WHAT IS PROSTATITIS?
Prostatitis is the inflammation of the prostate. These infections are typically caused by bacteria, but there is also a non-bacterial disease.
IS IT A COMMON CONDITION?
Prostatitis is the most common infection of the urogenital system in men under the age of 50 years.
WHAT ARE THE RISK FACTORS?
- Recent urinary tract infections.
- Sexually transmitted diseases such as gonorrhea and chlamydia.
- Excessive alcohol consumption.
WHAT ARE THE SYMPTOMS OF PROSTATITIS?
- Recurrent urinary tract infections.
- Frequent and urgent urination.
- Difficult or painful urination.
- Fever and chills.
- Generalized fatigue.
- Painful ejaculation.
- Blood in semen.
- Sexual dysfunction.
- Pain in the lower back and the pelvis of the perineum.
HOW IS IT DIAGNOSED?
- The history and physical examination will guide the physician in the diagnosis of prostatitis.
- Gold standard diagnostic test is currently the Stamey-Meares .
- A sperm culture.
- Other laboratory examinations such as blood tests, urine but also more complex tests such urofloometry and cystoscopy may be selected to rule out other diseases.
WHAT FORMS ARE THERE?
1. Acute bacterial prostatitis.
Men with this disease often have chills, fever, pain in the lower back and genital area and frequent urination especially during the night. It is an urgent clinical condition that requires immediate initiation of appropriate antibiotic treatment and possibly hospitalization.
2. Chronic bacterial prostatitis.
Recurrent urinary tract infections in men occur from a chronic prostate infection. In this case, symptoms of prostate infection is typically mild. The most common symptoms are simply symptoms of urinary tract infection, such as painful urination or burning sensation.
3. Chronic nonbacterial prostatitis.
Symptoms can vary in intensity, from mild discomfort to unbearable discomfort. The mechanism of the infection can be inflammatory or non-inflammatory.
The modern terminology for this condition is now Syndrome Chronic Pelvic Pain , a pathology that has only recently been investigated thoroughly.
4. Asymptomatic inflammatory prostatitis.
There are no symptoms that indicate prostate infection. There is no pain or discomfort, but there are white blood cells in semen. Diagnosed randomly in prostate biopsy.
WHAT IS THE TREATMENT OF PROSTATITIS?
Treatment of prostatitis depends on its form and general condition of the patient.
Depending on the type of prostatitis, some medicines may help control symptoms:
- Antibiotics :. The treatment can last 4-12 weeks, depending on how severe the infection.
- Alpha-Adrenergic blockers which reduce the resistance to urine flow (direct action).
- Muscle relaxants.
- Herbal remedies.
- Exercise for the prostate (Kegel exercises).
- Warm baths.
- Frequent ejaculation - ejaculation two or three times per week is recommended for patients with prostatitis, especially while taking antibiotics.
- Increased fluid intake.