Nerve Damage

[eugene]

Can Chronic bacterical prostatitis develop into chronic non bacterical prostatitis overtime. My reasoning behind this question is that a chronic infection over a long period of time may cause damage to nerves and muscles causing pain and nuropathic problems long after the infection has gone. Will these damaged nerves and muscles ever be able to repair themselves ? I have had chronic prostatitis for 4 1/2 years now , which I contracted after a short hospital say. I noticed that for the fist 1/2 years the prostate was swollen, however now the prostate seems to contract and tighten after a bowel movement or after sitting for a while.
What is your toughts.
Eugene

[alprost]

This sounds very similar to what happened to me. I firstly developed an intensely inflamed prostate (red hot coal in rectum sensation) and slowly developed the symptoms of chronic prostatitis / chronic pelvic pain syndrome during this time (perineal pain etc). The red hot coal sensation was cleared up 2 months later when I was eventually switched to course of doxycycline.

I was left with chronic pelvic pain, (perineal pain; anal pain; pubic pain; urinary frequency & hesitancy etc.) which was related to chronic pelvic floor muscle spasm. From what I know, this is originally a protective 'splinting' response, but can then become the source of chronic pelvic pain, even after the original cause (i.e. prostatitis) has been treated.

I've improved by around 80% as a result of an ongoing course of myofascial release/pelvic physiotherapy.

This is an excellent article which discusses how damage to pelvic organs can cause nerve damage resulting in a vicious cycle of increased pain perception and muscle spasm. He also gives a good description of how these changes are reversible by creating a 'stimulation free period', and uses the example of amputees and phantom limb pain to illustrate this:

http://www.jmweissmd.com/article.htm

Hope this helps,
Al.

[eugene]

Thanks al for all your advise and info, I think I will get a Pelvic floor evaluation from a physiotherapist.
Thanks again