Aashray urology institute

Prostatitis

Overview
Prostatitis is a common condition found in men of all ages. Prostatitis basically means the inflammation of the prostate due to various reasons. Prostatitis is effectively treated at Aashray with antibiotics and auxiliary measures to eliminate infection and its symptoms. 
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What Is Prostate?

The prostate is a walnut-size gland all men have which is situated around the urethra, at the base of the bladder. It produces prostatic fluid (part of the semen in which sperms travel).

What Is Prostatitis ?

Prostatitis is a common condition affecting the prostate which can be found in men of all ages; however, it is especially more common in men who are younger or in their 50s. Prostatitis is a condition that is quite different from enlargement and cancer. In this condition, the prostate becomes swollen, tender, and inflamed due to various causes. Depending on the cause and type of prostatitis, the duration, treatment option, and severity of the condition are determined. 

enlarged prostate
Image Source: National Institute of Diabetes
and Digestive and Kidney Diseases, National
Institutes of Health.

What Are The Types And Symptoms Of Prostatitis ?

There are a total of 4 types of prostatitis. They are as follows: 

Acute Bacterial Prostatitis

As the name suggests, this type of prostatitis is caused by bacteria. When the bacteria finds its way into the prostate through other organs and interconnected tubes present in the urinary tract or when the bacteria leaks into the prostate through urine, the prostate gets an infection and develops into acute bacterial prostatitis. 

Symptoms 

This type of prostatitis may develop rapidly with the following symptoms -

  1. High fever
  2. Trouble peeing, difficulty in controlling pee, only a little pee comes out after urgency etc.  
  3. Chills
  4. Cloudy urine
  5. Pain around the base of penis or behind scrotum


Chronic Bacterial Prostatitis

Symptoms

The symptoms for this condition are as follows -

  1. An urgent need to pee, painful urination, difficulty peeing, urinary blockage, weak urine stream
  2. Pain after you ejaculate (release semen at orgasm)
  3. Lower back pain
  4. Rectum pain
  5. A “heavy” feeling behind your scrotum
  6. Blood in your semen

Chronic Prostatitis:

Chronic prostatitis, also known as chronic pelvic pain syndrome and chronic nonbacterial prostatitis, is a type of prostatitis that isn’t caused by a bacterial infection. It involves long-term pelvic pain and lower urinary tract symptoms (LUTS). 

Symptoms

The following are the symptoms of this condition -

  1. Pain in the perineum, lower abdomen, rectum and lower back, penis (especially the tip), and the testicles
  2. Pain or burning during ejaculation or premature ejaculation
  3. Erectile dysfunction
  4. Urinary problems such as feeling that the bladder is not emptying properly, urinary frequency or urgency, and pain when urinating
  5. Bowel problems
  6. Blood in semen

Asymptomatic Inflammatory Prostatitis

This type of prostatitis is not an infection but inflammation of the prostate which does not show any kind of symptoms. As there are no symptoms, one can find out about this condition by chance when undergoing tests for other conditions. It doesn't require treatment.

What To Expect Before The Treatment ?

During a health checkup, the doctor will ask about your medical history, symptoms and conduct a physical examination and several tests to rule out other conditions and determine the causes and type of prostatitis you have. 

  1. Firstly, you have to undergo a urine test. The doctor will look for any signs of infection in your urine during urinalysis to determine whether you have an infection. 
  2. Along with a urine test, you also have to undergo blood tests. So, the doctor can analyze your blood sample for any signs of infection or other prostate conditions.  
  3. During health checkups, physical examination or post-prostatic massage may also be conducted. In such cases, the doctor might massage your prostate and test the secretions.
  4. In some cases, a sonogram of the prostate could also be suggested by the doctor (Trans-abdominal or Transrectal).

What Are The Treatment Options For Prostatitis ?

  1. For prostatitis, antibiotics and warm water soak (Sitz bath) are the main course of treatment. However, in its initial stage of infection or inflammation, if you do not seek medical help or bacteria is not eliminated within 4-6 weeks, it may recur, develop into a severe condition, and get very difficult to treat. In such cases, you may need to take antibiotics for 12 weeks or longer. 
  2. Along with antibiotics, alpha-blockers and anti-inflammatory agents may also be used to ease symptoms, relax the bladder neck and the muscle fibers where your prostate joins your bladder, and make you more comfortable. 
  3. Post-treatment, during a follow-up exam, the doctor will check the recovery and examine whether the infection is completely gone. It may take six months to a year for symptoms to go away completely.

Book Appointment

If you have any questions or doubts about Prostatitis treatment or any other treatment available at Aashray Urology Institute, book a consultation with Dr. Ashit Shah and he will expertly guide you on the same. 
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Dr. Ashit Shah

Dr. Ashit Shah

Meet the doctor

Dr. Ashit Shah

MB, MS, DNB(Urology), DLU(France)

Dr. Ashit Shah

Dr. Ashit Shah

Dr. Ashit Shah is a senior consultant Urologist heading Aashray Urology Institute. After completing his M.B.B.S. and M.S. in General Surgery, he was awarded Diplomate of National Board (D.N.B.) in Genito-Urinary Surgery by the National Board of Examinations, New Delhi. He earned his Diplomate in Laparoscopic Urology from Louis Pasteur University, Strasbourg, France in the year 2006. Dr. Shah has a special interest in Endo-Urology, especially Urolithiasis i.e. Urinary Stone Disease. Having spent more than 27 years in the profession of Urology, he has experience of over 75,000 urological consultations and more than 15,000 surgeries. Being counted amongst the torch bearers of ethical and transparent medical practice in the city of Vadodara, he was conferred ‘Inspiring Urologist Award’ for the year 2019 by The Economic Times.

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