How Will Your Doctor Diagnose A Prostate Infection
A prostate infection diagnosis is based on your medical history, a physical exam, and medical tests. Your doctor can also rule out other serious conditions such as prostate cancer during the exam. During a physical exam, your doctor will conduct a digital rectal exam to test your prostate and will look for:
- enlarged or tender lymph nodes in the groin
- swollen or tender scrotum
Your doctor may also ask about your symptoms, recent UTIs, and medications or supplements youre taking. Other medical tests that can help your diagnosis and treatment plan include:
- or semen analysis, to look for infections
- a prostate biopsy or a blood test for prostate-specific antigen
- urodynamic tests, to see how your bladder and urethra store urine
- , to look inside the urethra and bladder for blockage
Your doctor may also order an to get a closer look. The cause will help determine the correct course of treatment.
Questions To Ask Your Doctor
- Could my symptoms be caused by something other than prostatitis?
- How do I know if an STD caused my prostatitis?
- How long do I need to take medicine?
- Are there any side effects from treatment?
- Should I avoid having sex while I have prostatitis?
- Is there anything I can do to avoid getting prostatitis again?
What Is The Prognosis For People Who Have Prostatitis
Antibiotics can cure acute bacterial prostatitis. These medications also ease chronic bacterial prostatitis symptoms in approximately 30% to 60% of men. Up to 80% of men with chronic pelvic pain syndrome feel better after receiving appropriate treatments for their symptoms using the UPOINT system. Men with asymptomatic inflammatory prostatitis dont need treatment.
Talking With Your Doctor
Different kinds of doctors and other health care professionals manage prostate health. They can help you find the best care, answer your questions, and address your concerns. These health care professionals include:
- Family doctors and internists
- Physician assistants and nurse practitioners
- , who are experts in diseases of the urinary tract system and the male reproductive system
- Urologic oncologists, who are experts in treating cancers of the urinary system and the male reproductive system
- Radiation oncologists, who use radiation therapy to treat cancer
- Medical oncologists, who treat cancer with medications such as hormone treatments and chemotherapy
- , who identify diseases by studying cells and tissues under a microscope
View these professionals as your partnersâexpert advisors and helpers in your health care. Talking openly with your doctors can help you learn more about your prostate changes and the tests to expect.
How Is Chronic Pelvic Pain Syndrome Managed Or Treated
Prostatitis treatments vary depending on the cause and type. Asymptomatic inflammatory prostatitis doesnt require treatment.
For chronic pelvic pain syndrome , your healthcare provider may use a system called UPOINT to classify symptoms into six categories. Your provider uses multiple treatments at the same time to treat only the symptoms youre experiencing.
Approximately 80% of men with CPPS improve with the UPOINT system. The system focuses on these symptoms and treatments:
- Urinary: Medications, such as tamsulosin and alfuzosin , relax muscles around the prostate and bladder to improve urine flow.
- Psychosocial: Stress management can help. Some men benefit from counseling or medications for , and catastrophizing .
- Organ: Quercetin and bee pollen supplements may relieve a swollen, inflamed prostate gland.
- Infection: kill infection-causing bacteria.
- Neurologic: Prescription pain medicines, such as amitriptyline and gabapentin , relieve neurogenic pain. This pain can include or pain that extends into the legs, arms or back.
- Tenderness: Pelvic floor physical therapy may include myofascial release . This therapy can reduce or eliminate muscle spasms.
Nitric Oxide And Blood Flow
The blood vessels in the prostate are the smallest and most delicate in the body.
Nitric oxide causes blood vessels to relax so they can receive oxygenated blood. The popular erectile dysfunction drugs Cialis and Viagra work because they flood NO into the prostate region .
NO is anti-pathogenic, but unfortunately, infection reduces , a chemical the body needs to make NO. In addition, fungal pathogens cause an uptick in the production of uric acid in the body, and high levels of uric acid also prevent the synthesis of NO.
