The prostate is a gland the size of a walnut that only men have. 
In men, the prostate is located just below the bladder.

It involves the urethra, the tube in which urine and sperm pass out of the body.
The job of the prostate is to fluidize the sperm.
This fluid protects the sperm while traveling
to the woman’s egg.

In the case of prostatitis, the prostate is:

  1. Swollen,
  2. Painfull,
  3. Inflamed

This disorder is not a cancer and is not benign prostatic hyperplasia .
Because of its location, prostatitis can occur along with urethritis, or inflammation of the urethra.

Prostatitis can develop in men of all ages. However, it mainly affects men aged between 30 and 50 years.
This disease can affect even the young.

 


Causas from prostatitis com base no type

There are four types of prostate infections:

  • Prostatitis bacteriana aguda
  • Chronic bacterial prostatitis
  • Chronic non-bacterial prostatitis (or chronic pelvic pain syndrome)
  • Asymptomatic inflammatory prostatitis.

Acute Bacterial Prostatitis
Cause: There may be many causes of prostate infection depending on the specific type. As the name implies, acute bacterial prostatitis:

  1. It is caused by a bacterial infection ,
  2. It is characterized by an inflammation of the prostate.

Bacteria in the large intestine (colon), urinary bladder and other parts of the urinary tract can reach the prostate and cause prostatitis.
The sexually transmitted diseases (such as gonorrhea and chlamydia ) can also cause prostatitis.
This type covers almost 5-10% of cases of prostatitis.
This untreated prostatitis can cause serious consequences and does not go untreated.
Acute prostatitis can also be viral or fungal (fungi) – ( Source ), usually in immunosuppressed patients.

Chronic bacterial prostatitis
Cause: We do not know the exact cause of chronic bacterial prostatitis, but it is suspected that this disease is due to a previous case of bacterial infection of the prostate and frequent relapse of urinary tract infection ( cystitis ).
Among the responsible bacteria are: Ureaplasma urealyticum, Chlamydia tracomatis, etc. ( Source  )

There is a variant called granulomatous prostatitis in which granulomas are formed by lymphocytes, histiocytes, plasmocytes, etc.

Chronic non-bacterial prostatitis
Cause: we do not know the exact cause of non-bacterial prostatitis.
There are two types of chronic non-bacterial prostatitis:

  1. Inflammatory – if there are white blood cells in the sperm or urine,
  2. Noninflammatory – in the absence of white blood cells in urine or semen.

Among the triggers are:

  1. Stress,
  2. Damage to the nerves,
  3. Physical trauma (riding, cycling and lifting very heavy objects).

According to the survey, about 90% of cases of prostatitis are caused by unknown factors.
This specific type of prostatitis is often confused with interstitial cystitis (chronic inflammation of the bladder).
Prostatitis can occur by:

  1. Diseases of the colon, for example the irritable colon ,
  2. Chronic Fatigue Syndrome,
  3. Fibromyalgia .

Source : https://www.ncbi.nlm.nih.gov/pubmed/24080807

Asymptomatic
inflammatory prostatitis Asymptomatic inflammatory prostatitis:

  1. It is an inflammation of the prostate gland,
  2. It does not cause specific symptoms.

This disease has no identified infectious cause and affected patients do not feel chronic pain, unlike the types of infection mentioned above.
Only when a prostate biopsy is done for other diseases (cancer, sterility, or high prostate specific antigen possibility ), white blood cells are found in the urine.

 


Symptoms of prostate infection

Prostatitis is classified into four types:

1. Acute bacterial prostatitis
This disease is caused by a bacterial infection.
In acute bacterial prostatitis in advanced stages, difficulty in urinating is the main symptom.
Urinary symptoms are caused by swelling in the gland that presses the urethra.
The most common symptoms of prostate infection are:

The incontinence is a symptom of prostatitis.

Urine is examined for the presence of bacteria and white blood cells.

