The cause of prostate pain is usually chronic prostatitis. It is not only a disease of older men but also of younger age groups.
There are multiple forms of prostatitis: 1. Acute bacterial prostatitis. It is caused by bacteria and is manifested by acute symptoms such as chills and fever, lower back pain, lower abdomen, dyke, burning when urinating or inability to urinate. 2. Chronic bacterial prostatitis is also caused by bacteria, but it has a lengthy course and its symptoms include abdominal and perineal pain, occasional urination burning, dislike of sex, and often erectile dysfunction. 3. Chronic pelvic pain syndrome is the most common form of prostatitis. It has a lengthy course, but no infection. May be inflammatory or non-inflammatory. It is similar to chronic bacterial prostatitis, especially with perineum pain, testes, genital tract and bladder, urination pain and ejaculation. The disease has periods of improvement and deterioration. 4. Asymptomatic inflammatory prostatitis is a symptom-free disease that is accidentally detected during urological examination or prostate biopsy.
The diagnosis of prostatitis consists of a thorough history, urine examination, prostate expression, ejaculate, prostate examination and ultrasonography.
The treatment of prostatitis consists in the application of antibiotics (in the case of bacterial prostatitis), non-steroidal analgesics, alpha-blockers, phytopreparations, antimuscarinics and heat application. ESWT (shock wave treatment) is a highly effective method of treating chronic prostatitis. Chronic prostatitis (abacterial) and chronic pelvic pain syndrome are optimal indications for shockwave treatment. The ESWT method is based on the application of extracorporeal shock waves to prostate calcites to which bacteria adhere. The effect of the shock wave is the destruction of calcifications, which are phagocytic by leukocytes and consequently more easily eliminated by the immune system itself. Treatment is outpatient, does not require hospitalization.
See the principle of shockwave treatment of chronic prostatitis on our site.