Prostate Infection (Prostatitis) Diagnosis, Symptoms and Treatment

Prostate infection or prostatitis is an inflammation of the prostate gland. It is a common infection in men and a disease that is difficult to treat depending on the type. The agent is usually E coli, one of the factors of urinary tract infection.

The prostate is an organ resembling a chestnut, weighing 17-20 grams, where the semen and urinary tract meet in front of the rectum under the bladder.

Its job is to give enzymes and fluid to the semen. Microorganisms that come to the prostate in both young and old people cause inflammation by causing what we call prostate infection.

Microbes to the prostate come either from the urinary tract, the semen or other organs through the blood or from the rectum through neighborhood.

There are basically 4 types of inflammatory diseases of the prostate.

1. Acute prostatitis: After the infection reaches the prostate, it inflames. It causes serious symptoms such as frequent urination, burning in the urine, fever, pain in the pelvic area, anal pain, inability to urinate. In the younger generation, the factor is mostly sexually transmitted diseases, while in the elderly it is E coli, which is caused by the difficulty in urinating due to prostate enlargement. In acute prostatitis, culture usually occurs. When this type of prostatitis is treated, it heals quickly and treatment is satisfactory.
2. Chronic (recurrent) prostatitis: The disease is like acute prostatitis, but it recurs from time to time. Even if the infection is treated, it is not completely cured. When it gets the chance, it repeats and causes the same symptoms. There may be growth in urine, semen or prostate fluid cultures and are treated accordingly. It usually responds to antibiotic therapy.
3. Chronic non-inflammatory prostatitis (chronic pelvic pain syndrome): In this type of prostatitis, symptoms that disturb the patient in that area such as pain in the bladder and pelvis area, burning while urinating, frequent urination, pain hitting the anus and testicles are observed. However, urine, semen tests and cultures are normal. There is no finding on the ultrasound. So the patient has a complaint, but nothing is found in the laboratory. It is one of the disease group that urologists dislike most. It gives a 50% response to conventional prostatitis treatment. However, 50% of them do not respond to the treatment and the patients go from doctor to doctor. This patient group deserves all of the prostatitis treatments after a detailed evaluation. Treatments such as antibiotics, anti-inflammatory, antibiotics into the prostate, and botox treatments can be applied.
4. Chronic inflammatory prostatitis: This group of patients has no complaints, but routine examinations show infection and inflammation in the prostate. In other words, unlike the 3rd group, the patient has no complaints, but there is prostatitis in the laboratory. Depending on the culture result, antibiotic treatment may be required.