2. Chronic bacterial
prostatitis Chronic bacterial prostatitis is rare.
This type is characterized by infections or inflammation.
Recurrent infection indicates a problem in the functioning of the prostate.
The infection of chronic bacterial prostatitis can also spread to the bladder.
It is important to properly diagnose the disease before taking any treatment.
Generally, your doctor prescribes antibiotics for this condition and non-steroidal anti-inflammatory drugs .
The symptoms are similar to those for acute bacterial prostatitis.
They are:

Chronic bacterial prostatitis does not cause erectile dysfunction , while benign prostatic hypertrophy is a possible cause.
Source

3. Non-bacterial chronic prostatitis
This is the most frequent form of prostatitis.
In the prostate or urinary tract, there is no visible bacterial infection.
It occurs almost eight times longer than bacterial prostatitis.
It can affect men of all ages.
The symptoms observed in the infection are listed below:

  • Pain during and after urination
  • Pain in the genital area
  • Defecation problems
  • Pain during ejaculation
  • Fatigue ,
  • Erectile dysfunction.

 


Diagnosis from prostatitis

Generally prostate infections are diagnosed through a physical examination of the body because an enlarged prostate can indicate a possible case of infection.
During the rectal touch, the doctor feels the prostate swollen and the patient feels pain during the pressure.
To confirm the diagnosis, the following tests are performed:

The diagnosis is confirmed with an exam called the Stamey test .
The test consists of collecting urine in the morning to be divided into 3 samples:

  1. In one the first 10 ml,
  2. In the second there is another 200 ml, then the patient has to stop the flow of urine,
  3. The third sample is taken after a prostate massage.

Urine culture is performed on these samples and the results can be:

  1. If the first sample contains many more bacteria than others, it may indicate infection of the urethra,
  2. If the third example has a much larger amount of bacteria on the other, the patient suffers from acute prostatitis ,
  3. In the case of bladder infection, the bacterial count was similar in all 3 samples.

FonteThe Pre and Post Massage Test (PPMT): a simple screen for prostatitis. – Nickel JC – Tech Urol. 1997 Spring; 3(1):38-43

However, a study by Budía A et al. over 895 patients shows that sperm is the most reliable example for the diagnosis of chronic bacterial prostatitis.

Differential diagnosis

Sometimes prostatitis can be mistaken for:

  1. Urethral stenosis ,
  2. Benign hypertrophy of the prostate ,
  3. Urethritis ( inflammation of the urethra),
  4. Calculations,
  5. Hemorrhoids ,
  6. Anal fissures .

 


Treatment for prostatitis

What antibiotic do I need to take for prostate infection?

 

Antibiotics for prostate infection

Bactrim
Bactrim is the name of the antibiotic and contains a blend of two powerful active ingredients known as sulfamethoxazole and trimethoprim.

Ciprofloxacin Teva, Tavanic and Levoxin
Studies show that this antimicrobial agent is very successful in the treatment of patients with prostate infection.
Ciprofloxacin Teva and Tavanic belong to the class of fluoroquinolones.

Ampicillin Ampicillin
belongs to the penicillin group and has been used since 1961 to effectively treat many bacterial infections, including prostatitis.

Cephalexin
This medicine belongs to the group of antibiotics known as cephalosporin. To be more specific, often prostatitis caused by Escherichia coli is cured with Cephalexin.

Tetrex
Tetrex is often used (belongs to the tetracyclines group) for streptococcal prostate infections.

Acute bacterial prostatitis is usually treated  intravenously with antibiotics for up to 24 hours after the onset of fever .
At the end, the physician prescribes to continue oral antibiotic therapy (with tablets) for 4 weeks to prevent the development of chronic bacterial prostatitis.

The doctor may also prescribe non-steroidal anti-inflammatory drugs  for severe pain.

