If you have a severe acute infection, you may need hospitalization. A chronic bacterial infection requires at least six months of antibiotics. This is to prevent recurring infections. Your doctor may also prescribe alpha-blockers to help your bladder muscles relax and lessen symptoms.
Surgery can help improve urine flow and urinary retention by removing scar tissue. Treatment for chronic prostatitis depends on your symptoms.
Your doctor will provide antibiotics in the beginning to rule out a bacterial infection. Other medications to help ease discomfort and pain include:. Always talk to your doctor before trying complementary or alternative medicine. Read more: Kegel exercises for men ». But bacterial prostatitis may recur, even with antibiotics. You may need to take medications for a longer period or try different ones.
Ask your doctor to refer you to a specialist, like a urologist , if you have recurring prostatitis. They can test to determine the specific bacteria causing the infection. To gather this information, your doctor will remove fluid from your prostate. After identifying the bacteria, your doctor may prescribe different medications. In the case of an infection, bacterial prostatitis will clear up with proper treatment. Chronic prostatitis may require several different treatments.
Levels typically return to a normal range within one to three months. Follow up with your doctor after completing treatment. Prostate infections, even chronic ones, have nothing to do with prostate cancer. Nor do they increase your risk for prostate cancer. A prostate infection is also not contagious or caused by your partner.
These may include discomfort when urinating or pain around the groin or lower back. In some cases, such as an acute bacterial prostatitis, early treatment is important for your outlook. Acute prostatitis is the sudden onset of inflammation in your prostate. Learn how to recognize and treat this uncomfortable condition. Chronic bacterial prostatitis causes recurring infections in the prostate. Learn about risk factors, treatment including home remedies , outlook, and….
Prostatitis and benign prostatic hyperplasia BPH are two conditions that affect the prostate. Taking a personal and family medical history is one of the first things a health care provider may do to help diagnose prostatitis.
A physical exam may help diagnose prostatitis. During a physical exam, a health care provider usually. A digital rectal exam, or rectal exam, is a physical exam of the prostate. To perform the exam, the health care provider asks the man to bend over a table or lie on his side while holding his knees close to his chest.
The health care provider slides a gloved, lubricated finger into the rectum and feels the part of the prostate that lies next to the rectum. The man may feel slight, brief discomfort during the rectal exam. A health care provider usually performs a rectal exam during an office visit, and the man does not need anesthesia. The exam helps the health care provider see if the prostate is enlarged or tender or has any abnormalities that require more testing.
Many health care providers perform a rectal exam as part of a routine physical exam for men age 40 or older, whether or not they have urinary problems. A health care provider may refer men to a urologist—a doctor who specializes in the urinary tract and male reproductive system.
A urologist uses medical tests to help diagnose lower urinary tract problems related to prostatitis and recommend treatment. Medical tests may include. Urinalysis involves testing a urine sample.
A health care provider tests the sample during an office visit or sends it to a lab for analysis. For the test, a nurse or technician places a strip of chemically treated paper, called a dipstick, into the urine. Patches on the dipstick change color to indicate signs of infection in urine.
The health care provider can diagnose the bacterial forms of prostatitis by examining the urine sample with a microscope. The health care provider may also send the sample to a lab to perform a culture.
In a urine culture, a lab technician places some of the urine sample in a tube or dish with a substance that encourages any bacteria present to grow; once the bacteria have multiplied, a technician can identify them. Blood tests. Blood tests involve a health care provider drawing blood during an office visit or in a commercial facility and sending the sample to a lab for analysis. Blood tests can show signs of infection and other prostate problems, such as prostate cancer.
Urodynamic tests. Urodynamic tests include a variety of procedures that look at how well the bladder and urethra store and release urine.
A health care provider performs urodynamic tests during an office visit or in an outpatient center or a hospital. Some urodynamic tests do not require anesthesia; others may require local anesthesia.
