Routes of infection are urethra and reflux of infected urine into protatic ducts.
Can be associated through sexual transmission – though research shows this may be less common than once thought.
Repeated or chronic bladder infections can also be a cause.
But most often the cause is not clear.
Can be associated without the presence of bacteria. (60-70%)
Can affect men of all ages.
Prostatitis has been classified by the National Institutes of Health (NIH) into four categories:
- Category 1 is acute bacterial prostatitis.
- Category 2 is chronic bacterial prostatitis.
- Category 3 includes the conditions previously known as nonbacterial prostatitis, prostatodynia and chronic pelvic pain syndrome.
- Category 4 is asymptomatic inflammatory prostatitis.
Can be Acute or Chronic
1.) Acute Prostatitis = typically caused by bacteria
- Acute bacterial prostatits is usually caused by E.coli or Pseudomonas
- Less typical infection is by Eneterococci
2.) Chronic Prostatitis = caused by bacteria and nonbacterial causes.
- Rectal, Sacral, or Perineal pain
- Difficulty voiding
- Pain with voiding
- Frequent urination
- Painful ejaculation
- Low back pain
- Digital Rectal Exam
- Transrectal Ultrasound – occasionally done
- Voiding Studies
- Appropriate Antibiotics
- Muslce relaxants
- Pain medications
- Surgical procedures
- Finasteride (Proscar) – lowers hormone level in prostate.
- It is not used often