How Are Bacterial Forms Of Prostatitis Managed Or Treated
Antibiotics can kill bacteria that cause bacterial types of prostatitis. Men with acute bacterial prostatitis may need 14 to 30 days of antibiotics, starting with IV antibiotics in the hospital. Rarely, men need surgery to drain an abscess on the prostate.
Treating chronic bacterial prostatitis is challenging. You may need up to three months of antibiotics to sterilize the prostate. If the prostate cant be sterilized, low-dose antibiotics can be used long term to prevent recurrences. Some men need surgery to remove prostate stones or scar tissue in the urethra. Rarely, surgeons remove part or all of the prostate gland .
Type Of Prostate Pain
Prostate pain can be non-specific and often associated with chronic unexplained pelvic pain in men . The presence of urinary symptoms, microorganisms and inflammatory cells in the urine and semen are the only conclusive indication that the pain is associated with the prostate gland.
Prostate pain is often described as discomfort or pain that lies deep to the penis and scrotum although most patients will report that it is not extending to the rectum. The character of the pain can vary significantly with some patients reporting a mild discomfort like the bladder is not completely empty pressure or fullness but not actual pain.
At other times, it may be described as a dull ache or pain that is mild, moderate or severe. The pain may be burning, attacks of sharp or stabbing pain, or a bursting pain similar to an extremely distended bladder. Identifying a prostate condition solely on the location and nature of the pain is difficult and therefore other symptoms have to be noted.
When To Have Psa Tests
The prostate gland produces a protein called PSA. Levels of this protein increase when the prostate is dealing with irritation, swelling, or the growth of cancerous cells.
High levels of PSA in the blood do not necessarily mean that an individual has prostate cancer, but they can suggest that further tests are necessary.
The Prostate Cancer Research Institute recommend that most men start having PSA tests at the age of 45.
Males with a higher risk of developing the disease, including those who are African-American or who have a family history of prostate cancer, should start undergoing these tests at age 40.
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Recurrent Prostate Cancer Symptoms
Prostate cancer that returns after treatment is considered recurrent. When it returns to the area around the prostate, the disease is classified as a local recurrence. If the cancer is found in another part of the body, the recurrent cancer is considered metastatic. If the cancer metastasizes outside the prostate, it most likely develops in bones first. Metastatic prostate cancer most often spreads to the liver, bones and lungs.
After initial treatment for prostate cancer, PSA levels are expected to drop dramatically. The first sign of recurrent prostate cancer may be a rise in the PSA level. Other symptoms of recurrent cancer may depend on whether and where the cancer has spread. Symptoms include:
- Blood in the urine
- Difficulty breathing
- Jaundice
Patients should discuss any symptoms with their doctor and ask about scheduling regular PSA tests after treatment.
What Are The Types Of Prostatitis
Types of prostatitis include:
- Acute bacterial prostatitis : A UTI causes an infection in the prostate gland. Symptoms include fever and chills. You may experience painful and frequent urination or have trouble urinating. Acute bacterial prostatitis requires immediate medical treatment.
- Chronic bacterial prostatitis : Bacteria become trapped in the prostate gland, causing recurrent UTIs that are difficult to treat.
- Chronic pelvic pain syndrome, or CPPS : CPPS is the most common prostatitis type. Prostate gland inflammation occurs in approximately 1 out of 3 men. As the name implies, this type causes chronic pain in the pelvis, perineum and genitals.
- Asymptomatic inflammatory prostatitis : This condition causes prostate gland inflammation but no symptoms. You may learn you have this condition after getting tests to find the cause of other problems. For example, a semen analysis for infertility may detect asymptomatic inflammatory prostatitis. This type doesnt need treatment.
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Urinating Frequently During The Day
It may be more difficult to notice a change in frequency during the day than at night. Most of us dont go around counting how many times we use the washroom in a given day!
Besides, whats normal, anyway?
Normal urination during the day is considered to be within a range offour to seven times for most healthy adult men. If youre going more often than this, it could indicate a prostate issue.
It can be easy to miss this sign. Drinking more water or caffeinated beverages than usual can be an easy explanation for a few extra trips.
Even a night out for dinner with a few more glasses of beer than usual can cause several extra trips to the bathroom because alcohol is a diuretic, meaning it triggers anincrease in urine production.
Diuretics cause your kidneys to process more salt and water out into your urine, resulting in increased volume that makes you need to go more often.Source:WonderWhizKids.com
But like your nighttime routine, if you notice an ongoing pattern of having to go more often during the day, ask your doctor about it. A simple blood test and rectal examination is often the first diagnostic step, which is quick and painless.
Prostatitis And Lower Back Pain
Why prostatitis will cause back pain? Doctor Ming experts pointed out that the reason is because when the male friends ejaculation, the prostate contraction will appear back pain or pain, thus affecting the hardness of the penis, a direct impact on sexual life , So prostatitis must pay attention to treatment.
