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Research suggests that chronic nonbacterial prostatitis may result from a cascade of interconnected events. Yet no bacteria are evident, and pinpointing a cause or causes has been difficult. Its symptoms resemble those of chronic bacterial prostatitis. Chronic nonbacterial prostatitisĬhronic nonbacterial prostatitis, also known as chronic pelvic pain syndrome is the most common form of prostatitis. If this happens, the recurrence can usually be controlled with another course of antibiotics. Treatment requires the same antibiotics used for the acute form, usually for one to three months, but even with the prolonged treatment, the infection often recurs. These symptoms wax and wane, and they are sometimes so understated that they aren’t noticeable. Others have pain after ejaculation, and the semen may be tinged with blood. Some men have low back pain, pain in the rectum, or a feeling of heaviness behind the scrotum. Unlike the acute form, however, chronic bacterial prostatitis is a subtle, low-grade infection that can begin insidiously and persist for weeks or even months.Ī man with chronic bacterial prostatitis usually doesn’t have a fever, but is troubled by intermittent symptoms such as a sudden urge to urinate, frequent urination, painful urination, or the need to get up at night to urinate. It sometimes follows a bout of acute bacterial prostatitis. It’s more common in older men who have BPH. This type of prostatitis is also caused by bacteria. Drinking plenty of fluids can help flush the bacteria from your system, too. To help ease any discomfort, try sitting in a hot bath, take stool softeners, and use over-the-counter pain relievers, such as aspirin or ibuprofen. This will help prevent your infection from returning. It’s important to continue your medication for the entire prescribed course, even if you are feeling better. Depending on the severity of symptoms, hospitalization may be necessary.)Īntibiotics are the standard treatment and are highly effective for this form of prostatitis Typical choices include fluoroquinolones-such as ciprofloxacin (Cipro), levofloxacin (Levaquin), and ofloxacin (Floxin)-and trimethoprim/sulfamethoxazole (Bactrim, Septra, Cotrim). (If you can’t urinate at all, it’s a medical emergency this usually means the prostate is so swollen that it’s completely blocking urine flow. As the prostate becomes more swollen, you may find it more difficult to urinate, and the urine stream may become weak.
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In addition, you may have pain around the base of the penis and behind the scrotum, pain in the lower back, and the feeling of a full rectum. It’s the least common but most dramatic form of prostatitis, beginning abruptly with high fever, chills, joint and muscle aches, and profound fatigue.
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This sudden-onset infection is caused by bacteria that travel from the urethra, and perhaps from the rectum, to the prostate. Prostatitis is classified into four categories, each with its own treatment approach Acute infection of the prostate This uncertainty is what can make the treatment of prostatitis so maddening. Potential culprits include difficult-to-detect bacteria, inflammation, depression and stress, and mechanical or neuromuscular problems in the pelvic muscles that irritate the general area. Physicians aren’t sure what causes the rest. Unfortunately, such straightforward forms of prostatitis are the minority. As a result, they are relatively easy to diagnose and treat, and they usually respond well to antibiotics. These cases are often accompanied by the classic symptoms of infection, such as fever, chills, and muscle pain along with urinary problems. Some types of prostatitis are caused by bacterial infection. Although it causes some of the same symptoms as BPH and can occur at the same time, prostatitis is a separate condition. Prostatitis refers to a loose assemblage of syndromes characterized by urinary problems such as burning or painful urination, the urgent need to urinate, trouble voiding, difficult or painful ejaculation, and pain in the area between the scrotum and rectum (known as the perineum) or lower back. Unlike prostate cancer and benign prostatic hyperplasia (BPH), which predominantly affect older men, prostatitis affects men of all ages. Prostatitis, which means inflammation of the prostate gland, is an equal opportunity disorder. It triggers more than two million visits to doctors and untold agony each year. A third condition, prostatitis, flies under the radar even though it affects up to one in six men at some point in their lifetimes. When it comes to prostate trouble, the lion’s share of attention goes to prostate cancer and an enlarged prostate.