So, in essence, an infected prostate loses the ability to receive NO because the body uses BH4 to fight off the invaders, rather than to synthesize NO. The uric acid mediated disruption of NOS can come from the activity of the fungal pathogen OR it can be the result of a diet too high in animal protein and sugar, as well as the result of certain genetic mutations. Its likely all three factors combine to form the serum uric acid levels of any given individual.
Therefore, lingering infection means lower NO bioavailability, reduced blood flow, and greater risk for infection, or greater risk for lingering infection to better protect itself with production of biofilm. Reduced BH4 also results in a process known as NOS uncoupling, which produces the free radical superoxide instead of NO.
For more on the genetics of NO production, see our NOS3 gene page.
When To Get Medical Advice
See a GP if you have symptoms of prostatitis, such as pelvic pain, difficulty or pain when peeing, or painful ejaculation.
They’ll ask about the problems you’re having and examine your tummy.
Your urine will usually be tested for signs of infection, and you may be referred to a specialist for further tests to rule out other conditions.
See a GP straight away if you get sudden and severe symptoms of prostatitis.
You may have acute prostatitis, which needs to be assessed and treated quickly because it can cause serious problems, such as suddenly being unable to pee.
If you have persistent symptoms , you may be referred to a doctor who specialises in urinary problems .
Prostatitis: Frequently Asked Questions
Prostatitis is the inflammation of the prostate gland, a walnut-sized gland found just below your bladder. Its a fairly common problem that affects over 8% of men. Prostatitis can be acute or chronic, which can last for weeks, maybe months. Get answers to common prostatitis questions, such as what causes it, how its diagnosed, and treatments.
How To Cure Prostatitis Without Antibiotics
General antibiotic drugs is anti-inflammatory sterilization, medication should be targeted, not check the medication is unreasonable, commonly used is sensitive antibiotics, but can not determine which specific, because each personâs different physical response to the drug is also the Different, do not check the premise of chaos recommended medication, there will be side effects.Prostatitis, treatment can be direct injection of prostate therapy, that is, sensitive antibiotics alone or in combination, direct injection into the prostate or in the B-guided drug Liquid directly into the prostate lesions, 1 to 2 times a week, 10 times for a course of treatment. Of course, you need to go to the local 3 A or 3 above the hospital for treatment.
Antibiotic treatment.This method of getting rid of prostatitis on the early formation of clogged prostatitis patients have a certain role, but for patients with blocked calcification, the effect is not obvious. And because of long-term resistance has caused liver, kidney, gastrointestinal function damage, and finally lead to bacterial disorders, thereby increasing the chance of infection. Therefore, patients should be carefully chosen.
What Are The Complications Of Prostatitis
Men with acute bacterial prostatitis may develop . This widespread inflammation can be life-threatening. It requires immediate medical treatment.
Antibiotics can cause an upset stomach. Men with chronic bacterial prostatitis may need lots of antibiotics to treat recurring infections. Some people develop antibiotic resistance, making treatment ineffective.
Asymptomatic inflammatory prostatitis can lower sperm count, affecting fertility.
What Is The Prostate
The prostate is a walnut-shaped gland that is part of the male reproductive system. The main function of the prostate is to make a fluid that goes into semen. Prostate fluid is essential for a mans fertility. The gland surrounds the urethra at the neck of the bladder. The bladder neck is the area where the urethra joins the bladder. The bladder and urethra are parts of the lower urinary tract. The prostate has two or more lobes, or sections, enclosed by an outer layer of tissue, and it is in front of the rectum, just below the bladder. The urethra is the tube that carries urine from the bladder to the outside of the body. In men, the urethra also carries semen out through the penis.
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 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 /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 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.
Other tests that may also be obtained include urodynamic tests , imaging, computed tomography imaging, , and a prostate biopsy.
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.
Is Prostatitis A Sexually Transmitted Disease
Yes, prostatitis can be contracted through sex, so the more sexual partners a man has, the higher his odds of developing the condition.
