Prostatitis is inflammation of the prostate. Chronic prostatitis is also known as chronic bacterial prostatitis. In this case, the inflammation of the prostate gland develops progressively and continues for a long time. This condition causes pain and symptoms related to urination and even affects sexual intercourse. Acute prostatitis can become chronic if it is not treated with antibiotics, which will make it last longer.
However, both treatment is very similar, although the duration will be longer when it is recurrent in the case of chronic prostatitis. Prostatitis can be prevented by avoiding urinary tract infections or sexually transmitted diseases (STDs). For this, it is essential to take precautions and good hygiene. In this FastlyHealarticle, we talk about chronic prostatitis: symptoms and treatment.
Causes of chronic prostatitis
Acute prostatitis can become chronic and is considered such when it lasts for more than three months. It is usually due to a bacterial infection or even comes from some other such as a urinary infection, epidemics, urethritis, or, as we have said acute prostatitis.
It is estimated that at least 35% of men over 50 may have chronic prostatitis. The risk is lower the older, so the bet will increase in men more aged than 30 years.
Certain factors can predispose a man to suffer from this chronic infection, such as:
- Alcoholism or excessive alcohol consumption
- Any injury to the perineum area
- Certain sexual practices, such as anal sex without a condom
These situations can cause congestion in the prostate gland, causing bacteria to proliferate and cause infection. Chronic prostatitis can also be caused by introducing a contaminated catheter into the bladder that causes disease.
However, in addition to chronic bacterial prostatitis, another type of chronic prostatitis is known as chronic pelvic pain syndrome (CP / CPPS). It is more frequent and produces symptoms similar to bacterial, but the causes that originate it are not entirely clear. Some of the factors or reasons that can cause chronic pelvic pain syndrome are:
- Obstruction in the flow of urine.
- Some sexually transmitted diseases like chlamydia.
- Uric acid irritates the prostate.
- An attack of the immune system against the prostate.
- An abnormal function of nerves or muscles.
Chronic prostatitis: symptoms
The symptoms of chronic bacterial prostatitis and chronic pelvic pain syndrome are very similar. Usually, it begins as acute prostatitis and becomes established over time. Both are typically mild at first but intensify over time. The symptoms that may appear are:
- I need to urinate constantly.
- Difficulty starting to urinate. The infection usually causes a strong urge to go to the bathroom, but the problem is starting to pee. An intermittent urine stream will then appear.
- Pain on urination.
- Once you have gone to the toilet, you may feel that you have not completely emptied your bladder.
- Pain in the lower back, lower abdomen, the area above the pubis, or between the testicles and the anus.
- Pain when ejaculating is known as painful ejaculation.
- Sometimes it can cause fever or chills.
Diagnosis of prostatitis
Diagnosis of chronic prostatitis begins with a doctor’s review of symptoms. It would be best to tell him exactly all the signs you have and how long you have been with them. A prostate or digital rectal examination may also be required to feel it for pain or enlargement. An ultrasound will be performed if the touch does not give conclusive results.
Once prostatitis has been determined, to see what type it is, a urinalysis can be performed to determine if it is bacterial or not. Other tests that may be required are:
- Blood test.
- Prostate fluid analysis.
- Cystoscopy is the introduction of an endoscope to explore the bladder, prostate, and urethra.
Chronic prostatitis: treatment
Once chronic prostatitis is concluded, the treatment will be determined. It is usually a combination of medications, lifestyle changes, or even surgery.
When prostatitis is bacterial, it is usually treated, like acute prostatitis, with antibiotics, although the time may be longer. It usually lasts 6 to 8 weeks or even longer. The infection will likely persist despite taking antibiotics, or there will even be a recurrence of symptoms.
In some cases, surgery is necessary when antibiotic treatment is the ineffective, or there is a frequent recurrence of symptoms. In this case, the surgery performed is transurethral resection of the prostate, a type of surgery in which the inner part of the prostate gland is removed. However, it is not usually performed in young patients as there may be potential risks of impotence, incontinence, or even sterility.
When the bladder is not completely emptied, a suprapubic catheter may be required to allow the bladder to drain through the abdomen.
As for lifestyle changes and hygiene, they include diet care. The foods and drinks that can irritate the glass should be restricted, such as alcohol, caffeinated drinks, or too many seasonings. Even food that is too hot or spicy. In addition, it is essential to drink a lot of fluids, especially water, so that urination is more frequent.
This article is merely informative. At FastlyHeal .com, we do not have the power to prescribe medical treatments or make any diagnosis. We invite you to see a doctor if you present any type of condition or discomfort.
If you want to read more articles similar to Chronic prostatitis: symptoms and treatment, we recommend that you enter our category of Male reproductive system.
I am a Surgeon with a diploma in comprehensive ultrasound and surgical care residency, an area I am specializing in. During the exercise of my profession, I have realized the need for patients to know the diseases they suffer, and I can tell you that a large part of their complications is due to a lack of information. Being a health web writer allows me to transmit my experience, without borders, to all those readers eager for knowledge, educate them in the prevention of diseases and promote a healthy lifestyle.