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Prostatitis Prostatitis is a general term that refers to inflammation (swelling) or infection of the prostate gland. It can be very painful and you'll need to see your GP. Information written and reviewed by Certified Doctors. Contents Key Information Try checking your symptoms with our AI-powered symptom checker. What should I do? If you think you have this condition you should see a doctor within 48 hours. How is it diagnosed? Your doctor might diagnose prostatitis based on your symptoms, a physical examination and a urine test to check for infection. The physical examination will probably include a digital rectal examination, during which a gloved finger is inserted into your back passage. What is the treatment? Treatment of prostatitis is specific to whether you have a sudden (acute) or a long-term (chronic) inflammation of your prostate. Both forms can be treated with oral antibiotics and pain relief, but chronic prostatitis may require additional treatment such as tamsulosin, a medication that relaxes muscles in the prostate gland and the bladder. When to worry? If you develop any of the following symptoms, please see a doctor immediately: - severe pain - unable to urinate for more than 6 hours - blood in urine. Introduction Try checking your symptoms with our AI-powered symptom checker. Prostatitis is a general term that refers to inflammation (swelling) of the prostate gland, which is sometimes caused by an infection. It can be very painful and you'll need to see your doctor. The prostate is a small gland found only in men, which lies between the penis and the bladder . Symptoms of prostatitis include: - pain when urinating - pain when ejaculating semen - problems urinating - discomfort in the pelvis, genitals, lower back and buttocks These symptoms usually come and go over a period of months, but can sometimes start suddenly and be a medical emergency (see below). Prostatitis can develop in men of all ages, unlike other types of prostate disease (such as prostate cancer or prostate enlargement), which usually affect older men. Acute vs chronic prostatitis There are two main types of prostatitis: - Chronic prostatitis, the most common type. Symptoms will have lasted for at least three months, although they may come and go and vary in severity. The cause isn't always clear. - Acute prostatitis – symptoms are severe and develop rapidly. This is caused by a bacterial infection of the prostate gland. It's a medical emergency, as without prompt treatment with antibiotics, the prostate and surrounding areas can become damaged. An estimated 1 in every 10,000 men will develop acute prostatitis. Read more information about the causes of prostatitis. Outlook Chronic prostatitis can be challenging to treat, as little is known about the cause of the condition. In most cases, there isn't any bacterial infection. Prostatitis caused by a bacterial infection will usually be successfully treated with antibiotics. Most men will make a full recovery within two weeks. Some men may find that symptoms return in the future, which will require further treatment. Read more information about how prostatitis is treated. Symptoms Try checking your symptoms with our AI-powered symptom checker. Most men with prostatitis will have a persistent (chronic) form of the disease, where symptoms come and go for at least three months. Possible symptoms of chronic prostatitis are: - pain in the pelvis, genitals, lower back and buttocks - pain when urinating - frequent need to urinate - difficulty urinating, such as problems starting or 'stop-start' urination - pain when ejaculating, which may contribute to erectile dysfunction - discomfort in the perineal area (the area between the scrotum and the anus) The symptoms may vary from day to day: some days they may be particularly troublesome, on other days they may be mild or almost non-existent. Sometimes you may also experience tiredness, joint pain, muscle pain and a high temperature. Medical emergency If the symptoms of prostatitis are severe and develop suddenly, see your doctor immediately. This sudden, severe type is known as acute prostatitis and needs to be treated immediately. Causes Try checking your symptoms with our AI-powered symptom checker. It's not known what causes many cases of prostatitis. A bacterial infection is only sometimes responsible. In many cases of chronic (long-term) 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. Bacterial infection Acute prostatitis (when symptoms are sudden and severe) is usually caused by bacteria in the urinary tract entering the prostate. However, it's less clear what happens in cases of chronic bacterial prostatitis. Doctors aren't certain how bacteria can infect the prostate and