Chronic prostatitis treatment in Turkey

Chronic prostatitis treatment

Treating chronic prostatitis is no longer an impossible thing, as it can be treated in Turkey through the latest methods available globally

What is prostatitis and how is chronic and acute prostatitis treated in Turkey?

Prostatitis is a common, often painful condition that can affect men of all ages.

 Pelvic pain in and around the prostate may be from:

  • Bacterial infection caused by bacteria.
  • Inflammation of the area (redness, swelling) from an injury or infection.
  • Some other problems.
The normal position of the prostate gland
Prostate positioning

prostate It is a small walnut-shaped gland that is part of the male reproductive system. It is located under the bladder and in front of the rectum.

The prostate is surrounded by muscles and nerves.
The urethra (the tube that carries urine and sperm out of the body) passes through the prostate gland.

The main function of the prostate Is to help make the fluids needed for semen.
This fluid protects the sperm and nourishes it until it settles in the egg.

Symptoms of prostatitis for young and old / signs of prostatitis

What are the symptoms of prostatitis for young and old people (your symptoms) that will help your doctor diagnose you?

These symptoms vary according to the type of infection

There are 4 types of prostatitis:

  1. Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).
  2. Chronic bacterial prostatitis.
  3. Acute (sudden) prostatitis.
  4. Asymptomatic inflammatory prostatitis.

First: Chronic Prostatitis / Chronic Pelvic Pain Syndrome (CP / CPPS)

CP/CPPS is the most common type of prostatitis. It is inflammation of the prostate and irritation of the nerves that innervate this area. But it is not an infection.

Some symptoms of chronic prostatitis for young people and the elderly:

  • Trouble urinating (and sometimes pain).
  • Pain in the bladder, testicle, penis and between the penis and anus.
  • Pain when ejaculating.

Second: chronic bacterial prostatitis

Chronic bacterial prostatitis is an uncommon type of bacterial prostatitis.
They require a culture of urine and prostate bacteria to check for this type of infection.
His most important sign is that he comes and goes frequently over a long period of time.

Some symptoms of chronic bacterial prostatitis:

  • Burning feeling while passing urine.
  • The need to urinate often.
  • Pain in the bladder and penis, and in the area between the root of the penis and the anus.
  • Pain with ejaculation.
  • Bad smell in the urine.
  • Discharge from the penis.

Third: acute (sudden) prostatitis

Acute bacterial prostatitis is also an uncommon type of bacterial prostatitis.
It requires a urine test to see if there are any bacteria.

Symptoms appear suddenly and can sometimes be painful.

Some symptoms of acute simple prostatitis:

  • goosebumps.
  • fever;
  • Very painful burning while passing urine.
  • Your bladder draining problem.

Fourth: inflammatory prostatitis without symptoms

Inflamed and swollen prostate gland
A picture showing an inflamed prostate and a defect in its secretion

Asymptomatic inflammatory prostatitis is inflammation of the prostate with no symptoms.
It is not an infection! You will not have any symptoms of this type of prostatitis.
But the bacteria can be found during a general examination or when checking for other problems.

Causes of prostatitis in men and young people

It's not clear what causes most cases of prostatitis.
Most often, local inflammation in the prostate causes irritation of the nerves and muscles in the pelvis that causes pain, and less commonly, a bacterial infection.
It may take some tests to find out exactly what the cause is.

Bacterial prostatitis results from a bacterial infection of the prostate.
Bacteria can enter the prostate when infected urine containing the germs flows backward from the urethra.

Nonbacterial prostatitis may be associated with stress, nerve inflammation, or irritation after a UTI.
Or it may happen if your body is still reacting to an infection or injury that occurred in the past.
This form of prostatitis has no signs of bacteria in urine or seminal fluid.

Other pelvic pain may also form from:

What are the risk factors for prostatitis?

The causes of most cases of prostatitis are not yet fully understood.
But there are some things that can raise your risk of developing prostatitis caused by bacteria.
For example, bacteria can enter your body if you have:

  • A urinary catheter (a tube to take fluids out of the body) or something else placed in the urethra.
  • A structural abnormality present in the urinary tract.
  • Bacterial infection of the bladder.

Ways to prevent prostatitis

Most cases of prostatitis cannot be prevented. But practicing safe sex (within marriage only) can lower your chance of getting prostatitis caused by certain infections.

Diagnosis of prostatitis in Turkey

Each type of prostatitis requires a different treatment.

Your doctor will want to know the exact cause of your symptoms. To find the answers, more than one type of examination will be used:

  • questionnaire

Your urologist in Turkey may ask you to fill out a questionnaire to understand your pain.
This National Institutes of Health questionnaire asks about your symptoms and how you feel.

  • physical exam

Your doctor may do a rectal examination (DRE). This is done by manually examining the prostate from the rectum

Your doctor will press and feel your prostate to see if it is normal or large, hard or tender. where . can be predictedProstate cancer by this examination.

  • general exams
  • Ultrasound imaging device

To get a closer look at your prostate gland, your doctor may order a feedback ultrasound. To show a picture of the prostate.
Where the ultrasound probe is placed in the rectum.

