A Family Doctor's Tale - PROSTATITIS

DOC I HAVE PROSTATITIS

Prostatitis is an acute or chronic infection of the prostate gland.

Prostatitis is usually caused by the following:
1.enteric Gram negative organism from intestinal or bladder infection

2.tuberculosis occasionally

Persons who has Acute Prostatitis has the following symptoms:
1.frequency of urination and nocturia

2.urgency of urination

3.hematuria(blood in urine)

4.low back pain

5.perineal pain

6.slow initiation of urine

Signs:
Tenderness on palpation of the prostate per rectum

Diagnosis can usually be made by :
1.History of frequency of urination, painful urination

2.Tenderness on palpation of the prostate per rectum

3. Culture of the expressed prostatic fluid by prostatic massage

4.Urine and prostatic fluid culture will determine the micro-organism involved and the antibiotic most appropriate for it.

Infections from the prostate can lead to infections of the bladder and up to the kidney.

Treatment is by:
Analgesic medicine 

Antibiotics for infections especially after urine and prostatic fluid bacterial culture

Lots of fluids

Prognosis is usually good with medication.
Recurrence is quite common.