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Prostatitis

Prostatitis is the inflammation of the prostate gland. It is most commonly associated with a bacterial infection, but evidence of infection is not always found in the prostate. Prostatitis can affect men of any age and is the most common urological disorder in men over the age of 50. It is not contagious and is easily treated.

SYMPTOMS:

There are two types of prostatitis: acute bacterial prostatitis (ABP) and chronic bacterial prostatitis (CBP). The symptoms for each are as follows:

Acute bacterial prostatitis: sudden onset of chills, fever, frequent urination, incomplete voiding, lower back pain, pain in penis/testicles/perineum, and painful ejaculation.

Chronic bacterial prostatitis: blood in semen, discomfort in genital area, lower back pain, painful ejaculation, recurring urinary tract infection, or simply more commons symptoms such as urinary urgency, frequency, slow stream, pain with voiding, or even erectile dysfunction.

RISK FACTORS:

  • Previous episode of prostatitis
  • Urinary tract infection
  • Dehydration
  • Having a catheter in your bladder
  • Sexually transmitted disease
  • Stress

EVALUATION & DIAGNOSIS: 

You provider will do a physical exam and get a history from you. Some other tests that may be ordered are: urinalysis, urine culture, ultrasound to visualize your prostate and/or CT scan of the prostate.

TREATMENT: 

The treatment for prostatitis depends on the type of infection: acute bacterial prostatitis or chronic bacterial prostatitis. Options include: 

  • Medications: uses antibiotics administered intravenously followed by oral antibiotics to destroy the bacteria
  • Surgery: is the removal of part of the prostate for patients who experience chronic pain and serious complications.
  • Transurethral resection of the prostate (TURP): uses an instrument called a resectoscope which is inserted in to the penis through the urethra. The obstructing tissue is removed using the electrical loop.