Prostatitis (prostate inflammation) is often painful condition which involves the appearance of inflammation in the prostate.
- chronic prostatitis (chronic pelvic pain),
- acute bacterial prostatitis,
- chronic bacterial prostatitis,
- asymptomatic prostatitis.
Men with asymptomatic prostatitis do not have any symptoms, so it is usually diagnosed with other health problems of the urinary tract or reproductive system. Prostatitis is the kind of disease that does not cause complications and does not require treatment.
The causes of prostatitis
Prostatitis has various causes, depending on the type.
The cause of chronic prostatitis has not yet been revealed, but it is believed that certain microorganisms can create infections that cause the disease. This kind of condition can be associated with chemical substances in the urine, which appear in the immune response to prior infections of the urinary tract or is associated with damage to the nerves in the pelvic area.
Acute and chronic bacterial prostatitis are caused by bacteria. A Severe type of disease usually appears suddenly and lasts a short time, while the a problem growing long and can last for years. These infections most often are associated with bacteria from the urethra that may occur in the prostate.
Prostate problems associated with inflammation, most often concern men over the age of 50 years.
Each type of disease has different symptoms, which vary depending on the cause, and may be different in the other patients.
Chronic prostatitis (chronic pelvic pain syndrome) is manifested by pain or discomfort for a long time at the:
- around the scrotum and anus,
- lower back.
Other symptoms include pain during or after ejaculation, pain, and spread throughout the pelvic area, in one or more places at the same time. This pain may come and go, appear suddenly or gradually. Other symptoms are also:
- urethral pain during or after urination,
- pain in the penis during or after urination,
- the extreme frequency of urination, sudden urgency to urinate and inability to delay urination caused by the shrinkage of the bladder,
- the weak or interrupted flow of urine.
In acute bacterial problem, symptoms may include:
- frequent urination,
- urinary urgency,
- fever and chills,
- a burning sensation or pain during urination,
- pain in the genital area, groin, lower abdomen or lower back,
- nausea and vomiting,
- urinary retention – inability to empty the bladder,
- weak or interrupted urinary stream
- urinary incontinence.
In chronic bacterial prostatitis, symptoms are similar but less annoying.
Complications problems with prostate may include bacterial infections of the bloodstream, abscess prostate cancer, sexual dysfunction or inflammation of the genital tract in the vicinity of the prostate.
Diagnosis is based on a preliminary physical examination, which allows determining the appearance of lymph node enlargement, swelling of the scrotum or secretions from the urethra. It is also used physical examination through the anus, which allows evaluating changes in the prostate. Additional tests include diagnosis of urine, blood, urodynamic testing, cystoscopy, ultrasound, biopsy and analysis of semen.
Treatment of inflammation of the prostate gland is dependent on its type. For chronic prostate inflammation, is mainly based on relieving the pain, discomfort, and inflammation. Sometimes antibiotics are prescribed, that will allow excluding bacterial problem, and other medications to help with prostate problems.
Alternative treatments may be:
- warm baths (sitz baths)
- a local thermotherapy using hot compresses,
- relaxation exercises,
Sometimes, patients also need psychological help, because the problems with maintaining proper functioning of the genitals, contributing to the emergence of stress and problems with self-esteem.
Problems with bacterial inflammation of the prostate gland are usually treated with antibiotics, but also it is recommended to:
- avoiding or reducing bladder irritants (alcohol, caffeine, sour and spicy foods)
- increasing fluid intake that will help flush the bacteria from the bladder,
- the use of alpha-blockers, which help relax the muscles of the bladder near the prostate, reducing pain symptoms.
There are cases of illness in which it is necessary the use of surgery.