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Home Disease Index Inflammation of the prostate (Prostatitis)

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Overview

Causes
Symptoms

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What is prostatitis?

 


Prostatitis is inflammation of the prostate (a gland beneath the bladder that produces components of semen). This inflammation can be acute (acute prostatitis) when it is commonly due to infection, or persistent or relapsing (chronic prostatitis).

Acute prostatitis
Caused by bacterial infection usually associated with spread from the bladder or urethra.

Chronic prostatitis
Family doctors are seeing increasing numbers of men, usually aged 35-45 years, who have genital or pelvic pain that persists for weeks or months. These symptoms have been blamed on chronic inflammation of the prostate gland that in the past was presumed to be due to infection. However, an infection will be found in less than 5 per cent of such patients, so the term chronic pelvic pain syndrome (CPPS) is now often used instead of chronic prostatitis.



What causes prostatitis?

 


Acute prostatitis
Acute prostatitis is usually associated with lower urinary infection speading from the bladder or associated with sexually transmitted diseases (STDs) such as gonorrhoea or chlamydia.

Chronic prostatitis(CPPS)
Definite chronic infection of the prostate is rare and usually associated with infection elsewhere in the urinary tract or a surgical instrument. A recent study suggests that in the majority of patients the condition is a consequence of modern living. Psychological tests have demonstrated higher than average scores for anxiety, depression and hypochondriasis in men with CPPS. Other studies have found physical abnormalities that could be the cause of the inflammatory or infective process: excessive pressure on the external urethral sphincter (responsible for voluntary control of urination) and sometimes reflux of urine into the prostate gland from the urethra (urine tube in the penis).

Attacks may be provoked by several triggering events, such as:
urinary or sexual infections.
trauma, especially during sex or sport (particularly cycling).
a surgical instrument.
emotional factors including stress and depression.



What are the symptoms?

 


Acute Prostatitis
Burning on passing urine with severe pain felt deep between the legs. There may be a penile discharge if an STD is present.

Chronic Prostatitis
The common symptoms are:
penile, pelvic or rectal pain, often felt deep between the legs, which is worse on sitting.
frequency or discomfort on passing urine.
pain on or after ejaculation.
quick, delayed or unsatisfactory ejaculation.
rarely, blood in semen (haemospermia), more likely if infection present.


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