Interestingly, Trichomonas vaginalis, a parasite and STD, has been found in prostate biopsies of men with prostatitis, and although it seems that E. Coli is a much more regular culprit, the prostates susceptibility to Trichomonas vaginalis colonization has been linked to zinc levels. The prostate is the number one home for zinc in a mans body, and when levels get low, studies have shown these types of pathogens can take a greater foothold.
Mineral deficiencies are common in the U.S., which means supplementing with small amounts of zinc to see whether conditions improve could be worthwhile. As far as food is concerned, pumpkin seeds and oysters are both high in zinc.
As an added benefit, zinc supplementation has also shown some promise in maintaining the cell lining of the gut, which can prevent or help to heal leaky gut, a condition that often accompanies prostatitis, and that is marked by a breakdown of the epithelial wall of the gut lining, which allows pathogens and undigested food particles to enter the blood stream. I will touch more on leaky gut later in this post.
While we are putting a focus on Trichomonas vaginalis in this discussion about zinc, ultimately, identifying the exact pathogenic bacteria causing issues in the prostate can be difficult since samples are often contaminated by the bacteria that grow in the urethra.
What Causes An Enlarged Prostate
It’s not known what causes many cases of prostatitis. A bacterial infection is only sometimes responsible.
In many cases of chronic prostatitis, doctors can’t find any infection in the prostate gland, although they may still prescribe a course of antibiotics. In these cases, the cause is poorly understood.
Chronic prostatitis is thought to be caused by a number of suggested factors, including partial blockage of the flow of urine and underlying problems with the immune system, pelvic floor or nervous system.
How Is Prostatitis Treated
The treatment is based on the cause. Your doctor may do a rectal exam and test urine samples to find out the cause.
An antibiotic is used to treat prostatitis that is caused by an infection. Some antibiotics that might be used are trimethoprim-sulfamethoxazole, doxycycline, ciprofloxacin, norfloxacin and ofloxin. You might have to take antibiotics for several weeks or even a few months. If prostatitis is severe, you might have to go to a hospital for treatment with fluids and antibiotics.
What Are Prostatitis Symptoms
If you have the asymptomatic type of prostatitis, there will be no symptoms. The inflammation may be noticed by your doctor if you are having other tests. For other types of prostatitis, symptoms may include:
- A burning sensation or when you urinate
- Hesitation when urinating, or having difficulty starting the stream or maintaining it
- Frequent and urgent need to urinate, especially at night
- Painful ejaculation
- Pain in the testicles, penis or perineum, the area between your rectum and testicles
- Pain in the lower back or abdomen
What Is The Prostate Gland What Does It Look Like
The prostate gland is part of the male reproductive system, and it is a walnut-sized gland found in men that is located below the bladder and in front of the rectum. It surrounds the urethra, the tube through which urine and semen exit the body. Its main function is to produce seminal fluid in order to transport sperm through the urethra.
What If My Prostatitis Is Not Caused By Infection
Because we do not understand what causes prostatitis without infection, it can be hard to treat. Your doctor might try an antibiotic to treat a hidden infection. Other treatments are aimed at making you feel better. Nonsteroidal anti-inflammatory medicines, such as ibuprofen or naproxen, and hot soaking baths may help you feel better. Some men get better by taking medicines that help the way the bladder or prostate gland work. These medicines include oxybutynin, doxazosin, prazosin, tamsulosin and terazosin.
The Prostate Is Prone To Infection And Inflammation
The prostate sits in an anatomical position, wrapped around the urethra, and close to the rectum, that is ripe for infection.
Infection causes inflammation. When the prostate is inflamed, it can become enlarged, putting pressure on the urethra and, in some cases, making it more difficult to fully empty the bladder. Urine then gets trapped and backs up, which can contribute to lingering low grade infection, even where tests come back negative.
