Chronic prostatitis and chronic pelvic pain syndrome: a new consensus guideline
Prostatitis is an inflammation of the prostate. It affects many men and can become a chronic problem with debilitating recurrent symptoms.
The prostate is a gland of the male reproductive system that is located in front of the rectum and just below the bladder. The prostate is small and weighs about gm — about the same size and shape as a walnut. The prostate is wrapped around a tube called kongestiver Prostatitis Jahr urethra, which carries urine from the bladder out through the tip of the penis. The prostate is made up mainly of muscular and glandular tissues.
Its main function is to produce fluid for semen, which transports sperm. During the male orgasm, muscular contractions squeeze the prostate's kongestiver Prostatitis Jahr into the urethra. Sperm, which are produced in the testiclesare also propelled into the urethra at this time. Prostatitisin many ways, is a mystery to health care practitioners. It is known that prostatitis starts with a bacterial infection: Bacteria take up residence in the prostate and as it proliferates, the patient becomes aware of a problem.
He very quickly appears at the general practitioner's surgery demanding treatment, and is given antibiotics to kill the bacteria. It is at this point that things become mysterious. Even after the bacteria have been killed, or should have been killed, the sensations and discomfort continue. Course after course of antibiotic are used and still there is a constant desire to urinate and a long list of unpleasant sensations issue from below the belt. Some health care practitioners feel that the problem is that the antibiotics cannot get into the prostate and completely clear the infection.
Other practitioners feel that the bacteria are actually gone but the nerves have been affected so that the sensations remain. No one really has an answer to this riddle, but the fact remains many people, despite having been treated with many courses of antibiotics, continue to suffer with prostatitis.
Acute infectious prostatitis is usually caused by bacteria and is treated with antimicrobial medication or antibiotic.
Acute infectious prostatitis comes on suddenly, and its symptoms such as urinary frequency and urgency, lower abdominal pain and pressure, burning on urination, chills and fever can be severe and life-threatening. In these situations, a visit to your doctor's office or the emergency room is essential, and hospitalization is frequently required. Acute infectious prostatitis is the easiest of the three types to diagnose kongestiver Prostatitis Jahr it comes on suddenly and the symptoms require quick medical attention.
Not only will you have urinary problems, but you may also have a fever and pain and, frequently, blood in your urine. Chronic infectious kongestiver Prostatitis Jahr is also caused by bacteria and also requires antimicrobial medication or antibiotics. Kongestiver Prostatitis Jahr an acute prostate infection, the only symptoms of chronic infectious prostatitis may be recurring infectious cystitis kongestiver Prostatitis Jahr infection.
While its chronic symptoms may not be as severe as acute infectious prostatitis, it is as potentially debilitating due to its chronic recurrent nature, and it can impact on one's quality of life significantly. Chronic infectious prostatitis is associated with repeated urinary tract infectionswhile noninfectious prostatitis is not. In fact, if you do kongestiver Prostatitis Jahr have a urinary tract infection or a history of one, you probably do not have chronic infectious prostatitis.
Other symptoms, if any, may include urinary problems such as the need to urinate frequently, a sense of urgency, burning or painful urination, and possibly perineal and low-back pain.
Acute and chronic infectious prostatitis are not usually considered sexually-transmitted diseases. The way in which the prostate becomes infected is not well understood and is the subject of many kongestiver Prostatitis Jahr endeavors.
Bacteria that cause prostatitis probably get into the prostate from the urethra by backward flow of infected urine into the prostate ducts or from rectal bacteria.
Certain conditions or medical procedures increase the risk of contracting prostatitis. You are at higher risk for getting prostatitis if you recently have had a medical instrument, such as a urinary catheter or tube, inserted during a medical procedure, engage in rectal intercourse or oral sex, have an abnormal urinary tracthave had a recent bladder infectionhave an enlarged prostate or have a voiding dysfunction. The symptoms of prostatitis are nonspecific and mimic many other urologic and nonurologic diseases.
You may experience no symptoms, or symptoms so sudden and severe that they cause you to seek emergency medical care. Symptoms, when present, can include any of the following: fever, chills, urinary frequency, frequent urination at night, difficulty urinating, burning or painful urination, perineal referring to the perineum, the area between the scrotum and the anus and low-back pain, joint or muscle pain, tender or swollen prostateblood in the urine, or painful ejaculation.
The symptoms of prostatitis resemble those of other infections or prostate diseases. Thus, even kongestiver Prostatitis Jahr the symptoms disappear, kongestiver Prostatitis Jahr should have your prostate checked.
For example, benign prostatic hyperplasia BPH — a noncancerous enlargement of the prostate that is common in men over age 40 — may produce urinary tract symptoms similar to those experienced with prostatitis. Often, lower urinary tract symptoms LUTS are generally attributed to BPH, but this chronic condition can be misdiagnosed as kongestiver Prostatitis Jahr noninfectious prostatitis. Similarly, urethritisan inflammation of the urethra often caused by an infectionmay also give rise to many kongestiver Prostatitis Jahr the symptoms associated with prostatitis.
Another condition that mimics the symptoms of prostatitis — when prostatitis is not present no inflammation — is prostatodynia painful prostate.
This problem is not well understood, but may be related to a voiding dysfunction involving the spasm of muscles involved with the voiding process. Patients with prostatodynia have pain in the pelvis or in the perineum.
