What is Prostatitis?
The prostate is a small gland that is present in front of the rectum and below a man’s bladder. The main function of this gland is to produce semen which contains sperms. In some men, the prostate becomes tender, swollen and inflamed and leads to a condition called prostatitis. The different types of prostatitis are:
- Acute bacterial prostatitis caused due to a bacterial infection.
- Chronic bacterial prostatitis which happens due to frequent bacterial infections.
- Chronic prostatitis which is the most common but least understood.
- Asymptomatic inflammatory prostatitis where it shows no symptoms.
The symptoms are either so sudden that an urologist has to be seen immediately for care or has no signs of these conditions at all. The symptoms are:
- Frequent urination
- Pain or burning sensation while urinating
- Difficulty urinating
- Pain in the lower abdomen, anus, back or in the groin region that is not persistent but comes and goes.
- Fever and chills
- Bladder does not drain properly and can cause urinary incontinence.
- Blood in the urine
- Urethral discharge
- Body aches
- Sexual dysfunction
In the case of asymptomatic inflammatory prostatitis, it causes no symptoms but the prostate is inflamed. Since there are no symptoms, it is only found when checked for other problems.
Who is at Risk?
Prostatitis can happen to men of all ages but it is more common in middle-aged men than other age groups. The other Prostatitis risk factors are:
- Men who have suffered from urinary tract infection recently or frequently get UTI
- Men who have undergone an urological procedure or had an urinary catheter inserted for some procedure.
- Men who have had a previous history of prostatitis.
- Men who have an abnormality in the function or structure of the urinary tract.
- Men with prostate gland enlargement.
- Men who have suffered an injury or trauma to the pelvic region.
- Cyclists and jockeys who ride on horseback have a high risk of pelvic trauma.
- Not drinking enough water or other fluids.
The causes of prostatitis are not yet clearly understood. But it is believed that it can happen due to inflammation of the pelvic nerves and muscles. It can also happen due to:
- Bacterial infection of the prostate. If a person is suffering from UTI in some cases the infected urine gets into the prostate by going backwards from the urethra.
- The nonbacterial prostatitis forms can also develop due to irritation of the nerves due to injury or previous UTI.
- It can also be caused due to stones in the prostate.
- Tension in the pelvic floor muscles due to stress or other factors.
- Can develop due to prostate cancer, benign prostatic hyperplasia, HIV/AIDS.
How is Prostatitis Diagnosed?
Prostatitis diagnosis is done by performing the following:
- Evaluation: The doctor will perform a detailed evaluation of the medical history, symptoms and understand the level of pain.
- Physical exam: The prostatitis doctor will perform a physical examination by feeling the prostate to check if it is enlarged.
- Urine and prostate fluid test: Urine and prostate fluid is tested to determine where the problem lies. Blood and semen tests are also conducted to check for the presence of bacteria or other infections. Urine flow is studied to check for blockages.
- Ultrasound: To get a more detailed information of the prostate gland, further tests like an ultrasound is performed to check the prostate.
- Cystoscopy: This is done by inserting a cystoscope and looking at the bladder, urethra and prostate.
How is Prostatitis Treated?
The different Prostatitis treatment are:
- Acute bacterial prostatitis is treated by giving medicine for prostatitis which can be antibiotics. If you have trouble urinating, a catheter is used to drain the bladder and antibiotics are given using IV.
- Chronic bacterial prostatitis the antibiotics and pain-relieving medications are prescribed but for a longer duration as it takes time to clear up the infection.
- Chronic pelvic pain syndrome treatment includes anti-inflammatory medicines as there is no known cause for it.
Prostatitis is a condition that is treatable. Though there is no prostatitis cure, but relief from symptoms is possible. To get the best possible treatment for this condition, consult our urologist at Cure.fit. They will diagnose and provide treatment based on the type. Book your offline or online video consultation through the app or website.
How is Prostatitis Prevented?
There is no proven prevention of prostatitis but a few lifestyle changes can aid in keeping the prostate gland healthy, like:
- Keep the groin area clean by following good hygiene to prevent infection.
- Sitting for a long time can put pressure on the prostate glands and hence should avoid sitting for long periods.
- Drink water as much as possible so that the body is hydrated.
- Maintain a healthy weight
- Avoid smoking and consuming alcohol.
- Manage stress as it can cause prostatitis.