Prostatitis is characterized by an inflammation of the prostate, which leads to an increase in its size, and causes symptoms such as pain, burning while urinating, fever, among others.
Prostatitis is usually caused by a bacterial infection and, in most cases, the treatment consists in administering antibiotics, painkillers and anti-inflammatory drugs.
What are the symptoms
The most common symptoms that can indicate prostatitis, which is the inflammation of the prostate, are mainly the decrease in urine jet force and pain when urinating.
Since the symptoms of prostatitis are very similar to those of other prostate problems. Choose your symptoms from the ones below to see what your risk of having a prostate problem is:
In addition to the indicated symptoms, prostatitis can also cause fever and chills, especially if prostatitis is caused by an infection. However, the only way to confirm the diagnosis is to see an urologist for blood tests, urine tests or even an ultrasound.
The frequency in urination increases, so blood may be present in the urine, and it is common to develop impotence because of the constant pain. However, these can also be symptoms of a urinary tract infection in men.
There are different causes that can result in an inflammation of the prostate gland, most prostatitis are caused by an infection, especially by bacteria such as Escherichia coli or Proteus mirabilis. For this reason, it is relatively common for prostatitis to be treated with the use of antibiotics, which should be indicated by an urologist.
In some cases, prostatitis may be caused by surgery or injury in the area, and there are still situations where the cause can not be identified.
Prostatitis can be classified in:
- Type I – Acute bacterial prostatitis;
- Type II – Chronic bacterial prostatitis;
- Type III A – Pelvic pain syndrome, also known as chronic inflammatory prostatitis;
- Type III B – Non-inflammatory chronic prostatitis, pelvic pain syndrome or prostatodynia;
- Type IV - Asymptomatic inflammatory prostatitis.
Generally, acute and chronic prostatitis present the same symptoms, and prostatitis is considered to be chronic when the symptoms remain for more than 3 months.
How is diagnosis reached
The diagnosis of prostatitis is made taking into account the symptoms referred by the patient and are usually related to difficulty in urinating.
In addition, the doctor may ask for blood, urine and prostate fluid collection and recommend examinations such as flowmetry, rectal examination, PSA blood test, or biopsy to confirm the cause of prostate enlargement.
How is treatment done
Treatment for prostatitis should always be indicated by a urologist. He will identify the infection and prescribe the use of antibiotics in pill form or, in more severe cases, drugs that are applied directly to the vein, the hospital .
The doctor may also prescribe painkillers and anti-inflammatory drugs to relieve symptoms or alpha blockers, such as Tamsulosin, which helps relax the cervix of the bladder and the muscle fibers where the prostate joins the bladder.
In chronic bacterial prostatitis, treatment with antibiotics is longer and lasts for about 3 months, but when antibiotics do not treat inflammation, surgery may be needed to remove the prostate abscess that causes the symptoms.