Is There More Than One Type Of Prostatitis
The main types of prostatitis are bacterial prostatitis and non-bacterial prostatitis.
Bacterial prostatitis is an infection caused by bacteria. Its the easiest kind of prostatitis to diagnose and treat, although it can become serious if not dealt with quickly.
Acute bacterial prostatitis is the least common form of prostatitis, but if the infection is not dealt with it can be life-threatening.
Chronic bacterial prostatitis is when bacterial prostatitis comes back again and again. Its caused by an underlying problem in the prostate, such as prostate stones or an enlarged prostate , which attract bacteria. Chronic bacterial prostatitis is also a common cause of repeated urinary tract infections , which are infections in the urinary system.
Chronic nonbacterial prostatitis is when the prostate is inflamed, but there isnt any bacteria present. We dont yet understand this form of prostatitis very well, although we know that they dont cause urinary tract infections. Symptoms can disappear and come back later, and are often made worse by stress.
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Should I Avoid Having Sex If I Have Prostatitis
Prostatitis is an extremely common condition affecting men. While it is more common in older men, it can occur at any age.
Essentially, it is an inflammation of the male prostate gland that may be the result of a bacterial or fungal infection. It can also occur without any infection simply from the result of mechanical irritation.
According to some experts, prostatitis is the symptom-producing condition of the genitourinary tract for which men most often seek medical help. Roughly 40 percent of visits by men to urologists are for prostatitis.
In a healthy man, prostatitis can be brought about by irritation to the gland from external stimuli, such as bike or motorcycle riding, excessive exercise, sexual activity, or even lack of sufficient sexual activity. The term prostatitis is used by many medical professionals for almost all cases of prostate inflammation, even when there is no readily apparent cause.
The purpose of the male prostate gland is to generate fluids for lubrication and transporting sperm containing semen outside the male body during sexual intercourse. This seminal fluid contains enzymes, some minerals, and, most importantly, sperm cells for propagating the species.
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What Tests Diagnose Prostatitis What Are Prostate
Prostatitis is usually diagnosed by analyzing a urine sample and undergoing an examination of your prostate gland by your health care practitioner. This examination involves a digital rectal examination to palpate the prostate gland and feel for abnormalities of the gland. Occasionally, the physician may also collect and test a sample of the prostatic fluid.
Sometimes a prostate massage is performed to compare samples of the prostatic fluid both before and after this intervention has been performed. To perform this procedure, the doctor will stroke/massage the prostate gland during the digital rectal examination. Because there is the concern that this procedure can release bacteria into the bloodstream, this test is contraindicated in cases of acute bacterial prostatitis.
Additional tests that may be obtained include a complete blood count , an electrolyte panel, blood cultures, a swab of urethral discharge if present, and sometimes a prostate-specific antigen level. The PSA test, which is used as a screening test for prostate cancer, may also be elevated with prostatitis.
If recurring episodes of urinary tract infections and prostatitis occur, see your doctor for a more detailed evaluation of your genitourinary system for anatomic abnormalities, which may make you more prone to infections.
Does Prostatitis Cause Cancer
Although prostatitis can cause you trouble, it does not cause cancer. There is a blood test some doctors use for prostate cancer called the prostate-specific antigen test . If you have prostatitis, your PSA level might go up. This does not mean you have cancer. Your doctor will treat your prostatitis and may check your PSA level again.
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Safeguarding Yourself Against Cancers Caused By Viruses
While there are age-appropriate vaccinations available today, which ensure that subjects do not develop such cancers at a later age, the general guidelines that apply to safe sexual practices are applicable here too. Adopting contraceptive methods that prevent the transmission of such viruses, avoiding unprotected sex, and getting screened regularly for such virus panels are some of the best ways in which such cancers can be avoided.
This is a part of our series of Cancer Mythbusters.
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How Do Doctors Diagnose A Prostate Infection
The diagnosis of both acute and chronic prostate infections begins with the history of the symptoms described above, the physical exam, including the digital exam of the prostate and often confirmed by culture and identification of the infecting organism.
