Chronic prostatitis

Despite a huge leap in the development of medicine in recent decades, the problem of chronic prostatitis remains one of the most urgent problems in urology. According to WHO, more than 35% of the male population of the United States and European countries at least once in their lives noted symptoms characteristic of prostatitis and use About 19% of men of reproductive age have a confirmed diagnosis of chronic prostatitis. Prostate adenoma, which has manifestations similar to prostatitis, is found in 10-15% of men over 50 years of age. In Russia, these figures are much higher. Of particular concern is the increase in the prevalence of chronic prostate disease and infertility in young men.

The role of the prostate gland (prostate) is one of the main in the male body. It is involved in the production, maturation and transport of sperm, liquefaction of sperm and ejaculation. In addition, sexual desire and orgasm are also directly dependent on the function of the prostate.

The range of complaints of a patient with chronic prostatitis is unusually wide: from sexual dysfunction to neuropsychological disorders. Quite often, such patients hang around the thresholds of polyclinics for years, tormenting therapists with endless complaints of “back pain”, “fatigue”, “pain in the heart area”, etc. The result of such walks is usually the diagnosis of sciatica, vegetative-vascular dystonia, neurosis, etc., while the real cause of the patient’s torment is not only not established, but even the examination of the prostate gland is out of the question. With a properly structured conversation with the patient, as a rule, some, sometimes very minor, violations in the genital area are revealed. Thus, it is especially important on the part of the doctor to at least ask a few questions about the sexual life of the patient, and on the part of the patient to pay attention to the most insignificant violations in this area.

The modern rhythm of life is such that most men completely forget about their health and, as always, rely on the “comprehensive Russian maybe”. And, unfortunately, they turn to a urologist in the later stages of the disease, when severe symptoms already predominate and, accordingly, long-term treatment is required.

Prostate Gland – (BPH) Benign Prostatic Hyperplasia, Stage 3 – false color to highlight details

Many authors also call the prostate gland “the second heart of a man.” And according to many foreign authors, not only a urologist, but also a cardiologist, neurologist, endocrinologist, and often even a psychotherapist should deal with men’s health. All this suggests that the treatment of diseases of the genital area in men requires an integrated approach to cover all the “weak points of a man” and significantly reduce the risk of possible complications.

To date, there is a classification of chronic prostatitis, developed with the participation of the US Institute of Health in 1995.

Category I – acute prostatitis.
Category II – chronic bacterial prostatitis
IIIa category – chronic non-bacterial inflammatory prostatitis
Category IIIb – chronic non-bacterial non-inflammatory prostatitis or chronic pelvic pain syndrome (CPPS) in men.
Category IV – any form of prostatitis that occurred without any symptoms and was detected by chance.

And if in the treatment of categories I and II there are no problems with diagnostics and approaches to treatment, then in other cases there are no developed methods and treatment regimens at this time.