PROSTATITIS
Chronic Non-Microbial Inflammation of the Prostate
“chronic non-bacterial prostatitis”which is very common in men strong> is inflammation of the prostate that is not due to a specific bacteria. Symptoms may include frequent urination, sudden or forced urination, pain and burning during urination, frequent urination at night, pain in the lower back or genital area, decreased urine flow, blood in the semen, painful ejaculation, mild fever, recurrent bladder infections. However, bacteria cannot be detected in urine or prostate gland fluid. Therefore, diagnosis and treatment of this type of prostatitis is extremely difficult. The aim is to relieve the symptoms rather than completely eliminating the disease.
Some of the factors thought to trigger this inflammatory condition are:
• Sexual activity: A sexually transmitted infection It develops more frequently in sexually active young men with diseases (such as gonorrhea, chlamdia). In some men, decreasing the frequency of sexual intercourse may be a healing factor.
• Anxiety or stress: Stress controls urine flow. causes muscles to contract. These muscles are the pelvic floor muscles that support the bladder and rectum. Contractions prevent the muscles from relaxing regularly and cause urine to return to the prostate and damage its tissue.
• Finishing urination and starting again: Some men frequently stop and start again while urinating.
Stopping the urine flow causes urine to leak back from the urethra, which irritates the prostate.
• Heavy Lifting: Heavy lifting when the bladder is full causes urine to leak back to the prostate.
• Occupation: Professions such as truck driving may be associated with this infection.
Acute Inflammation of the Prostate
Although acute inflammation of the prostate is rare, it is extremely serious. is a situation. Fever, chills, flu-like condition, pain and burning during urination, difficulty urinating, decreased urine flow, feeling of not fully emptying the bladder during urination, frequent and urgent need to urinate, bloody urine, painful ejaculation are the most common complaints.
Most of the time, bacteria in the urinary system and large intestines are responsible. Acute bacterial
prostatitis can cause serious problems such as inability to urinate and spread of infection to the bloodstream. For this reason, it is recommended that people consult a doctor without delay and stay in the hospital for a few days if the symptoms are serious.
Chronic Microbial Inflammation of the Prostate
This type of prostatitis is caused by bacterial infection. Unlike acute prostatitis, symptoms develop more slowly and are almost the same as chronic non-bacterial prostatitis. The cause of chronic bacterial prostatitis is not clear. It may be due to bacteria in the urinary system, bladder or blood infection. Stones that may form in the prostate gland or structural defects in the prostate can also cause prostatitis. Infection may occur as a result of trauma or an instrument (such as a catheter) being inserted into the urinary system. This is why doctors routinely prescribe antibiotics after a urinary catheter. The two most important steps in diagnosing prostatitis are eliminating other conditions that cause similar symptoms and determining which type of prostatitis you have. For this, your medical history needs to be examined in detail. It is important to examine the treatments you have received in the past, the infections you have had, your sexual life and your family history. bun In addition, a physical examination and rectal digital examination are also required. During a digital examination, your doctor may remove fluid from the prostate gland. This process is called “prostate massage” or “stripping”. Fluid taken from your prostate is examined under a microscope for signs of infection or inflammation. A urine sample is required for bacteria and leukocyte research. Leukocytes indicate inflammation, bacteria indicate infection. If your urine test is positive for both, you have bacterial prostatitis. If there are leukocytes and no bacteria, this is the germ-free form. If there are no bacteria or leukocytes, your symptoms are related to other disorders.
Prostatitis Treatment
Antibiotic
Antibiotics are used in all types of prostatitis. It is used as the first choice. Your doctor will start you on a broad-spectrum antibiotic until the specific type of bacteria causing the infection is determined. The duration of use of antibiotics varies depending on the response of the infection to the drug. In acute prostatitis, a few weeks of treatment is sufficient. On the other hand, the chronic non-bacterial form is resistant, the treatment period is long, and sometimes it cannot be cured. Additionally, when medications are stopped, recurrence of the infection may occur. Although non-bacterial prostatitis is not caused by infections, your doctor may prescribe antibiotic treatment for a few weeks to reduce symptoms.
Physical Therapy
Physical therapy methods applied in addition to medical treatment are used to treat prostatitis. It is important to reduce complaints. A physiotherapist is needed to decide which exercises should be performed and how much. In some men, stretching and relaxing the lower pelvic muscles may reduce symptoms. In Diathermy treatment, a method used for this purpose, electrical current is used to warm and relax the muscle tissue. Another direction item; Biofeedback is a technology that will allow you to relax your muscles. In a biofeedback session, the therapist places electrodes and sensors on your body. Electrodes are connected to a monitor and give feedback about body functions such as muscle tension. During this time, your therapist applies relaxation techniques to relax you. It is not known exactly how physiotherapy benefits prostatitis. However, since it is thought that tight or contracted muscles may be responsible for the condition in some men, the role of physiotherapy in relaxing these muscles is important.
Prostate Massage
Prostate massage reduces edema that may cause infection, and reduces the effect of antibiotics on inflamed tissues. It provides more input.
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