Prostatitis is an inflammation of the male gland immediately below the bladder and surrounding the urethra. It plays an essential role in reproductive function since it participates, together with the seminal vesicles, in the production of much of the liquid constituting the ejaculate. In young men, the prostate usually has the size of a hazelnut, but its volume tends to increase gradually with age.
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Cause of Prostatitis
Prostatitis is a condition whose causes are often poorly identified. It may result from a bacterial infection that reaches the prostate through the urinary tract or blood circulation. These infections may evolve gradually, leading to chronic forms with a tendency to recidivism, or appear abruptly as acute prostatitis.
There are also chronic prostatitis with no bacterial origin. In this case, inflammation is usually present, but not systematically. Some non-infectious forms may even manifest themselves in silent inflammation, i.e. without causing clinical symptoms.
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Symptoms of prostatitis
In the various forms of prostatitis accompanied by symptoms, these are largely related to spasms of the bladder and pelvis muscles, especially in the perineum region, located between the scrotum and the anus. The pain then manifests in this area, but also in the lower back, in the penis and testicles. Patients often feel a pressing and frequent need to urinate, sometimes accompanied by burns or pain during urination. Disorders can also affect sexual function, making erection or ejaculation difficult or even painful. In some cases, constipation occurs and makes defecation painful.
When it comes to acute bacterial prostatitis, symptoms are generally more intense. Fever, chills, difficulty urinating and blood in the urine are frequent manifestations. This form can lead to complications such as the formation of an abscess in the prostate or epididymitis, i.e. inflammation of the epididymis.
Treatment of prostatitis
Treatment of prostatitis varies depending on whether or not there is a bacterial infection. When an infection is confirmed, antibiotics form the basis of management. On the other hand, in the absence of infection, therapeutic options are mainly aimed at relieving symptoms through drug or non-drug approaches, and sometimes surgical approaches.
Non-infectious treatment
In non-infectious forms of prostatitis, management remains complex and rarely definitive. The main aim of the treatments is to improve the patient's comfort. Non-drug approaches include prostatic massage, hot seat baths and biofeedback to reduce pelvic spasms. On the drug side, stool emollients relieve pain associated with constipation, while pain and anti-inflammatory pain reduce pain and inflammation. Alpha-blockers, such as tamsulosin or doxazosin, release prostate muscles and improve urinary symptoms.
Unexpectedly, some antibiotics can also provide relief. If treatments fail, partial prostate surgery or alternatives such as electrical stimulation or botulinum toxin may be considered.
Prostate treatment due to infection
In cases of acute bacterial infection, treatment is based on antibiotics capable of penetrating prostatic tissues, such as ciprofloxacin or trimethoprime-sulfamethoxazole, administered for at least 30 days. Shorter duration exposes to the risk of evolution to a chronic form. The majority of patients can be treated at home orally, but hospitalization and intravenous administration are sometimes necessary in case of severe infection. Chronic bacterial prostatitis, on the other hand, requires prolonged treatment, usually of at least six weeks, with appropriate antibiotics. Finally, if a prostatic abscess is formed, surgical drainage is required.
Medicine provides very effective treatments to overcome the evil for a treatment of two to three months. This treatment is based on the formulation of natural plant roots and barks.
