Prostatitis is the inflammation of the prostate gland that can affect men at any age. There are different types of prostatitis. When this inflammation it is caused by a bacteria infection, it is called bacterial prostatitis, this, his time can be classified as: prostatitis acute bacterial or prostatitis chronic bacterial. When prostatitis is not caused by bacteria, it is called prostatitis chronic nonbacterial.
Some patients in need of psychological support to travel this pathology, as in some men, the symptoms urinary are painful and prolonged duration.
Usually the infections of the prostate. they are almost asymptomatic or present with mild symptoms that are diagnosed as urinary tract infection or even a box influenza-like illness. But not all patients have the same symptoms in episodes of prostatitis, and some of them can be very symptomatic and quality of life may be compromised by this pathology.
Some of the most common symptoms are:
- General malaise, muscle aches, lumbago.
- Redness of the skin.
- Blood in the urine.
- Burning or pain during urination.
- Difficulty starting urination.
- Difficulty emptying the bladder.
- Urgent need to urinate.
- Incontinence of urine.
- Urine foul-smelling.
- A urine stream is weak.
- Pain or discomfort in the abdomen above the pubic bone, in the lumbar region, in the area between the genitals and the anus, or in the testicles.
- Pain with ejaculation or blood in the semen.
- Pain with bowel movements.
The causes for the germs come up to the prostate gland and cause prostatitis, are very varied. Inflammation of the prostate gland (prostatitis) it can occur by a variety of sources, for example, any bacteria that it can cause a urinary tract infection, could lead to prostatitis, even some diseases sexually transmitted can also cause bacterial prostatitis; prostatitis can also be caused by problems in the urethra, for example: Obstruction of the bladder outlet or due to the impossibility to retract the foreskin (phimosis), by an injury in the area between the scrotum and the anus (the perineum), or after having a probe bladder, some endoscopy or biopsy of prostate.
Men who suffer enlarged prostate (benign prostatic hyperplasia) have a higher risk of developing prostatitis. As the prostate gland may become blocked, which would facilitate the growth of the bacteria. It is interesting to note that the symptoms of chronic prostatitis can be very similar to the enlargement of the prostate gland (BPH), and is the Urologist who with his medical examination and the results of the relevant studies should assess your condition.
We leave a small list of the most common causes that may lead to patients undergoing one prostatitis:
- Patients who were performed a prostate biopsy.
- Patients studies were performed medical minimally-invasive procedures.
- Diseases of the prostate: BPH, prostate Cancer.
- Sexually transmitted diseases.
- Problems in the urethra.
- With a lot of often occur without apparent cause.
The Urologist who evaluates you will be asked some or all of the following medical tests to verify the diagnosis of prostatitis and know which is the type of prostatitis should be treated:
Analysis of urine, prostate massage for obtaining the secretion of the prostate for cultivation, transrectal Ultrasound of the prostate, blood, (it Is important to know that prostatitis can affect the results of the prostate-specific antigen (PSA), giving a value much above normal, on this blood test used to detect prostate cancer), among other studies that the Doctor deems necessary, according to the medical history of the patient.
Evaluating your symptoms and the results of the clinical analysis, the Urologist can conclude which type of prostatitis treated the patient.
CLASSIFICATION OF PROSTATITIS:
There are several types of prostatitis:
- Bacterial Prostatitis-acute: this type of prostatitis usually begin suddenly, usually accompanied by symptoms similar to the flu, such as fever, chills, nausea, and vomiting. It is usually caused by common bacteria.
- Bacterial Prostatitis chronic: this type of prostatitis lasts usually 3 months or more. It originates when the antibiotics that are prescribed are not deleted the bacteria that cause prostatitis. This generates that the patient can have recurrent infections and/or difficult to treat. We can say that when the symptoms urinary and painful are recurrent, we have to think in a chronic prostatitis.
- Chronic Prostatitis or pelvic pain syndrome chronic. This type of prostatitis it is not caused by bacteria, such as if you are the above. Usually, not you will usually identify the exact cause that causes it. The symptoms vary in every man, in some the symptoms are going through moments of greater symptoms and then go on to a period of lower or no symptoms. This type of prostatitis, it is also called syndrome of chronic pelvic pain, which is divided into: a Syndrome of pain chronic pelvic inflammatory disease, or Syndrome of chronic pelvic pain non-inflammatory.
Syndrome of pelvic pain (Chronic Prostatitis):
Usually, the treatment of the syndrome of pelvic pain is very difficult and disappointing. Since the symptoms are persistent in the patient, generated a great discomfort in the quality of life, due to the pain, discomfort, voiding, and the (usual) failure of different medical treatments causes to the patient and their environment continuously in search of response.
There are alternatives physical therapies used to treat the symptoms of the syndrome pelvic pain. Some of them are: the application of shock waves low-intensity, acupuncture, neuromodulation, laser prostate, injection of botulinum toxin, among others.
The application of shock waves in the treatment of chronic pelvic pain
Currently, the application of Shock Waves of low energy used for various medical treatments, for example in trauma, is treat chronic pain such as plantar fasciitis, tendonitis, etc., with very good results.
In the treatment of chronic pelvic pain to the application of Shock waves of low energy are directed at the level of perineal and usually produce a significant decrease in pelvic pain, also showing a improvement of the discomfort of urination, which generates a good quality of life in the patient.
The Urologist to evaluate the treatment most appropriate to treat the prostatitis, depending on how it manifests the symptoms in the patient and the type of prostatitis you have to try.
Usually in the treatment of prostatitis chronic use of medication as a be alfabloquenates, relaxing bladder and/or anti-inflammatory medications, is usually the most desirable, since the symptoms most predominant is the discomfort urinary irritativo.
- Antibiotics: it is the treatment that is frequently used for prostatitis. The Urologist should assess which is the antibiotic most appropriate, depending on the type of bacteria that is causing the prostatitis. If the symptoms are severe, it may be necessary for the antibiotics to be provided intravenously at first and then continue by mouth. Patients with prostatitis, chronic, or recurrent, usually take antibiotics for prolonged periods. . Since normally, the antibiotic treatments for short periods of time, they fail and the patient fall rate in prostatitis.
- Alpha-blockers: this type of medication is used for relax the muscle fibers and the neck of the bladder, which is where the prostate joins your bladder. This type of treatment, it may help to decrease the painful symptoms of the patient.
- Anti-inflammatory agents. The nonsteroidal anti-inflammatory drugs anti-inflammatory drugs, can also help the patient to walk without pain - symptoms of prostatitis.
- Changes in lifestyle: The following are some tips that can help the patient to relieve the symptoms, for example: taking a warm bath (sitz bath) or use a hot compress, limit or avoid alcohol, caffeine and spicy foods and/or acidic, avoid activities that may irritate the prostate, such as spend a lot of time sitting or riding a bike. It is important to take drinks without caffeine, as this will cause the desire to urinate is greater and will help eliminate the bacteria from the bladder.