Prostatitis describes a group of problems that are associated with infection or inflammation of the prostate gland.
ACUTE PROSTATITIS
Acute prostatitis is a condition associated with a sudden difficulty with
urination, burning, and pain in the rectal area. This is caused by a bacterial
infection of the prostate gland. If severe, this can cause fever, complete
blockage of urine flow (urinary retention) or spreading of the infection in
to the blood stream. The diagnosis is based on the history of symptoms, physical
exam and testing of the urine. The treatment is oral antibiotics and anti-inflammatory
medicine for pain control. If the infection is severe, hospitalization for
intra-venous antibiotics may be required.
CHRONIC PROSTATITIS
This problem can describe a variety of problems. The symptoms are of a nagging
and long term pain in the genitals or rectum. There can also be urinary problems
such as burning or pain. It can be hard to confirm whether this is caused
by a chronic infection or inflammation without any underlying infection. Urine
tests and at times semen analysis may be helpful. A 2-3 week trial of antibiotics
is usually recommended to treat any underlying infection. In addition anti-inflammatory
medications are helpful. Dietary supplements such as Lycopenes are also helpful.
Cooked tomatoes, such as spaghetti sauce, are a good source of Lycopenes.
In some men the pain of chronic prostates is actually secondary to pain in
the pelvic muscles. Pelvic floor exercises such as Kegel exercises can be
used with moderate success.