- Prostate Center
- Prostatitis and Treatment
While prostatitis is the most common prostate disease seen in males below the age of 50, it is the third most common prostate disease in males over the age of 50 following prostate enlargement (BPH) and prostate cancer. The incidence in this age group is approximately 10%.
In 1998, the US National Institute of Health (NIH) divided it into 4 groups as acute bacterial prostatitis, chronic bacterial prostatitis, chronic pelvic pain syndrome (type 3 chronic prostatitis) and asymptomatic inflammatory prostatitis.
The most frequent (95%) one among these is type 3 chronic prostatitis known as chronic pelvic pain syndrome (CPPS).
What Are the Types and Symptoms of Prostatitis?
Acute Bacterial Prostatitis
While acute prostate inflammation is rare, it is extremely serious.
Most common complaints include; fever, chills, shivering, pain and burning during urination, difficult urination, tapered urine stream, the feeling of incompletely emptied bladder, frequent and urgent need to urinate, blood in urine, and pain during ejaculation.
Most of the time, urinary system and bacteria in large intestines are responsible. Acute bacterial prostatitis is a serious clinical condition. Individuals with these complaints are advised to seek medical help without delay.
Antibiotics, pain-killers and anti-pyretics are used for the treatment. Depending on the severity of the symptoms, inpatient treatment may be necessary.
Chronic Bacterial Prostatitis
It can be defined as bacterial prostate infection lasting for three months or more. It is a more frequent condition than acute prostatitis.
The reason underlying chronic bacterial prostatitis is not clear. It may be related to bacteria in the urinary tract, and bladder or blood infection. Stones formed in prostate gland or structural defects in prostate may cause prostatitis. It can be due to infection, trauma or some procedures performed in urinary tract.
Contrary to acute prostatitis, the symptoms manifest more slowly and occult. Frequent necessity to urinate and burning and difficulty with urination may occur. Fever is unusual. Loss of sexual desire occurs. Pain is experienced during ejaculation. Distension may occur in bowels. Other than these, pain around anus and testes may occur.
Long-term anti-biotherapy and anti-inflammatory medications should be used for the treatment.
Chronic Pelvic Pain Syndrome
It is the most common type of prostatitis in males. It is also known as "chronic non-bacterial prostatitis". It is the inflammation of prostate without bacteria.
Tiresome symptoms causing malaise and pain continue for three months or more. Usually, psychological conditions such as anxiety and depression may accompany.
No definitive evidence for bacterial infection can be found in cultures collected from urine, semen, and prostate secretion. Therefore, the diagnosis and treatment of this type of prostatitis is challenging. The treatment aims to reduce the symptoms.
Long-term antibiotic agents, anti-inflammatory agents and anticholinergics may be used for the treatment. There is also a patient group benefiting from muscle relaxing agents.
Being one of the oldest methods for the treatment of prostatitis, prostate massage can also be attempted in patients not benefiting from standard methods of treatment. Repetitive prostate massage has been suggested to open intraprostatic canals, and improve the circulation and the passage of antibiotics to tissue.
Asymptomatic Inflammatory Prostatitis
It does not cause any symptom. It is an incidental type of prostatitis found in the operation specimens in patients operated for BPH and prostate cancer, or in prostate biopsy samples. It does not require treatment.