Background
Chronic prostatitis is a condition with a persistent inflammation of the prostate gland. This is rather a very common condition affecting man that’s all ages. It is presumed that at least one of two men will have at least one attack prostatitis during their lifetime.
Types of prostatitis
There are several types of chronic prostatitis ranging between those caused by a bacterial invasion and the more coming others being caused by chronic inflammatory process of unknown origin. This is traditionally called chronic abacterial prostatitis. Other forms of put the tightest could give the same symptoms without an inflammatory reaction and they are typically called prostatodynia or type III prostatitis. The last form is being only histologically diagnosed without any symptoms.
Chronic prostatitis Symptoms
There’s a reason behind naming chronic prostatitis as chronic pelvic pain syndrome. This is usually due to the vague presentation and different manifestations in different men. This could be ranging in the form of penile tip pain or scrotal discomfort. Others could present with chronic low back pain and pain during ejaculation. This could be well associated with storage lower urinary tract symptoms.
Chronic prostatitis Management
Thankfully this condition is not sinister however due to its vague symptoms and chronicity, curing it remains a challenge
The management starts from lifestyle modifications and adopting a healthy lifestyle, including sexual health, and avoiding irritating food and extreme temperature changes.
The medical management and has a wide spectrum of treatment options including empirical antibiotic courses, according to the European Association of Urology guidelines. These were historically from the family of quinolones. However, that has now changed into Fosfomycin. In addition, there are other medical treatments, which are mainly for symptom symptom control those are in the form of alpha-blockers and nonsteroidal anti-inflammatory agents in addition to amitriptyline small doses.
For resistant cases, peri-prosthetic injection of local anesthetic and / or steroids can be tried with promising intermediate term outcomes.
Other interventional procedures the experimental have some limited success mail in the form of shockwave therapy and microwave therapy.
