User:Mr. Ibrahem/Prostatitis

Prostatitis
Other names	Prostatosis
Micrograph showing an inflamed prostate gland, the histologic correlate of prostatitis. A normal non-inflamed prostatic gland is seen on the left of the image. H&E stain.
Specialty	Urology
Symptoms	Acute: Sudden onset of pain in the pelvic area, fever Chronic: Off and on pain and urinary symptoms for more than 3 months
Complications	Acute: Urinary retention, prostate abscess Chronic: Recurrent urinary tract infections
Usual onset	30s and 40s
Types	Acute bacterial prostatitis, chronic bacterial prostatitis, chronic prostatitis/chronic pelvic pain syndrome, asymptomatic inflammatory prostatitis
Causes	Acute: Bacterial infection Chronic: Often unclear
Diagnostic method	Examination, urinary analysis, medical imaging, PSA testing, semen testing
Differential diagnosis	Prostate cancer, urinary tract infection, benign prostatic hyperplasia, kidney stones, bladder cancer
Treatment	Acute: Antibiotics Chronic Alpha blockers, NSAIDs, antibiotics
Frequency	Common

Prostatitis is inflammation of the prostate gland. There are two main types acute and chronic. Acute prostatitis is sudden in onset, results in significant pain, and is less common. Chronic prostatitis lasts for at least three months, symptoms come and go, and it is more common. Complications of acute disease may include urinary retention or a prostate abscess. Chronic disease may result in recurrent urinary tract infections.

The cause of acute disease is generally a bacterial infection, while the cause of chronic disease is often less clear. Chronic disease may be divided into chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Another category is known as asymptomatic inflammatory prostatitis (AIP). Diagnosis may involve examination, urinary analysis, medical imaging, PSA testing, and semen testing.

Treatment depends on the type. Acute prostatitis is generally treated with antibiotics while chronic disease may be treated with alpha blockers and NSAIDs in addition to antibiotics. Rarely surgery is required. Asymptomatic prostatitis may not require treatment.

Prostatitis affects about half of males at some point in time. It represents the reason for about a quarter of urology visits related to urinary symptoms. Prostatitis most commonly occurs in a persons 30s or 40s. Prostatitis was first described by Verdies in 1838 and early treatments included leeches and prostatic message.