Prostatitis and related syndromes

—Specialisation

What is Prostate?

The prostate is a gland that exists in between the bladder and penis. It creates and produces part of the semen, Prostatitis is not similar to like prostate cancer or benign prostate enlargement that usually affect men in older age. A discussion with your doctor will help you clear all dobts with regard to all of these conditions.

Prostate is a glands that lies below the bladder and is found in the men.

Prostatitis is the inflammation of the prostate gland.

Classification

Prostate is usually classified into various syndromes.

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Acute Prostatitis

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Chronic Prostatitis – Bacterial

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Chronic prostatitis – Non Bacterial

 

Asymptomatic inflammatory prostatitis

Each kind of the prostatitis are different in terms of the occurrances, causes, syndromes and treatments.

Acute Prostatitis

Acute prostatitis is caused from the serious bacterial infection occurring with the prostate gland. And it is going to be a medical emergency.

 

Signs and Symptoms

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Have chills

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Have fever

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Frequent urination

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Pain in genital area

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Pain in lower back

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Urgency of urination, especially during the nights

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Infection of the urinary tract

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Body aches

 

Sometimes acute prostatitis can be prostate biopsy complication.

Treatments

There are different stages of treatments available according to the various stages of the complexity. The treatment is given according to the severity of the acute prostatitis.

Diagnosis

Acute prostatitis is easier to diagnose, because of the clear symptoms. Since the symptoms can be diagnosed through testing the urine and blood and so urine tests and blood tests are conducted. These tests are conducted to find the bacteria in them. Sometimes it becomes a medical emergency and in such cases intravenous antibiotics are used, when needed. Blood tests are done to find the complete blood count.

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Antibiotics are given initially. If there is any infection, it will be cured in short period of time. However, it needs from 2 to 4 weeks of duration to eradicate the infection completely.

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When the condition is severe, it needs hospitalization of the patient. If the patient is non-toxic, he or she needs bed rest along with the medication for stool softening, analgesics and hydration.

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Asymptomatic Inflammatory Prostatitis

Asymptomatic inflammatory prostatitis is the inflammation resulted on the prostate gland. It becomes painless. The condition gets no infection or evidence. The main difference with the other condition is that it does result in the pain from the inflammation. It is usually found with the benign prostatic hyperplasia in men.

Signs and Symptoms

Since the patient does not experience with the pain, there would be no occurrence and complaints of the pain. The major symptom found is the leucocytosis and it happens, while the other conditions are evaluated.

Diagnosis

This symptom less medication can be diagnosed through different diagnosis methods. The tests that can be conducted are tests related to semen. This test can reveal the inflammation that causes no symptoms to pain. The test shows the condition of EPS (Expressed Prostatic Secretion) or Prostate Tissues.

Treatment

Asymptomatic inflammatory prostatitis can be treated possibly. The only medication that is given most usually to treat the condition is asymptomatic inflammatory prostatitis is the antibiotic medication.

So, the overall treatment of the prostatitis aims to minimize or control the symptoms, through the appropriate painkillers to relieve the pain.

Chronic Bacterial Prostatitis

Chronic bacterial prostatitis is the affect of the prostate gland with the bacterial infection. It is a rare condition that is occurred intermittently with the UTI or Urinary Tract Infection.

Signs and Symptoms

There might be no symptoms occurred until the bladder gets infected. After it is done, the symptoms of recurrent cystitis will be started.

Diagnosis

When there is prostate infection, it can be diagnosed through culturing the urine, along with the prostate fluid. It is performed through a rectal exam and pressurizing the prostate. Another way is semen analysis.

Treatment

Chronic bacterial prostatitis needs longer treatment to cure the medical condition.

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The treatment starts with medicating with the antibiotics, which are given to well penetrate the prostate.

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Prostate massage is also sometimes needed to be done during the antibiotics.

 

Dr Anish Kumar Gupta is expert in managing and treating Prostatitis related problem and so far treated many patient for Prostatitis problem in Delhi, Dr Anish is currently practicing urology and andrology in North Delhi at Ashok Vihar. He is also visiting senior consultant at ESI