All details about prostatitis

Written by: Dr. Josep Maria Prats de Puig
Edited by: Top Doctors®


Why does prostatitis occur?

Prostatitis is an inflammation of the prostate tissue that is accompanied by a certain urinary symptomatology (pain in urination, frequent urination, fever, etc.).Prostatitis is divided into two major groups by time of onset: acute and chronic, or two other major groups according to their origin: bacterial and abacterial.The most frequent prostatitis is the acute bacterial. Bacteria travel through the urine and urinary tract to the prostate. Once the contact occurs the bacteria colonize it generating an infection that can become serious if it is not treated. The most common germ in prostatitis is E. coli bacteria.This infection manifests itself in the form of urinary symptoms such as: pain in urination, frequent urination, urination and craving for more, onset of high levels of fever with shivering and bleeding with urine or sperm. These symptoms may be different depending on the patient.


What are the main profiles of patients who frequently suffer from prostatitis?

The factors predisposing to prostatitis will be all those that affect the correct emptying of the bladder and the prostatic tissue. It has been classically related to unprotected anal sex and lack of hygiene due to its relation to colonization by enteropathogenic bacteria (bacteria of intestinal origin).Age is a directly related factor since at the age of 35 the most substantial prostatic changes leading to benign prostatic hyperplasia (enlargement of the prostate) are initiated, which can lead to problems in the normal emptying of the prostate. urinary bladder. In turn this growth creates prostate zones that are easily colonizable by bacteria.


Can prostatitis be prevented?

Yes, whenever a Urologist is consulted when changes in the way of urination are noticed and periodic reviews are established. Urologists recommend avoiding alcohol, caffeine, and other irritants along with maintaining good sexual hygiene. These indications may be the first steps to prevent prostatitis.


In the long run, is prostatitis related to prostate cancer if it is not treated properly?

No direct relationship has been established. However prostatitis destroys the prostate tissue by increasing levels of PSA (prostate-specific antigen that serves to detect risk of prostate cancer) in transiently. If a PSA test is performed near an episode of prostatitis, it can lead to misunderstanding since it can be deduced that the patient suffers from prostate cancer when, in reality, when PSA is repeated again within a few months after prostatitis, prostatitis has normalized .



*Translated with Google translator. We apologize for any imperfection

By Dr. Josep Maria Prats de Puig

Dr. Prats de Puig is a renowned specialist in Urology and Andrology with over 15 years experience in endourological, urological and oncological urology laparoscopy. He is a pioneer in the implementation of oncological and functional laparoscopic surgery.

During his career he has worked in several prestigious centers like the Hospital de Bellvitge providing expertise in the field.

*Translated with Google translator. We apologize for any imperfection

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