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Chronic non-bacterial prostatitis is an inflammation of the prostate induced by different causes except for bacteria. The condition is also known as inflammatory chronic pelvic pain syndrome and is commonly characterized by symptoms and signs of prostatitis without a positive result of urine culture.

The Prostate and Inflammation

The prostate is a walnut-sized and shaped male gland which is a part of the male reproductive system. The gland is situated just below the bladder and plays a significant role when it comes to male sexuality. The gland surrounds the urethra and this is the reason why its enlargement easily causes obstruction in urine flow and accompanying symptoms and signs. Enlargement of the gland is associated with its inflammation and is also age-related.

Chronic Non-bacterial Prostatitis and Its Causes

There are no sufficient data regarding chronic non-bacterial prostatitis available. Still, many experts believe that this condition is associated with blocked urine flow, abnormal movement of urine and prostate secretions into the gland and sometimes there may be microorganisms which infect the prostate gland but are not detectable in the urine. It is also possible that condition originates from some autoimmune disease or abnormal nerve/muscle function. Even chemicals normally found in the urine (e.g. uric acid) may enter the gland and induce irritation and subsequent inflammation.

Clinical Characteristics of  Chronic Non-Bacterial Prostatitis

Patients complain about frequent urge to urinate, pain or burning sensation while urinating and additional difficulties during urination. Urine stream may be decreased or interrupted. Additionally, there may be pain or slight discomfort during/after ejaculation and similar problems associated with bowel movements. Some individuals have reported the presence of blood in the semen and/or urine. Pain, which is the main characteristic of the condition, may be located in the perineum, suprapubic area, scrotum, urethral area, lower back, and the tip of the penis.

Diagnosing Chronic Non-bacterial Prostatitis

Diagnosis can be set after several unsuccessful treatments of potential bacterial prostatitis. Namely, patients are treated with antibiotics but the symptoms and signs of inflammation remain in spite of the treatment. There is no presence of microorganisms in the urine and yet patients have to deal with unpleasant symptoms of prostate inflammation.

Management of Chronic Non-bacterial Prostatitis

There is no cure for the condition but with certain treatments it can be brought under control. Traditional treatments for chronic non-bacterial prostatitis include muscle relaxants, beta blockers, massage, counseling, biofeedback, acupuncture and relaxation techniques. Microwave therapy and warm baths may be of additional help. And finally, with proper nutrition some symptoms may be significantly alleviated.

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