cause persistent symptoms that come and go over many months. One theory is that bacteria spread from the urinary tract or bowel to the prostate and create what's known as a biofilm on the inner surfaces of the prostate. A biofilm is a small but highly concentrated colony of bacteria that's covered by a sticky, protective surface – a bit like the plaque that can sometimes develop on teeth. Diagnosis Try checking your symptoms with our AI-powered symptom checker. Your doctor will be able to diagnose prostatitis by asking about your symptoms and carrying out a number of tests. This page outlines how your doctor will diagnose both acute and chronic prostatitis. Diagnosing acute prostatitis If you have acute prostatitis, your symptoms will be severe and will have started suddenly. Your doctor will take a sample of your urine, which will be checked for the presence of bacteria. Your doctor may also perform a rectal examination. They will insert a finger into your rectum (bottom) and, because the rectum is close to the prostate gland, they'll be able to determine whether your prostate is inflamed. The above tests may reveal that you have acute bacterial prostatitis. Diagnosing chronic prostatitis Chronic prostatitis (symptoms are less severe but persistent) is diagnosed by asking about your symptoms and ruling out other conditions that could be causing these symptoms. In order to rule out these types of conditions, you may be given a rectal examination and blood tests. Imaging studies, such as an ultrasound scan or CT scan, may also be used to help determine the cause of any symptoms. Instruments, such as a cytoscope, can be used to look at your bladder. A cytoscope is a flexible tube that has a light and a camera at the end. A cytoscope is placed up into your urethra (tube through which urine passes) and is used to look at your bladder. The following symptoms may help your doctor to make a diagnosis of chronic prostatitis: - you have pain in your pelvis, genitals and/or buttocks - you feel pain when urinating - you feel pain when ejaculating - you have problems with urinating, such as a frequent need to urinate, or a feeling that you haven't emptied your bladder properly after urinating - the symptoms have persisted for three months or more - other possible causes of your symptoms have been ruled out A urine test or a semen test can be taken to help distinguish between bacterial and non-bacterial chronic prostatitis. Treatment Try checking your symptoms with our AI-powered symptom checker. You'll need to take a course of antibiotics if your prostatitis is caused by a bacterial infection. However, in many cases of prostatitis there's no infection and the cause is uncertain, which makes it challenging to treat. This page outlines the treatment of both acute (sudden, severe) and chronic (longer-lasting) prostatitis. Treating acute prostatitis Acute prostatitis is caused by a bacterial infection of the prostate gland and will be treated with antibiotic tablets. Most people will need a four-week course. Your symptoms should pass within two weeks, but it's very important that you finish the course of antibiotics to prevent the infection returning. The pain can be relieved using paracetamol and/or ibuprofen. If your pain is particularly severe you may be prescribed a stronger painkiller, such as codeine. Treating chronic prostatitis If chronic prostatitis appears to be caused by a bacterial infection, you'll need to take a four to six week course of antibiotic tablets. You may also be prescribed a type of medication known as an alpha-blocker. Alpha-blockers help to relax the muscles in the prostate gland and the base of the bladder and can therefore improve problems with urination, such as difficulty passing urine. The possible side effects of alpha-blockers include: - dizziness - headaches - weakness - little or no sperm when you ejaculate Once you have completed your course of antibiotics, you'll be given a urine or semen test to check whether any bacteria remain in your prostate or near it. If the test is positive, a further course of antibiotics may be needed. As with acute prostatitis, paracetamol and/or ibuprofen can be used to help relieve any pain. If the cause doesn't appear to be a bacterial infection, antibiotics aren't necessary. In this case, you'll just be treated with alpha-blockers, paracetamol and ibuprofen. A number of other medications have been used to treat non-bacterial chronic prostatitis, but there is only limited evidence that they're effective. These medications include: - finasteride – a medication usually used to treat prostate enlargement - fluoxetine – an antidepressant medication usually used to treat depression - gabapentin - a medication used to treat chronic pain - amitriptyline - a medication used (in low doses) to treat pain, bladder problems and aid sleep
