"It is necessary to perform the necessary diagnostic tests to confirm this disease with certainty".
DR. MARCOS TORRES ROCA
SPECIALIST. UROLOGY DEPARTMENT
Prostatitis is an inflammation of the prostate gland that causes a series of symptoms characterized by urinary, sexual and perineal disorders to a greater or lesser extent, depending on the cause, whether it is infectious or not.
Prostatitis is usually caused by a bacterial infection of the prostate gland. Any bacteria that can cause a urinary infection can produce an acute bacterial prostatitis.
Some sexually transmitted diseases (STDs) can cause bacterial prostatitis.
Acute prostatitis should be completely relieved by medication and minor changes in your diet and behavior.
Acute prostatitis may come back or become chronic prostatitis.
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What are the symptoms of prostatitis?
The different infectious or inflammatory processes in the urethro-prostate-seminal area have similar symptoms.
The most frequent urinary disorders are: dysuria (difficulty in urination), frequency and urgency or urgency to urinate, both day and night, painful urination and even acute retention of urine.
On other occasions, sexual symptoms predominate: decreased desire, total or partial loss of erection, painful ejaculation, sometimes premature, haemorrhage (blood with semen) and infertility. Most frequently, along with urination disorders, is the presence of perineal pain that can radiate to the pubic area, lumbosacral region, scrotum, penis and inner thighs.
Of all the clinical signs indicated, none of them is specific to a particular type of prostate condition, except for the acute form of prostate infection in which the clinic presents very well defined characteristics: fever, poor general condition, dysuria, perineal pain spontaneously or with urination, and sometimes acute retention of urine.
Learn all about prostatitis (only in spanish)
Most common symptoms:
- Frequency and urgency or urinary urgency.
- Painful urination.
- Acute retention of urine.
Do you have any of these symptoms?
You may have prostatitis
What are the causes of prostatitis?
There are several theories about the causes of the symptomatology of prostatitis
1. Obstructive theory: caused by a narrowing of the urethra and the neck or bladder wall
2. Intraductal flow theory: caused by part of the urine leaking into the prostate gland.
3. Autoimmune theory: caused by a reaction of the immune system caused by the bacteria itself or the urine.
4. Venous theory: caused by the alteration of the venous return, e.g. by hemorrhoids or varicocele.
5. Infectious theory: caused by the entry of germs into the prostate through the urethra. It could also occur through the bloodstream.
¿Quién puede padecerlo?
In men over 35, E. Coli and other common bacteria typically cause prostatitis.
Men age 50 or older who have an enlarged prostate (benign prostatic hyperplasia) are at greater risk for prostatitis.
How is prostatitis diagnosed?
The diagnosis of prostatitis will be made on the basis of medical history, examination, fractionated urine culture, semen culture, ultrasound, blood test (elevated PSA in acute prostatitis) and prostate biopsy in some cases of chronic prostatitis.
Clinically, several prostate syndromes are distinguished that have been grouped into a classification by the US National Institute of Health (NIH Classification) in
- Acute Bacterial Prostatitis: Acute infection of the prostate gland.
- Chronic Bacterial Prostatitis: Recurrent urinary tract infection. Chronic prostatic infection.
- Chronic Bacterial Prostatitis/Chronic Pelvic Pain
- yndrome: Perineal or pelvic pain (3 months minimum) with variable urinary or sexual symptoms without demonstrated infection.
- Chronic inflammatory pelvic pain syndrome (leukocytes in semen, post-massage prostatic secretion or post-massage urination)
- Non-inflammatory chronic pelvic pain syndrome (no white blood cells in semen, post-massage prostatic secretion or post-massage urination).
- Asymptomatic inflammatory prostatitis: Evidence of inflammation in biopsy, semen, post-massage prostatic secretion or post-massage urination in the absence of symptoms
How is prostatitis treated?
In acute prostatitis, bactericidal antibiotics suitable for gram-negative bacteria, administered parenterally.
In chronic prostatitis, antibiotics that penetrate well into the prostatic tissue (liposoluble). They diffuse adequately to the prostatic fluid: tobramycin, netilmicin, trimethoprim, doxycycline, ciprofloxacin, phosphomycin and ceftriaxone among others. Treatment guidelines of 6 to 12 weeks.
Other adjuvant treatments: phytotherapy, alpha-blockers, muscle relaxants, 5-alpha-reductase inhibitors, anti-inflammatories, lifestyle changes.
Where do we treat it?
IN NAVARRA AND MADRID
The Department of Urology
of the Clínica Universidad de Navarra
The Department of Urology of the University of Navarra Clinic offers the patient a medical team, composed of first-rate professionals, and state-of-the-art diagnostic and therapeutic means such as the Da Vinci® robotic surgery.
The Department of Urology possesses the certificate of accreditation of the European Board of Urology, a reinforcement of the excellence of the service at the level of care, teaching and research, which in Spain only three hospital centers possess.
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- A team of top-level professionals trained in international centers.
- State-of-the-art technology for diagnosis and treatment.
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