마지막 업데이트: 2026년 5월 18일
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 만성 염증 어떤 사람이 이 고통을 겪고 나면 문자 그대로 그것을 깨달을 것입니다. 역사병의 양상과 성격상 생활양식의 질을 저하시키고 거의 모든 삶의 각도에 영향을 미치고 있다.
만성 전립선염은 남성 환자에서 최대 9%에 대해 보고되었으며 재발률에 대해 최대 50%까지 증가할 수 있습니다. 우선 만성 전립선염을 크게 2가지 요인으로 분류해야 합니다.
- 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;
- 항염증제
- 항신경병증성 진통제
- 전립선 질환 치료제
- 발기부전 치료제
- 경구용 스테로이드
- 허브 추출
- Physiotherapy – Extracorporeal shockwave, Microwave thermotherapy, Acupuncture
- 심리적 지원
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 나.
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. 진료 예약.
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.
면책 조항: 본 내용은 방콕 병원 본사의 전문의인 Soarawee Weerasopone 박사가 작성하고 검토한 것입니다. 교육 목적으로만 제공되며 의학적 조언을 구성하지 않습니다. 모든 의학적 치료를 시작하기 전에 항상 자격을 갖춘 의료 전문가와 상담하십시오.
의학적으로 작성 및 검토됨: 소아라위 위라소폰 박사(폼 박사) — 방콕 병원 본원 비뇨의학과 전문의. 국제 펠로우: 베일러 의과대학(미국) · 준텐도 대학(일본) · 창궁 기념 병원(대만).
소라위 위라소폰 박사 (폼 박사)는 방콕 병원 본원의 비뇨의학과 전문의이며, 남성 건강, 로봇 수술 (다빈치 시스템), 요석 치료를 전문으로 합니다. 미국 베일러 의과대학, 일본 순텐도 대학 병원, 대만 창강 기념 병원에서 국제 펠로우십을 마쳤습니다. 이 사이트의 모든 의학 콘텐츠는 소라위 박사의 임상 경험과 국제 교육을 바탕으로 작성 및 검토됩니다.
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