Such pain may result from a kongestiver Prostatitis Jahr problem, but the pain can have a variety of different causes including muscle spasms from other musculoskeletal conditions. Because of the connections between the urethra, the bladder, and the prostate, conditions affecting one or the other organ have similar or overlapping symptoms. In addition, these conditions may occur concurrently in the same patient, thus complicating diagnosis and treatment.
A thorough kongestiver Prostatitis Jahr and accurate diagnosis is important in establishing treatment in these situations. To help make an accurate diagnosis, several types of examinations are useful.
Since the prostate is an internal organ, the physician cannot look at it directly. However, the prostate lies in front of the rectum and the doctor can feel it by inserting a gloved, lubricated finger into the rectum.
This simple procedure, called a digital rectal examination. The physician can estimate whether the prostate is enlarged or has lumps or other areas of abnormal texture and tenderness.
This examination can provide kongestiver Prostatitis Jahr accurate diagnosis in acute and chronic bacterial prostatitis that are responsive to antibiotics. This examination is also essential in detecting early prostate cancer, which is often without symptoms. The American Urological Association recommends a kongestiver Prostatitis Jahr prostate examination for every man over age 40 and an immediate examination for any man who develops persistent urinary symptoms.
This examination is also utilized in the assessment of men with BPH. One test that kongestiver Prostatitis Jahr be performed when chronic prostatitis is suspected is prostate massage, during which prostatic fluid is collected. While performing the digital rectal examination, your doctor may vigorously massage the prostate to kongestiver Prostatitis Jahr prostatic fluid out of the gland and into kongestiver Prostatitis Jahr urethra.
One may feel some discomfort depending on the sensitivity of your prostate. The prostatic fluid is then analyzed under a microscope for signs of inflammation and infection. The three-glass urine collection method is used to measure the presence of white blood cells and bacteria in the urine and prostatic fluid. You will be asked to collect two urine samples separately: the first ounce of the urine you void urine from your urethra and then another sample of flowing, midstream urine urine from your bladder.
You will then almost empty your bladder by urinating into the toilet. At this point, your doctor will massage your prostate and collect on a slide any secretions that appear. You will then collect in a third container the first ounce of urine that remains in your bladder. Examination of these samples will help your physician determine whether your problem is an inflammation or kongestiver Prostatitis Jahr infection and whether the problem is kongestiver Prostatitis Jahr your urethra, bladder, or prostate.
If an infection is present, your doctor will also be able to identify the type of bacteria involved so that the most effective antimicrobial medication can be prescribed. If you have acute infectious prostatitisyou will usually need to take antimicrobial medication for 7 to 14 days. Almost all acute infections can be cured with this treatment. Analgesic drugs to relieve pain or discomfort and, at times, hospitalization may also be required. Kongestiver Prostatitis Jahr you have chronic infectious prostatitisyou will require antimicrobial medication for kongestiver Prostatitis Jahr longer period of time — kongestiver Prostatitis Jahr 4 to 12 weeks.
For cases that don't respond to this treatment, long-term, low-dose anti-microbial therapy may be recommended to relieve the kongestiver Prostatitis Jahr. In some cases, surgical removal of the infected portions of the prostate may be advised. If you kongestiver Prostatitis Jahr noninfectious prostatitisyou do not need antimicrobial medication. Depending on your symptoms, you may receive one of a variety of treatments.
These may range from medication to surgery, and may even involve behavioral therapies such as biofeedback kongestiver Prostatitis Jahr correct certain voiding dysfunctions associated with prostatitis. In addition, it is common to find patients who kongestiver Prostatitis Jahr recurrent episodes of infectious and noninfectious prostatitis over a long period of time.
These patients may actually be suffering from an underlying voiding kongestiver Prostatitis Jahr that may be functional kongestiver Prostatitis Jahr structural that predisposes them to these episodes of kongestiver Prostatitis Jahr. Correcting these abnormalities may cure or at least decrease the episodes of these recurrent events. You may find that tub baths or changes in your diet may help to alleviate your symptoms.
While there is no scientific evidence proving that these "home remedies" are effective, they are not harmful and some people experience relief from symptoms while using them. Prostatitis is a treatable disease.
Even if the problem cannot be cured, you can usually get relief from your symptoms by following the recommended treatment.
Prostatitis is not contagious: you can live your life normally and continue sexual relations without passing it on. Wild hydrangea is very specifically active in reducing unpleasant sensations issuing from kongestiver Prostatitis Jahr urinary tractwhether due to a stone or prostatitis. Like most diuretic herbs, hydrangea is an excellent choice for treating inflamed or enlarged prostate glands.
It is commonly combined with horsetail for this purpose. Maintaining healthy urine flow keeps the prostate less likely to constrict around the urethra, which prevents stagnant urine from causing more infection. This can also reduce inflammation by eliminating impurities from the prostate. Your body is a highly complex, interconnected system. Instead of guessing at what might be wrong, let us help you discover what is really going on inside your body based on the many clues it is giving.
Prostatitis: Overview Prostatitis is an inflammation of the prostate. Kongestiver Prostatitis Jahr your symptoms now! Risk factors for Prostatitis: Medical Procedures Counter-indicators. Having had a radical prostatectomy confirmed. Concerned or curious about kongestiver Prostatitis Jahr health? Prostatitis kongestiver Prostatitis Jahr the following may be present: Hormones Low Melatonin Level.