Prostatitis is Inflammation and/or infection of the Prostate gland found in men.

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
  • Fever
  • Chills
  • Difficulty voiding
  • Pain with voiding
  • Frequent urination
  • Painful ejaculation
  • Low back pain



  • Digital Rectal Exam
  • Transrectal Ultrasound – occasionally done
  • Biopsy
  • Voiding Studies


  • Appropriate Antibiotics
  • Aplha-blockers
  • Muslce relaxants
  • Pain medications
  • Surgical procedures
  •     Finasteride (Proscar) – lowers hormone level in prostate.
  •     It is not used often
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