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PROSTATITIS

What is it?

It is the acute or chronic inflammation, usually by bacteria.

There are other types of prostatitis are not related to bacteria, such as nonbacterial prostatitis (viral, fungal, granulomatous).

The prostatodynia would be a situation in which the symptoms are similar to prostatitis, but no infectious agent is found, being among its causes from muscle spasms perineal emocional.Atualmente to stress, the tendency now is to call these cases of pelvic pain syndrome, of inflammatory or não.Outro type of prostatitis is found in biopsy material, and asymptomatic

Prostatitis is a chronic disease that affects 10% to 14% of men of all ages and races. It is possible that 50% of men will develop symptoms of prostatitis at some point in their lives. What is it or is it acquired?

Prostatitis is due to several factors: migration of bacteria through the urethra toward the prostate, deficiencies of the antibacterial activity of prostatic secretion (lack of zinc in the secretion is often pointed), lack of local and systemic antibodies. Each patient may have a preponderance of one or more factors.

The most common bacteria found in infectious prostatitis is Escherichia coli (80%) which is also the most common in infections of the urinary tract.

Other organisms are gram negative rods and enterococci (bacteria found in the intestinal tract).

Microorganisms that cause sexually transmitted diseases are also responsible for prostatitis, especially prostatitis aguda.O gonococcus was once important etiologic agent of prostatitis. The antibióticosmudaram this scenario.

What do you feel?

Burning or pain on urination, increased urinary frequency, pain in the muscles between your legs (perineum) and sometimes discharge from the penis are the most matches.

In acute prostatitis, the clinical picture is more severe, with the presence of general malaise, fever, myalgia and abdominal pain. In chronic prostatitis, symptoms are more subtle with discomfort in the perineum, testicles and lower back.

Increased urinary frequency day and night (urinary stream and nocturia), decreased libido, ejaculation painful symptoms are also reported by patients.

How is it diagnosed?

A complete physical examination is necessary in order to rule out other conditions that may be causing the same symptoms. A digital rectal prostate show a painful, although in chronic prostatitis may be normal.

The doctor should not massage the prostate in the acute prostatitis in order not to intensify the symptoms. Urine tests show the presence of bacteria, white blood cells (pus) and microscopic bleeding (hematuria). A urine culture with antibiogram identify the germ, as well as guide the choice of antibiotic. Acute prostatitis is usually easier to diagnose. Not so with chronic prostatitis, and often do not find the infectious agent must be differentiated from other syndromes that cause similar symptoms.

History of previous acute prostatitis, urinary tract infection in the past or current positive urine culture reinforce the diagnosis of chronic prostatitis. Cultures fractionated urine (first urine stream, midstream, urine after prostatic massage) are useful in diagnosis.

Transrectal ultrasonography of the prostate does not add much more.

How is it?

The treatment of bacterial prostatitis is with antibiotics such as trimethoprim and ciprofloxacin. A urine culture with antibiogram, guides the choice of antibiotic added to the experience of the physician.

Acute prostatitis, and a more serious situation requires more aggressive treatment with intramuscular or intravenous antibiotics, hydration of the patient, to combat pain and fever, hospitalization is often required.

There are situations in which no bacteria is found and the symptoms are similar to chronic prostatitis. The patient is anxious about the problem and often exchange urologist because this did not solve your problem. These patients may suffer from chronic pelvic pain which is difficult to treat. Bath seat warm, regular sexual activity, avoid cycling, anti-inflammatory drugs, benzodiazepines, antidepressants, antibiotics (blind) and perineal stimulation have been used in this syndrome, demonstrating the inefficiency of a single therapy.

Questions you can ask your doctor

What causes this disease?

May cause cancer?

Can cause infection?

This disease is transmitted?

It is difficult to cure?

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