Prostatitis refers to not one, but several conditions in which the prostate becomes swollen and inflamed. Unlike the prostate growth known as benign prostatic hyperplasia (BPH), which typically affects older men, prostatitis is more common in men under age 50.
A few different types of prostatitis exist. By far the most common form is chronic prostatitis/chronic pelvic pain syndrome. What causes this condition isn?t clear, but it may stem from a bacterial infection, an immune response to a past infection, or damage to the pelvic nerve.
Symptoms of chronic prostatitis include a frequent and urgent need to urinate, painful urination, lower abdominal pain, and uncomfortable ejaculation. The condition can be hard to diagnose, because tests for bacteria are usually negative. Chronic prostatitis treatments include antibiotics to clear up an infection, nonsteroidal anti-inflammatory drugs (NSAIDs) for pain, and alpha-adrenergic blockers to relieve urinary symptoms.
Acute bacterial prostatitis and chronic bacterial prostatitis are less common forms of prostatitis. In acute bacterial prostatitis, bacteria infect the prostate gland, causing sudden and painful inflammation. Symptoms are similar to those of chronic prostatitis, including frequent and urgent urination. The main treatment is a two-to-six-week course of antibiotics.
Bacteria also cause chronic bacterial prostatitis, although the symptoms tend to be milder and last for at least three months. Treatment also involves antibiotics, but the course is longer than it is with acute bacterial prostatitis. Men must take antibiotics for at least four to 12 weeks, and sometimes for several months, to fully eradicate the infection.
The rarest form of this prostate condition is asymptomatic inflammatory prostatitis, which is usually detected during an examination for another urinary tract or reproductive condition. Asymptomatic inflammatory prostatitis causes no symptoms?the only evidence of the disease is white blood cells in the urine or semen?and it does not need to be treated.
Historically, a man complaining of pelvic pain, urinary problems, and other hallmark signs of prostatitis would visit his doctor and receive repeated, prolonged courses of antibiotics. The thought was that a bacterial infection was the underlying culprit. We now know that such infections occur in only a small percentage of
For many men with prostatitis, fatigue can be a daily companion, albeit an unwanted one. In fact, among the broad and diverse range of symptoms accompanying chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)—the most common type of prostatitis—fatigue, pain, and urinary problems can be the most debilitating.
But the adverse effects
An infection can occur almost anywhere in the genitourinary system. In fact, urinary tract infections are so common, they’ve been branded with a widely used abbreviation: UTI. Scrotal infections such as epididymitis aren’t as common as UTIs and haven’t earned a convenient abbreviation, but they can be extremely painful and
Of all the diseases affecting men, prostatitis is among the most perplexing. It encompasses an array of symptoms that vary from person to person, making treatment decisions difficult. Likewise, the factors that can trigger prostatitis symptoms or worsen them are as diverse as the symptoms, leaving many men with little
Despite the fact that there are roughly 221,000 new cases of prostate cancer diagnosed in American men each year, many of them have no symptoms of the disease.
In these asymptomatic men, the disease is often detected during routine screening with tests such as a digital rectal exam, urinalysis, and
Prostate cancer usually develops quietly early on. Oftentimes, if a man experiences symptoms of prostate cancer, his disease has reached a more advanced stage.
Compounding the problem is that these prostate cancer symptoms can mimic those of other, noncancerous problems, so it’s important to visit your physician and find the root
Three big letters: P-S-A. In the world of urology and men’s health, perhaps no three letters generate more controversy. Since the early 1990s, the prostate-specific antigen (or PSA) blood test has served as the cornerstone of prostate cancer early detection. Today, it remains at the center of a debate over
There is no universally accepted “normal” PSA level. In the past, a PSA of 4 nanograms per milliliter of blood (ng/ml) or less was considered normal; however, more recent studies have shown that some men with PSAs below 4 have prostate cancer and some men with PSAs over 4 do