Prostatitis

Prostatitis is an inflammation of the prostate gland tissue located just below the bladder in men. Prostatitis affects men of all ages, but is usually more common in men aged 50 years or thereabouts.

Prostatitis is divided into acute, chronic, asymptomatic inflammatory prostatitis and chronic pelvic pain syndrome.

As with all forms of inflammation prostatitis may be associated with the appropriate response to infection, but can also occur without infection.

Urological surgeon. Senior Physician, Department of Urological Surgery, Sheba Medical Center, Tel Hashomer.

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Symptoms of prostatitis

Prostatitis often causes painful urination or discomfort. Other symptoms of prostatitis may include pain in the groin, pelvis or genitals, pain or burning during urination (dysuria), difficulty urinating, or delay leakage, frequent urination, especially at night (nocturia), urgent need to urinate, abdominal pain, groin or lower back, pain in the area between scrotum and rectum (perineum), pain or discomfort in penis or testicles, painful orgasm (ejaculation), flu-like symptoms.

If you do not treat prostatitis, some of his views may lead to infectious complications or other health problems.

If you are experiencing pelvic pain, difficulty or painful urination or painful ejaculation, please contact us. Experienced doctors will help to diagnose accurately, determine the form of the disease and prescribe the appropriate treatment.

Bacterial infection is not the one cause of prostatitis. Other causes include: disorders of the immune and nervous system, damage to the prostate or prostate area.

Risk factors for prostatitis include: the average age in the last episode of prostatitis, bladder infection or channel conveying semen and urine (urethra), pelvic trauma (such as cycling or horseback), use of inadequate amounts of fluid (dehydration), the use of urinary catheter, unprotected sexual intercourse, HIV/AIDS, stress, hereditary predisposition.

Complication of prostatitis may include: bacterial infection of the blood (bacteremia), inflammation of testicle canal (epididymitis), pus-filled cavity in the prostate (prostatic abscess), abnormalities and infertility (chronic prostatitis), increased levels of prostate-specific antigen (PSA) cancer.

Prostatitis can cause increase levels of prostate-specific antigen (PSA), a protein produced by the prostate gland. PSA is generally used to detect prostate cancer. Cancerous cells produce more PSA than the benign cells, so its level above normal levels may indicate prostate cancer. Nevertheless, in prostatitis may also be increased PSA.

There is no direct evidence that the prostate can lead to prostate cancer.

Diagnosis of prostatitis

Medical history of symptoms

Medical examination, including a rectal examination, palpation

Blood cultures, if there are signs of infection in the blood

Urine tests

Bladder function study (urodynamic tests) to determine how well the bladder empties. This can help the doctor understand how prostatitis affect the ability to urinate.

Depending on the symptoms and the results of primary research, the physician may determine the type of prostatitis:

Acute bacterial prostatitis. This type of prostatitis is often caused by common strains of bacteria. It generally begins suddenly and causes flu-like symptoms such as fever, chills, nausea and vomiting.

Chronic bacterial prostatitis. Chronic bacterial prostatitis occurs when the bacteria were not destroyed by antibiotics and lead to recurrent infections. Between bouts of chronic bacterial prostatitis, symptoms may not be or can be only minor symptoms.

Chronic prostatitis abacteria. Also called chronic pelvic pain syndrome is not caused by bacteria. Often, the exact cause can not be identified. Most cases of prostatitis are in this category. For some men, symptoms remain unchanged for a long time. Other symptoms are cyclical and are becoming more serious.

Asymptomatic inflammatory prostatitis. This type does not cause symptoms of prostatitis and usually discovered by chance while passing tests for other diseases.

Prostatitis treatment depends on its cause