Cystoscopy is a procedure that uses a tubelike instrument, called a cystoscope, to look inside the urethra and bladder. A urologist inserts the cystoscope through the opening at the tip of the penis and into the lower urinary tract. He or she performs cystoscopy during an office visit or in an outpatient center or a hospital. He or she will give the patient local anesthesia. In some cases, the patient may require sedation and regional or general anesthesia. A urologist may use cystoscopy to look for narrowing, blockage, or stones in the urinary tract.
Transrectal ultrasound. Transrectal ultrasound uses a device, called a transducer, that bounces safe, painless sound waves off organs to create an image of their structure. The health care provider can move the transducer to different angles to make it possible to examine different organs. Urologists most often use transrectal ultrasound to examine the prostate.
The ultrasound image shows the size of the prostate and any abnormalities, such as tumors. Transrectal ultrasound cannot reliably diagnose prostate cancer.
Biopsy is a procedure that involves taking a small piece of prostate tissue for examination with a microscope. A urologist performs the biopsy in an outpatient center or a hospital. He or she will give the patient light sedation and local anesthetic; however, in some cases, the patient will require general anesthesia.
The urologist uses imaging techniques such as ultrasound, a computerized tomography scan, or magnetic resonance imaging to guide the biopsy needle into the prostate.
A pathologist—a doctor who specializes in examining tissues to diagnose diseases—examines the prostate tissue in a lab. The test can show whether prostate cancer is present. Semen analysis. A health care provider analyzes the sample during an office visit or sends it to a lab for analysis. A semen sample can show blood and signs of infection. A wide range of symptoms exists and no single treatment works for every man. Prostatitis: inflammation of the prostate.
Updated July Accessed August 7, Updated by: Sovrin M. Review provided by VeriMed Healthcare Network. Editorial team. Prostatitis - bacterial.
Acute prostatitis starts quickly. Long-term chronic prostatitis lasts for 3 months or more. Sexually transmitted infections STIs are more likely to occur from: Certain sexual practices, such as having anal sex without wearing a condom Having many sexual partners In men over age 35 years, E coli and other common bacteria most often cause prostatitis.
This type of prostatitis may begin in the: Epididymis, a small tube that sits on top of the testes. Urethra, the tube that carries urine from your bladder and out through the penis.
Acute prostatitis may also be caused by problems with the urethra or prostate, such as: Blockage that reduces or prevent the flow of urine out of the bladder Foreskin of the penis that cannot be pulled back phimosis Injury to the area between the scrotum and anus perineum Urinary catheter , cystoscopy , or prostate biopsy removing a piece of tissue to look for cancer Men age 50 years or older who have an enlarged prostate have a higher risk for prostatitis. Symptoms can start quickly, and can include: Chills Fever Flushing of the skin Lower stomach tenderness Body aches Symptoms of chronic prostatitis are similar, but not as severe.
Urinary symptoms include: Blood in the urine Burning or pain with urination Difficulty starting to urinate or emptying the bladder Foul-smelling urine Weak urine stream Other symptoms that may occur with this condition: Pain or aching in the abdomen above the pubic bone, in the lower back, in the area between the genitals and anus, or in the testicles Pain with ejaculation or blood in the semen Pain with bowel movements If prostatitis occurs with an infection in or around the testicles epididymitis or orchitis , you may also have symptoms of that condition.
Exams and Tests. During a physical exam, your health care provider may find: Enlarged or tender lymph nodes in your groin Fluid released from your urethra Swollen or tender scrotum The provider may perform a digital rectal exam to examine your prostate.
The exam may reveal that the prostate is: Large and soft with a chronic prostate infection Swollen, or tender with an acute prostate infection Urine samples may be collected for urinalysis and urine culture.
Antibiotics are often used to treat prostate infections. For acute prostatitis, you will take antibiotics for 2 to 6 weeks. For chronic prostatitis, you will take antibiotics for at least 2 to 6 weeks. Because the infection can come back, you may need to take medicine for up to 12 weeks. To care for prostatitis at home : Urinate often and completely.
Take warm baths to relieve pain. Take stool softeners to make bowel movements more comfortable. Avoid substances that irritate your bladder, such as alcohol, caffeinated foods and drinks, citrus juices, and hot or spicy foods.
0コメント