Acute bacterial prostatitis diagnosis
- Usually an enlarged, firm, and tender prostate is enough to make a presumptive diagnosis and start treatment .
- Because there is usually a low level of bacteria in urine, the doctor will perform a urinalysis to quantitate and identify infecting bacteria by urine culture.
- If the person has symptoms suggesting the infection has spread outside the prostate , blood cultures and other blood tests are likely to be ordered.
- If a spread of the infection is suspected, a doctor will often perform an ultrasound to help confirm the diagnosis and to rule out an abscess. If this ultrasound is not available, the doctor may perform a CT scan or MRI of the pelvis.
Chronic bacterial prostatitis diagnosis
One of two tests are sometimes performed to help with the diagnosis:
The classic test is a Meares-Stamey 3-glass test. Three separate urine samples are collected and examined during this test. The last sample is taken after prostatic massage.
Premassage and postmassage test
Men with recurrent urinary tract infections should have ultrasound imaging of their upper urinary tract and a plain abdominal X-ray or an intravenous urography to exclude a possible structural problem or a kidney stone.
What Are The Complications Of Prostatitis
- abscess of the prostate gland,
- spreading of the infection to the blood stream , and rarely
Prostatitis can elevate the PSA level. There is no evidence that prostatitis leads to prostate cancer. If the acute inflammation/episode of prostatitis has resolved, the PSA level will usually return to baseline levels.
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Assessment Of Prostatitis And Sexually Transmitted Diseases From Baseline Questionnaire
The baseline questionnaire asked subjects to report: a) have you ever had prostatitis or prostatic infection: yes, no b) how long did the symptoms persist: < 1 year, 1â2 years, 3â5 years, 6â10 years, > 10 years. In addition, information on five STDs and bladder infection were assessed in response to the question âhow often have you ever had any of the following diseasesâ: gonorrhea or âthe clapâ syphilis Chlamydia genital warts genital herpes bladder infection. We categorized history of prostatitis as no, yes, missing and duration of prostatitis symptoms as none, < 1 year, > 1 year, missing. STD history was categorized for any STDs and each specific STD and number of STDs , missing). We included missing terms for prostatitis and STDs in all analysis these terms demonstrated no association with risk.
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Can Prostatitis Come Back
Men who have had prostatitis once are more likely to get it again. Antibiotics may not get into the prostate gland well. Small amounts of bacteria might hide in the prostate and not be killed by the antibiotic. Once you stop taking the antibiotic, the infection can get bad again. If this happens, you might have to take antibiotics for a long time to prevent another infection. Prostatitis that is not caused by infection is often chronic. If you have this kind of prostatitis, you might have to take medicine for a long time.
Can Prostatitis Be Prevented Or Avoided
You cant prevent most cases of prostatitis. However, you should get checked for STDs. To best protect yourself, use a condom during all sexual encounters. This helps prevent getting or spreading the infection.
Men who have frequent UTIs are more likely to have prostatitis. Men who are 50 years of age or older and have an enlarged prostate also have an increased risk.
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What Causes Acute Prostatitis
Acute bacterial prostatitis is often caused by common strains of bacteria. The infection may start when bacteria carried in urine leaks into your prostate. Sexually transmitted disease like chlamydia and gonorrhea can also cause acute prostatitis. Bacteria that is commonly associated as the cause for UTIs and prostatitis are:
What Is The Prognosis For Prostatitis Does It Increase The Risk Of Developing Prostate Cancer
Prostatitis caused by bacterial illness often can be treated with antibiotics, or the condition can be chronic that recurs and requires long-term medical attention.
- Acute bacterial prostatitis can often be treated very successfully and has a very good prognosis.
- Chronic prostatitis, and especially chronic nonbacterial prostatitis, can often lead to long-term symptoms and discomfort if treatment is unsuccessful. It is important to have close follow-up and continued care by either your primary care doctor or a urologist.
- Prostatitis does not increase your risk of developing prostate cancer.
