সংজ্ঞা

Prostatitis is swelling of the prostate gland. The prostate is a walnut-sized gland in men that surrounds the urethra. It produces a fluid that is part of semen.

প্রোস্টাটাইটিস

There are four types of prostatitis:

  • Acute bacterial prostatitis
  • Chronic bacterial prostatitis
  • Chronic pelvic pain syndrome
  • Asymptomatic inflammatory prostatitis

কারণসমূহ

Acute and chronic bacterial prostatitis are caused by an infection. A bacteria enters the prostate usually come from the urinary tract or rectum.

The causes of chronic pelvic pain syndrome and asymptomatic inflammatory prostatitis are not clearly understood. In some people, it is possible that a cause may not be found.

ঝুঁকির কারণ

Prostatitis is most common in men who use catheters. Other factors that may increase your risk of prostatitis include:

লক্ষণ

Symptoms depend on the category of prostatitis syndrome. In many people, symptoms may not appear. In others, they may appear as another condition.

উপসর্গ অন্তর্ভুক্ত হতে পারে:

  • Needing to urinate frequently and/or urgently
  • Pain or burning while urinating
  • Difficulty urinating
  • Lower abdominal pain or pressure
  • Penile, rectal, or perineal discomfort
  • Lower back pain
  • জ্বর বা ঠান্ডা লাগা
  • Difficulty getting an erection

রোগ নির্ণয়

The doctor will ask about your symptoms and medical history. A physical exam will be done. Tests may be done to find the cause of the symptoms and rule out other conditions. Tests may include:

  • Urine test —Looks for signs of infection
  • Digital rectal exam —Detects swelling or pain
  • Prostate massage —Fluid released from the prostate can be analyzed to test for chronic bacterial prostatitis and chronic pain syndrome
  • Prostate biopsy —Used to rule out other conditions, but may find asymptomatic inflammatory prostatitis

চিকিৎসা

Treatment depends on the type of prostatitis:

Infectious Prostatitis

Acute and chronic bacterial prostatitis are treated with oral antibiotics. Antibiotics may be given over 4-12 weeks. The antibiotics may be given through an IV for severe infections.

Other medications to help manage symptoms include:

  • Stool softeners
  • Anti-inflammatory medications
  • ব্যথার ঔষধ
  • Alpha-blockers or 5-alpha reductase inhibitors to help with urine flow

Your doctor may recommend that you avoid alcohol and caffeinated beverages.

Noninfectious Prostatitis

Antibiotics may be recommended if an infection is possible. Other treatments to manage symptoms include:

  • Alpha-blockers or 5-alpha reductase inhibitors
  • Anti-inflammatory medications such as ibuprofen
  • ব্যথার ঔষধ
  • Warm sitz baths
  • Repeated prostate massages

প্রতিরোধ

There is no known way to prevent prostatitis.

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