Treatment Of Prostatitis

The correct diagnosis is important because treatment is different for different types of prostatitis syndromes . In addition , it is extremely important to ensure that symptoms are not related to urethritis , cystitis , enlarged prostate or cancer. To make a correct diagnosis using different types of studies.

To examine the prostate gland, the doctor will perform a digital rectal examination ( DRE). This test is a simple evaluation in which he inserts a gloved, lubricated finger into the rectum. Since the prostate is located just in front of the rectum, you may press it easily. The doctor can determine if the prostate is enlarged and is sensitive . The presence of lumps or indurated areas may suggest that there is prostate cancer. The doctor will also assess the degree of pain or discomfort experienced by the patient when pressing on the muscles and ligaments of the pelvic floor and perineum. If the patient has prostatitis, this examination may produce momentary pain or discomfort , but does not cause major damage or lasting pain .

If the doctor needs to see the prostate gland in greater detail or if you think we need to do a biopsy, you may request a transrectal ultrasound , which allows you to see the prostate gland. If there is a risk that the disease is cancer, your doctor will consider asking for a PSA study .

If the doctor suspects that you have prostatitis or another Prostate Problems , you can refer you to a urologist , a doctor who specializes in diseases of the urinary tract and male reproductive system , to confirm the diagnosis.

The urologist repeated some of the studies already made the first doctor. The urologist will also assess the degree of pain or discomfort experienced by the patient when pressing on the prostate and the muscles and ligaments of the pelvic floor and perineum. The urologist can analyze different samples of urine, and a sample of prostatic fluid obtained by massaging the prostate gland during RT. Separate samples of urine and prostatic fluid will be analyzed for signs of inflammation and infection. These samples may help the urologist to determine if the problem is caused by an inflammation or infection and if the problem is in the urethra , bladder or prostate.

Other studies that the urologist may consider include a cystoscopy, in which a small telescope is passed through your urethra into your bladder to allow examination of the urethra , prostate and bladder. The urologist may also order urine flow studies , which will help measure the strength of the flow of urine and the presence of obstruction caused by prostate , urethra, or pelvic muscles .

If the diagnosis is acute bacterial prostatitis , the patient must take antibiotics for at least 14 days. Sometimes this means that the patient may need to be admitted for antibiotics intravenously. It is sometimes necessary to use a probe if the patient has difficulty urinating. Almost all acute infections can be cured with this treatment. They often continue the treatment with antibiotics for a period of four weeks.

If the diagnosis is chronic bacterial prostatitis , the patient will have to take antibiotics for a longer period , usually between four and 12 weeks. About 75 percent of cases of chronic bacterial prostatitis are cured with this treatment. Sometimes symptoms recur, it is necessary to do the treatment with antibiotics. For cases that do not respond to this treatment may be recommended a long-term treatment with antibiotics to relieve symptoms. In the most difficult to use other drugs (such as those used for nonbacterial prostatitis ) or other treatments (e.g Massage Of The Prostate: Techniques Of Erotic Massage ). In some rare cases surgery may be recommended to the urethra or prostate . Surgery for chronic bacterial prostatitis should not be taken lightly and he should seek a second opinion.

The patient may not need antibiotics if the diagnosis is chronic bacterial prostatitis / chronic pelvic pain syndrome . Doctors often have difficulty deciding whether a patient has bacterial or nonbacterial prostatitis . This is due to the difficulty in obtaining a sample and , sometimes , previous antibiotic therapy obscures the diagnosis. An organization that responds to antibiotics but it is difficult to diagnose may also cause non-bacterial prostatitis . For these reasons it may initially prescribe antibiotics until you make a definitive diagnosis of prostatitis based on appropriate studies . The response to treatment with antibiotics will decide whether to continue or not. Depending on the symptoms the patient can receive a variety of other treatments. These may include alpha blockers, anti-inflammatory drugs , muscle relaxants, plant extracts ( or vitamins) , and repeated in the prostate massage ( to drain the prostate ducts ).

There are different heat treatments , biofeedback and relaxation exercises that can relieve some symptoms . You may want to discontinue certain foods (e.g spices ) and beverages (e.g those containing caffeine or acidic drinks ) and avoid certain circumstances (e.g , cycling ) that exacerbate the problem. Once the correct diagnosis was made , one of the best treatments may be to give security to the patient not have a serious illness .

Usually no treatment is necessary for asymptomatic prostatic inflammation .

Why doctors have difficulty diagnosing prostatitis?

The diagnosis of the different types of prostatitis can be very difficult and sometimes quite frustrating for both the patient and the physician . Symptoms are variable and there are many overlapping symptoms between the different types of prostatitis. Once the patient has been treated with antibiotics , it can be difficult to differentiate a bacterial prostatitis, nonbacterial prostatitis .

How the patient will be affected by prostatitis?

Prostatitis is an extremely frustrating for both the patient and the physician . It can seriously affect quality of life of patients . The correct diagnosis of the problem of prostatitis is difficult and not always possible to cure the disease. However, prostatitis is a disease that is treatable and is usually possible to alleviate the major symptoms if you follow the treatment recommendations.

Why some patients are not cured once diagnosed prostatitis?

Most cases of acute bacterial prostatitis respond completely to treatment. Unfortunately , treatment for chronic prostatitis syndrome is far from prefect. Patients with chronic bacterial prostatitis may suffer persistent infectious problem despite the use of antibiotics. This is because of the difficulty of antibiotics to penetrate the prostate gland to completely kill bacteria found within the prostatic ducts . In these cases can sometimes help or frequent repeated massaging of the prostate. Patients who have had chronic bacterial prostatitis and have been cured are susceptible to relapses , each relapse may be more difficult to treat than the previous . Most patients with the chronic prostatitis / chronic pelvic pain syndrome ( nonbacterial prostatitis and prostadynia ) do not respond to treatment. The doctor may use a multi-modal approach to treatment ( more than one treatment at a time) . Patients may have to adjust and learn to live with the symptoms as inflammation , with luck, " is self-limited . "

What Are Some of the most important about Prostatitis ?

# Correct diagnosis is the key to the treatment of prostatitis.
# It is not always possible to cure prostatitis, but you can control .
# Should be followed up after treatment, even if the symptoms improve.
# Patients with prostatitis are not at increased risk of developing prostate cancer.
# There's no reason to discontinue normal sexual relations unless they are uncomfortable , especially during the acute phase.
# It is possible to live a reasonably normal life with prostatitis.