Prostatitis is a general ailment in primary care practice. Chronic prostatitis is an infection that needs prompt treatment and accurate recognition. Acute prostatitis is a more general state, and its etiology is more mysterious. pain in the male perineum can arise from both non-infectious and infectious inflammation and can represent pain referred from retro peritoneal structures and low sacral nerve roots.

Chronic prostatitis is readily verified by the onset of fever, dysuria, perineal pain and diminished urine flow. on normal rectal analysis, the gland is found to be enlarged, boggy and exquisitely tender. Abdominal verification generally discloses striking bladder distention. Some men may show toxic at the time of presentation.

In elder people, the signs are normally those of bladder outflow obstruction, often times associated by pelvic pain. Patients complain of urgency, hesitancy, double voiding, loss of stream volume and force, dribbling and frequency. Younger adult more generally complain of dribbling and dysuria, intermittent discomfort in the perineum, testicle or low back. Some people show initially with painful ejaculations, hematospermia or hematuria. Rectal analysis generally discloses an enlarged prostate with flexible amount of asymmetry, tenderness and bogginess. Incompletely treated or untreated chronic  prostatitis is featured by recurrent symptomatic exacerbation, even though these may be separated by long asymptomatic intervals. This has been known as male chronic pelvic pain syndrome.

Both chronic and acute prostatitis can provoke systemic and urinary tract complications. the severely infected gland may drive to bacteremia or parenchymal infection. Rarely, severe infection will develop to a well defined abscess. Chronic infection can generate small prostatic stones, which may work as a nidus for further recurrent symptomatic bouts of infection and inflammation.

Acute prostatitis is readily evident by the clinical presentation and exquisitely tender prostate found on rectal examination. Nevertheless, chronic prostatitis shows a more hard diagnostic issue, generally resembling, in clinical presentation, other general form of urinary outflow tract obstruction, such as benign prostatic hyperplasia, urethral stricture, prostatic carcinoma. the lower urinary tract irritative signs combined with chronic prostatitis may be seen with urethritis, neurogenic bladder, sphincter dyssynergy, bladder carcinoma.

Therapeutic recommendations

Document an infectious organism and the presence of prostatic inflammation, either with EPS examination, the pre massage post massage test or sequential urinary culturing.

When a bacterial agent is identified, treat with a prolonged course of antibiotics, such as ciprofloxacin, levolflosacin, or dobule strength TMS for 4 to 6 weeks. Doses of the fluroquinolones should be adjusted for renal insufficiency.

After treatment, follow closely for return of infection. a second course of antibiotics with the same or an alternative drug for up to 12 weeks may be necessary in partially responsive infections.

For patients who present with the new onset of chronic abacterial prostatitis, consider a 12 week course of doxycycline, erythromycin or carbenicillin indanyl sodium.Schedule a return 1 to 2 weeks after the completion of treatment to assess the effects of therapy by checking the EPS or VB3.

Consider an alpha adrenergic blocker such as prazosin, doxazosin, terazosin, tamsulosin or alfuzosin to reduce sphincter resistance. Prazosin, doxazosin and terazosin are more likely to cause clinically significant hypotension.

Posted in Chronic Prostatitis on March 6th, 2011 by admin | | 0 Comments

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My brother is over the age of 50, making frequent trips to the bathroom during the night? these symptoms may indicate that he has a non-cancerous enlargement of the prostate or a cancerous enlargement of the prostate, how to determine , is there any other symptoms?

Sheryl's answer pretty much covered it and I want to add my 2 cents. A visit to the urologist for a PSA test and if suggested by the findings of the PSA, a biopsy to confirm/rule out cancer is really the only sure way. I had a lot of trouble with the first doctor I saw who neglected to refer me to a urologist ( I was almost 60 and my prostate was only slightly enlarged so he apparently felt no need to tell me about it) and further trouble with the first urologist I DID get to see over a year later. looking back, the worst mistake I made in handling my prostate cancer was my hesitancy to go to a different urologist. Be very proactive and don't only request the test, demand it if necessary! Best wishes for preferably a non-cancer diagnosis and if cancer is diagnosed, that it is caught early.

You can check cancerssociety.org/ for detail info

Prostate cancer usually doesn't cause symptoms in its early stages. Between 60% and 70% of men who are older than 80 who have prostate cancer have no symptoms. 2

When there are symptoms, they may include:

* having difficulty starting your urine stream. This is called hesitancy.
* having a weaker than normal urine stream.
* Being unable to urinate at all.
* having to urinate often.
* Feeling that your bladder is not emptying completely when you urinate.
* having to get up at night to urinate. This is called nocturia.
* having pain or a burning feeling when you urinate. This is called dysuria.
* having blood in your urine. This is called hematuria.
* having blood in your semen. This is called hematospermia.
* having a deep pain in your lower back, abdomen, hip, or pelvis.

Go here—> prostatecancerfoundation.org/

My grandfather hardly had any symptoms, and didn't know he had it until a doctor found it. He got radiation treatment and survived.
Check with a doctor at least once a year. And many people survive it.
Good luck!

I had it, didn't know it. I was feeling just great at the time and it was very scary to learn I had the big "C". I had no symptoms at the time and I was 54 when it was found.

Unfortunately, there are really none specifically. that is why the best idea is to have regular PSA tests by your doctor. It's just a simple blood test but take it from me it's very important to have done, even if you don't suspect you might have it. if others in your family have had it or breast cancer, it's especially important to have the test and it's hereditary

Getting up more than twice during the night to go to the bathroom, difficulty emptying the bladder, reduced force of the stream, difficulty starting the stream.
However, the same things happen with benign prostate hypertrophy.
During your annual physical, the doc will do a check of the prostate. if he feels any bumps or lumps, you will be sent for a biopsy.
The only way to tell for certain is to have the PSA (prostate specific antigen) level checked. if it is high, biopsies will be done.
Any infection or inflammation of the prostate will raise the PSA, as will a recent ejaculation.
It is recommended to have a PSA drawn yearly if you are over age fifity, but prostate cancer has been found in younger men.
The prostate keeps growing throughout life, and as it grows, the PSA becomes slightly higher. A higher PSA in a seventy or eighty year old man does not necessarily mean that he has prostate cancer.