Treatment of patients with chronic bacterial prostatitis

Introduction. The effectiveness of methods for treating chronic prostatitis, which are aimed at improving the hemodynamics of the pelvic organs, has been proven by numerous studies conducted over more than thirty years. At the same time, pelvic myofascial syndrome can lead to impaired pelvis' hemodynamics.

Purpose of research. This study aimed to determine the effect of myofascial syndromes on the blood circulation in the prostate in patients with chronic bacterial prostatitis, as well as an assessment of the dynamics of changes in blood flow in the prostate on the treatment of concomitant myofascial syndrome.

Materials and methods. 59 men 34-52 years old with various clinical manifestations of myofascial syndrome (patients of the neurological clinic) were examined to assess the dynamics of blood circulation in the prostate. In addition, 127 men aged 28-52 years (mean age 38 years) with typical clinical manifestations of chronic prostatitis, who repeatedly and unsuccessfully received treatment for this disease, evaluated the effect of treatment of concomitant myofascial syndrome on prostate hemodynamics

Results. The results suggest violations of microcirculation in the prostate in patients with chronic pelvic pain with myofascial syndrome. At the same time, hemodynamic impairment in the prostate is directly associated with impaired pelvic hemodynamics in general. The state of microcirculation in the prostate depends on the severity of pain symptoms in nonspecific chronic pelvic pain, and the treatment of nonspecific chronic pelvic pain leads to a reduction in the main symptom of the disease (pain) and to the normalization of microcirculation in the prostate.

Treatment of concomitant myofascial syndrome in patients with chronic bacterial prostatitis allowed to achieve the disappearance of clinical manifestations of the disease and normalization of hemodynamics in the prostate, as well as a decrease in laboratory signs of inflammation.

Conclusions. Concomitant myofascial syndrome in patients with chronic pelvic pain is a cause of pelvic hemodynamic disorders and because of the development of the inflammatory process. The severity of hemodynamic disturbances directly depends on the intensity of painful manifestations of the myofascial syndrome. Treatment of myofascial syndrome in patients with chronic bacterial prostatitis is accompanied by the disappearance of disease's clinical symptoms and the restoration of prostate's blood circulation, as well as the reduction or disappearance of inflammation's signs.

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