Prostatitis is swelling of the prostate gland. The prostate is a walnut-sized gland in men that surrounds the urethra. It produces a fluid that is part of semen.
Anatomy of the Prostate Gland
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There are 4 types of prostatitis: Acute bacterial prostatitisChronic bacterial prostatitisChronic pelvic pain syndromeAsymptomatic inflammatory prostatitis
Acute and chronic bacterial prostatitis are caused by an infection. A bacteria enters the prostate—usually from the urinary tract or rectum.
The causes of chronic pelvic pain syndrome and asymptomatic inflammatory prostatitis are not clearly understood. In some people, it is possible that a cause may not be found.
Prostatitis is most common in men who use catheters. Other factors that may increase your risk of prostatitis include: Unprotected sexPhimosis—inability of the foreskin to fully retract over the head of the penisNarrowing of the urethra, the tube that carries urine from the bladder to the outside of the bodyEnlarged prostateHistory of urinary tract infections
Symptoms depend on the category of prostatitis syndrome. In many people, symptoms may not appear. In others, they may appear as another condition.
Symptoms may include: Needing to urinate frequently and/or urgentlyPain or burning while urinatingDifficulty urinatingLower abdominal pain or pressurePenile, rectal, or perineal discomfortLower back painFever or chillsDifficulty getting an erection
You will be asked about your symptoms and medical history. A physical exam will be done. A digital rectal exam may be done as part of the physical exam.
Your bodily fluids and tissues may be tested. This can be done with: Urine testsProstate massageProstate biopsy
Treatment depends on the type of prostatitis:
Acute and chronic bacterial prostatitis are treated with oral antibiotics. Antibiotics may be given over 4-12 weeks. The antibiotics may be given through an IV for severe infections.
Other medications to help manage symptoms include: Stool softenersAnti-inflammatory medicationsPain medicationAlpha-blockers or 5-alpha reductase inhibitors to help with urine flow
Your doctor may recommend that you avoid alcohol and caffeinated beverages.
Antibiotics may be recommended if an infection is possible. Other treatments to manage symptoms include: Alpha-blockers or 5-alpha reductase inhibitorsAnti-inflammatory medications such as ibuprofenPain medicationWarm sitz bathsRepeated prostate massages
To help reduce your chance of prostatitis:
Practice safe sex. Protect yourself from sexually transmitted diseases (STDs) by using
Emptying your bladder regularly and as soon as you feel the urge
You may also be able to reduce your risk of chronic pelvic pain through exercise. If allowed by your doctor, do moderate exercise for at least 30 minutes, 4 days a week.
Acute prostatitis. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated May 17, 2013. Accessed March 3, 2014.
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Prostatitis. National Kidney and Urologic Diseases Information Clearinghouse website. Available at:
Updated June 29, 2012. Accessed March 3, 2014.
Prostatitis (prostate infection). Urology Care Foundation website. Available at:
http://www.urologyhealth.org/urology/index.cfm?article=15. Updated 2013. Accessed March 3, 2014.
Sharp VJ, Takacs EB, et al. Prostatitis: diagnosis and treatment.
Am Fam Physician. 2010 Aug 15;82(4):397-406.
5/18/2015 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Zhang R, Chomistek AK, et al. Physical activity and chronic prostatitis/chronic pelvic pain syndrome. Med Sci Sports Exerc. 2015 Apr47(4):757-764.
Last reviewed January 2015 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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