Acute and chronic Prostatitis: Introduction
Prostatitis has been called in the past the wastebasket of clinical ignorance (Stamey 1980), even though it is a very frequent disease: it is estimated that in the West with its chronic form (the most frequent) which accounts for about 90-95% of diagnosed cases of prostatitis affects between 5% and 10% of men in adulthood. On the other hand, acute bacterial prostatitis is less frequent, accounting for only 5-10% of cases.
Even in Italy, the numbers are in line with those of other Western countries. It is estimated that about 5-10% of men are diagnosed with prostatitis in their lifetime and it is one of the most common reasons why men under 50 turn to the urologist. We believe, perhaps immodestly, that we are part of the patrol of urologists who are currently most interested in this disease worldwide. It is in fact so frustrating to be sick of something so real, with symptoms so present and so clinically well explained and to be treated instead as "imaginary patients" or at best as patients whose most common therapeutic advice is "not to think about it, get used to it, there is nothing to do anyway". The causes that are at the basis of this terrible syndrome (the adjective terrible might seem exaggerated but in some patients it is instead a frightening daily reality) have, in the past, been sought exclusively with a prostate-centric vision, that is, with exclusive reference to the prostate gland and its more or less evident infections. Over the years, however, while continuing to consider an initial prostate infection as the probable initial cause of the problem, there is an increasing conviction that the repeated detection of any bacteria (usually enterobacteria) in semen or urine is now more a consequence than the cause of chronic pelvic floor pain syndrome (so-called CPPS). And more and more people realize that the symptoms manifested by patients do not start directly from a prostate focus, but are almost always attributable to spastic pathologies of the perineal floor muscles with reactive inflammatory involvement of the pudendal nerves. Now, all this said, let's get to know this mysterious prostate and the anatomical structures of the perineal floor involved in chronic pain syndrome more closely.
Video sulla prostatite
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