 


Recurrent prostate infection

Infection of the prostate that repeats at regular intervals indicates that the antibiotic was
not successful in eliminating the bacteria.
This can occur because:

  1. Administration is interrupted abruptly,
  2. The antibiotic was ineffective.

Nestas circunstâncias, a fim de evitar uma recaída da infecção é possível aumentar a duração do ciclo de antibióticos até 6-8 semanas ou tomar outro antibiótico (como Tetrex) capaz de penetrar na próstata e matar as bactérias completamente e não parcialmente.
Em alguns casos, o paciente pode se submeter a um tratamento antibiótico por muitos meses antes que a infecção desapareça completamente.
É possível tratar casos graves de prostatite que causam um incômodo insuportável com a administração venosa de antibióticos.

In the urinary system, the presence of foreign bodies (such as bladder and kidney stones ) may be one of the reasons for recurrent prostate infection.
In general, determining the bacterial strain and taking corresponding antibiotics is critical to preventing recurrent infection.

Treatment for chronic prostatitis
Treatment of this disorder is very difficult.
It has been observed that antibiotics are not very effective against chronic prostatitis. Therefore, to treat this type of prostatitis it is better to consider other medications.

Some medications (viagra, cialis, etc.) may allow erection in men suffering from prostatitis, but have serious side effects, so it is necessary to take into consideration the supervision of your doctor.

If bacterial cultures are negative , your doctor may prescribe a combination of:

  1. Alpha blockers (Tansulosin),
  2. Herbal anti-inflammatory drugs (quercetin and bee pollen).

If they are not successful, there are neuromuscular therapies , such as:

  1. Physiotherapy of pelvic muscles,
  2. Amitriptilina,
  3. Gabapentina.

Source

 


Natural Remedies for Prostatitis

In addition to treatment to prevent the occurrence of this disease is very important to drink plenty of water, avoid strenuous activities such as horseback riding, cycling and jogging and still maintain the health of the prostate.
Some people can ride a bicycle with the saddle that has the hole for the prostate.
According to a scientific study published in Pubmed , some foods or drinks may aggravate the symptoms, in particular:

  1. Spicy foods,
  2. Café,
  3. Chili,
  4. Alcoholic beverages,
  5. Tea

In contrast, foods that relieve symptoms are:

  1. Pysllium;
  2. Water,
  3. Herbal teas,
  4. Policarbofil.

Saw Palmetto
Saw Palmetto is a natural remedy that caters for:

  1. Improve prostate health,
  2. Treat urinary symptoms.

According to scientific studies, Saw Palmetto can bind to cellular receptors in the lower urinary system, improving urinary symptoms:

  • From prostatitis,
  • From overactive bladder,
  • Hyperplasia.

Source

Researchers indicate that it has no known drug interactions and does not cause adverse side effects.
You can find the Saw Palmetto capsules in most herbalists.

Physical activity at leisure may reduce the risk of chronic prostatitis in middle-aged and elderly men.

 


Diet and Nutrition for Prostatitis

Benefits of Red Wine for Prostate Health
Red wine is one of the few drinks that have prostate benefits.
Consuming at least 4 glasses of red wine per week can reduce your risk of getting prostate cancer.

One study showed that the type of alcohol consumed by the two groups (each group had more than 700 men). One group consisted of men who had prostate cancer, while the second group consisted of healthy individuals.
The study showed a substantial decrease in the risk of having prostate cancer in people who consumed red wine. The researchers found that men who drank four to seven glasses of red wine a week reduced their cancer risk by 48 percent. Men who consume only 1 glass of red wine each week have a 6% reduced risk of developing prostate cancer.
The study also found that increasing red wine intake (up to 8 glasses each week) reduces the risk of contracting an aggressive cancer by up to 50%.

What foods to avoid
The prostate and all body organs work poorly on obese people who eat many:

  1. Trans fat and saturated fats,
  2. Sweets,
  3. Dairy products,
  4. Pork,
  5. Fried food.

In particular, according to the blood type diet, prostate problems can be caused by:

  1. Milk and dairy products,
  2. Tomato (for people of blood type A and B).

 


How long does it last? Healing time

The cure time depends on the cause of prostatitis.
In the case of bacterial infection, in a few weeks of antibiotics can heal, while if the prostatitis becomes chronic or recurrent it may persist for years.

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