What is prostatitis?
Prostatitis is the general term used to describe prostate
inflammation (-itis). Because the term is so general, it does not
adequately describe the range of abnormalities that can be
associated with prostate inflammation. Therefore, four types of
prostatitis are recognized.
What are the types and
symptoms of prostatitis?
There are four types of prostatitis:
acute bacterial prostatitis
chronic bacterial prostatitis
chronic prostatitis without infection
asymptomatic inflammatory prostatitis
Acute
bacterial prostatitis causes and symptoms Acute bacterial prostatitis is an infection of the
prostate that is often caused by some of the same bacteria that
cause bladder infections. These include E. coli, Klebsiella, and
Proteus. While it may be acquired as a sexually transmitted
disease, the infection can also spread to the prostate through the
blood stream, directly from an adjacent organ, or as a
complication of prostate biopsy.
Patients with acute bacterial prostatitis present with signs of an
infection and may have:
fever,
chills, and
shakes.
Commonly there is urgency and
frequency of urination and dysuria (painful or difficult
urination).
What is the treatment for prostatitis? Acute bacterial prostatitis
treatment
Treatment for acute bacterial prostatitis is a prescription for
antibiotics by mouth, usually ciprofloxacin (Cipro) or
tetracycline (Achromycin). Home care includes drinking plenty of
fluids, medications for pain control, and rest.
If the patient is acutely ill or has a compromised immune system
(for example, is taking chemotherapy or other immune suppression
drugs or has HIV/AIDS), hospitalization for intravenous
antibiotics and care may be required.
Chronic bacterial prostatitis treatment
Chronic bacterial prostatitis treatment is with long-term
antibiotics, up to eight weeks, with ciprofloxacin (Cipro, Cipro
XR), sulfa drugs [for example, sulfamethoxazole and trimethoprim,
(Bactrim)], or erythromycin. Even with appropriate therapy, this
type of prostatitis can recur. It is uncertain as to why, but it
may be due to a poorly emptying bladder. A small amount of
stagnant urine allows the potential for recurrent infection to
occur. This situation can be caused by benign prostatic
hypertrophy (BPH), bladder stones, or prostate stones.
Chronic prostatitis without infection treatment Chronic prostatitis without infection treatment addresses
chronic pain control and may include physical therapy and
relaxation techniques as well as tricyclic antidepressant
medications.
Other medication possibilities include alpha-adrenergic blockers.
Tamsulosin (Flomax) and terazosin (Hytrin) are drugs that block
the non-heart adrenaline receptors and are used in treating BPH
and bladder outlet obstruction. Allowing better bladder emptying
may help minimize symptoms.
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