Assoc. Prof. Dr. Akif Diri
Urology Specialist
25 Years
Surgical Experience
More than 32 Thousand

Prostate Inflammations (Prostatitis)

What is Prostatitis?

Prostatitis is inflammation of the prostate gland. Due to the inflammation that develops due to this disease, the prostate gland swells and causes pain. Although prostatitis is sometimes caused by a bacterial infection, there is often no microbial condition and the cause of prostatitis is not fully understood.

While prostate enlargement and prostate cancer are usually seen in older men, prostatitis can occur in adult men of any age group.

Prostatitis Treatment

The treatment of prostate inflammation varies depending on whether the disease is acute (sudden) or chronic (recurrent). Medications are usually used in the treatment process of prostatitis. These drugs include painkillers-inflammatory, alpha-blockers that relax the prostate and bladder neck, and some antibiotics. Although prostatitis resolves within a few weeks to a few months in most men, this process may take longer in some people.

Acute Bacterial Prostatitis

Acute inflammation of the prostate, although rare, is a condition that should be taken very seriously. The most common symptoms of acute bacterial prostatitis can be listed as follows:




Pain and burning during urination,

Difficulty urinating,

A thinned urine stream,

Pain during ejaculation,

The feeling of not fully emptying the bladder,

The need to urinate frequently and the need to urinate constantly,

Blood in the urine.

The main starting point of this type of prostatitis is the bacteria in the urinary system and large intestines. Acute bacterial prostatitis is a serious clinical condition that should not be ignored. For this reason, it is beneficial for people with such complaints to see a doctor without wasting time. Antibiotics, painkillers and antipyretics are used in the treatment process of acute prostatitis. Depending on the severity of the symptoms and the complaints of the patients, inpatient treatment may be required.

Chronic Bacterial Prostatitis

Prostatitis that persists for three months or longer can be defined as a bacterial prostate infection. Although it is a more common condition than acute prostatitis, the actual cause of chronic bacterial prostatitis is not clear. It can manifest itself due to bacteria in the urinary system, bladder or blood infection. Stones that may occur in the prostate gland or structural defects in the prostate can also cause prostatitis. It can also occur as a result of infection, trauma or some procedures to the urinary system.

In the case of chronic bacterial prostatitis, symptoms develop more slowly and silently, unlike acute prostatitis. The symptoms of chronic bacterial prostatitis can be listed as follows:

The urge to urinate frequently,

Burning sensation while urinating,

Difficulty urinating,

Sexual reluctance,

Pain during ejaculation,

Tension feeling in the intestines,

Pain in the breech region and testicles.

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Fever is not expected in this type of prostatitis.

How is Chronic Bacterial Prostatitis Treated?

While antibiotics and anti-inflammatory drugs are used in the treatment process of chronic bacterial prostatitis, these drugs should be used for a long time.

Asymptomatic Inflammatory Prostatitis

This type of prostatitis, which does not manifest itself with any symptoms, is inadvertently detected in the surgical specimen or prostate biopsy sample of patients who have undergone surgery due to prostate enlargement or prostate cancer. This type of prostatitis does not require treatment.

What is Chronic Prostatitis (Chronic Pelvic Pain Syndrome)?

Chronic non-bacterial prostatitis, also known as Chronic Pelvic Pain Syndrome, is the most common type of prostatitis (prostatitis) seen in men. This type of prostatitis is also known as “chronic non-bacterial prostatitis”. One of its names is non-bacterial because it is an inflammation of the prostate that is not related to a particular bacteria. Although symptoms of weakness and fatigue are usually encountered, the pain caused by the disease continues for three months or more. However, chronic prostatic disease is often seen together with psychological conditions such as anxiety and depression.

We can list the symptoms of chronic prostatitis as follows:

Pain in the penis, testicles, anus, lower abdomen and lumbar region,

Pain during urination,

Frequent urination,

Immediate urge to urinate, especially at night

Recognition of enlargement or tenderness in the prostate during prostate examination,

Hardening problem,

Pain during ejaculation or after sexual intercourse.

When chronic prostatitis tests are performed; Bacterial infection cannot be clearly detected in cultures taken from urine, semen and prostate secretion. Therefore, the diagnosis and treatment process of this type of prostatitis is quite difficult. The main goal in the treatment process of chronic prostatitis is to reduce the symptoms that occur. Complaints accompanying the disease often decrease with treatment.

Chronic Prostatitis Treatment

Antibiotics, anti-inflammatory drugs and anticholinergics that can be used for a long time may be beneficial in the treatment of chronic prostatitis. In addition to these, prostate massage can be recommended for the treatment of patients who do not benefit from conventional treatment methods. Because prostate massage; regulates the circulation, opens the intraprostatic channels and provides maximum optimization of the transfer of antibiotics to the tissue.