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Prostatitis

Overview of Prostatitis

Prostatitis means the prostate might be inflamed or irritated. If you have prostatitis, you may have a burning feeling when you urinate, or you may have to urinate more often. Or you may have a fever or just feel tired.

Inflammation in any part of the body is usually a sign that the body is fighting germs or repairing an injury. Some kinds of prostatitis are caused by bacteria, tiny organisms that can cause infection or disease.

If you have bacterial prostatitis, your doctor can look through a microscope and find bacteria in a sample of your urine. Your doctor can then give you an antibiotic, a medicine that kills bacteria.

Types of Prostatitis

Acute bacterial prostatitis

A sudden bacterial infection marked by inflammation of the prostate. This is the least common form of prostatitis but the symptoms are usually severe. Patients with this condition have an acute urinary tract infection with increased urinary frequency and urgency, need to urinate a lot at night, and have pain in the pelvis and genital area.

They often have fever, chills,nausea, vomiting, and burning when urinating. Acute bacterial prostatitis requires prompt treatment, as the condition can lead to bladder infections, abscesses in the prostate or, in extreme cases, completely blocked urine flow. Left untreated, the condition can cause confusion and low blood pressure, and may be fatal. The condition is usually treated in the hospital with intravenous antibiotics, pain relievers, and fluids.

Chronic bacterial prostatitis

This condition is the result of recurrent urinary tract infections that have entered the prostate gland. It is thought to exist for several years in some men before producing symptoms. The symptoms are similar to acute bacterial prostatitis, but are less severe and can fluctuate in intensity.

The diagnosis of this condition is often challenging. It's often difficult to find the bacteria in the urine. Treatment includes antibiotics for four to 12 weeks and other treatment for pain. Sometimes men are given suppressive low-dose, long-duration antibiotic therapy.

Chronic nonbacterial prostatitis/chronic pelvic pain syndrome

This is the most common form of the disease, accounting for 90% of the cases. The condition is marked by urinary and genital pain for at least three of the past six months. Patients have no bacteria in their urine, but may have other signs of inflammation. The condition can be confused with interstitial cystitis (a chronic inflammation of the bladder)

References:

Prostatitis: Disorders of the Prostate  NKUDIC: NIH Publication No. 08-4553 January 2008
Medical Tests for Prostate Problems  NKUDIC: NIH Publication No. 12-5105 January 2012

Supportive Information from: www.kidney.niddk.nih.gov
U.S. DEPARTMENT OF HEALTH
AND HUMAN SERVICES

National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC)

National Institutes of Health
NIH Publication No. 08-4553
January 2008

U.S. National Library of Medicine - National Institutes of Health

AUAFoundation - The Official Foundation of the American Urological Association

NKDEP - National Kidney Disease Education Program

NKUDIC - National Kidney and Urologic Diseases Information Clearinghouse

National Kidney and Urologic Diseases
Information Clearinghouse (NKUDIC)Kidney and Urologic Diseases A-Z list of Topics and Titles

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