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Acute prostatitis is the sudden onset of inflammation in the prostate. The prostate gland is a small, walnut-shaped organ located at the base of the bladder, in front of the rectum. The prostate provides 70 percent of the fluid for ejaculation. Contraction of the prostate during ejaculation prevents semen from flowing backward into the bladder.
Acute prostatitis is usually caused by the same bacteria that result in urinary tract infections and sexually transmitted diseases (STDs). Bacteria can travel to the prostate from the blood, or enter the prostate during or after a procedure such as a biopsy. It can also be caused by infections in other parts of the male genitourinary tract.
Any bacterial urinary tract infection (UTI) can cause prostatitis. STDs like chlamydia and gonorrhea can also cause acute bacterial prostatitis. Bacteria that commonly cause UTIs and prostatitis are:
Other conditions that can cause acute bacterial prostatitis are:
Factors that increase the risk for conditions such as UTIs, STDs, and urethritis also increase the risk for acute prostatitis. Men who have multiple sexual partners or anal intercourse without condoms are at greater risk, too.
Other risk factors include:
The symptoms of acute prostatitis are:
Diagnosis of acute prostatitis begins with your medical history and a physical examination. Doctors will do a digital rectal examination (DRE) using a gloved, lubricated finger. The prostate is in front of the rectum, so it can be easily felt. In acute bacterial prostatitis, the prostate is usually swollen and tender.
During the DRE, the doctor may massage the prostate to force a small amount of fluid into the urethra. The fluid can be examined for signs of infection
In addition, groin lymph nodes may be enlarged and tender. There may be fluid coming from the urethra (urethral discharge). Additional tests include:
Acute bacteria prostatitis is treated with antibiotics for four to six weeks. The treatment may last longer if you are having recurrent episodes. The type of antibiotic depends on the bacteria causing your prostatitis. To relieve your symptoms, your doctor may prescribe alpha-blockers. These drugs relax bladder muscles and decrease urinary discomfort. Examples of alpha-blockers include doxazosin, terazosin, and tamsulosin. Pain relievers such as acetaminophen and ibuprofen may help with discomfort, too.
Other treatments such as heat treatment using a microwave device, and medications from certain plant extracts are also being evaluated.
Here are other ways to lessen your discomfort:
Acute prostatitis usually goes away with antibiotics and lifestyle adjustments. In some cases, it may recur and become chronic prostatitis.
Written by: Verneda Lights
Published on: Sep 28, 2012on: Aug 04, 2016
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