Prostatitis is a very common disease today and has symptoms such as frequent and urgent urination, low back pain and sexual dysfunctions. Along with the developing technology, there have been important developments in the treatment of prostatitis. The most important of these developments is the Modus ED SWT Shock Wave Therapy. Shock Wave therapy is widely used because it is a painless, outpatient method, and provides very effective results in a short time. In this article, it is aimed to inform you in detail about MODUS ED SWT Shock Wave Therapy, which is a very effective treatment method for prostatitis.


What is Prostatitis?

Prostatit Hastalığı

Prostatitis, a disease frequently encountered in young and middle-aged men, takes its name from the prostate gland in the male reproductive system. The prostate gland is located just below the bladder. The task of the prostate gland is to secrete the fluid that gives semen its white color in the reproductive system. Prostatitis is defined as inflammation of the prostate gland due to different reasons.

There are 6 categories of prostatitis classified by the US National Institute of Health.

Category Description
I (Acute Bacterial Prostatitis) Acute infection of the prostate
II (Chronic Bacterial Prostatitis) Chronic bacterial infection of the prostate
III (Chronic Nonbacterial Prostatitis/Chronic Pelvic Pain Syndrome) Chronic Pelvic Pain Syndrome: Presence of chronic urogenital pain without a uropathogenic bacteria in the prostate with standard methods
IIIA (Inflammatory) Prominent leukocytes in urine sediment, semen or prostate secretion after prostate massage
IIIB (Non-inflammatory) Absence of leukocytes in prostate secretion, sediment or semen after prostate massage
IV (Asymptomatic inflammatory prostatitis) The presence of leukocytes or bacteria in the semen or prostatic histological samples in the investigations for infertility or prostate cancer in those who do not have any complaints

What Are the Symptoms of Prostatitis?

The most common symptoms of prostatitis are:

  • Frequent and urgent need to urinate
  • Burning sensation while urinating
  • Poor urine output
  • Pain or throbbing sensation in the rectal or genital area
  • Fever and chills (usually only seen in cases of acute infection)
  • Low back and/or pelvic pain
  • Sexual dysfunction and/or loss of sex drive

What Causes Prostatitis?

Prostatit Hastalığı

The causes of prostatitis differ depending on the type.

Chronic prostatitis; The exact cause of chronic prostatitis is unknown. Doctors think that a microorganism can cause this condition, although it is not a bacterial infection. Experts state that this type of prostatitis can be caused by chemicals in the urine, the immune system's response to a previous urinary tract infection, or nerve damage in the pelvic region.

Acute and chronic bacterial prostatitis; A bacterial infection in the prostate can cause this type of prostatitis. Infection can occur when bacteria pass from the urethra to the prostate. The acute type of prostatitis occurs suddenly and lasts for a short time, while the chronic type develops gradually and usually takes a long time to diagnose.

Types of Prostatitis

Prostatitis is classified into 4 types:

Acute bacterial prostatitis; It is prostatitis caused by bacteria. It is called acute because symptoms begin suddenly and can be severe at times. It is the least common type of prostatitis, but the easiest to treat.

Chronic (long-term) bacterial prostatitis; It is a type of prostatitis caused by bacteria and usually lasts for several months. Symptoms are usually milder than acute bacterial prostatitis and are not continuous. Chronic bacterial prostatitis can cause urinary symptoms such as burning or pain when urinating, but not fever or chills. It is more common in older men with benign prostatic hyperplasia.

Chronic non-bacterial prostatitis/chronic pelvic pain syndrome (CP/CPPS), is the most common type of prostatitis. It is a chronic condition not caused by bacteria. It causes non-continuous pain or discomfort in the pelvis.

Asymptomatic inflammatory prostatitis; It does not cause any symptoms and does not need to be treated. It's usually diagnosed when doctors run tests to look for other conditions, such as prostate cancer, or to find the cause of the disease.

Chronic and Acute Prostatitis Symptoms

Her prostatit tipinin, görülme sebebine bağlı olarak değişen ve hastalar açısından farklılık gösteren bir dizi semptomu vardır.

Chronic prostatitis/chronic pelvic pain syndrome

The main symptoms of chronic prostatitis/chronic pelvic pain syndrome are pain or discomfort lasting 3 or more months in one or more of the following areas:

  • Between scrotum and anus
  • Central lower abdomen
  • Penis
  • Scrotum
  • Lower back

Pain during or after ejaculation is another common symptom. A man with chronic prostatitis/chronic pelvic pain syndrome may have pain that radiates to the pelvic area or may have pain in one or more areas at the same time. The pain may come and go, suddenly or gradually. Other symptoms include:

  • Pain in the urethra during or after urination.
  • Pain in the penis during or after urination.
  • Urinary frequency—urinating eight or more times a day. The bladder begins to contract even when it contains a small amount of urine, causing more frequent urination.
  • Urinary urgency - inability to delay urination.
  • Weak or intermittent urine flow

Acute bacterial prostatitis

The symptoms of acute bacterial prostatitis come suddenly and are severe. For this reason, it is recommended to seek professional help without wasting time. Symptoms of acute bacterial prostatitis include:

  • Urinary frequency
  • Urinary urgency
  • Fever
  • Shake
  • Burning sensation or pain while urinating
  • Pain in the genital area, groin, lower abdomen or lower back
  • Nocturia - frequent urination during sleep periods
  • Nausea and vomiting
  • Body aches
  • Urinary retention - inability to completely empty the bladder
  • Trouble starting urine flow
  • Weak or intermittent urine stream
  • Urinary obstruction - can be counted as the inability to urinate completely.

