User:MedP22/Prostatic congestion

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Prostatic congestion is a medical condition of the prostate gland that happens when the prostate becomes swollen by excess fluid and can be caused by prostatosis. The condition often results in a person with prostatic congestion feeling the urge to urinate frequently. Prostatic congestion is a form of prostate disease, which can progress due to age. Oftentimes, the prostate will grow in size which can lead to further problems, such as prostatitis, enlarged prostate, or prostate cancer.

Prostatic congestion is commonly observed in individuals between the ages of 20-40 years. It can however appear during any age. Chronic prostatitis is one of the main causes of this condition and this occurs when there is accumulation of fluid that can lead to swelling of the prostate and therefore congestion.

There is limited information available on prostatic congestion, as it has been commonly associated as a side effect or complication of other conditions, such as chronic prostatitis. Due to this, there are lifestyle factors that are able to influence the symptoms of such conditions due to their relation to prostatic congestions. In a nationwide epidemiological survey in China, it was found that an increase in alcohol consumption was related to an increase in symptoms of discomfort or pain from their chronic prostatitis. This was due to the understanding that alcohol in circulation can exacerbate prostatic congestion, contributing to such symptoms. The prostate is sensitive to alcohol therefore alcohol consumption can also increase how severe the congestion may be. This is because acetaldehyde is a breakdown product of ethanol and can lead to vasodilation and therefore prostate congestion and cause inflammation.

Possible causes of prostatic congestion

 * Benign prostatic hyperplasia
 * Chronic prostatitis (infection of the prostate)
 * Excessive drinking of alcoholic beverages
 * Prostate cancer
 * Urinary tract cysts
 * Infrequent ejaculation

Signs/Symptoms
Symptoms have included the following:

In addition to these symptoms, prostatitis can be a complication of recurrent prostatic congestion. In cases where an individual engages in minimal sexual activities resulting in reduced ejaculation frequency, there can be an accumulation of secretion leading to prostatic congestion. This can block the prostatic ducts, ultimately increasing the person's risk of developing prostatitis.
 * Lower back pain
 * Swelling or enlargement of the prostate
 * Frequent urination
 * Prostate palpitations
 * Tender prostate gland

Minimally invasive Treatments
Although there are not many studies on this, due to expense and lack of support from healthcare systems, minimally invasive therapies include form of heating the prostate. A needle is inserted directly into the prostate, or, a catheter, endoscope or probe is inserted into the urethra. There are two types of heating: low energy and high energy. Low energy heating include using laser, microwave or electrical methods, and high energy includes vaporization of the prostatic tissue. Vaporization usually requires anesthesia.

Massaging Prostate Regularly
Physicians have recommended massaging the prostate regularly to reduce congestion in the prostate. In 1980, a study was conducted in which participants were given 10 sessions of prostate messages in 3-4 weeks and hypertrophy (enlargement of an organ) was reduced in almost all participants. By massaging the prostate, it induces a release of the inflammatory cells and secretions that have accumulated in the prostate gland, leading to congestion. This method has been historically used as a treatment for prostatitis, as prostatic congestion has been commonly associated with prostatitis.

There is still limited information available on prostatic congestion treatment, however, there have been studies that combined therapies to address prostatic congestion in the presence of prostatitis. For example, the combination of culture specific antibodies and prostatic massage was found to help relieve chronic pelvic pain syndromes in people with chronic prostatitis. This was based on the understanding that massage treatment has been previously shown to help relieve prostatic congestion.

Clinical Studies
Medication

Bangshil and Fortege are commonly used as an alternative form of medication called Ayureda. When taken together, they have said to help with prostatic congestion and other symptoms experienced during urination. Between January 1978 and June 1979, a study of 104 individuals between the ages 17-60 years old were given Bangshil and Fortege for 6 weeks where prostatic congestion resolved for 40.2% of cases, “much improved” for 42.3% of cases, “slight improvement” seen in 5.8% of cases and no improvement for 11.5% of cases. There was also improvement of symptoms such as burning urination and low back pain in most participants. The study observed these improvements for most patients in two weeks and reported absence of side effects from the treatments.