Prostatitis is a condition that involves inflammation of the prostate and sometimes the area around it. There are several types of prostatitis, each with a range of symptoms. Some men with the disease will experience severe pain and others will not be bothered; and the rest fall in between the two. However, the symptoms of the disease do have a significant impact on a man quality of life.
Types of prostatitis and their causes
- Acute bacterial prostatitis. Often caused by common strains of bacteria, this type of prostatitis generally starts suddenly and causes flu-like signs and symptoms, such as fever, chills, nausea and vomiting.
- Chronic bacterial prostatitis. When antibiotics don't eliminate the bacteria causing prostatitis, you can develop recurring or difficult-to-treat infections. Between bouts of chronic bacterial prostatitis, you might have no symptoms or only minor ones.
- Chronic prostatitis/chronic pelvic pain syndrome. This type of prostatitis the most common is not caused by bacteria. Often an exact cause cant be identified. 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.
Signs and symptoms of prostatitis
- 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
- Cloudy urine
- Blood in the urine
- 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 ejaculation
- Flu-like signs and symptoms (with bacterial prostatitis)
Complications of Prostatitis
- Bacterial infection of the blood (bacteremia)
- Inflammation of the coiled tube attached to the back of the testicle (epididymitis)
- Pus-filled cavity in the prostate (prostatic abscess)
- Semen abnormalities and infertility, which can occur with chronic prostatitis
Risk Factor of Prostatitis
- Being a young or middle-aged
- Having had prostatitis
- Having an infection in the bladder or the tube that transports semen and urine to the penis (urethra)
- Having pelvic trauma, such as an injury from bicycling or horseback riding
- Using a tube inserted into the urethra to drain the bladder (urinary catheter)
- Having HIV/AIDS
- Having had a prostate biopsy
Diagnosis of Prostatitis
- Urine tests
- Blood tests.
- Post-prostatic massage.
- Imaging tests
Treatment of Prostatitis
- Alpha blockers.
- Anti-inflammatory agents. Nonsteroidal anti-inflammatory drugs (NSAIDs) might make you more comfortable.