The symptoms of prostatitis depend on the type of infection or disease you have. You may experience no symptoms or symptoms so sudden and severe that they cause you to seek emergency medical care. Prostate symptoms, when present, can include any of the following: fever, chills, urinary frequency, frequent urination at night, difficulty urinating, burning or painful urination, perineal (referring to the perineum, the area between the scrotum and the anus) and low-back pain, joint or muscle pain, tender or swollen prostate, blood in the urine, or painful ejaculation.
Key Facts on Prostatitis And Its Diagnosis
* Prostatitis is an inflammation of the prostate, prostate symptoms are very severe for most prostatitis cases.
* The symptoms of prostatitis often mimic those of other urinary tract or prostate disorders, but with a lot more wild prostate symptoms.
* The digital rectal examination is the first step in diagnosis of any prostate problems and prostatitis, it is performed to examine prostate glands for changes in texture, size, lump, hardening.
* Another prostate test that must be performed when prostatitis is suspected is prostate stripping--massaging the gland to get a fluid sample for microscopic evaluation on infection.
A number of men with prostate disease may not have many or any prostate symptoms. Those men who do have prostate symptoms usually find that there are noticeable changes in urination because prostate disease affects the part of the prostate around the urethra. If prostate symptoms develop, they are usually described as either obstructive or irritative, but other prostate symptoms may also happen.
Obstructive prostatitis symptoms Hesitancy (a longer than usual wait for the stream of urine to begin); Weak and poorly directed stream of urine; Straining to urinate; Dribbling after urination has finished or an irregular stream; Urinary retention (not all the urine is passed from the bladder making the need to urinate more often); Overflow or paradoxical incontinence (urine overflows from a full bladder uncontrollably even though normal urination cannot be started).
Irritative prostatitis symptoms Urgency (an urgent feeling of needing to urinate); Frequency (a short time between needing to urinate); Nocturia (a need to pass urine more than twice at night).
Other prostatitis symptoms Perineal pain (pain at the base of the scrotum and penis); Dysuria (painful urination); Haematuria (blood in the urine).
What is LUTS? LUTS, or lower urinary tract symptoms, is a common term used to describe the range of urinary symptoms that may be linked with prostatitis. LUTS can be described as mild, moderate or severe, depending on how much the prostate symptoms are bothersome to the man’s general lifestyle and activities. Other issues not directly related to the man’s urinary symptoms may make the prostate symptoms more bothersome, for example reduced physical movement may make it more difficult for a man to get to the toilet in time. Prostate disease is not the only cause of LUTS. LUTS can happen after changes in the workings of the bladder, urethra and/or prostate. Some other causes of LUTS include neurological disease (such as stroke, Parkinson’s Disease), some medicines, infections and an irritable bladder.
The symptoms of prostatitis resemble those of other infections or prostate diseases. Thus, even if the symptoms disappear, you should have your prostate checked. For example, benign prostatic hyperplasia (BPH), a noncancerous enlargement of the prostate that is common in men over age 40, may produce urinary tract symptoms similar to those experienced with prostatitis.
Similarly, urethritis, an inflammation of the urethra (often caused by an infection), may also give rise to many of the symptoms associated with prostatitis.
Still another condition that mimics the symptoms of prostatitis--when prostatitis is not present--is prostatodynia (painful prostate). Patients with prostatodynia have pain in the pelvis or in the perineum. Such pain may result from a prostate problem, but the pain can have a variety of different causes including muscle spasms or other musculoskeletal conditions.
Yet another term your prostate doctor may mention in discussing your prostate problem is prostatosis, a more vague word, which simply means "a condition of the prostate."
Because of the connections between the urethra, the bladder, and the prostate, conditions affecting one or the other often have similar or overlapping symptoms.
The muscles of the pelvic floor may be affected by sitting, and change of position (from sitting to standing) can trigger a bladder reflex in some patients. Learning the role of the pelvic floor muscles and exercising them by practicing controlled relaxation and contraction can reduce prostate symptoms of urinary frequency and urgency. Since these are hidden muscles, it may be necessary to use techniques such as biofeedback to learn how to control these prostate symptoms properly.
The close location of the prostate around the urethra means that any enlargement of the gland may block the urethra and interfere with the flow of urine and changes in urination pattern. The first symptom that there may be prostate problems may be when: A man has difficulty in passing urine; A man experiences the urge to pass urine more frequently. Some men may experience symptoms and pain at the base of the scrotum and penis (referred to as perineal pain).
Any symptoms involving changes to urination should be discussed with a local prostate doctor, particularly if they are affecting a man’s quality of life or interfering in his normal daily activities. Many people think that urinary symptoms in men are a sign of prostate cancer. This is not true. Sometimes, but less commonly, prostate cancer is present, but urinary symptoms are most often caused by prostate enlargement. It is important to have any urinary problems checked by a prostate doctor, and a diagnosis of the prostate symptoms is made.
Contact your health professional immediately if you have sudden fever, chills, and urinary symptoms, such as pain or burning with urination or blood or pus in the urine. These symptoms may indicate acute bacterial prostatitis.
Call your prostate doctor if you have: Urinary symptoms and persistent pain in the low back, scrotum, penis, or the area between the scrotum and anus, or if you have pain with ejaculation or with a bowel movement. Recurring urinary tract infections (UTIs). Discharge from your penis or sores on your genitals. Problems urinating, such as excessive nighttime urination, trouble starting urinating, decreased urinary stream, or frequent urination that is not related to drinking lots of fluids.
Watchful Waiting: Most men will have some discomfort in their prostate (prostatitis) at some time during their lives. If you do not have a fever and chills or extreme pain, you may try home prostate treatment for a few weeks. Take nonprescription pain medications, such as aspirin, ibuprofen, or acetaminophen, to relieve pain. However, if your urinary symptoms and pain continue, you need to see a prostate dr.
Other conditions with symptoms similar to prostatitis Other conditions that may need to be ruled out when diagnosing prostatitis include:
A bladder infection. Urethritis, especially if caused by a sexually transmitted disease, such as chlamydia.
A kidney infection.
Prostate enlargement (benign prostatic hyperplasia [BPH] or prostate cancer).
Presence of a bladder or kidney stone.
A narrow spot in the urethra.
Inflammation or irritation of the bladder (interstitial cystitis), which is rare in men.
Complete inability to urinate (acute urinary retention).
Bladder cancer.
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