Chronic prostatitis, often called Chronic Pelvic Pain Syndrome (CPPS), has several potential causes, including lingering bacterial infections (Chronic Bacterial Prostatitis), nerve damage, autoimmune issues, chemical irritation from urine, stress, pelvic floor muscle tension, and sometimes trauma, though the exact reason for non-bacterial types is often unknown. It can stem from untreated acute infections or arise from complex, multifactorial issues affecting nerves, muscles, and immune responses in the pelvic region.
Chronic prostatitis, also called chronic pelvic pain syndrome. Research suggests that the cause may involve several factors. These include an earlier infection, a condition of the nervous system or immune system, psychological stress, or issues with hormones.
Chronic prostatitis can be very difficult to cure. Many men do not respond to one or more prolonged courses of antibiotics. Because little is understood about prostatitis that is not caused by infection, finding the right treatment may be difficult.
Prostatitis can happen at any age. Symptoms may include peeing more often, a burning or stinging feeling when peeing, pain peeing, and fever and chills. Your healthcare provider often diagnoses prostatitis by your symptoms and by checking your urine and semen for signs of infection.
Prostatitis can affect men of all ages but is most common in men between the ages of 30-50.
Bacteria can get in your prostate through your urethra or when your urine flows backward (vesicoureteral reflux). Potential causes of bacterial forms of prostatitis include: Bladder infections or bladder stones. Sexually transmitted infections (STIs).
Results: The relative odds of prostate cancer were elevated in men with history of any type of prostatitis (odds ratio [OR] = 1.7; 95% confidence interval [CI] = 1.1-2.6) or acute prostatitis (2.5; 1.3-4.7). The mean time from most recent episode of acute prostatitis to the diagnosis of prostate cancer was 12.2 years.
There is a great deal of confusion between chronic prostatitis and interstitial cystitis. They have very similar symptoms, diagnostic criteria, food triggers, and treatments.
Acute prostatitis starts quickly. Long-term (chronic) prostatitis lasts for 3 months or more. Ongoing irritation of the prostate that is not caused by bacteria is called chronic nonbacterial prostatitis.
You'll need to have a urine test so the doctor can check for bacteria and other signs of infection. You might also need a blood test. You might have a digital rectal examination (DRE) to see if your prostate is inflamed and painful, and the doctor may examine your stomach area (abdomen) and penis.
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), previously known as chronic nonbacterial prostatitis, is long-term pelvic pain and lower urinary tract symptoms (LUTS) without evidence of a bacterial infection. It affects about 2–6% of men.
Missing doses or not taking all the antibiotic can keep the antibiotic from killing all the bacteria. If you have prostate infections that keep coming back and don't get better with treatment, see a doctor who specializes in urinary and reproductive health, called a urologist.
Prolonged sitting, especially over a long period, can be a significant risk factor for bacterial prostatitis.
Treating infection
For acute or chronic bacterial prostatitis, you take antibiotics. Acute prostatitis may need antibiotics given through a tube in a vein, called an IV, in the hospital for a short time. The course of antibiotic treatment is most often 4 to 6 weeks. Sometimes it can be longer.
Many studies that have been conducted over the years have shown that certain foods and drinks, such as alcohol and spicy foods, can aggravate symptoms. Studies have also shown that foods high in fiber and healthy fats can improve symptoms of prostatitis.
The prostate, one of the many organs co-expressing ACE2 and TMPRSS2, is a target organ for COVID-19 infection. Several studies have confirmed the inflammatory effects that COVID-19 exerts on the prostate, which result in the occurrence of prostatitis among male patients.
Untreated symptoms of nonbacterial prostatitis may lead to sexual and urinary problems. These problems can affect your lifestyle and emotional well-being.
Lesions of chronic prostatitis, on T2WI MR imaging, usually present with unilateral or bilateral diffuse or flaky areas with little to no mass effect or wedge shaped areas of low signal intensity in the peripheral zone of the prostate.
Can Stress Cause Prostatitis? Studies have linked stress with a type of prostatitis called chronic pelvic pain syndrome.
Some men develop chronic bacterial prostatitis after a bout of acute bacterial prostatitis. This can affect any age but is more common in the 30-50 age group. Chronic pelvic pain syndrome (CPPS) This is the most common form of prostatitis and can affect men from any age group and be quite weakening.
Though sometimes prostatitis can result from bacteria entering the prostate during a medical procedure or from another prostate condition such an as enlarged prostate- The majority of cases are linked to poor hygiene, a sedentary lifestyle, unprotected sex, and a diet that is deficient in vital nutrients.