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Prostatitis

Prostatitis is inflammation of the prostate gland, the main cause of which is bacterial infection which gets into the prostate gland through ureter. Types of prostatitis:

  • Acute prostatitis is caused by infection which gets into urethra and urinary bladder followed by serious symptoms. The symptoms strike patients very quickly, the infection begins in urinary bladder which causes frequent urinating at night, causes pain in the pelvic region and genitals. Often it is followed by fever, chills, vomiting and burning during urination;
  • Chronic bacterial prostatitis might be a consequence of acute prostatitis or a result of repeated urinary tract infection. It is believed that some men may suffer from chronic bacterial prostatitis for years without any clear symptoms;
  • Chronic nonbacterial prostatitis is among the most common types of prostatitis, about 90 percent men are diagnosed with it. A patient experiences genital and urinary pain for at least three months. No bacteria is detected in a patient’s urine; however, other symptoms might be noted.

Symptoms:

  • Unpleasant sense or pain in pelvic, groin, rectal or low back;
  • Testicular pain;
  • Painful, burning and frequent urination;
  • Blood in sperm or urine;
  • Discomfort or pain ejaculating;
  • Dysfunctional erection;
  • Enlarged, painful prostate;
  • Fever.

Diagnosis:

The most important symptom of prostatitis is an enlarged prostate which is examined during the visit to a urologist. A physical examination of a patient’s prostate, known a digital rectal examination, during which the size of prostate is felt. It is also possible to examine prostate during echoscopy, computed tomography and magnetic resonance.

Treatment:

  • Two-week antibiotic course is prescribed in acute prostatitis case.
  • In the case of chronic bacterial prostatitis the treatment is usually long and complex (from four to twelve weeks). Typically it is treated with antibiotics, anti-inflammation and alpha blockers (medication that help relax the bladder neck and the muscle fibres) medication which increase each others’ effect. In addition to medical treatment, physiotherapy procedures are also prescribed.
  • In more severe cases or blocked ureter a surgery may be needed.
  • In nonbacterial case of prostatitis a massage therapy is prescribed.