What Do We Mean By A Prostate Infection
Prostate Infection, also known as Prostatitis, is an infection in and around the prostate gland. This occurs when the prostate gland and the area around it gets inflamed. This is usually caused by bacteria which may have infiltrated the body through other causes. The prostate gland is located between the bladder and the base of the penis. The prostate gland also has the urethra passing through it which carries urine from the bladder to the penis.
Some Prostate Infections tend to cause no symptoms whatsoever; however there are some forms of prostate Infections which can cause potentially serious symptoms and require immediate medical attention. There are basically two types of Prostate Infections of which one is acute bacterial prostate infection and the other is chronic bacterial prostate infection.
The Acute form of prostate infection causes sudden onset of symptoms which are severe in intensity and require emergent medical attention while the chronic form of prostate infection has symptoms which are mild in intensity and develop gradually over a period of time.
Chronic Pelvic Pain Syndrome
CPPS is the most common type of prostatitis around 19 out of every 20 men with prostatitis have it. You might also hear it called chronic non-bacterial prostatitis, chronic abacterial prostatitis or prostate pain syndrome. Chronic means long-lasting.
Men with CPPS usually have symptoms for three months or longer. Even after treatment, you may still have prostatitis for a long time. It might come and go, causing occasional episodes of severe pain, sometimes known as flare-ups.
What causes it?
Nobody knows for certain what causes CPPS. Unlike other types of prostatitis it isnt usually caused by a bacterial infection. There could be a number of causes, which makes it difficult to diagnose and treat.
There are also a number of things that might trigger it, including:
- urine getting into the prostate
- previous infections in or around the prostate
- an infection that doesnt show up in tests
- problems with nerves, so that they send pain signals to the brain even when theres nothing physically wrong
- stress, anxiety or depression
- problems with the pelvic floor muscles .
Some research shows a link between stress, anxiety and depression and CPPS. But this doesnt mean that CPPS is all in your head. If youre feeling stressed or depressed, this may cause physical symptoms that trigger CPPS, or make symptoms worse.
What Causes Chronic Bacterial Prostatitis
Chronic bacterial prostatitis is a type of infective prostatitis. It is caused by a persistent infection with a germ of the prostate gland. A man with chronic bacterial prostatitis will usually have had recurring urine infections. Chronic bacterial prostatitis is usually caused by the same type of germs that causes the urine infections. The prostate gland can harbour infection and therefore recurring infections can occur. Chronic bacterial prostatitis is not a sexually transmitted infection.
How Common Is Prostatitis
Prostatitis is the most common urinary tract problem for men younger than age 50 and the third most common urinary tract problem for men older than age 50.1 Prostatitis accounts for about two million visits to health care providers in the United States each year.2
Chronic prostatitis or chronic pelvic pain syndrome is
- the most common and least understood form of prostatitis.
- can occur in men of any age group.
- affects 10 to 15 percent of the U.S. male population.3
Questions You May Want To Consider Asking Your Doctor Include:
- What type of prostate problem do I have?
- Is more testing needed and what will it tell me?
- If I decide on watchful waiting, what changes in my symptoms should I look for and how often should I be tested?
- What type of treatment do you recommend for my prostate problem?
- For men like me, has this treatment worked?
- How soon would I need to start treatment and how long would it last?
- Do I need medicine and how long would I need to take it before seeing improvement in my symptoms?
- What are the side effects of the medicine?
- Are there other medicines that could interfere with this medication?
- If I need surgery, what are the benefits and risks?
- Would I have any side effects from surgery that could affect my quality of life?
- Are these side effects temporary or permanent?
- How long is recovery time after surgery?
- Will I be able to fully return to normal?
- How will this affect my sex life?
- How often should I visit the doctor to monitor my condition?
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.
Help With Your Symptoms
Nonsteroidal anti-inflammatory drugs , such as ibuprofen or naproxen, may help with pain or discomfort. Ask your doctor if you can take these.
Warm baths may relieve some of your perineal and lower back pain.
