CPPS accounts for more than 90% cases of chronic prostatitis. Related factors are also the most complex and multiple etiologies act simultaneously with one or several of which play a key role; or many different diseases that has the same or similar clinical manifestations; sometimes even these diseases have been cured, the damage and pathological changes it causes continue to work independently.
Most scholars believe that the main cause could be a combination of pathogen infection, inflammation and abnormal pelvic floor neuromuscular activity.
1. Pathogen infection: Although the pathogen could not be isolated by routine bacterial examination in this type of patients, it may still be associated with some bacterial,
Chlamydia trachomatis, Mycoplasma and other pathogen infections. It has been proved that its local prokaryotic DNA detection rate can be as high as 77%.
Some "non-bacterial" prostatitis, which is mainly chronic inflammation, recurrent or aggravated, may be related to anaerobic bacteria and bacterial mutation in L type. Chlamydia trachomatis, mycoplasma, parasites, fungi, viruses, trichomonads, Mycobacterium tuberculosis, and others are also pathogenic factors of this type.
2. Voiding dysfunction: Many patients with chronic prostatitis have multiple urodynamic changes, such as: decreased urinary flow rate, functional urinary obstruction, and detrusor-sphincter dyssynergia.
3. Psychological factors: More than half of the patients with unhealed CPPS have significant mental and psychological disorders and personality changes, such as anxiety, depression, hypochondriasis, hysteria, and even suicidal tendencies. These changes may cause autonomic dysfunction, resulting in posterior urethral neuromuscular dysfunction, leading to pelvic pain and urinary dysfunction.
4. Neuroendocrine factors: Local pathological stimulation of the prostate and urethra triggers spinal reflexes through the afferent nerves of the prostate, astrocytes in the lumbar and sacral spinal cord are activated, nerve impulses are transmitted through the genitofemoral and ilioinguinal nerves, and norepinephrine, prostaglandins, calcitonin gene-related peptide, substance P, etc. are released from sympathetic nerve endings, causing bladder urethral dysfunction, abnormal contraction of the perineum and pelvic floor muscles, and referred pain in the corresponding areas other than the prostate.
1. Pharmacotherapy: Antibiotics have been widely recognized for the treatment of bacterial prostatitis, of which quinolones are currently the most commonly used. Quinolones have an affinity for the prostate and can penetrate the lipid membrane of the prostate, reaching high concentrations within the prostate.
It is effective not only for against gram-negative and positive bacteria, but also against chlamydia and mycoplasma, so its efficacy is good. However, there have been reports suggesting that quinolones are ineffective in the treatment of CPPS. Therefore, the antibiotic treatment of CPPS requires large sample clinical studies.
2. Biofeedback therapy: Considering that pelvic wall tension myalgia may be the important basis of type IIIB, the biofeedback technique training and regulating the contraction and contraction of pelvic wall muscles can achieve the therapeutic goal of relieving spasm and relieving pain.
3. Prostate hyperthermia, prostate massage: Hyperthermia mainly uses various physical means to increase the internal temperature of the prostate gland, enhance blood and lymphatic circulation, improve local nutrition, accelerate local metabolism and elimination of toxic substances, and promote inflammatory absorption. It can also make striated muscle tension decreased, especially in spasticity of muscle tension decreased more significantly, and has a certain spasmolytic effect.
In recent years, with the rapid development of technologies, the treatment of CPPS is increasingly diversified and innovative, however these methods are controversial. They cannot cure CPPS radically, and there is no guarantee that the condition will not recur.
As a natural therapy,
Diuretic and Anti-inflammatory Pill emerges as a breakthrough with 92% cure rate and almost 0 rate of recurrence. Invented by Wuhan TCM Clinic, this herbal formula has no drug resistance and don't produce side effects. It can be taken continuously to improve symptoms until it is cured. And after healing, the recurrence rate is extremely low, which is due to the enhance of immunity and self-healing ability of the human body, and the fundamental restoration of the function of the reproductive and urinary system.
The main effects of Diuretic and Anti-inflammatory Pill are detoxification, blood circulation promoting, diuresis and relieving stranguria. Judging from the three major effects, it can cure the disease from the root cause.
The effects of promoting blood circulation and removing blood stasis activate local blood microcirculation, remodeling the inner environment of the diseased tissue, promoting metabolism and accelerating the discharge of inflammation, and eventually relieving the resulting congestion, swelling and pain.