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Prostatitis


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.

Dr. HajMurad will diagnose your condition and plan a treatment that best fit your condition

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Prostatitis Treatment
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Symptoms
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:
  • Pain or burning sensation when urinating (dysuria)
  • Difficulty urinating, such as dribbling or hesitant urination
  • Frequent urination, particularly at night (nocturia)
  • Urgent need to urinate
  • 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 (ejaculations)
  • Flu-like symptoms (with bacterial Prostatitis)
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.
Causes
Acute bacterial 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 Prostatitis.

Bacterial infection isn't the only cause of Prostatitis. Other causes can include:
  • Immune system disorder
  • Nervous system disorder
  • Injury to the prostate or prostate area
In many cases of Prostatitis, however, the cause is never identified.
Risk factors
Risk factors for Prostatitis include:
  • 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 (dehydration)
  • Using a urinary catheter, a tube inserted into the urethra to drain the bladder
  • Having unprotected sexual intercourse
  • 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:
  • Blood culture.

    Dr. HajMurad may order this test if there are signs of infection in your blood.

  • 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, gloved finger.

  • Bladder tests (urodynamic tests).

    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 urinate.
Based on your symptoms and test results, Dr. HajMurad may conclude that you have one of the following types of Prostatitis:
  • Acute bacterial Prostatitis.

    This 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 Prostatitis.

    Chronic 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.

    Also 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.

  • Asymptomatic inflammatory Prostatitis.

    This 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:

  • Antibiotics.

    This 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.

    These 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.

    Non-steroidal anti-inflammatory drugs (NSAIDs) may make you more comfortable.

  • Prostate massage.

    This 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.

    Other potential treatments for Prostatitis are being studied. These treatments include heat therapy with a microwave device and drugs based on certain plant extracts.


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