Lower back pain
It is most often associated with the following problems:
Chronic prostatitis causes pelvic floor pain, difficulty urinating, and is sometimes accompanied by elevated body temperature and problems in sexual life. It is not only a disease of older men but also of younger age groups.
There are several forms of prostatitis: 1. Acute bacterial prostatitis. It is caused by bacteria and is manifested by acute symptoms: Chills and fever, pain in the lower back, lower abdomen, perineum, burning during urination and inability to urinate. 2. Chronic bacterial prostatitis is also caused by bacteria, but has a long course. Its symptoms are pain in the lower abdomen and perineum, occasional burning during urination, lack of desire for sex and often erectile dysfunction. 3. Chronic pelvic pain syndrome is the most common form of prostatitis. It has a long course, but without the presence of infection. It can be inflammatory or non-inflammatory. It manifests itself similarly to chronic bacterial prostatitis: Pain in the perineum, in the testicles, in the penis and in the bladder area, pain during urination and ejaculation. The disease has periods of improvement and deterioration. 4. Asymptomatic inflammatory prostatitis is an asymptomatic disease that is accidentally detected during a urological examination or prostate biopsy.
The diagnosis of prostatitis consists of a thorough history, examination of urine, prostate secretion, ejaculate, palpation of the prostate and ultrasonography.
The treatment of prostatitis consists of the application of antibiotics / in the case of bacterial prostatitis /, non-steroidal analgesics, alpha-blockers, phytopreparations, antimuscarinics and the application of heat. A highly effective method of treating chronic prostatitis is ESWT / shock wave therapy /. Chronic prostatitis and chronic pelvic pain syndrome are optimal indications for shock wave therapy. The ESWT method consists of applying extracorporeal shock waves to calcified prostate scars to which bacteria adhere. The effect of the shock wave destroys calcifications, which are phagocytized by leukocytes and subsequently more easily eliminated by the body’s own immune system. The treatment is outpatient, does not require hospitalization. The patient completes a series of at least 4 sessions with us, once every one to two weeks.
