Chronic abacterial prostatitis Recurrent Prostate inflammation of non-bacterial origin
Prostatitis is the most frequent urological diagnosis in men under 50 years of age, and chronic abacterial prostatitis has a prevalence of 7% in the male population.
Although its etiology is unknown, it is commonly multifactorial, and is usually presented as pain, with evolution for more than 3 months, usually at the perineal, suprapubic, inguinal, penis, scrotum and ejaculation-associated level. It is often associated with lower urinary tract symptoms and changes in the sexual sphere, causing great impact on quality of life.
Diagnosis is made based on clinical evaluation and the analysis of urine collected before and after prostatic massage (Meares-Stamey Test).
Treatment is often empirical, consisting of a combination of antibiotics, alpha-blockers, nonsteroidal anti-inflammatory drugs, among others.
More recently, the use of low intensity shockwaves in the treatment of this pathology has been described, presenting promising results, with improvement in the various symptoms presented and demonstrating a high degree of satisfaction of treated patients.