  • Urine and prostate fluid tests

Your doctor may test urine and fluids from your prostate gland.
When the prostate is massaged during a DRE, a fluid called prostate-expressing secretion (EPS) comes out of the penis.
The urine and EPS are checked to see if there is a bacterial infection or infection.
Test results may also tell your doctor if the problem is with the urethra, bladder or prostate.

Your blood and semen may also be tested to check for bacteria, white blood cells, or other signs.

If you are at risk of contractingcancerYour doctor may order a blood test to check your prostate-specific antigen (PSA) level.
But if you have a prostate infection, your PSA result can be slightly elevated. Because of this, doctors caution against reading your PSA test results.

Your urologist may look inside the urethra, prostate and bladder endoscopically.
An endoscope is a long, thin telescope with a light at the end.
Your urologist will numb your urethra. Next, he or she will gently guide the endoscope through the urethra into the bladder.

  • Examination of urine flow velocity (urodynamics)

A urologist may order a study of urine flow or urodynamics.
To measure the strength of your urine flow.
These tests give information about any blockages caused by the prostate, urethra, or pelvic muscles.

Chronic prostatitis treatment

Treatment for chronic prostatitis depends on which type you have.

To treat acute bacterial prostatitis, you'll need to take antibiotics for at least 14 days.

Sometimes some men will be admitted to the hospital and will take antibiotics intravenously.
If you have trouble urinating, your doctor may use a tube (catheter) to drain urine from your bladder.
Almost all acute infections are treated with this remedy.

Sometimes, you'll need to stay on antibiotics for up to four weeks.
If one antibiotic doesn't work, your doctor will try another.
The best antibiotic for treating prostatitis is the one that is chosen after the germ culture process.

Treatment of chronic bacterial prostatitis in Turkey

For chronic bacterial prostatitis, you'll need to take antibiotics for a longer period, most often for 4 to 12 weeks.
About three-quarters of these cases of chronic bacterial prostatitis are treated in this way.
Sometimes the symptoms may recur and the antibiotics will need to be taken again.
For cases that do not respond to this treatment, long-term low-dose antibiotics are used to relieve symptoms.

Treatment of chronic prostatitis CP/CPPS.

Because the exact cause of CP/CPPs isn't known, some doctors may give antibiotics even if your tests don't prove bacteria to be the cause.
Other times, doctors may give anti-inflammatory drugs or medications that reduce nerve pain.

Antibiotics to treat chronic prostatitis

If antibiotics are prescribed, it is important to take your medication at the same time each day and follow the prescription as given by your doctor, even if you begin to feel better.

Alpha blockers for the treatment of chronic prostatitis

Some doctors give medicines called alpha-blockers to help you feel better.
These medications help relax the muscles around the prostate and the base of the bladder.

Anti-inflammatory agents for the treatment of chronic prostatitis

Nonsteroidal anti-inflammatory drugs (NSIAIDS) may make you more comfortable.
These are pain medications (aspirin, ibuprofen, etc.) and muscle relaxants.

Prostate massage for chronic prostatitis

Prostate massage can help relieve pressure in the prostate.
This is done by removing fluid from the prostate ducts while physical therapy may relax nearby muscles.

Biofeedback feedback for the treatment of chronic prostatitis.

Biofeedback uses signals from screens to teach you to control your body and how to react.
This includes learning to relax some muscles.
This is done with a specialist to help you reduce tension in the pelvic floor muscles.

Home remedies and other techniques to reduce pain

Hot baths, hot water packs or warm compresses may also help relieve pain.

Relaxation exercises and caring for food also may relieve some of your symptoms.
Your doctor may suggest that you stop eating and drinking certain foods.
They may include spicy or acidic foods and caffeinated or alcoholic beverages.

He may recommend drinking more water, eating more fresh/unprocessed foods and less sugar.

He may also suggest that you stop doing things that could make your pain worse (such as cycling).

Herbal treatment for the prostate

There is no evidence that herbs and supplements improve prostatitis.
Options that have been tried and failed to help prostatitis include commercial grass (Cernilton), a chemical found in green tea, onions, and saw palmetto extract.

Dietary supplements can affect other treatments, so if you'd like to try herbal supplements, please tell your doctor first.

Treatment of chronic prostatitis through acupuncture

Some men use acupuncture to reduce pain. Acupuncture involves inserting very fine needles through the skin into different depths of the body. Of course, so far there is no scientific evidence for it.

Surgery to treat chronic prostatitis

In rare cases, surgery on the urethra or prostate may be needed. There must be a subtle problem with the body, such as a scar in the urethra, or Complete prostatectomy.

Most cases of acute bacterial prostatitis are treated with medication.

Unfortunately, CP/CPPS is not easy to treat. In most cases of CP/CPPS, if antibiotics are used, the drugs may have trouble getting to and killing the bacteria deep in the prostate.

Chronic bacterial prostatitis can come back even after you have been treated.
Your doctor may use more than one treatment at a time.
Some men have to manage to live with the symptoms until the inflammation is completely gone.

