PROSTATITIS Symptoms, Causes & Treatments
Symptoms, Causes & Treatments
Prostatitis is swelling and inflammation of the prostate gland, a walnut-sized gland situated directly below the bladder in men. The prostate gland produces fluid (semen) that nourishes and transports sperm.
Prostatitis often causes painful or difficult urination. Other symptoms include pain in the groin, pelvic area or genitals and sometimes flu-like symptoms.
Prostatitis signs and symptoms depend on the cause. They can include:
• Pain or burning sensation when urinating (dysuria).
• Difficulty urinating, such as dribbling or hesitant urination.
• Frequent urination, particularly at night (nocturia).
• Urgent need to urinate.
• Cloudy urine.
• Blood in the urine.
• Pain in the abdomen, groin or lower back.
• Pain in the area between the scrotum and rectum (perineum).
• Pain or discomfort of the penis or testicles.
• Painful ejaculation.
• Flu-like signs and symptoms (with bacterial prostatitis).
Acute bacterial prostatitis is often caused by common strains of bacteria. The infection can start when bacteria in urine leak into your prostate. Antibiotics are used to treat the infection. If they don't eliminate the bacteria prostatitis might recur or be difficult to treat (chronic bacterial prostatitis).
Nerve damage in the lower urinary tract, which can be caused by surgery or trauma to the area, might contribute to prostatitis not caused by a bacterial infection. In many cases of prostatitis, the cause isn't identified.
Prostatitis treatments depend on the underlying cause. They can include:
• Antibiotics. This is the most commonly prescribed treatment for prostatitis. Your doctor will choose your medication based on the type of bacteria that might be causing your infection. If you have severe symptoms, you might need intravenous (IV) antibiotics. You'll likely need to take oral antibiotics for four to six weeks but might need longer treatment for chronic or recurring prostatitis.
• Alpha blockers. These medications help relax the bladder neck and the muscle fibers where your prostate joins your bladder. This treatment might ease symptoms, such as painful urination.
• Anti-inflammatory agents. Nonsteroidal anti-inflammatory drugs (NSAIDs) might make you more comfortable.