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Chronic Prostatitis-Causes, Symptoms and Treatment


Chronic prostatitis is an inflammation of the prostate gland that develops gradually, continues for a prolonged period, and typically has subtle symptoms.

Chronic prostatitis is an inflammation of the prostate gland that develops gradually, continues for a prolonged period, and typically has subtle symptoms.

Three major types of chronic prostatitis are:

Chronic bacterial prostatitis - In this condition, a bacterial infection causes swelling and inflammation of the prostate. Doctors make this diagnosis only if bacteria and white blood cells, which fight infection, are found in the urine.
Prostadynia, also called noninflammatory chronic pelvic pain syndrome ? This term is used when symptoms of prostatitis are present, but there is no evidence of prostate infection or inflammation. Doctors understand very little about why some people ? often young, otherwise healthy men ? develop this problem.

Causes

Chronic prostatitis is usually caused by a bacterial infection. It may be associated with or follow urinary tract infection, urethritis, epididymitis, or acute prostatitis. The most common causes are Escherichia coli and proteus, Enterobacter, and klebsiella bacteria.

The disorder is diagnosed in 5 of every 1,000 outpatient visits. It is estimated that as many as 35% of men older than 50 may have chronic prostatitis.
Symptoms
Urinary discomfort: there will be the stimulation of the bladder, such as frequency, voiding urethral heartburn, pain and radiotherapy to the penis head. I am urethra can mucus and other secretions, but also a sense of dysuria.

local symptoms: After the urethra, perineum, anus and Zhuichan discomfort lunge, and the stool and sit a long time on pain Yideng increase.

Diagnosis

Unlike the acute form of bacterial prostatitis, the chronic form has no characteristic symptoms. If prostatitis is diagnosed and there are no acute symptoms, the prostatitis is assumed to be chronic.
Secretions from the prostate are examined to aid in the diagnosis. The healthcare provider inserts a gloved finger into the rectum and massages the prostate. The gland produces a drop of prostatic fluid that can be milked out of the urethra. The fluid is then examined under a microscope. If more white blood cells than normal are seen, the diagnosis of prostatitis is made. The diagnosis is also made if bacteria are cultured from this specimen, or from the urine voided right after prostate massage.

Treatment of Prostatitis
Anti-inflammatory medicines along with warm sitz baths (sitting in two to three inches of warm water). This is the most conservative treatment for chronic prostatitis.
Chronic bacterial prostatitis, nonbacterial prostatitis, and prostatodynia are probably best treated by or in consultation with a urologist.
Surgical removal of the infected portions of the prostate. A doctor may advise this treatment for severe cases of chronic prostatitis or for men whose swollen prostate is blocking the flow of urine.

Herbs

Pygeum is another herb that shows promise for helping men with prostatitis. In one preliminary trial, men given 200 mg of pygeum extract per day reported improvement in symptoms associated with prostitis. Other trials have reported similar findings.

Saw palmetto is best know for its use with benign prostatic hyperplasia (BPH) but has also been used by men with prostatitis. Studies indicate that the active constituents of saw palmetto may work to reduce inflammation, however, there is no conclusive scientific evidence to support the effects of saw palmetto in prostatitis sufferers.

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Article Details
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Author:peterhutch
Publication:Health, general community
Geographic Code:1USA
Date:Apr 22, 2008
Words:571
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