Dernière mise à jour : 18 mai 2026
As I’ve mentioned earlier about the complication of the improper acute prostate infection’s treatment which is highly skyrocket to 10% of chances that can be twisted into chronic issue which in medical term we called it as a “Chronic prostatitis”. In this topic we’ll extremely focus only on a l'inflammation chronique de la prostate, une fois que certains hommes ont traversé cette souffrance et qu'ils s'en sont littéralement rendu compte. En raison de l'aspect et de la nature de cette maladie historique, elle a entraîné une baisse de la qualité du mode de vie et a affecté presque tous les aspects de la vie.
La prostatite chronique a été rapportée jusqu'à 9% chez les patients masculins et pourrait éventuellement atteindre 50% pour le taux de récurrence. Tout d'abord, je dois diviser la prostatite chronique en deux catégories de facteurs principaux ;
- Chronic bacterial prostatitis – We can get the evidences of the bacterial-involved infection from the culturing.
- Chronic pelvic pain syndrome – There’s an absence evidence of bacterial-involved infection from the culturing. Unfortunately, most of patients are categorised in this group, and generally it makes the patients getting confused about the plan of treatment.
Unfortunately, symptomatic of these diseases are identical and can be something as below;
Possible symptoms of Chronic prostatitis
- Urinary symptoms: urge to urinate and frequent urination, especially at night
- Sexual symptoms: premature ejaculation, unusual sexual stimulation
- Pain symptoms: genital pain, rectal pain, prostate pain, bladder pain
- Neurological symptoms: neuropathic pain
- Infectious symptoms: pain while urinating with positive bacterial culture
- Psychosocial symptoms: depression, anxiety, or stress
Once urologist being taken a clear medical history and physical examination, the investigations working up will be tailor-made based on the symptoms the patient has complained about. Definitive treatment will be synchronised with the evidences gathered.
Here are the treatment modalities;
- Médicament anti-inflammatoire
- Médicament contre la douleur neuropathique
- Médicaments contre la maladie de la prostate
- Médicaments contre les troubles de l'érection
- Stéroïde oral
- Extraction de plantes
- Physiotherapy – Extracorporeal shockwave, Microwave thermotherapy, Acupuncture
- Soutien psychologique
You will realized that chronic prostatitis is a very hard-treated disease which normally cannot be well-controlled with simple monotherapy alone. It needs longer duration of trial and adjustment to reach the proper treatment. It requires a strong relationship between patients and doctor. If you have any issue like this, you might be having a better discussion with your trusted urologist or it would be my honour if you’d like to text moi.
If you have been struggling with chronic pelvic pain, prostatitis symptoms, or have not responded to repeated antibiotic courses, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. Prendre rendez-vous.
Frequently Asked Questions about Chronic Prostatitis
Chronic prostatitis is a long-term inflammation of the prostate gland that significantly impacts quality of life. It is reported in up to 9% of men, with a recurrence rate as high as 50%. It is divided into two main categories: chronic bacterial prostatitis, where a bacterial cause is confirmed by culture, and chronic pelvic pain syndrome, where no bacterial infection is found.
Chronic prostatitis can cause a wide range of symptoms including urinary urgency and frequency (especially at night), pelvic and genital pain, rectal discomfort, painful ejaculation, premature ejaculation, and neuropathic pain. It can also lead to psychological effects such as depression, anxiety, and stress due to its chronic and often frustrating nature.
Chronic bacterial prostatitis is confirmed when bacterial cultures from urine or prostatic secretions test positive. Chronic pelvic pain syndrome (CPPS) presents with the same symptoms but without any evidence of bacterial infection. CPPS is the more common category, yet more difficult to treat, as there is no specific bacterial target and the underlying mechanism involves nerve sensitization and inflammation.
Treatment is highly individualized and often requires a combination of therapies. Options include anti-inflammatory medications, neuropathic pain drugs, alpha-blockers for urinary symptoms, erectile dysfunction medications, oral steroids, herbal extracts, physiotherapy (including shockwave therapy, microwave thermotherapy, and acupuncture), and psychological support. Monotherapy alone is rarely sufficient, and a trial-and-adjust approach over time is typically needed.
Chronic prostatitis, particularly the chronic pelvic pain syndrome type, is difficult to cure completely due to its multifactorial nature and high recurrence rate. However, most patients can achieve significant symptom relief with proper multimodal treatment. Long-term follow-up with a urologist, patient education, and a strong doctor–patient relationship are essential for managing this chronic condition effectively.
Avis de non-responsabilité : Ce contenu est rédigé et revu par le Dr Soarawee Weerasopone, urologue certifié au siège de Bangkok Hospital. Il est destiné uniquement à des fins éducatives et ne constitue pas un avis médical. Consultez toujours un professionnel de la santé qualifié avant de commencer tout traitement médical.
Rédigé et révisé par des médecins : Dr. Soarawee Weerasopone (Dr. Pom) – Urologue certifié, Hôpital de Bangkok (siège). Fellowship international : Baylor College of Medicine (États-Unis) · Juntendo University (Japon) · Chang Gung Memorial Hospital (Taïwan).
Le Dr Soarawee Weerasopone (Dr Pom) est un urologue certifié au Bangkok Hospital Headquarters, spécialisé dans la santé masculine, la chirurgie robotique (système Da Vinci) et le traitement des calculs rénaux. Il a effectué des bourses internationales au Baylor College of Medicine (États-Unis), à l'hôpital universitaire Juntendo (Japon) et à l'hôpital commémoratif Chang Gung (Taïwan). Tout le contenu médical de ce site est rédigé et révisé par le Dr Soarawee, sur la base de son expérience clinique et de sa formation internationale.
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