Chronic Pelvic Pain Syndrome/CPPS
Date:2023-05-10 click:0
Chronic pelvic pain syndrome is a kind of disease that makes male doctors frustrated and patients confused. In the past 10 years, clinical manifestations of patients with prostatitis include pain or discomfort in the lumbosacral area, perineum, abdominal, testis, and there is no obvious direct relationship with prostate anatomy. Therefore, in 1995, the National Institutes of Health (NIH) believed that the diagnosis of chronic pelvic pain syndrome was more accurate.
Chronic pelvic pain syndrome (CPPS), including nonbacterial prostatitis (NBP) and prostatodynia (PDY), is a clinical syndrome with pelvic pain and discomfort as the main symptoms, accompanied by various urination symptoms and sexual dysfunction, but prostate infection can not be confirmed. It may be caused by an unknown pathogenic microorganism, a noninfectious disease, or pelvic tension myalgia unrelated to the prostate itself.
Chronic pelvic pain syndrome is common in young adults aged 20-45 years. The main symptoms are as follows:
(1) Pain and discomfort in perineum, pubis, penis, scrotum, groin, lower back, and urethra, especially in tip of the penis and glans.
(2) Various degrees of urinary tract stimulation or urinary obstruction include urgency, frequency, pain, hesitation, interruption of urination, weak urine flow and post micturition dribble.
(3) Pain and discomfort after ejaculation.
There were no abnormal findings in a routine physical examination and nervous system examination of chronic pelvic pain syndrome, but most patients could find that the anal sphincter was tight, tenderness in the prostate, and the tissue around the prostate was tense. Mild and moderate bladder neck obstruction and varying degrees of the trabeculated bladder could be shown in Cystoscopy.
1. Local treatment
1.1 Prostate injection
1.2 Transurethral administration
1.3 Administration via vas deferens injection
1.4 Rectal administration
1.5 Submucous injection of anal canal
2. Prostate massage and warm sitz bath
3. Heat therapy
It includes urethra laser, radiofrequency, local hyperthermia and microwave hyperthermia of rectum and prostate. (humidity: 45-60 ℃, no more than 60 minutes, but it usually has no effect or even causes aggravation on bacterial prostatitis. )
4. Biofeedback technology
5. Physical therapy
Physical therapy is using the principle of electric field and waves to carry out heat therapy on tissue, this treatment can not improve the pathological changes caused by inflammation and other factors thoroughly, but can only temporarily relieve the symptoms.
In addition, RF radiation and various external therapies can also damage the organs around the prostate.
In a word, for the above treatments, either because the curative effect is not very accurate, or there is no one treatment method that can be easily accepted by patients, or because there is the possibility of causing impotence and infertility, leading to the limited use of men in childbearing period, so it has not been widely used.
Traditional Chinese medicine believes that CPPS is mainly characterized by kidney deficiency, Yin deficiency due to recurrent diseases. Internal heat generated by Yin deficiency and damp heat is generally the cause in the early stage, while blood stasis and damp heat or kidney deficiency coexist in the middle and late stage, causing a comprehensive syndrome.
The reason why prostatitis is difficult to treat is determined by the structure of the gland. The outer capsule blocks the entry of drug efficacy. The commonly used antibiotics can not penetrate into the prostate tissue, and the concentration reaching the gland is low, which can not reach the bactericidal concentration.
Moreover, the side effect is great, which is also easy to produce drug resistance. It is worth mentioning that herbal medicine Diuretic and Anti-inflammatory Pill contains more than 50 kinds of herbal ingredients and it is made with reasonable compatibility. Its complex formula determines that it is not easy to produce drug resistance, and it can replace the broad-spectrum antibiotics, kill the common pathogens and Chlamydia, Mycoplasma.
In addition, Diuretic and Anti-inflammatory Pill hold the functions of promoting blood circulation and removing blood stasis, promoting diuresis at the same time, which helps to effectively improve the symptoms of prostate pain, frequent and urgent urination, alleviate the impotence and premature ejaculation gradually.
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