Prostatitis is very common with half of all men experiencing it at some time in their life. It accounts for as many as 25 per cent of all visits to the doctor for problems in the genital and urinary systems by the young and middle aged.
Prostatitis is the name given to inflammatory conditions of the prostate gland. It can be (very) painful during urination or ejaculation and you need to see your doctor to ascertain the cause and get appropriate treatment. If you do not get it treated it can result in serious complications.
Four types of prostatitis
Acute bacterial prostatitis The least common form of prostatitis but it demands prompt treatment so that complications do not occur. Bacteria such as Klebsiella or Escherichia cause the symptoms.
Symptoms of Acute bacterial prostatitis:
Symptoms include fever, general pains and, more specifically, pain in the lower back and genital region, the testicles, penis and the area between the scrotum and anus. Frequent trips to the rest room may be required, with pain during urination. You may feel you need to go urgently. Painful ejaculation may also be a symptom. The doctor will be able to tell if the prostate is tender and swollen.
Chronic bacterial prostatitis
Chronic bacterial prostatitis is an uncommon recurrent infection with inflammation of the prostate and urinary tract. There is often an abnormality of the prostate and this needs to be fixed so that the focal infections do not keep reccurring.
Symptoms chronic bacterial prostatitis:
Symptoms tend to be less severe when compared with the acute form but can include discomfort in the genital area, lower back pain and/or abdomen, painful ejaculation, fever, blood in the semen and recurrent urinary tract infections.
As its name implies, no bacterial infection is present in the inflamed prostate but the symptoms are often the same as with other forms of prostatitis. The cause is unknown but it is thought that organisms such as viruses or chlamydia may be responsible.
Chronic prostatitis (also known as chronic pelvic pain syndrome and Prostatdynia)
Commonly known as chronic pelvic pain syndrome where symptoms of prostatitis occur but there is no inflammation or bacterial infection. In the inflammatory form, although no infection is found there are cells in the urine, semen and other fluids that are known to be produced when infection is actually present.The non inflammatory type shows no inflammation and no immune defence cells. The cause is unknown in chronic prostatitis but like chronic pelvic pain syndrome, a virus or chlamydia may be responsible.