Prostatitis is inflammation of the prostate. For more information on enlarged prostate click here.
What is it?
It is inflammation of the prostate and is often uncomfortable and affects day to day life.
What causes it?
There are two types of prostatitis: bacterial and non-bacterial. The former makes up 80% of cases while the latter makes up 20%.
Bacterial prostatitis usually stems from another infection in the nearby area. For example a urinary tract infection or an STD such as gonorrhoea or chlamydia. Once the infection (particularly those that have not been treated adequately) spreads to the prostate symptoms may occur.
Non-bacterial prostatitis means inflammation without an infection and can be acute or chronic. Often the cause is not known.
Common symptoms include:
- difficulty urinating
- frequent need to urinate
- blood in the urine or semen
- pain or burning with during urination
- pain with passing motion
- pain with ejaculation
- pain in the lower back, pubic area, or deep within the pelvis
- sexual dysfunction such as erectile dysfunction
Diagnosis is usually through history and examination of the prostate but a blood test looking at prostate specific antigen (PSA) is also helpful.
Bacterial prostatitis usually requires an extended course of antibiotics and anti-inflammatory medication with regular follow up to ascertain the progress.
Non-bacterial prostatitis won’t respond well to antibiotics so only anti-inflammatory medication is used. Sometimes if the symptoms are persistent we may add in medication such as a low dose of erectile dysfunction medication, which has been shown to be beneficial in reducing prostatitis symptoms.
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