The prostate is a gland of the urogenital system suitable for the production of prostate secretion, a fluid that during ejaculation, in the urethra, mixes with the sperm coming from the testicles to give rise to seminal fluid.
Prostatitis, acute and chronic, is an inflammatory disease of the prostate and mainly affects men under fifty years of age. It is a disease that often manifests itself with difficulty in urination, burning, hyperpyrexia and / or perineal discomfort or pain (anal, perineal, penile-urethral), explains the best urologist in Noida.
What is prostatitis?
Prostatitis is an inflammation of the prostate gland, affects 30% to 50% of sexually active men and generally affects those who have not yet reached the age of fifty.
Acute bacterial prostatitis is due to a bacterial infection of the gland.
Chronic bacterial prostatitis is not very common and is due to an on-site bacterial proliferation that can also involve the seminal vesicles, vas deferens, epididymis and testes.
Chronic abacterial prostatitis can begin at any age, but it generally affects men over 25. The symptomatic onset is not attributable to detectable causes, states the urologist in Noida.
Pelvic floor pain syndrome is characterized by persistent spasm of the perineal floor muscles (levator ani muscles), often resulting in inflammation of the pudendal nerves. The tests do not detect, even in this case, the presence of pathogenic bacteria, excluding enterobacteria coming from the rectal ampulla of the patient (E.Coli, Proteus, Klebsiella, Enterococcus, etc.).
Asymptomatic prostatitis, as indicated by the name, does not present symptoms that the patient is able to report, in fact its presence is not accompanied by pain or discomfort, resulting in a delay in diagnosis, explains the best urologist in Noida.
What are the causes of prostatitis?
Acute bacterial prostatitis is due to a bacterial infection of the urinary tract.
Chronic bacterial prostatitis, often relapsing over time, is caused by the proliferation of bacteria in the prostate.
The appearance of symptoms of chronic abacterial prostatitis is not directly linked to specific causes: the urine, sperm and urethral swab tests do not detect the presence of pathogenic bacteria. Symptoms may present, subside, regress, and then reappear, says the urologist in Noida.
The causes of the onset of painful pelvic floor syndrome can be many; the disease often occurs following a prostatitis. In other cases, it can arise as a result of proctological disorders such as fistulas, fissures and hemorrhoids or it can itself be responsible for their manifestation. It can also occur following a period of stress or psycho-physical overload.
What are the symptoms of prostatitis?
Characteristic signs and symptoms of prostatitis are:
- burning on urination
- pelvic pain
- premature ejaculation
- sometimes incontinence and infertility.
In particular, acute bacterial prostatitis can manifest itself with:
- pain in the lower back and genital area
- frequency – urge to urinate (often at night)
- pain or burning when urinating
- muscle aches
Asymptomatic prostatitis does not begin with patient-referable pain or discomfort, but there are signs of inflammation or infection in the sperm or prostate secretion, explains the urologist in Ghaziabad.
How to prevent prostatitis?
It is advisable to avoid activities with which there is a risk of perineal trauma. Regular sexual activity is also healthy.
For the diagnosis, the doctor may use:
- general physical examination;
- urological examination with digital-rectal exploration aimed at palpation of the prostate;
- laboratory tests: urinalysis, examination of the prostate secretion, examination of seminal fluid;
- vesico-prostatic ultrasound and more rarely trans rectal ultrasound;
According to the urologist in Ghaziabad, treatment can vary based on the type of prostatitis diagnosed.
In the case of abacterial prostatitis and chronic painful pelvic floor syndrome, the following may be useful:
- anti-inflammatory drugs;
- hot baths;
- power changes;
- increased fluid intake;
- promote ejaculation, to facilitate prostate drainage and muscle relaxation;
- infiltration of the pudendal nerves or the prostate.
In the case of chronic and acute bacterial prostatitis, treatment can include:
- drugs (antibiotics and sulfonamides);
- power changes;