The prostate is male reproductive gland that is responsible for producing the fluid that carries sperm in times during ejaculation. Surrounding urethra, trough witch urine passes out of the body, in same cases gland grows bigger, pressing it, and causing bladder and urination problems. This state is called Prostate enlargement or Benign prostatic hyperplasia - BPH, and happens to almost all man in their older age. Half of man will experience prostatitis (infection) of prostate even once in their lifetime.
Infection that can cause prostate swelling is defined in 4 categories;-chronic abacterial prostatitis-chronic bacterial prostatitis-Prostatodinya (prostate gland pain)-acute bacterial prostatitis
Of this four, causes are known only for chronic and acute bacterial prostatitis is known. For rest, causes remain unknown.
Real causes are unknown for 95% of cases, but only 5% of infection cases are explained. Infection has two ways of spreading. First is when bacteria from older urinary infection moves to attack prostate. Second is the case when infected urine is moving through prostatic ducts. There is also some organisms, which are prime suspect of causing prostate infection or prostatitis. One is bacteria Escherichia coli (E coli). Other one can be parasites, like genital viruses, fungi and staphylococci.
Infection of prostate can be acute or chronic. In chronic cases infection is recurrent, but less intense than in acute one. Most symptoms are related with urinating, starting from dribbling in the end of it, all trough inability to empty the bladder altogether, and frequent night urinating. In case of prostatitis, high fever and fatigue.Difference between acute and chronic infection is, that in chronic case you can also experience sexual dysfunction, pain in testicles, lower back, urinary pain while urinating, pain in jolts and mild fever.
Tests and Exams
Usually, exam with your doctor starts with digital rectal exam, in order to check the prostate gland. If it is enlarged, doctor may perform other various tests, which include urine tests, bladder, blood, infections, etc. e Doctors exam usually finds, in cases of infected prostate problems like tender testes (epiddidymis), and urinary discharge.
Based on the severity of your symptoms, various treatments can be recommended, from lifestyle changes, medications, and in some cases, even surgery.
Treatment and Procedures
In case of acute bacterial prostatitis, it may include:-antibiotics (norfloxacin, Septra, Bactrim etc.) for periods of four to six weeks-in some serious cases of sever bacterial infection or high fever, you may even be hospitalized-in the hospital, you may need installment of catheter (small tube that is inserted in your urethra), in cases of severe infections and obstructions-also in the hospital, the can also give you aminoglycoside or cephalosporins antiniotics
In case of chronic bacterial infection of prostate, effectiveness of antibiotics are limited, because they can not penetrate in to prostate when it is not inflamed. Some other treatments may include:-prostate massage can be introduced, if enlarged prostate blocks the ducts, allowing then to drain properly and enable penetration of antibiotics-your doctor me prescribe to you Bactrim DS and Septra DS type of antibiotics, or some others like Noroxin or Cipro, to boost effectiveness-in cases of relapse of infection after you stopped to take medication, you may need to take them again for 2-3 more weeks, together with prostatic massage