For this reason, people with prostatitis may also experience erectile dysfunction.
Men who have complaints such as pain in the urinary tract and groin area, pain and difficulty while urinating, inflamed urine or frequent urination should see a urology specialist.
In the diagnosis of prostatitis, physicians primarily listen to the patient's disease history and complaints and physically perform a detailed examination of the bladder area. Then they perform examinations with imaging methods such as ultrasound and tomography. In addition to these, the patient's urine and sperm analyzes are requested and it is investigated whether there are microorganisms in the urine and sperm. In addition, manual control from the breech area is performed by physicians when necessary.
After these examinations, urologists decide which type of prostatitis the patient has and create a treatment plan in this direction.
The primary treatment method in the treatment of acute and bacterial prostatitis is antibiotic therapy. Usually, patients are given a two-week course of antibiotics. This treatment is carried out with an antibiotic drug determined according to the type of microorganism detected in the patient. If the patient's symptoms are severe, antibiotic treatment is performed as an inpatient treatment and the antibiotic is injected through the serum. If prostatitis persists despite treatment lasting 2 weeks, this period can be extended until a time deemed appropriate by the physician. This period can vary between 2-12 weeks.
In addition to drug therapy, another method applied to patients with prostatitis is prostate massage. In this method, it is aimed to drain the inflammation in the prostate with the massage applied towards the prostate gland.
There may be some procedures that the patient who is treated with these treatment methods should pay attention to and should apply during this process. These include avoiding acidic drinks and spicy foods, especially. In addition, during this period, patients should consume plenty of water, apply hot compresses to keep the bladder area warm, and perform applications such as hot sitz baths.
Shock Wave Therapy (ED-SWT) in the Treatment of Prostatitis
One of the methods used in the treatment of prostatitis is Low Intensity Shock Wave Therapy, also known as the ED-SWT method. This method is a frequently preferred treatment method today due to the fact that it does not experience any pain, has no side effects and has high resolution rates. In this treatment, it is aimed to increase the vascularity at the infected points by sending low-intensity shock waves to the region between the breech and testicles, and thus to destroy the infection thanks to the body's immune system. In this treatment, sessions last about 20 minutes and a total of four sessions are applied once a week. Patients who do not feel any pain during the treatment can continue their normal lives outside the session.
Shock wave treatments do not have any side effects. During the treatment, the inflammation in the prostate gland is permanently cleared by shock waves sent to the prostatitis area. Since analgesic gel is applied only to the treated area during the treatment, patients do not experience any pain or pain. Thanks to this method, permanent results can be obtained especially in chronic prostatitis treatments.
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