Chronic Testicular Pain

P

rostatitis is the most common parenchymal urinary infection in men between the second and fourth decades of life.
The term prostatitis comprises a broad spectrum of nonspecific symptoms of the lower genitourinary tract.

Chronic prostatitis has multiple hypotheses regarding its origin, it is believed that they can happen due to an obstruction, intraductal reflux, infectious causes such as consequence of prostatic anatomy.

In the case of chronic prostatitis syndromes, we find that sometimes the symptoms are scarce or nonexistent and only involve alterations in the semen that condition infertility.

On other occasions, sexual manifestations predominate, such as total or partial loss of erection, painful ejaculation, premature ejaculation or haemospermia (presence of blood in semen).

But the most common is the existence of pelvic pain and urinary symptoms. The pain is referred to different areas: suprapubic, perineal, lumbosacral, scrotal, penile, inner side of the thighs. The most frequent urinary disorders are obstructive (onset of voiding difficulty, decreased caliber, post-void residual urine and even acute urinary retention) or irritative (imperiousness, passing frequent of small amounts of urine, painful urination or tenesmus). Finally, in case of chronic prostatitis the symptoms last for at least 3 months and, given the similarity with the clinical and pathological process of benign prostatic hyperplasia, it is sometimes difficult to distinguish between these two entities.

Medical treatment
In summary, in addition to the use of antimicrobials, and although obstruction of the bladder neck is an infrequent complication of the prostatitis syndrome, drugs that produce an opening of the urethrovesical exit region may help to alleviate both the obstructive and irritative symptoms of these patients. and to improve the deteriorated quality of life that they present.