Prostatitis

Recent epidemiological studies have revealed that prostatitis is as important as a prostate cancer or benign hyperplasia in terms of frequency, prevalence and consulting a doctor. The actual incidence in Turkey is not known exactly. Indeed, it is a major problem of men’s health. Its incidence varies between 5% and 8%. Of these, 40% are new patients. On the other hand, it is estimated that there are a significant number of men with prostatitis symptoms who have not yet been diagnosed with prostatitis.

What are the causes of inflammation of the prostate (prostatitis)?

Acute and chronic bacterial prostatitis is caused by the transport of infected urine to the prostate gland through the prostate ducts. Bacterial prostatitis is not contagious and should not be considered a sexually transmitted disease.

Certain medical interventions, particularly urinary catheter insertion, increase the risk of bacterial prostatitis.
Similar inflammatory conditions occur in the prostate gland in chronic non-bacterial prostatitis. However, the causes here are often different from those seen in typical urinary tract infections. The organisms that cause it are often called chlamydia and mycoplasma. Some of these can be transmitted through sexual intercourse.

2. What are the complaints caused by prostatitis?

In the sudden onset of bacterial prostatitis, the complaints begin suddenly and severely. Fever, chills, severe burning in the urine and inability to empty the bladder (urinary bladder) are common problems.

In chronic bacterial prostatitis, the complaints are similar but less severe. These complaints are burning in the urine, frequent urination, pain in the testicles, perineum (in the breech), back and painful ejaculation. ( Urine and sperm excretion )

Chronic non-bacterial prostatitis causes frequent and painful urination, painful ejaculation and pain-discomfort in the perineum-bladder-testicle and penis.
Prostatodynia complaints are difficult and painful ejaculation, difficult and painful urination, pain in the perineum. These complaints cannot be separated from chronic nonbacterial prostatitis complaints.

3. How will prostatitis affect a patient?

Prostatitis is a difficult situation for both the patient and the doctor. It seriously affects the patient’s quality of life. Accurate diagnosis of prostatitis is difficult and the disease may not be cured. However, prostatitis is a treatable disease and with appropriate treatment, important complaints are largely resolved.

4. What are the important points about prostatitis?

Correct diagnosis is the main factor for treatment.
Prostatitis may not always be cured, but it can be kept under control.
Even if the complaints go away, the treatment should be followed.
Patients with prostatitis do not have a higher risk for developing prostate cancer.
Normal sexual activity does not need to be interrupted (except in the acute phase).
The person with prostatitis can lead a normal life.

5. How is prostatitis treated?

In acute bacterial prostatitis, the patient will need to take antibiotics. This period is a minimum of 14 days. Sometimes hospitalization and intravenous treatment may be required. Sometimes it may be necessary to insert a catheter in patients who have difficulty urinating.

Antibiotic treatment is kept longer in chronic bacterial prostatitis. Usually 4-6 weeks. Success is achieved in 60% of patients with this treatment. In some cases, complaints recur and antibiotic treatment may need to be started again. Long-term antibiotic therapy may be required in patients who do not respond to this treatment. In some rare cases, surgery may be recommended.

If chronic non-bacterial prostatitis is diagnosed, antibiotic treatment may not be required. Other drugs come to the fore in these patients. These are; alpha blockers, anti-inflammatory drugs, plant extracts and, rarely, prostate massage.

Prostadynia is difficult to treat. Because this disease is difficult to understand. Muscle relaxants, alpha blockers, anti-inflammatories and biofeedback techniques can be used.

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