PROSTATITIS: WHICH KIND DO I HAVE?
This is a key question: Medical treatment varies for each type of prostatitis. Nonbacterial prostatitis, for example, can’t be helped by antimicrobial (bacteria-killing) drugs such as antibiotics. But bacterial prostatitis can’t be treated withoutthem. Therefore, making the right diagnosis is crucial.
Acute Bacterial Prostatitis hits suddenly, with the impact of a freight train, and it’s impossible to ignore. Its symptoms include: Chills and fever; blood in the urine; pain in the lower back and perineum (area between the scrotum and rectum); extreme pain, burning, urgency or difficulty urinating, which can lead to urinary retention; and usually an accompanying urinary tract infection. Symptoms of such intensity are frightening, and often they mandate an urgent visit to the doctor’s office or emergency room. Sometimes men need to be hospitalized for a few days. (It’s important to note here that this is no time for stoicism; men who have these symptoms need to seek medical help immediately.) The good news is that this condition is the easiest to treat; often it responds dramatically to antimicrobial drugs, and often it never returns.
If the condition does not begin to respond to treatment within a few days, something else might be involved—namely, a prostatic abscess. This is a localized accumulation of pus—like a pimple—under pressure in the prostate. If this is suspected, your doctor should order further tests, such as a prostate ultrasound or MRI, to find out for sure. And if an abscess is present, it can be drained, via a needle passed into the prostate from the rectum or perineum, or it can be removed by a procedure commonly used to treat BPH, called transurethral resection of the prostate.
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