As with Bimaristan center In Turkey, there are several ways to treat chronic prostatitis.

Methods for treating prostatitis permanently

TUMT (Transurethral Microwave Therapy) Chronic Prostatitis

Microwave treatment of chronic prostatitis is one of the latest treatment methods in Turkey
Microwave therapy for chronic prostatitis is a minimally invasive treatment method that uses microwave energy

One of the new treatment methods in the treatment of prostate. TUMT is a non-surgical treatment used in patients with enlarged prostate or chronic prostatitis, where effective, safe and permanent results are obtained without surgery.

Transurethral radiofrequency therapy for the prostate is a minimally invasive treatment method that uses microwave energy to shrink the sections of prostate tissue that have enlarged prostate tissue and to eliminate inflamed tissue in chronic prostatitis.

Transurethral Heatwave Therapy TUMT is an outpatient procedure to treat urinary symptoms caused by an enlarged prostate.

In this treatment, a doctor inserts a urinary catheter with a microwave generator on the tip through the urinary opening.
The catheter is sent through the urethra.
TUMT uses a part that carries a dose of microwave energy, heating and destroying excess prostate cells.

“It works using low heat and reliable energy that does not harm healthy prostate tissue.”

TUMT does not damage prostate tissue, as it works using reliable, low heat and energy.

With this treatment, the treated portion of the prostate is absorbed by the body or excreted in the urine after the procedure.

The goal of treatment is to reduce the size of the prostate and improve symptoms. TUMT offers effective, reliable and permanent solutions.

“Patient can go home on the day of TURT”

The patient can go home on the day of TUMT treatment. TUMT, which does not require hospitalization and general anesthesia, takes about one hour.

in a Transurethral Heat Wave Therapy (TUMT), whose success and reliability have been proven by scientific studies, there are no side effects such as sperm retention and urinary tract narrowing, which appear in other operations.

During the procedure, a catheter is placed in the patient's urinary tract and a thermometer is placed in the rectum to control the temperature.

At the tip of the catheter there is a microwave part that generates enough heat to destroy the affected prostate tissue. While heating the selected prostate tissue sections, the cooling system is activated to prevent the urinary tract from being affected by the heat.

With this method of treatment, it is possible to treat enlarged prostate Also, where the success rate of treatment is 90% through transurethral heat waves (TUMT) without surgery, that is, radiofrequency therapy.

This rate is a similar success rate to surgery and there is no risk from the procedure.
Microwave therapy, with all its advantages, is the new gold standard in the treatment of enlarged prostate and chronic prostatitis.

With this treatment, prostates weighing more than 100g can be treated easily.
Studies have shown that the treatment is successful even in a prostate weighing 150 grams.
The largest prostate treated so far is 287 grams.

according to Study Performed in Belgium, the treatment success rate for chronic prostatitis is about 88% for patients who have not been cured by conventional methods.

Prostate injection to treat chronic prostatitis

Prostate injection to treat chronic prostatitis
Prostate injection to treat chronic prostatitis

In patients with chronic bacterial prostatitis who have fibrous areas of the prostate, a combination of an antibiotic and a corticosteroid is injected directly into these areas.

Whereas, the traditional treatments with antibiotics, may be treated for a limited period, but the possibility of recurring infection in these foci is considered to be great.

An antibiotic given in the prostate is 2500 times higher than that taken orally or intravenously. This increases the healing power.

Conducting 6 sessions with an interval of 15 days will be useful and sufficient.

Brief description of the prostate injection technique for the treatment of chronic prostatitis

After sterilizing the area where it is applied under the guidance of ultrasound through the rectum under light general or local anesthesia.
Where a needle with a thickness of 23g is inserted through the dough area.
The inflamed part is entered.
If the infection is found in more than one place, they are all entered on both sides.
The injected substance is made by mixing an antibiotic cocktail and 12 mg desamethasone, and after reaching the prostate, it is inserted into the fibrous region of the prostate and injected.

The injection is repeated if necessary and a long massage is performed after the needle is removed.

Additional facts about treating chronic prostatitis

Getting a proper diagnosis is key to prostatitis care.

Prostatitis does not always involve the prostate.
The problem may be in nearby tissues.

There is still a chance, even if it is very small compared to the old treatments, that you will not be cured of prostatitis, but its symptoms can be managed.

You should follow the treatment even if you feel better.

Patients with prostatitis are at no higher risk of getting Prostate cancer.

There is no reason to stop regular sex unless it bothers you.

You can live a reasonable normal life with prostatitis.

Common Questions

  • Burning feeling while passing urine.
  • The need to urinate often.
  • Pain in the bladder, bladder, penis, and in the area between the root of the penis and the anus.
  • Pain with ejaculation.
  • Bad smell in the urine.
  • Discharge from the penis.

Medicines used in the treatment of chronic prostatitis:

  • Antibiotics.
  • Alpha blockers.
  • Anti-inflammatories.
  • And sometimes antidepressants.

Unfortunately, so far there is no clear study on the possibility of treating chronic prostatitis with herbs.

Prostatitis does not affect reproduction and does not cause infertility.

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