What is Chronic Prostatitis?
Chronic prostatitis is a condition affecting the prostate gland, typically in young men, causing persistent perineal and penile pain and urinary issues. It can be a challenging and frustrating condition due to its chronic nature and the complexity of its symptoms. Understanding chronic prostatitis, its causes, symptoms, and treatment options is essential for effective management and improved quality of life.
At Maiden Lane Medical in NYC, we specialize in diagnosing and treating chronic prostatitis. Our experienced team is dedicated to providing comprehensive care to help manage this condition effectively. If you’re experiencing symptoms, visit us today for expert consultation and personalized treatment plans!
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Types of Prostatitis
Prostatitis is categorized into different types, each with distinct characteristics:
1. Acute Bacterial Prostatitis
This is a sudden bacterial infection of the prostate, causing severe symptoms such as fever, chills, and intense pain. Acute prostatitis is quite rare and requires immediate medical attention and treatment with antibiotics.
2. Chronic Bacterial Prostatitis
This type is caused by a bacterial infection that recurs over time. Symptoms can be similar to acute bacterial prostatitis but are usually less severe. It involves recurrent urinary tract infections (UTIs) and requires long-term antibiotic treatment.
3. Chronic Pelvic Pain Syndrome (CPPS)
Though no longer caused by active bacterial infection of the prostate gland, prior prostate infection can result in a residual chronic pain in the pelvic region, causing urinary symptoms and sexual dysfunction.
What Causes Prostatitis?
The exact cause of chronic prostatitis varies depending on the type:
- Acute and Chronic Bacterial Prostatitis: Caused by bacterial infections that enter the prostate through the urinary tract.
- Chronic Pelvic Pain Syndrome: Though the original cause of the prostatitis was infection, the chronic inflammation of the prostate gland resulted in irritation and upregulation of the pelvic nerves that cause the pelvic floor muscles to spasm, resulting in persistent pelvic pain symptoms, urinary frequency, and urgency, even after the infection is treated.
Risk Factors
Certain factors can increase the risk of developing chronic prostatitis, including:
- Age (common in men aged 30-50)
- Previous prostate infections
- Engaging in penetrative sexual relations, including oral sex, vaginal sex, or anal sex
- Your sexual partner suffers from bacterial vaginosis and recurrent urinary tract infections
Recognizing the Symptoms of Chronic Prostatitis
Symptoms of chronic prostatitis can vary and may include:
- Persistent pelvic pain
- Pain during or after urination
- Frequent urination, especially at night
- Painful ejaculation
- Discomfort or pain in the lower back, perineum, or genital area
If you experience any of these symptoms, it’s important to seek medical advice to determine the underlying cause and appropriate treatment.
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Diagnosing Chronic Prostatitis
Diagnosing chronic prostatitis involves a combination of the following:
- Urine Tests: This includes C&S, PCR/NGS testing of urine and seminal fluid to identify the bacteria causing the infection and the best antibiotic treatment.
- Digital Rectal Exam: Using a gloved finger, your doctor will check the prostate for inflammation and reproduction of symptoms during the examination
- Blood Tests: A blood test can diagnose other prostate problems
- Imaging Tests: Ultrasounds or MRI to examine the prostate and surrounding structures.
At Maiden Lane Medical, we use advanced diagnostic tools to accurately identify the type and cause of prostatitis, ensuring you receive the most effective treatment.
Treatment for Chronic Prostatitis
Treatment depends on the type and severity of prostatitis:
Chronic Bacterial Prostatitis
- Antibiotics: Acute cases may require antibiotic treatment for several weeks. The majority of chronic bacterial prostatitis cases clear with a course of antibiotics that lasts 4 to 8 weeks.
- Anti Inflammatory Treatment: Over-the-counter pain relievers or prescriptions.
CPPS
- Medications: Anti-inflammatory drugs.
- Physical Therapy: Specialized hands-on physical therapy to relax pelvic muscles if pelvic floor muscle spasticity is determined to be a cause of symptoms.
For personalized treatment plans, visit our specialized Prostatitis Treatment page.
How Can I Prevent Chronic Prostatitis?
While it may not be possible to completely prevent chronic prostatitis, certain measures can help reduce the risk:
- Practice good sexual hygiene. Make sure to void with a strong urinary stream right after any penetrative sexual relations.
- Stay hydrated.
- Avoid prolonged sitting.
- Manage stress through relaxation techniques.
- Maintain a healthy lifestyle with regular exercise and a balanced diet.
Outlook for Those with Chronic Prostatitis
The outlook for chronic prostatitis varies. While some men may experience significant relief with treatment, others may have persistent symptoms. Ongoing management and follow-up with your healthcare provider are essential to monitor symptoms and adjust treatment as needed.
Prostatitis can sometimes raise the PSA levels. However, there is no evidence that prostatitis causes prostate cancer.
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Book an Appointment Today
At Maiden Lane Medical Murray in New York, we provide ongoing support and management strategies to help you live a better quality of life despite chronic prostatitis. If you’re dealing with this condition, don’t hesitate to seek our expert care.
Our team is here to help you find relief and improve your quality of life. Schedule your appointment today!
If you’re concerned about prostate health, low testosterone, or other men’s health issues, call our office or schedule a consultation online for an accurate diagnosis and personalized, state-of-the-art treatment.
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