Chronic bacterial prostatitis

The symptoms of chronic bacterial prostatitis are similar to those of acute bacterial prostatitis, although they are not severe. This type of prostatitis usually develops slowly and may show symptoms for 3 months or more. Symptoms may not be continuous, often mild symptoms can be seen. Chronic bacterial prostatitis, acute bacterial prostatitis may occur after a previous treated urinary tract infection. Symptoms of chronic bacterial prostatitis include:

  • High Urinary frequency
  • Urinary urgency
  • Burning sensation or pain while urinating
  • Pain in the genital area, groin, lower abdomen or lower back
  • Nocturia
  • Painful ejaculation
  • Urinary retention
  • Trouble starting urine flow
  • Weak or intermittent urine stream
  • Urinary obstruction

Chronic And Acute Prostatitis Treatment

Treatment depends on the type of prostatitis.

Chronic prostatitis/chronic pelvic pain syndrome

Treatment of chronic prostatitis/chronic pelvic pain syndrome aims to reduce pain, discomfort and inflammation. It may require different treatments for each patient. Alternative treatments which are not prescription drugs include;

  • Hot sitz baths
  • Local heat therapy with hot water bottles or heating pad

Kegel exercises - tightening and relaxing the muscles that hold urine in the bladder and hold the bladder in its proper position. Also called pelvic muscle exercises.

Myofascial relaxation — pressing and stretching of muscles and soft tissues in the lower back, pelvic region, and upper legs, sometimes with cooling and warming.

  • Phytotherapy with plant extracts such as quercetin, bee pollen and saw palmetto
  • Acupuncture

Acute Bacterial Prostatitis

Acute bacterial prostatitis can be treated with antibiotics. Most cases of acute bacterial prostatitis can heal completely with medication and minor changes in diet.

  • Avoiding or reducing the intake of substances that irritate the bladder, such as alcohol, caffeinated beverages, acidic and spicy foods
  • Increasing fluid intake to urinate frequently and to help flush bacteria from the bladder is an important part of treatment.

Chronic bacterial prostatitis

In addition to the use of antibiotics, increasing fluid intake and avoiding or reducing the intake of substances that irritate the bladder are the treatment steps.

How Is Prostatitis Treated?

Prostatit Hastalığı

Prostatitis treatment may vary depending on the cause of the disease. For this reason, men who think they have symptoms should be checked by a specialist urologist. However, it should not be forgotten that the treatment of prostatitis can be a long-term process and during this period, diet and nutrition are important to alleviate the symptoms and support the treatment.

Treatment of prostatitis depends on the cause of the disease. For bacterial prostatitis, experts often recommend oral antibiotics. People with chronic prostatitis or recurrent infections may need a long-term course of antibiotics lasting up to 6 months.

Other treatment options if symptoms do not improve following oral antibiotics;

  • Intravenous antibiotics for severe infections
  • Muscle relaxants to relieve spasm of the pelvic muscles
  • Non-steroidal anti-inflammatory drugs to relieve pain
  • Alpha blockers to treat urination difficulties
  • Surgery to remove scar tissue from the urethra that can help with urination difficulties
  • Therapy may be evaluated to help with psychological stress and anxiety.

Prostatitis Treatment Modus ED SWT (Shock Wave Therapy)

Shock Wave therapy is the new therapeutic concept of chronic prostatitis and chronic pelvic pain syndrome. Treatment is outpatient and almost painless. In chronic prostatitis and chronic pelvic pain syndrome, 4 sessions of treatment are usually required to relieve pain. In ESWT treatment, the device head is placed on the prostate and shock wave therapy is applied to break up the calcifications in the prostate gland. These calcifications often harbor bacteria that feed the disease process. Shock waves break these calcifications into smaller pieces and support the natural immune system to eliminate them sufficiently and easily.

How Long Does Prostatitis Treatment Take?

Antidepressants and antibiotics are prescribed by experts to treat chronic prostatitis for at least 4 to 6 weeks, and to reduce the stress experienced with alpha-blocker drugs in case of difficulty urinating. Chronic prostatitis is a disease that requires long-term medication. In addition to the use of drugs, the treatment process is supported by prostate massage.

Shock Wave therapy is applied directly to the prostate. This practice is an outpatient method, so it does not require hospitalization. It is recommended that patients attend at least 4 sessions with an interval of 1 or at most 2 weeks after the start of shock wave therapy.

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