Prostatitis is swelling and irritation of the prostate gland.

The condition is called Bacterial Prostatitis when it is caused by an infection with bacteria.

  • Acute bacterial Prostatitis starts quickly.
  • Chronic bacterial Prostatitis lasts for 3 months or more.

Ongoing irritation of the prostate that is not caused by bacteria is called chronic Nonbacterial Prostatitis.

Symptoms

Symptoms of Acute Prostatitis can start quickly and can include:

  • Chills
  • Fever
  • Flushing of the skin

Symptoms of Chronic Prostatitis are similar, but not as severe. They often begin more slowly. Some people have no symptoms between episodes. Symptoms may include:

  • Blood in the urine
  • Burning or pain with urination (dysuria)
  • Difficulty starting to urinate or emptying the bladder
  • Foul-smelling urine
  • Weak urine stream
  • Pain or achiness in the abdomen above the pubic bone, in the lower back, in the area between the genitals and anus, or in the testicles
  • Pain with ejaculation or blood in the semen
  • Pain with bowel movements

Diagnosis

Your Ohio State urologist may perform a physical exam, including a digital rectal exam. A prostatic massage may help determine whether you have an infection in the prostate gland. Urinalysis may also be used to determine a diagnosis.

Treatment

Antibiotics are often used to treat prostate infections. If your swollen prostate gland makes it hard to empty your bladder, you may need a tube to empty it.

These practices may also help:

  • Urinate often and completely.
  • Take warm baths to relieve pain.
  • Take stool softeners to make bowel movements more comfortable.
  • Avoid substances that irritate your bladder, such as alcohol, caffeinated foods and drinks, citrus juices, and hot or spicy foods.
  • Drink more fluid (64 - 128 ounces per day) to urinate often and help flush bacteria out of your bladder.

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