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Bakterijski prostatitis - posebno liječenje bolesti Prostatitis - čisto muški bolest, tzv upala prostate. Akutni bakterijski prostatitis uzrokovan bakterijama i događa s karakterističnim izraženim kliničkim simptomima. No, uzrok upala nije uvijek infekcije, prostatitis ponekad događa na štetu protoka krvi i stagnacije u rak. Ostali uzroci bolesti zahtijevaju razlikovati pristup liječenju. Vrsta bolesti Pluta razlikovati akutnu i kronični prostatitis. Akutni prostatitis traje manje od 3 tjedna i najčešće završava u oporavku. Nedolikovanyy ili nepropisno tretiraju akutni prostatitis rizik od kroničnih potez. Glavni uzročnik akutne upale prostate - Escherichia coli. Bolest se često razvija nakon što prolazi infekcija urinarnog trakta, uretritis ili epididimitis. Kronični prostatitis traje više od 3 tjedna, što karakterizira razdoblja recidiva i remisije, a to se ne propušta tako loše. Iz razloga koji uzrokuju bolesti, prostatitisa podijeljena na bakterijske i nebakteriynyy. Kronični bakterijski prostatitis uzrokovan uzimanjem tkiva prostate u takvim bakterija kao enterokoka, Escherichia coli i Pseudomonas, Enterobacteriaceae, Klebsiella, Proteus, itd serratsiya Akutna upala prostate i uglavnom uzrokovana bakterijom. Kronični prostatitis nebakteriynyy pojavljuje na pozadini stagnacije u zdjelici i prostate, u ovom slučaju povrijeđena odljev sekreta iz žlijezda. Bakterijski prostatitis - bakteriološka dijagnostika, koji je potvrdio postojanje tkiva prostate koji uzrokuju bolesti bakterija. Glavni simptomi koje uzrokuju bilo kakve upale prostate: Seksualna disfunkcija; Depresija. Muškarci s benignom prostate imaju visok rizik od rekurentne egzacerbacije prostatitis. Kad poremećeni odljev od raka, što stvara uvjete za rast patogenih mikroorganizama. U tom slučaju, simptoma prostatitisa lako zamijeniti s hiperplazijom. Smjernice liječenja Liječenje prostatitisa - jedan od najzahtjevnijih zadataka u urologiji, pa ovdje je potrebno sveobuhvatan pristup. U tom slučaju, bez detalja, sve su važne terapijske mjere, od prehrane i upravljanje stresom i završava s ciljem antibiotske terapije. Među lijekovima koji se upotrebljavaju za prostate, su sljedeće skupine sredstva su: • etioloških (antibakterijska); • simptomatsko i patogeni (alfa blokatori, NSAR, pripremajući). Tretman bez lijeka je: Masaža prostate; Fizikalna terapija (laser, električna, magnetska terapija, ultrazvuk terapija); 4. sanatorij; 5. travolechenyy; 6. akupunktura; 7. fizioterapija. antibiotik Akutne i kronične bakterijske prostatitis zahtijevaju antibiotika. Poželjno je da se režim u kući uključuju oralne antibiotike na temelju osjetljivosti. Ako je to teško, a rezultati još nisu spremni, liječenje počinje antibakterijska sredstva penicilinom (amoksicilin, amoksiklav), tetraciklina (Unidox Soljutab), fluoroquinolones (ciprofloksacin) i makrolida (Sumamed). Oni pokrivaju glavni spektar uzročnika prostatitisa. Akutni proces zahtijeva imenovanje takve terapije za najmanje 10 do 12 dan. Za liječenje kronični bakterijski prostatitis potrebno dugo tečaj antibiotika, u prosjeku od 4 do 6 tjedana. Točnije određivanje trajanja, doze i režim antibiotika će pomoći liječniku - urolog. Čak i ako su neugodni simptomi nestali, imate do kraja liječenja, ili će recidiva. ostali alati Lijekovi za liječenje bakterijski prostatitis kod kuće, treba dopuniti drugim sredstvima, uklanjanje upale, boli i grča. Alpha - blokatori opuštanje glatkih mišićnih stanica u tkivu i raka mjehura, tako da se smanji bolne simptome tijekom mokrenja. To su doksazosin, terazosin, tamsulosina, alfuzosin, itd Da bi se pojaviti učinak liječenja potrebna dugotrajna upotreba alfa-blokatora (ne manje od 6 tjedana). Dobro smanjuju upalu i pomoći u borbi protiv bolova NSAR: • Ibuprofen; • Aspirin. Zbog nuspojava nisu dizajnirani za uporabu naravno. Kronični bakterijski prostatitis brzo odlazi u remisiju, ako liječenje dodali pridržavajući sredstva za prostatu (Prostamol Uno, Prostonorm, Vytaprost forte, itd). non-farmakološko liječenje Kronični prostatitis nebakteriynyy zahtijeva masaža prostate. Ovaj postupak: Poboljšava metabolizam tkiva; Smanjuje venski zastoj; Povećava lokalni imunitet; Vraća odvodnje prostate. Na početnom dostupan samo-masaže prostate - izravna, neizravna, pomoću posebne masažeri. Kada upala prostate ponekad koriste tradicionalne metode i biljni lijek. U tu svrhu prikladne bilja kao što su: • Echinacea; • PLANIKE; • Hidrastis; • Palmetto. Ako prostate se ne liječi, ne samo da će značajno utjecati na kvalitetu života ljudi, ali i uzrokovati ozbiljne komplikacije. Pristup liječenju ove bolesti treba uzeti u obzir individualne osobine bolesnika u svakom slučaju.