Prostatitis


Prostatitis Affects the Prostate Gland and Surrounding Tissues

Prostatitis is one of the most common types of urologic disease in men. Some estimate that up to 50% of men will have prostatitis during their lifetime. Urology Austin physicians work with each patient to individualize his diagnosis and treatment plan to achieve the best outcome possible.

Types of Prostatitis

Symptoms, diagnosis and treatment vary for the different types of prostatitis.

  • Acute bacterial prostatitis, the least common type, is always caused by bacterial infection, and is more common among younger and middle aged men.
  • Chronic bacterial prostatitis is like acute bacterial prostatitis in many ways, except it is slower to develop and has less severe symptoms. Men with this condition often have recurring urinary tract infections.
  • Chronic non-bacterial prostatitis (also known as chronic pelvic pain syndrome or CPPS) is the most common type, but we are not certain what causes it. It may be due to inflammation or muscle spasms in the pelvic floor muscles.

Symptoms

Symptoms for the various prostatitis conditions may vary a great deal, but many of the symptoms overlap. When you meet with a physician at Urology Austin, he will discuss your symptoms in detail to arrive at the correct diagnosis.

If you have acute bacterial prostatitis, the following symptoms will come on suddenly and severely. If you have chronic bacterial prostatitis, you will have similar symptoms, but they will progress more slowly and will feel less severe. With bacterial prostatitis, you may have:

  • Chills
  • Fever
  • Severe burning during urination
  • An inability to empty your bladder during urination
  • Urinary frequency (especially at night)
  • Perineal, testicular, bladder and low back pain
  • Painful ejaculation

If you have chronic prostatitis/chronic pelvic pain syndrome, you may experience:

  • Difficult, sometimes painful, urination
  • Discomfort or pain in the perineum, bladder, testicles and penis
  • Difficult and painful ejaculation

How Urology Austin Diagnoses Prostatitis

Since the treatment varies, depending on the type of prostatitis you have, the diagnosis is very important. At Urology Austin, we conduct a thorough evaluation of your symptoms. The symptoms of prostatitis are similar to other conditions and diseases, and we want to be certain to rule those conditions out. We examine your prostate gland to determine if it is enlarged or tender. We also conduct a digital rectal exam to assess your degree of pain and discomfort. If our Urology Austin physicians feel that further evaluation is necessary, we will often order a transrectal ultrasound, enabling the physician to visualize the prostate gland.

Treatment Is Individualized at Urology Austin

We develop an individualized treatment plan for each patient we see. Your treatment will depend on the type of prostatitis you have. If you have acute or chronic prostatitis, we will prescribe antibiotics, with a longer regimen for chronic prostatitis.

For chronic non-bacterial prostatitis or CPPS, we may prescribe antibiotics initially, but since this type of prostatitis often doesn’t respond to antibiotic treatment, we may move on to other treatments, including:

  • Alpha-blockers
  • Anti-inflammatory drugs
  • Muscle relaxants
  • Plant extracts or vitamins
  • Repetitive prostatic massage to drain the prostate ducts
  • Physical therapy

Prostatitis can be a painful and worrying problem for men, but at Urology Austin, we work diligently to treat and to help men cope with chronic prostatitis. If you are having symptoms of prostatitis, or if you suspect you may have a problem, contact us for an appointment today.