Abstract

Contrary to popular belief, the incidence of prostatitis detected and confirmed by laboratory tests is only about 9%. However, inflammation of the prostate often recurs or becomes chronic. The prevalence of chronic forms of prostatitis, characterized by an inactive inflammatory process and insignificant clinical symptoms that reduce the quality of life, is difficult to assess. In addition to acute and chronic bacterial prostatitis, a syndrome of inflammatory chronic pelvic pain is distinguished, in which leukocytes are detected in the third portion of urine or seminal fluid, as well as chronic pelvic pain syndrome without inflammatory changes. In the occurrence and maintenance of symptoms characteristic of chronic prostatitis, functional urination disorders are of great importance, expressed in high urination pressure, intraprostatic reflux, which forms a turbulent urine flow, pathogenic influence of microorganisms, immunological reactions, and an altered state of the pelvic floor muscles.