|Prostatitis is swelling and inflammation of the prostate gland, a walnut-sized gland located directly below the bladder in men. The prostate gland produces fluid (semen) that nourishes and transports sperm.
Prostatitis often causes painful or difficult urination. Other symptoms of
Prostatitis include pain in the groin, pelvic area or genitals and sometimes flu-like symptoms.
Prostatitis affects men of all ages but tends to be more common in men 50 years of age or younger. Prostatitis can be caused by a number of different things. If it's caused by a bacterial infection, it can usually be treated with antibiotics. However, sometimes
Prostatitis isn't caused by a bacterial infection or an exact cause is never identified.
Depending on the cause,
Prostatitis may come on gradually or suddenly. It may get better quickly, either on its own or with treatment. Some types of
Prostatitis last for months or keep recurring (chronic Prostatitis).
Prostatitis symptoms vary depending on the cause. They may include:
If you experience pelvic pain, difficult or painful urination, or painful orgasms (ejaculations), come see Dr. HajMuard. If left untreated, some types of
Prostatitis can cause worsening infection or other health problems.
- Pain or burning
sensation when urinating (dysuria)
urinating, such as dribbling or hesitant
urination, particularly at night (nocturia)
- Urgent need to
- Pain in the
abdomen, groin or lower back
- Pain in the area
between the scrotum and rectum (perineum)
- Pain or
discomfort of the penis or testicles
- Painful orgasms
symptoms (with bacterial Prostatitis)
Prostatitis is often caused by common strains of bacteria. The infection may start when bacteria carried in urine leaks into your prostate. Antibiotics are used to treat it. If bacteria aren't eliminated with antibiotics because they "hide" in the prostate,
Prostatitis may recur or be difficult to treat. This is called chronic bacterial
Bacterial infection isn't the only cause of Prostatitis. Other causes can include:
In many cases of
Prostatitis, however, the cause is never identified.
- Immune system disorder
- Nervous system disorder
- Injury to the prostate or prostate area
|Risk factors for
- Being a young or middle-aged man
- Having a past episode of Prostatitis
- Having an infection in the bladder
or the tube that transports semen and urine to the penis (urethra)
- Having a pelvic trauma, such as
injury from bicycling or horseback riding
- Not drinking enough fluids
- Using a urinary catheter, a tube
inserted into the urethra to drain the bladder
- Having unprotected sexual
- Having HIV/AIDS
- Being under stress
- Having certain inherited traits —
particular genes may make some men more susceptible to Prostatitis
|Tests and diagnosis
|Diagnosing Prostatitis involves ruling out other conditions that may be causing your symptoms and determining what kind of
Prostatitis you have. Dr. HajMurad will ask about your medical history and your symptoms. He or she will also perform a physical exam, which will likely include a digital rectal examination (DRE).
Initial diagnostic tests may include the following:
Based on your symptoms and test results, Dr. HajMurad may conclude that you have one of the following types of
- Blood culture.
Dr. HajMurad may order this test if there are signs of infection in your
- Urine tests.
Dr. HajMurad may want to examine samples of your urine for signs of
infection. In some cases, Dr. HajMurad may take a series of samples
before, during and after massaging your prostate with a lubricated,
- Bladder tests (urodynamic
Dr. HajMuard may order one or more of these tests, which are used to check
how well you can empty your bladder. This can help Dr. HajMurad
understand how much Prostatitis is affecting your ability to
- Acute bacterial
type of Prostatitis is often caused by common strains of
bacteria. It generally starts suddenly and causes flu-like
symptoms, such as fever, chills, nausea and vomiting.
- Chronic bacterial
bacterial Prostatitis occurs when bacteria aren't eliminated by
antibiotics and lead to recurring or difficult-to-treat
infections. Between bouts of chronic bacterial Prostatitis, you
may not have symptoms or may only have minor symptoms.
- Chronic Abacteria Prostatitis.
called chronic pelvic pain syndrome, this isn't caused by
bacteria. Often an exact cause can't be identified. Most cases
of Prostatitis fall into this category. For some men, symptoms
stay about the same over time. For others, the symptoms go
through cycles of being more and less severe.
type of Prostatitis doesn't cause symptoms and is usually found
only by chance when you're undergoing tests for other
conditions. It doesn't require treatment.
|Treatments and drugs
|Prostatitis treatments vary depending on the underlying cause. They can include:|
is the most commonly prescribed treatment for Prostatitis. Dr. HajMuard will base the choice of medication on the type of bacteria
that may be causing your infection. If you have severe symptoms, you
may need intravenous (IV) antibiotics. You'll likely need to take
oral antibiotics for four to six weeks but may need longer treatment
for chronic or recurring Prostatitis.
- Alpha blockers.
medications help relax the bladder neck and the muscle fibers where
your prostate joins your bladder. This treatment may lessen
symptoms, such as painful urination.
- Anti-inflammatory agents.
anti-inflammatory drugs (NSAIDs) may make you more comfortable.
- Prostate massage.
is done by your physician using a lubricated, gloved finger — a
procedure similar to a digital rectal exam. It may provide some
symptom relief, but doctors disagree about how effective it is.
- Other treatments.
potential treatments for Prostatitis are being studied. These
treatments include heat therapy with a microwave device and drugs
based on certain plant extracts.