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Chronic Prostatitis Pelvic Pain Syndrome

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Prostatitis can be categorized either as chronic bacterial or chronic prostatitis (CP), also known as chronic pelvic pain syndrome (CPPS) or pelvic myoneuropathy. Aside from these two types, the condition can also be classified as acute or asymptomatic inflammatory. The disease is defined as any form of inflammation of the prostate gland. This disease can affect both young and middle aged men.



Chronic bacterial prostatitis is a condition involving recurrent urinary tract infections originating from an infection in the prostate. Chronic prostatitis, on the other hand, can be inflammatory or non-inflammatory. Autoimmune and neurogenic inflammation have been theorized as the main factors behind CPPS. Neurogenic inflammation can be the result of dysregulation of the local nervous system which can be due to past traumatic experiences. An anxious disposition or unconscious pelvic tensing can also lead to neurogenic inflammation.

Men who suffer from prostatitis might feel pain during urination or ejaculation. CP/CPPS is believed to be the result of an autoimmune process or chronic inflammation that resulted from a breakdown of immunoregulatory mechanisms in the area around the prostate. A number of reasons have been identified to cause autoimmunity. These reasons include bacterial, fungal or viral infection, toxin exposure, physical trauma, genetics, stress and diet.

Infection that causes autoimmune reactions can be caused by a virus, bacteria or fungi. It can also be caused by parasites and normal bacterial flora. Researchers have also found that a persistent, ongoing infection can result to an autoimmune reaction. Aside from these organisms, antibiotics have also been implicated in autoimmunity. A study in 1999 reported that certain chemicals can cause genetic reshuffling or the activation of part of the immune system which can cause fatigue, rashes and muscle pain.

Another factor implicated in autoimmune reaction is physical trauma. One example of this is vasectomy. It is a well known fact that vasectomy often leads to an autoimmune reaction primarily due to the possibility of exposing the body's tissues to sperm through the incisions made during the operation. Diet is also believed to play a role in the development of autoimmune conditions. Several experiments that have been conducted showed that a diet rich in proteins, minerals and vitamins can lower a man's chances of developing an autoimmune disease.

Researchers also believe that susceptibility to autoimmune reactions can run in families, proving the theory of genetic predisposition in relation to CPPS and chronic bacterial prostatitis. Aside from genetics, psychological factors have also been implicated in the development of autoimmune conditions, with psychological stress being the primary factor linked with autoimmunity.

Chronic prostatitis is caused by a host of factors ranging from those found in the environment to elements that are beyond the control of man. With the onset of research studies supported by modern methods and techniques, this condition has become more controllable and this could only be good news to men all around the world.
Chronic Prostatitis Pelvic Pain Syndrome
Chronic prostatitis is a condition affecting the prostate gland, which means that it can only affect men. It could manifest itself as pain in regions that could include the urethra, the area between the rectum and the testicles, the tip of the penis, below the waist, the bladder or pubic area and the testicles. Other possible signs are pain or burning during urination, pain or discomfort during ejaculation, pain in the lower back and upper legs, a lowering of sexual libido or desire and a feeling of not emptying the bladder after urination.

Men who suffer from prostatitis can also experience symptoms such as fatigue, discoloration in the semen, impaired memory, pain in the lymph nodes and susceptibility to colds. Prostatitis is generally categorized as either acute, chronic bacterial, chronic prostatitis (CP)/chronic pelvic pain syndrome (CPPS) or asymptomatic inflammatory.

Throughout the years, treatment methods and strategies have been developed for prostatitis. The first option for any urologist in terms of prostatitis treatment is to recommend antibiotics. The most common type used, particularly for men who suffer from the chronic bacterial type, is Ciprofloxacin. This drug is taken to eliminate or eradicate infection. For CP/CPPS, the treatment strategy called the Stanford Protocol is often used. This method combines several medications including tricyclic antidepressants, benzodiazepines, paradoxical relaxation and physical therapy.

CP/CPPS accounts for majority of diagnosed prostatitis. Because of this, more therapeutic options have been designed to target this category. This type of prostatitis is said to be triggered, more often than not, by anxiety. Treatment protocols for CPPS often focus on stretches to relax muscles in the pelvic or anal area, physical therapy and progressive relaxation therapy. An immunomodulator called suplatast tosilate has also been found to be effective in managing CPPS.

Aside from antibiotics, alpha blockers like tamsulosin and alfuzosin also help in managing the condition. The mast cell blocker, Quercetin, is also effective in treating CP. Several studies have shown that this formulation reduces inflammation and oxidative stress in the prostate gland. Bee pollen or Cernilton is also considered an effective therapeutic for the condition.

In addition to these treatment protocols, men can also narrow their chances of developing CP/CPPS by strengthening their immune system and by subduing inflammation. Some materials that can help include chondroitin sulfate, calcium with vitamin D, Ester C, vitamin E with selenium, zinc cellmins and flax seed oil. In terms of trigger factors, men should avoid the excessive intake of certain foods like spices, vinegar, chocolate and other sugary foods, caffeine, alcohol, milk products, acidic foods and sodium benzoate.

Other things that need to be minimized or eradicated totally include the use of marijuana, psychological stress, strenuous exercise, too much use of antihistamines and decongestants, sitting for prolonged periods of time and Tantric sexual practices. Tantric sex involves the grasping of the penis tightly to control ejaculation and some men have reported that their prostate troubles started after engaging in Tantric sex.

Numerous treatment protocols and management strategies for chronic prostatitis have been developed by scientists during the last century and they are hopeful that eventually, methods for the eradication of the condition will be developed.
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