Back pain in the sex life which is more common, the symptoms can also cause severe male sexual desire diminished, and even fear of sexual intercourse, asexual satisfaction. A long time there will be a cold. This will affect the coupleâs normal i life and feelings. In addition, prostatitis is not timely treatment will be pain pain spread to other parts of the body, which is also a common phenomenon of the waist.
Prostatitis is caused by back pain, the discomfort is caused by the patient will work in life is very unhappy, male patients will often feel irritable, anxious, so to timely treatment of prostatitis, and prostatitis The pain is not only back pain, as well as patients with abdominal pain, thigh pain, anal pain, these are only physical pain, the most important thing is to affect sexual function.
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Is Back And Hip Pain A Symptom Of Prostate Cancer
The American Society of Clinical Oncology estimates 174,650 cases of prostate cancer this year alone. As the most commonly occurring type of cancer in menmostly those over the age of 50.
That isnt to say that you cant get it at a younger age, but the risk of getting this type of cancer is lower. However, studies have pointed to the growing incidence of prostate cancer among younger males as well. This is owing to environmental factors and early screenings.
The prostate is a small gland that produces seminal fluid for semen. Prostate cancer occurs when a group of cells in a mans prostate gland grows faster than others. These cells can often spread and affect normal tissue in the adjoining area.
Diagnosis Of Enlarged Prostate Gland And Urinary Problems
If you are troubled by urination problems, see a doctor no matter what your age. If your doctor agrees that your symptoms need further evaluation and treatment, you may need to undergo a few tests.These may include:
- general examination medical history and review of any health conditions including obesity, diabetes, obstructive sleep apnoea, depression and erectile dysfunction. A rectal examination may be done to check the size and shape of your prostate gland
- a urine check to ensure the prostate is not infected
- a flow-rate check to estimate the speed with which you pass urine
- an ultrasound examination to assess if the bladder is emptying completely and to examine your kidneys
- urodynamics a series of tests on the bladder to see how your urinary system is functioning may be recommended in some circumstances.
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When To Contact A Medical Professional
- Less urine than usual
- Back, side, or abdominal pain
- Blood or pus in your urine
Also call if:
- Your bladder does not feel completely empty after you urinate.
- You take medicines that may cause urinary problems, such as diuretics, antihistamines, antidepressants, or sedatives. DO NOT stop or change your medicines without talking to your provider.
- You have tried self-care steps for 2 months and symptoms have not improved.
Signs And Symptoms Of Prostate Cancer
Men describe symptoms they experienced before diagnosis.
Men with early prostate cancer may not have any symptoms, as these usually only occur when the cancer gets big enough to put pressure on the urethra . In men over 50, the prostate gland can get larger due to a non-cancerous condition known as benign prostatic hyperplasia .
The symptoms of both benign prostatic hyperplasia and prostate cancer are very similar and it is often difficult to tell the difference between the two without further tests.
Over three-quarters of the men we interviewed consulted their GPs because of signs or symptoms, although a few men were diagnosed as the result of routine PSA tests . Before the diagnosis was made many of the men we talked with reported difficulty in passing urine, urgency, and passing urine more frequently than usual, particularly at night.Some men gave detailed descriptions of their symptoms. In some cases symptoms were quite mild while in other cases symptoms were much more severe.
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How Can You Resolve Prostatitis Related Back Pain
Prostatitis-related back pain can be difficult to solve, especially if you have chronic prostatitis and chronic pelvic pain syndrome. There is actually no consensus about what to do and when. So, doctors need to use a trial-and-error approach until they find the right treatment for you.
There is no cure for chronic pelvic pain syndrome. Some patients experience longer asymptomatic periods. But a flare-up may bring back the symptoms once again after a while. What doctors do in these cases is trying to manage pain symptoms as much as possible.
In acute prostatitis, the problem is easier to solve. The pain usually goes away with the right combination of antibiotics and anti-inflammatories. In most cases, it is enough with over-the-counter non-steroidal anti-inflammatories drugs-for example, ibuprofen and naproxen. Only a few cases may require more specialized pain-relieving therapies such as oral or injected steroids.
Unlike chronic pelvic pain syndrome, acute prostatitis resolves after a few weeks. However, you need to take your meds exactly as prescribed, or it may become a recurrent problem .
What Are The Symptoms Of Prostatitis
Each type of prostatitis has a range of symptoms that vary depending on the cause and may not be the same for every man. Many symptoms are similar to those of other conditions.
Chronic prostatitis/chronic pelvic pain syndrome. The main symptoms of chronic prostatitis/chronic pelvic pain syndrome can include pain or discomfort lasting 3 or more months in one or more of the following areas:
- between the scrotum and anus
- the central lower abdomen
- the scrotum
- the lower back
Pain during or after ejaculation is another common symptom. A man with chronic prostatitis/chronic pelvic pain syndrome may have pain spread out around the pelvic area or may have pain in one or more areas at the same time. The pain may come and go and appear suddenly or gradually. Other symptoms may include
- pain in the urethra during or after urination.
