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Prostatitis / prostate pain

Prostate pain is due to protracted prostatitis one of the most common urological diagnoses, there are even estimates that one in two men will suffer from it at some point in their life.

The prostate sits just below the urinary bladder and “hugs” the uppermost part of the urethra. As a gland that produces components of the ejaculate, it has not just one, but several exits into the urethra. In the case of prostatitis, this is also how bacterial infection takes place. As with cystitis, the acute form of prostatitis is not a big deal at first: the infection can be cured completely with an antibiotic in many cases.

Most important part of the Diagnosis of suspected prostatitis is next to that via the anus Palpation of the prostate a special urine sample, in which up to four collecting vessels may be used, but at least one vessel for the midstream urine and one for the urine that is released after a light prostate massage - it contains Prostate secretion, in which in prostatitis increased amounts of white blood cells and in bacterial infection also bacteria can be detected. There may also be a Examination of the urine flow (the urine stream is often thin or interrupted in prostatitis) and one Blood test carried out in which specifically the prostate-specific antigen (PSA) is determined, the level of which is increased in prostatitis. For chronic prostatitis, one should have Ultrasound examination of the lower abdomen also for meaningful diagnostics.

A acute bacterial prostatitiss caused significant pain in the area of ​​the prostate and perineum, which radiate into the penis, testicles and into the anal and groin region. When urinating - the The urge to urinate is greatly increased - and when you have a bowel movement the pain intensifies, and sometimes it comes too Urinary retention because the swollen prostate presses on the urethra. Furthermore, the classic symptoms of an infection occur, Fever and severe fatigue, on. Possible pathogens of infectious prostatitis include intestinal bacteria such as E. Coli, chlamydia and other sexually transmitted germs.

The acute bacterial prostatitis is treated with antibiotics. Even a few days bed rest are recommended: It is extremely important that you cure yourself properly with prostatitis in order to prevent relapses or chronification.

How and why from an acute one chronic prostatitis is just as incompletely understood as in the case of cystitis. Bacteria that are so well “entrenched” that antibiotic treatment does not damage them significantly, or antibiotic-resistant bacteria may play a role here, perhaps also a tendency to re-infections due to anatomical features or existing urinary flow disorders. The most common form of chronic prostatitis, however, is abacterial - at least no responsible pathogens can be detected in those affected. Here the inflammatory and / or pain reaction to prostate pain syndrome (formerly known as prostatodynia) has become independent.

Furthermore you can Prostate stones play a role: These hard deposits of prostate secretion and possibly urine components can offer bacteria antibiotic-safe "shelter" and thus promote chronic infections and sometimes they themselves cause pain and inflammation.

Chronic prostatitis is less painful than acute, but it causes constant symptoms: diffuse Pain, discomfort when urinating and - characteristic symptom of prostatitis - sharp pain when ejaculating. Symptoms are called chronic when the prostate symptoms have persisted for more than three months.

The chronic abacterial prostatitis is usually associated with Painkillers (Certainly not a permanent solution due to the side effects of nonsteroidal anti-inflammatory drugs / the side effects and the potential for dependence on opioids) and Muscle relaxants (so-called alpha blockers). Also testosterone lowering drugs (Alpha-reductase inhibitors) can relieve prostate problems. Sometimes, despite negative pathogen detection, antibiotics are tried on a trial basis - but it has not been proven that this actually has any benefit. Complementary therapies (herbal remedies, acupuncture, magnetic wave therapy, homeopathy) as well Sitz baths, pelvic floor and relaxation exercises are also used in the management of chronic prostatitis.

Surgical removal of parts of the prostate can be considered if the symptoms are severe and the patient has not responded to any attempt at therapy.

The urological practice of Dr. Armbruster and Dr. Gärtner in Kornwestheim is fully familiar with the diagnosis and treatment of prostate pain / prostatitis.