• Prostatitis

    (Prostadynia)

    Definition

    Prostatitis is swelling of the prostate gland. The prostate is a walnut-sized gland in men that surrounds the urethra. It produces a fluid that is part of semen.
    Anatomy of the Prostate Gland
    IMAGE
    Copyright © Nucleus Medical Media, Inc.
    There are 4 types of prostatitis:
    • Acute bacterial prostatitis
    • Chronic bacterial prostatitis
    • Chronic pelvic pain syndrome
    • Asymptomatic inflammatory prostatitis

    Causes

    Acute and chronic bacterial prostatitis are caused by an infection. A bacteria enters the prostate—usually from the urinary tract or rectum.
    The causes of chronic pelvic pain syndrome and asymptomatic inflammatory prostatitis are not clearly understood. In some people, it is possible that a cause may not be found.

    Risk Factors

    Prostatitis is most common in men who use catheters. Other factors that may increase your risk of prostatitis include:
    • Unprotected sex
    • Phimosis—inability of the foreskin to fully retract over the head of the penis
    • Narrowing of the urethra, the tube that carries urine from the bladder to the outside of the body
    • Enlarged prostate
    • History of urinary tract infections

    Symptoms

    Symptoms depend on the category of prostatitis syndrome. In many people, symptoms may not appear. In others, they may appear as another condition.
    Symptoms may include:
    • Needing to urinate frequently and/or urgently
    • Pain or burning while urinating
    • Difficulty urinating
    • Lower abdominal pain or pressure
    • Penile, rectal, or perineal discomfort
    • Lower back pain
    • Fever or chills
    • Erectile dysfunction

    Diagnosis

    You will be asked about your symptoms and medical history. A physical exam will be done. A digital rectal exam may be done as part of the physical exam.
    Your bodily fluids and tissues may be tested. This can be done with:

    Treatment

    Treatment depends on the type of prostatitis:

    Infectious Prostatitis

    Acute and chronic bacterial prostatitis are treated with oral antibiotics. Antibiotics may be given over 4-12 weeks. The antibiotics may be given through an IV for severe infections.
    Other medications to help manage symptoms include:
    • Stool softeners
    • Anti-inflammatory medications
    • Pain medication
    • Alpha-blockers or 5-alpha reductase inhibitors to help with urine flow
    Your doctor may recommend that you avoid alcohol and caffeinated beverages.

    Noninfectious Prostatitis

    Antibiotics may be recommended if an infection is possible. Other treatments to manage symptoms include:
    • Alpha-blockers or 5-alpha reductase inhibitors
    • Anti-inflammatory medications such as ibuprofen
    • Pain medication
    • Warm sitz baths
    • Repeated prostate massages

    Prevention

    To help reduce your chance of prostatitis:
    You may also be able to reduce your risk of chronic pelvic pain through exercise. If allowed by your doctor, do moderate exercise for at least 30 minutes, 4 days a week.

    RESOURCES

    Prostatitis Foundation http://www.prostatitis.org

    Urology Care Foundation http://www.urologyhealth.org

    CANADIAN RESOURCES

    Canadian Urological Association http://www.cua.org

    Men's Health Centre http://www.menshealthcentre.net

    References

    Acute bacterial prostatitis. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T115750/Acute-bacterial-prostatitis. Updated March 18, 2016. Accessed September 14, 2016.

    Chronic bacterial prostatitis. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T905991/Chronic-bacterial-prostatitis. Updated March 21, 2016. Accessed September 14, 2016.

    Propert KJ, McNaughton-Collins M, et al. A prospective study of symptoms and quality of life in men with chronic prostatitis/chronic pelvic pain syndrome: The National Institutes of Health Chronic Prostatitis Cohort Study. J Urol. 2006;175:619-623.

    Prostatitis. National Kidney and Urologic Diseases Information Clearinghouse website. Available at: http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/prostate-problems/Pages/facts.aspx. Updated July 2014. Accessed March 8, 2016.

    Prostatitis (prostate infection). Urology Care Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=15. Accessed March 8, 2016.

    Sharp VJ, Takacs EB, et al. Prostatitis: diagnosis and treatment. Am Fam Physician. 2010 Aug 15;82(4):397-406.

    5/18/2015 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Zhang R, Chomistek AK, et al. Physical activity and chronic prostatitis/chronic pelvic pain syndrome. Med Sci Sports Exerc. 2015 Apr47(4):757-764.

    Revision Information

  • LiveWell personal health survey

    How healthy are you really? Find out – free.Learn more

    It's time to stop guessing. If you want to make some changes but just aren't sure how, the free personal health survey from LiveWell is a great place to start.

  • HeartSHAPE Spotlight

    At risk for a heart attack? Learn more

    Fight heart disease and prevent heart attacks. HeartSHAPE® is a painless, non-invasive test that checks pictures of your heart for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.


  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.