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Chronic Prostatitis
 One of the conditions
of the prostate gland is chronic prostatitis. This is a condition where the prostrate gland undergoes gradual inflammation for a length of time till the gland develops subtle symptoms. Chronic prostatitis is also known as
chronic bacterial prostatitis.
It is a bacterial infection that usually starts chronic prostatitis and is associated with epididymitis, urinary tract infection, acute prostatitis or urethritis. Escherichia coli, proteus, klebsiella and enterobacter bacteria are the common causes of chronic prostatitis. This is a condition that is diagnosed in about 5 out of 1000 men where older men are more at risk of contracting it.
The risk factors of chronic prostatitis are an excessive intake of alcohol, some perineal injury or some sexual practices like
anal sex without condoms. These conditions bring about congestion of the prostate gland which in turn turns into a breeding ground for different types of bacteria. There are many symptoms associated with chronic prostatitis like recurring urinary infections, decreased urination and a delayed feeling of urination.
Some other subtle symptoms are low back pain, experiencing pain when ejaculating, urinating and passing bowels and pain in the testicular and pelvic floor regions. Frequent urination, urine incontinence and presence of blood in urine are also signs of chronic prostatitis.
There are also cases of chronic prostatitis where there are no symptoms at all. The physician does a physical examination for the presence of enlarged or tender lymph nodes in the groin area, some urethral discharge and scrotal swelling to diagnose chronic prostatitis. The doctor may also collect triple-void urine specimens to conduct a urine culture and urinalysis.
There are different treatment options for chronic prostatitis through medication, lifestyle changes and surgery. Sometimes antibiotics like ciprofloxacin, erythromycin, trimethoprimsulfamethoxazole, tetracycline, nitrofurantoin and carbenicillin are advised for six to eight weeks to treat chronic prostatitis. However, as the infectious organisms tend to persist with antibiotics, it is common to experience a recurrence of these symptoms.
If antibiotic therapy is not successful, the doctor may resort to surgery; however, this option is not usually advised for young men as it poses a risk of starting incontinence, impotency or sterility. Patients are advised frequent and complete urination to decrease symptoms of chronic prostatitis.
When suffering from chronic prostatitis, substances that may irritate the bladder like caffeinated food, citrus juices, alcohol and spicy foods have to be avoided. It is better to increase the intake of fluids to encourage frequency of urination and thus flushing bacteria from the bladder. The best way of preventing chronic prostatitis is avoiding
urinary tract infections and STDs and to complete all courses of antibiotic treatments.
The prostrate gland
is an important organ in a man's body which produces semen, the fluid that nourishes and transports sperm. Its inflammation is called
prostatitis with numerous symptoms including frequent urination and pain or burning while urinating.
There are different forms of prostatitis where the least common type is the most acute where hospitalization may be required. Prostatitis cannot be generally cured; however relief can be brought to its various symptoms. In acute bacterial prostatitis, one develops fever and chills suddenly, and develops
painful ejaculation with urinary problems.
In chronic bacterial prostatitis, its symptoms develop slowly and are not as severe as acute prostatitis. Excessive urination at night, frequent urination, blood in urine or semen, pain in the lower back and painful ejaculation are some of its prominent symptoms.
The most common form of prostatitis is
chronic nonbacterial prostates where it has similar symptoms to chronic bacterial prostatitis. However, tests done here don't detect any bacteria in the urine or fluid in the prostate gland. There may also be pus cells present at times.
Bacteria are usually the cause for acute and chronic bacterial prostatitis. However, in
chronic nonbacterial prostates, there are several theories to possible triggers for it. These conditions are lifting heavy objects on a full bladder, regular jogging or biking, occupations where the prostate is subjected to strong vibrations like driving a truck and the operation of heavy machinery and spasms of the pelvic muscle.
Prostatitis usually occurs in old men; but can be developed in young men who have had a bladder infection, used a urinary catheter, certain jobs, jogging or bicycling and stopping and starting when urinating. Prostatitis is diagnosed by first eliminating other possible conditions with similar symptoms and determining the type of prostatitis you may have. This is done with a medical history and physical exam with a digital rectal exam. Sometimes, the doctor may also test urine and semen samples for bacteria and white blood cells.
The treatment for prostatitis depends on the type of prostatitis you have and generally includes
antibiotics for infections, alpha blockers to relax the bladder neck, pain relievers for pain relief and muscle relaxants to cure spasms. With the help of physical therapy like exercise and biofeedback, tight muscles are relaxed. Sitz baths are also effective as these warm baths relieve pain while relaxing lower abdominal muscles.
Surgery may be resorted to if antibiotics don't help open blocked ducts or if fertility is affected. However, surgery is not used for treating nonbacterial prostatitis. Sometimes, changes in lifestyles also help control prostatitis. This includes
limiting of alcohol, spicy foods and caffeine, regular sex, drinking lots of water and urinating regularly. If cycling, it is better to use a 'split' seat as the pressure on the prostate is reduced. These changes bring considerable relief to those suffering from prostatitis.
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