- pain in the penis during or after urination.
- urinary frequencyurination eight or more times a day. The bladder begins to contract even when it contains small amounts of urine, causing more frequent urination.
- urinary urgencythe inability to delay urination.
- a weak or an interrupted urine stream.
Acute bacterial prostatitis. The symptoms of acute bacterial prostatitis come on suddenly and are severe. Men should seek immediate medical care. Symptoms of acute bacterial prostatitis may include
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Inflammation Of The Prostate Gland
Bacteria sometimes cause prostatitis . More commonly, the underlying cause is uncertain. Consult your doctor promptly if you experience:
- fever
- pain in the groin
- urgent and frequent urination.
Treatment with antibiotics is essential for acute bacterial prostatitis. Admission to hospital is often necessary and, as with chronic bacterial prostatitis, specific antibacterial drugs are required for a long time.
Questions You May Want To Consider Asking Your Doctor Include:
- What type of prostate problem do I have?
- Is more testing needed and what will it tell me?
- If I decide on watchful waiting, what changes in my symptoms should I look for and how often should I be tested?
- What type of treatment do you recommend for my prostate problem?
- For men like me, has this treatment worked?
- How soon would I need to start treatment and how long would it last?
- Do I need medicine and how long would I need to take it before seeing improvement in my symptoms?
- What are the side effects of the medicine?
- Are there other medicines that could interfere with this medication?
- If I need surgery, what are the benefits and risks?
- Would I have any side effects from surgery that could affect my quality of life?
- Are these side effects temporary or permanent?
- How long is recovery time after surgery?
- Will I be able to fully return to normal?
- How will this affect my sex life?
- How often should I visit the doctor to monitor my condition?
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Treatment Options For Bph
BPH is treated with medications that shrink the prostate and reduce urinary symptoms.
Drugs called 5-alpha-reductase inhibitors block conversion of testosterone to a substance that contributes to the benign prostate growth, called dihydrotestosterone . These drugs include dutasteride and finasteride .
Drugs called alpha-blockers can help relax the prostate and bladder neck, and improve urine flow. These drugs include doxazosin , tamsulosin , and terazosin .
Your doctor may prescribe one of these drugs or a combination of them.
If medications dont help or your symptoms are severe, your urologist may recommend a less invasive procedure to destroy the extra prostate tissue and widen the urethra within the prostate. The procedure may use one of the following:
- heat with radiofrequency ablation
- high-intensity ultrasound waves
- electric current vaporization
Surgery is a longer-term solution. During BPH surgery, the doctor uses a cutting wire loop or laser to cut away the excess prostate tissue.
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Can Enlarge Prostate Cause Stomach Pain
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What Is The Most Common Treatment For Enlarged Prostate
Transurethral resection of the prostate : This is the most common and most proven surgical treatment for BPH. TURP is performed by inserting a scope through the penis and removing the prostate piece by piece. Simple prostatectomy: An open prostatectomy is usually performed using general or spinal anesthesia.
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What Are The Symptoms Of Prostate Problems
The symptoms of a prostate problem may include problems with urinating and bladder control. Bladder control is how well you can delay, start, or stop urination. These problems can cause you to
- go to the bathroom frequently
- feel as if you need to rush to the bathroom, only to find you cant urinate or you urinate only a little
- leak or dribble urine
- have a weak urine stream
Depending on the cause of your prostate problems, you may have other symptoms.
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Talking With Your Doctor
Different kinds of doctors and other health care professionals manage prostate health. They can help you find the best care, answer your questions, and address your concerns. These health care professionals include:
- Family doctors and internists
- Physician assistants and nurse practitioners
- Urologists, who are experts in diseases of the urinary tract system and the male reproductive system
- Urologic oncologists, who are experts in treating cancers of the urinary system and the male reproductive system
- Radiation oncologists, who use radiation therapy to treat cancer
- Medical oncologists, who treat cancer with medications such as hormone treatments and chemotherapy
- Pathologists, who identify diseases by studying cells and tissues under a microscope
View these professionals as your partnersâexpert advisors and helpers in your health care. Talking openly with your doctors can help you learn more about your prostate changes and the tests to expect.
Testing Options For Prostate Cancer
There is no one age for prostate cancer testing, but the American Cancer Society makes recommendations about screenings. According to the ACS, patients in any of these groups should consider asking their doctor about testing:
- Men age 50 or older who have an average risk of prostate cancer and a life expectancy of at least 10 more years
- Men age 45 or older with a high risk, including African-American men and those with a first-degree relative who had prostate cancer before age 65
- Men age 40 or older who have a higher risk, such as more than one first-degree relative diagnosed with prostate cancer at an early age
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