Helpful Information for Patients
Prostatitis (Inflammation of the prostate)
The prostate can sometimes be enlarged because of inflammation. An inflammation of the prostate is known as prostatitis and this can cause swelling and pain. There are four types of prostatitis.
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is the most common prostate inflammation. If you have CP/CPPS, you may experience pain and have difficulties during urination, have persistent pain in the bladder, testicles or between the penis and the rectal region, or pain during ejaculation.
There are also two types of prostatitis that are associated with bacterial infection. In chronic bacterial prostatitis, the discomfort that you may feel may come and go as this is a long-term condition. You may feel a burning sensation during urination, a frequent urge to urinate, pain during ejaculation or have persistent pain in the bladder, testicles or between the penis and the rectal region. An acute bacterial prostatitis is usually sudden and painful. You may experience sudden chills, fever or have a very painful burning sensation during urination. You may also have difficulties emptying your bladder.
The last type of prostatitis is known as asymptomatic prostatitis and does not cause any discomfort. This is usually detected by your doctor during an examination for other conditions and treatment is usually not required.
How is prostatitis treated?
Prostatitis treatment is usually done through medications. Antibiotics may be given if the cause of your prostate inflammation is bacterial. Other medications include alpha-blockers which help to relax the prostate and bladder area or nonsteroidal anti-inflammatory drugs (NSAIDs) which helps to relieve pain and swelling.
If further intervention is required, a procedure known as low-intensity shockwave therapy (LiSWT) may be performed. Low energy shockwaves are sent to the prostate to help improve blood flow, relieve pain and reduce inflammation.
The discomforts associated with BPH could also be caused by other conditions. During the examination of the prostate or during surgical procedures, if there is a good reason to suspect that the enlargement is an abnormal occurrence, your doctor may send some samples of your prostate tissue for further testing in a procedure known as a biopsy. Other routine tests as mentioned above such as the blood test like PSA (Prostate Specific Antigen) and urine tests, can also pick up other causes of prostate enlargement.