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How Is Prostatitis Diagnosed
The most effective treatment for prostatitis depends heavily on an accurate diagnosis. In addition to a complete medical history and physical examination, diagnostic procedures for prostatitis may include the following:
Urine culture, including triple-void urine specimen collection . Often used in collaboration with the prostate stripping procedure, the three-glass urine collection method involves collecting and evaluating the prostatic fluid and urine for the presence of white blood cells and bacteria.
Digital rectal examination . A procedure in which the doctor inserts a gloved finger into the rectum to examine the prostate gland.
Prostate massage. A procedure in which prostate fluid is collected for examination. This procedure is usually performed during a DRE and involves the doctor “stripping” the prostate gland to drain fluid into the urethra. This fluid is then examined under a microscope to detect the presence of inflammation and/or infection.
Cystoscopy . An examination in which a scope, a flexible tube and viewing device, is inserted through the urethra to examine the bladder and urinary tract for structural abnormalities or obstructions, such as tumors or stones.
Is Prostate Cancer A Sexually Transmitted Disease
the MPR take:
A new study in the Proceedings of the National Academy of Sciences suggests that the sexually transmitted infection trichomoniasis could make men more vulnerable to developing prostate cancer. In testing human prostate cells, researchers discovered Trichomonas vaginalis, the parasite that causes trichomoniasis, emits a protein that increases inflammation, growth, and invasion of benign and cancerous prostate cells. Trichomoniasis is the most common non-viral sexually transmitted infection worldwide but the cause of prostate cancer is still unknown.
Prostate cancer may be a sexually transmitted disease caused by a common yet often silent infection passed on during intercourse, scientists say but experts say proof is still lacking. Men may feel itching or irritation inside the penis, burning after urination or ejaculation, or a white discharge from the penis.
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Other pathogens such as neisseria gonorrhoeae, mycoplasma and chlamydia can also lead to prostate infection, which is called bacterial prostatitis in clinic. Prostatitis testimonial: Mr. Zhang is cured by Diuretic and Anti-inflammatory Pill with five-month treatment Don’t have sex until you see your doctor if you have any signs of an STI, such as sores on your genitals or abnormal discharge from your penis. Mycoplasma Prostatitis Cured By Traditional Chinese Medicine
Besides, its necessary to ask the partners to get checked and have a treatment simultaneously.No matter what prostatitis it is, men with prostate infection should take correct medication in time. Actually, this question can’t be anwsered simply by “Yes” or “No”.
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In rare cases, prostatitis is caused by a sexually transmitted infection . A prostate infection is also not contagious or caused by your partner. Prostatitis and other conditions with similar symptoms have a number of possible causes.
How Can Prostatitis Affect My Life
Prostatitis can be very painful. If youre unsure about whether the condition can be treated, this can lead to feelings of depression and hopelessness. Prostatitis can also lower your sex drive, because the pain can make it hard to enjoy sexual activity.
Reaching out to family and partners for support can help in dealing with ongoing prostatitis. Although it can be an unpleasant condition, there are treatments that can help with the symptoms.
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Detecting Aggressive Prostate Cancer
Infection leads to inflammation, and inflammation has long been suspected of playing a leading role in the development and progression of prostate cancer.
Although previous studies examining other STDs have largely failed to show an association with prostate cancer, most did not have the long follow-up that the newly reported study did, American Cancer Society director of prostate cancer Durado Brooks, MD, MPH, tells WebMD.
“We can say from this study that there may be a link between this sexually transmitted infection and more aggressive prostate cancer, but more research is needed to confirm this,” he says.
If the link is confirmed, the finding could offer much needed insight into which prostate cancers will become deadly and which will not, he says.
The introduction of prostate-specific antigen testing in the late 1980s led to a doubling in the number of prostate cancers diagnosed annually.
It has become clear in recent years that many of the cancers found with PSA testing are not likely to progress, but determining which patients need aggressive treatment and which do not remains a problem.
“We need more markers to tell us at the time of diagnosis how aggressive a cancer will be,” Brooks says.
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