Prostatitis: A necessary awareness for men.

Prostatitis is the inflammation of the prostate gland that is often associated with lower urinary tract symptoms and symptoms of sexual discomfort and dysfunction. It is the most common urinary problem in men less than 50 years of age.


             CAUSES
- Infections(bacteria, fungi).
- Uretral strictures.
- Benign prostatic hypeplasia.
- Dehydration.
- Recurrent urinary tract infections

            TYPES OF PROSTATITIS
According to the National Institutes of Health,it is classified into four. Which are:

- Acute bacteria prostatitis(type i): Caused by invasion of organisms such as Escherichia coli,Klebsiella,Pseudomonas,Enterobacter,Neisseria gonorrhoea,pseu Pseudom and Enterobacter.
- Chronic bacteria prostatitis(type ii): Same as acute bacteria prostatitis but involves recurrent episodes of infection.
- Chronic prostatitis/ chronic pelvic pain syndrome (cp/cpps)(type iii): The cause is unknown but may occur after a viral illness or associated with sexually transmitted infections (STIs), particularly in young adults.
- Asymptomatic inflammatory prostatitis (type iv): This is usually diagnosed in individuals without symptoms but discidisco to have an inflammatory process in the process. It is diagnosed during evakuevalu of other genitourinary tract problems.


               SIGNS AND SYMPTOMS OF                                         PROSTATITIS
- Acute prostatitis is characterized by sudden onset of fever, dysuria (difficulty in urination), frequent and urgent urination, perineal pain, cloudy urine and prostate pain.
- Approximately 8% of types I prostatitis (Acute prostatitis) progress to type II prostatitis( chronic bacterial prostatitis).
- Chronic bacterial prostatitis involves backache,Perineal/pelvic pain, difficulty in urination,frequent/urgent urination and ejaculatory pain.
Patient with this type, typically asymptotic between episode
- Patients with type II prostatitis often have no bacteria in the urine but there is presence of pain.
- Patients with type IV prostatitis are usually diagnosed incidentally during workshops for fertility on elevated prostate specific antigen (PSP) test.

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        COMPLICATIONS
- Epididymitis.
- Cystitis.
- Postejaculation pain.
- Problems with libido.
- Erectile dysfunction.
- Infertility.

DIAGNOSIS
-Urinalysis.
-Microscopic and culture sensitivity.
-Digital rectal examination.
-prostate specification(PSA)test,to rule out prostate cancer.
-Urofluometry.
-Abdominal ultrasound may be done to rule out an abscess on the prostate.

               MANAGEMENT
- Use of antibiotics such as trimethoprim/sulfamethoxazole(Bactrim),cipro ciproflo(Cipro) and ofloxacin(Floxin) in treating acute and chronic prostatitis.
- Anti- inflammatory drugs.
- In case of acute urinary retention, suprapubic catheterization is done.
- Pelvic floor training.
- Sitz baths.
- Prostatic massage.
- Adequate intake of water.



               PREVENTION
- Drink a lot of water.
- Practice good hygiene.
- EnagEn in regular physical exercise.
- Maintain an healthy weight.
- Eat a lot of fruits and vegetables.
- Practice safe sex.
               

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