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- $Unique_ID{BRK00854}
- $Pretitle{}
- $Title{How Serious is an Infected Prostate?}
- $Subject{prostatitis Genitourinary Infections inflammation prostate
- gland bacterial urination low back pain fever chills antibiotics bed rest
- liquids Chronic recurring urinary tract infection ejaculation blood semen
- antibiotics Nonbacterial dull pain pelvic area anti-inflammatory prostatodynia
- urethral sphincter spasms emotional stress muscle relaxants}
- $Volume{A-15}
- $Log{
- Anatomy of the Male Reproductive System*0006001.scf
- Types of Urinary Tract Infections*0007101.scf
- Predisposing Factors for Urinary Tract Infections*0007102.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- How Serious is an Infected Prostate?
-
-
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-
- QUESTION: My doctors thinks I may have an infected prostate, and wants to
- conduct a series of tests on me. He used a term I didn't understand to
- describe the exact condition he suspects. How serious is an infected prostate
- and what condition do you think he was referring to?
-
- ------------------------------------------------------------------------------
-
- ANSWER: A variety of conditions fall under the overall diagnosis of
- "prostatitis", which refers to an inflammation of the prostate gland. While
- as many as 50% of the male population develops symptoms of the disorder at one
- time or another, doctors estimate that it actually occurs in only one out of
- every 20 to 25 men.
- The tests your doctor wants to conduct will help him determine the exact
- form of prostatitis you may be suffering from. The condition usually begins
- as an inflammation on the outer, or peripheral zone of the prostate, and in
- severe cases can expand into its inner, or periurethral zone. While it is not
- known precisely how the condition originates, researchers theorize that
- bacteria may travel up the urethra (the canal that carries urine from the
- bladder through the penis) to the prostate either on its own or via a
- catheter. Other theories hold that the bacteria may originate in infected
- urine, blood, or even the rectum (traveling through the lymphatic system to
- reach the prostate).
- Since the symptoms associated with prostatitis are often vague and
- nonspecific, it is necessary for your doctor to take a series of urine samples
- and prostatic secretions in order to pinpoint the precise condition you may
- have. Prostatitis can be classified into four distinct clinical types,
- detailed below.
- Acute bacterial prostatitis involves frequent, painful, or
- sleep-interrupting urination; low back pain, fever and chills may also be
- present, while the prostate itself is unusually tense and tender. The
- condition is treated with antibiotics, bed rest, plenty of liquids and
- hospitalization if necessary.
- Chronic bacterial prostatitis is usually the result of a recurring
- urinary tract infection (triggered by the same microorganism); its symptoms
- may include painful ejaculation in orgasm, or blood present in the semen.
- Chronic bacterial prostatitis is treated similar to the acute condition, but
- with a lower rate of success due to the elusiveness of the bacteria
- responsible. Often, the symptoms can be controlled with a specific regimen of
- antibiotics.
- Nonbacterial prostatitis is marked by a dull pain in the pelvic area, and
- shares symptoms of urinary pain with the bacterial forms of the disease. Its
- cause or causes are open to debate, with cystitis and carcinoma originating in
- the bladder suspected. Antibiotics and anti-inflammatory drugs are
- administered, while patients have found that cutting back on alcohol,
- caffeine, and spicy foods often alleviates symptoms.
- The symptoms of prostatodynia (it means "painful prostate"), the fourth
- type of prostatitis, vary widely from case to case. The condition may be the
- result of a neuromuscular abnormality (such as unusual spasms of the urethral
- sphincter), or it may have its roots in emotional stress. While antibiotics
- are ineffective, a variety of medications have been used to treat it,
- including muscle relaxants such as diazepam.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-
-