Prostatitis

 

Prostatitis is the inflammation of the prostate with no signs of infection. It can occur in men of all ages.

 

Types of prostatitis:

Acute Bacterial Prostatitis

  • less common
  • comes with severe urinary tract infection and LUTS symptoms
  • need urgent treatment and IV antibiotics
  • can be life-threatening if treatment is delayed

 

Chronic Bacterial Prostatitis

  • can be due to the current urinary tract infection
  • it is less severe than the acute form
  • may require long-term course of oral antibiotics
  • it may come and go

 

Chronic nonbacterial prostatitis/chronic pelvic pain syndrome (CPPS)

  • most common variant
  • does not have bacteria in the urine
  • patient regularly complain of having dull perineal pain, urinary symptoms and sometime genital pain

 

Treatment

Commonly used medication for the treatment include:

  • Antibiotics
  • Anti-Inflammatory and pain medication
  • Alpha Blockers (terazosin, tamsulosin etc)
  • Prostatic Massage

 

Other modalities of treatment include

  • Low intensity ESWL