Avoid substances that irritate the bladder, such as alcohol, caffeinated beverages, citrus juices, and acidic or spicy foods.
Drink plenty of fluids, 64 or more ounces per day, if your doctor says this is OK. This helps flush bacteria from the bladder. It can also help prevent constipation.
- Get some exercise every day. Start slowly and build up at least 30 minutes a day.
Prostatitis: Is It Curable By Itself Or Not
leo over a year ago
Guest over a year ago
Guest over a year ago
There are different kinds of prostatitis; bacterial, non-bacterial, and inflammatory. The prostatitis treatment you need depends on the kind of prostatitis you have. While you can certainly explore natural treatments in some cases , you shouldn’t just leave it alone and hope for the best, that’s for sure.
Anyway, may want to explore prostate drainage, Traditional Chinese Medicine, acupuncture, herbal supplements such as saw palmetto, and also a regimen of vitamin supplements that will help you some. These are not necessarily a substitute for other medical treatment, and if you have bacterial prostatitis you will definitely need antibiotics, but they can help you some for sure.
Rob over a year ago
over a year ago
In reply to Rob on 2012-09-16 – click to read
Eating Diet And Nutrition
Researchers have not found that eating, diet, and nutrition play a role in causing or preventing prostatitis. During treatment of bacterial prostatitis, urologists may recommend increasing intake of liquids and avoiding or reducing intake of substances that irritate the bladder. Men should talk with a health care provider or dietitian about what diet is right for them.
How Are Bacterial Forms Of Prostatitis Managed Or Treated
Antibiotics can kill bacteria that cause bacterial types of prostatitis. Men with acute bacterial prostatitis may need 14 to 30 days of antibiotics, starting with IV antibiotics in the hospital. Rarely, men need surgery to drain an abscess on the prostate.
Treating chronic bacterial prostatitis is challenging. You may need up to three months of antibiotics to sterilize the prostate. If the prostate cant be sterilized, low-dose antibiotics can be used long term to prevent recurrences. Some men need surgery to remove prostate stones or scar tissue in the urethra. Rarely, surgeons remove part or all of the prostate gland .
How Can I Get Rid Of Prostatitis Without Antibiotics
The following might ease some symptoms of prostatitis:
What Is The Prostate Gland
The prostate is a gland that lies just below a man’s urinary bladder. It surrounds the urethra like a donut and is in front of the rectum. The urethra is the tube that carries urine out of the bladder, through the penis and out of the body. Your doctor may check your prostate by putting a finger into your rectum to feel the back of your prostate gland.
The prostate gland makes a fluid that provides nutrients for sperm. This fluid makes up most of the ejaculate fluid. We do not yet know all of the ways the prostate gland works.
Does Nonbacterial Prostatitis Go Away Without Treatment
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When Should You Call Your Doctor
- Urinary symptoms and persistent pain in the low back, , penis, or the area between the scrotum and anus, or if you have pain with ejaculation or with a bowel movement.
- Recurring urinary tract infections .
- Discharge from your penis or sores on your genitals.
- Problems urinating, such as excessive nighttime urination, trouble starting urinating, decreased urinary stream, or frequent urination that isn’t related to drinking lots of fluids.
What Are The Symptoms
Symptoms of long-term prostatitis are often mild and start slowly over weeks or months. They may include:
- An urge to urinate often. But you may pass only small amounts of urine.
- A burning pain when you urinate.
- A problem starting the urine stream, urinating in waves rather than in a steady stream, urine flow that is weaker than normal, and dribbling after urinating.
- Waking up at night to urinate often.
- A feeling of not completely emptying your bladder.
- Pain in your lower back, in the area between the testicles and anus, in the lower belly or upper thighs, or above the pubic area. Pain may be worse during a bowel movement.
- Some pain during or after ejaculation.
- Pain in the tip of your penis.
Symptoms of acute prostatitis are the same, but they start suddenly and are severe. They may also include a fever and chills.
Some men may have no symptoms.