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Home > Help Desk > Health Concern > Section A > Prostatitis

Prostatitis

Prostatitis, or inflammation of the prostate gland, is a term that encompasses four disorders of the prostate: acute bacterial prostatitis, chronic bacterial prostatitis, chronic nonbacterial prostatitis, and prostadynia.

Chronic nonbacterial prostatitis (NBP), also called chronic abacterial prostatitis (CAP), is the most common form of prostatitis. NBP is usually caused by infectious agents such as fungi, mycoplasma, or viruses. Prostadynia (PD), also called chronic pelvic pain syndrome, is a noninfectious form of prostatitis. Although the cause is unknown, it has been proposed that PD may be a neuromuscular condition, causing pain of the pelvic floor muscles. Acute bacterial prostatitis (ABP) occurs from a urinary tract infection (usually from E. coli bacteria) that has spread to the prostate. Chronic bacterial prostatitis (CBP) is usually the result of a partial blockage of the male urinary tract, such as occurs with benign prostatic hyperplasia (BPH). Such blockages promote the harboring of bacteria from a previous infection and reduce circulation, thereby preventing both the body’s natural immune mechanisms and medication from getting to the site.

What are the symptoms of prostatitis?
Men with prostatitis may have symptoms including pain or discomfort in the lower abdomen, testicles, and penis; discomfort during ejaculation or urination; or a weak urinary stream with dribbling. Advanced cases may also have fever, chills, frequent urge to urinate, burning urination, blood passed in the urine, and pain in the joints and muscles.

How is it treated?
Conventional treatment includes broad spectrum antibiotics (e.g., fluoroquinolones), which are often prescribed for 4 to 12 weeks. In addition, doctors may recommend bed rest, over-the-counter pain medication, stool softeners, and plenty of fluids.

Lifestyle changes that may be helpful:
Urination and ejaculation may provide defense against prostatic infection by flushing the urethra. The prostate also secretes an antibacterial substance known as “prostatic antibacterial factor” into the seminal fluid (semen), which helps to fight infection. In one preliminary study, unmarried men with NBP who had avoided sexual activity for personal or religious reasons and who had not responded to medication, were encouraged to masturbate at least twice a week for six months. Out of 18 men, 78% experienced moderate to complete relief of symptoms.

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