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Prostatitis: Causes, Symptoms, and Treatment

The document discusses prostatitis, which is inflammation of the prostate gland and surrounding structures. There are several types of prostatitis including acute bacterial, chronic bacterial, chronic pelvic pain syndrome, and asymptomatic inflammatory prostatitis. Causes can be bacterial or non-bacterial infections, autoimmune issues, chemicals, or unknown. Symptoms vary depending on the type but may include fever, pain, urinary issues, and discomfort. Diagnosis involves history, exam, urine analysis, cultures, and imaging tests. Treatment options vary by type and may include antibiotics, muscle relaxants, sitz baths, physiotherapy, and alpha-blockers.

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Muhammad Makki
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240 views31 pages

Prostatitis: Causes, Symptoms, and Treatment

The document discusses prostatitis, which is inflammation of the prostate gland and surrounding structures. There are several types of prostatitis including acute bacterial, chronic bacterial, chronic pelvic pain syndrome, and asymptomatic inflammatory prostatitis. Causes can be bacterial or non-bacterial infections, autoimmune issues, chemicals, or unknown. Symptoms vary depending on the type but may include fever, pain, urinary issues, and discomfort. Diagnosis involves history, exam, urine analysis, cultures, and imaging tests. Treatment options vary by type and may include antibiotics, muscle relaxants, sitz baths, physiotherapy, and alpha-blockers.

Uploaded by

Muhammad Makki
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Dr.

Nazimuddin Jat
FRCS
Al-Tibri Medical College & Hospital
Nazim Jat
FRCS
DEFINITION:

It’s the inflammation of prostate tissue along


with surrounding areas.
 Inflammation of the prostate gland and
surrounding structures

Causes can be following

 bacterial infection acute or chronic.


 autoimmune (Prostodynia)
 chemical prostatitis.
 without any obvious cause.
 Secondary to instrumentation
1. Acute Bacterial Prostatitis

2. Chronic Bacterial Prostatitis

3. Chronic Pelivic Pain Syndrome ( Prostadynia)

4. Asymptomatic inflammatory prostatitis.


 Not fully known
 Lot of theories about bacterial infection prostate.
(Acute or chronic)
 Can be without any bacterial infection
(Autoimmune or chemical prostodynia )
 Infecting organism get into prostate either from
urine or from rectum by ascending infection.
 or Old patient on long term catheterization.
 Its rare to have a prostatitis because of sexual
partner.
 Abnormality of Urinary tract pathways i.e BPH,
no circumcision
 Long term urinary catheterization in young
patient after spinal injury
 Acute prostatitis
Symptoms
◦ Fever
◦ Chill
◦ Tachycardia
◦ UTI
◦ Pernial Pain Or lower abdominal pain.
Signs
◦ Tender Prostate on PR.
◦ Tenderness lower Abdomin
◦ Sick looking patient.
 Chronic Prostatitis
Symptoms
◦ All the above symptoms except fever.
◦ Frequency of micturation.
◦ Dysuria
◦ Chronic Pernial discomfort.
◦ Poor stream

Signs
◦ No obvious signs except worried patient.
Chronic Pelvic Pain Syndrome (Prostadynia)
Symptoms
◦ Pain in the genitals & pelvic area.
◦ Pain during urination
◦ Pain during ejaculation
◦ Pain is dull continous ,irritating type
◦ Intermittent pain around anus.
◦ Poor Stream
◦ Dysuria
Signs
◦ No obvious signs.
 Asymptomatic Inflammatory Prostatitis

Symptoms

◦ No symptoms normally
◦ But prostatitis can be found during routine examination.
◦ Or biopsy can reveal it.

Signs

◦ No Obvious Sign..
 Diagnosis can be made
on 3. Investigations
1. History  Urine Analysis
 UTI  Culture
 Expressed Prostatic
 Pain in Lower Abdomin Secretions (EPS)
 Pelvic floor  Radiological
 Pain around Anus Investigations
 & Chronic Sick looking  Transabdominal
patient Ultrasound
2. Physical Examination  Trans Rectal
 Blood pressure Ultrasound
 MRI
 Pulse
 Temperature
 DRE Examination
 Acute Bacterial Prostatitis

◦ IV antibiotics for 1 week followed by 3 weeks oral.


◦ Muscle relaxant ( Skeletal )
◦ Alpha 1 Blocker Drugs.
 Chronic Bacterial Prostatitis

◦ Antibiotics oral 4 weeks to 12 weeks


◦ Sits baths with warm water three inches deep for ten
minutes BD.
◦ Perinial physiotherapy
◦ Muscle relaxant ( Skeletal )
◦ Alpha 1 Blocker Drugs
 Prostadynia

◦ Incision of the prostate transurethrally


◦ Prenial physiotherapy
◦ Muscle relaxant ( Skeletal )
◦ Alpha 1 Blocker Drugs
1. Is prostatitis is related to prostate cancer.?

◦ No.
1. Why do physicians have trouble diagnosing
prostatitis?

◦ Its very difficult and some time quite frustating


for patient and its physician.
◦ Symptoms overlap lot of diseases
◦ Once treated with antibiotic, it can be difficult to
differentiate in bacterial or non bacterial
prostatitis
3.Did my partners urinary tract infection cause
me prostatitis?

◦ No

4. Why some patients are not cured after they


have been diagnosed with prostatitis?

◦ Difficulty of antibiotic entering the prostate tissue


Q.5. What are the most important facts about
prostatitis

1.Correct Diagnosis is the key to the


management of prostatitis.

2.Prostatitis cannot always be cured but can be


managed
Q.5. What are the most important facts about prostatitis

3.Treatment should be followed even if the symptoms have


improved.
4.Patients with prostatitis are not at a higher risk for CA
Prostate
5.There is no reason to discontinue normal sexual relation
Unless it is very uncomfortable
ONE CAN LIVE
RESONALBLY
NORMAL LIFE WITH
PROSTATITIS

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