Prostatitis Symptoms Assessments and Diagnosis


Prostatitis affects more than one in ten men and is the most common prostate issue for men younger than fifty; it occurs when the prostate gland becomes inflamed and (depending on diagnosis) is classed and defined as being either a chronic condition or acute illness. Numerous causes of prostatitis exist, with infections perhaps being the most common.

Prostatitis Symptoms
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Prostatitis symptoms

Prostatitis symptoms¹ include urinary issues (ability/frequency/painful/bloody), sexual dysfunction (painful ejaculation/urethral discharge), chills, uneasiness or fever, as well as aches and pain in the abdomen, groin or lower back. The different causes of prostatitis dictate the symptoms induced and treatment; these could present gradually or quickly and could improve or become chronic prostatitis.

Symptoms of prostatitis are comparable to the symptoms of BPH, but despite their many commonalities, BPH doesn’t induce lower back pain, fever or chills, and does induce a weakened urine stream and sense of failing to fully empty the bladder when urinating. It is common for either of these conditions to go undetected and undiagnosed, as younger men typically present no symptoms. Correct diagnosis is important to follow the correct treatment pathway.

Prostatitis conditions

The National Institutes of Health (NIH) have categorised prostatitis into four conditions: Acute bacterial prostatitis (least common), Chronic bacterial prostatitis, Chronic prostatitis or chronic pelvic pain syndrome (most common) and Asymptomatic inflammatory prostatitis. The causes and symptoms vary throughout each of these diagnoses.

Bacterial infection of the prostate can cause acute bacterial prostatitis and quickly induce severe flu-like symptoms; recurring bacterial infections can cause chronic bacterial prostatitis, which may induce milder symptoms but is harder to treat. Less is known about Chronic prostatitis (or its causes); it can be either non/inflammatory and symptoms can fluctuate or become chronic.

The fourth condition is asymptomatic inflammatory prostatitis; it’s diagnosed when prostatic fluid or semen is found to contain cells that fight infection. Because symptoms are so marginal, this type of prostatitis is often diagnosed during unrelated preliminary procedures in patients undergoing treatment for prostate cancer or infertility.

¹ Urology Health, Infection of the prostate, 18th March 2021

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