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There are
three types of prostatitis. Notwithstanding their names, none
of them is contagious. If you have it, you have not caught it
from -- nor will you endanger -- your sexual partner. The manner
in which the prostate becomes infected is not clearly understood.
One theory is the bacteria may get into the prostate from the
urethra by backward flow of infected urine, or from rectal bacteria.
The three types of prostatitis are:
Acute infectious
prostatitis, caused by bacteria. It comes on suddenly, and
its symptoms, which include fever, chills, pain, and frequently
blood in urine, are severe. Acute infectious prostatitis often
requires a trip to the hospital emergency room -- and frequently
hospitalization. Doctors treat it with 7 to 14 days of antimicrobial
medication and recommend that the patient drink more liquids..
Chronic
infectious prostatitis, also caused by bacteria. Its symptoms,
unlike acute infectious prostatitis, may include the need to urinate
frequently, a sense of urgency, burning or painful urination.
Chronic infectious prostatitis is associated with repeated urinary
tract infections. It is treated with 4 to 12 weeks of antimicrobial
medication.
Noninfectious
prostatitis is the most common and least understood form of
prostatitis. Its cause is unknown. Its symptoms may mimic those
of chronic infectious prostatitis. Since it is not caused by bacteria,
antimicrobial medications are not effective in treating this type
of prostatitis. Treatment generally focused on lessening the patient's
symptoms with a variety of pain-relief medications and
include use of an alpha blocker, a drug that can relax the muscle
tissue in the prostate and reduce the difficulty in urination.
The risk for
getting prostatitis is higher for men who:
- Recently
have had a medical instrument, such as a urinary catheter (a
soft, lubricated tube used to drain urine from the bladder),
inserted during a medical procedure;
- Engage
in rectal intercourse;
- Have an
abnormal urinary tract;
- Have had
a recent bladder infection;
- Have an
enlarged prostate.
Because the
three types of prostatitis require different treatment, the correct
diagnosis is important. When prostatitis is suspected , your doctor
-- while performing a digital rectal examination -- may vigorously
massage, or "strip," the prostate to force prostatic
fluid out of the gland and into the urethra.
A three-glass
urine collection method is used to measure the presence of white
blood cells and bacteria in the urine and prostatic fluid. From
examination of these samples, a doctor can determine whether the
problem is in the urethra, bladder, or prostate. And if an infection
is present, the doctor will be able to identify the type of bacteria
involved so that the most effective antimicrobial medication can
be prescribed.
Having prostatitis
does not increase your risk of getting any other prostate disease
-- including prostate cancer.
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