Overview
Bacterial prostatitis is an infection and inflammation of the prostate gland. Acute bacterial prostatitis is a medical emergency that comes on suddenly with severe symptoms. Chronic bacterial prostatitis develops gradually and is a recurrent condition. Both types require medical treatment.
Symptoms
Symptoms of acute prostatitis include fever, chills, severe pain in the lower back or genital area, painful urination (dysuria), frequent and urgent need to urinate, and difficulty emptying the bladder. Chronic prostatitis may have milder symptoms including pain in the pelvic area, urinary discomfort, and painful ejaculation.
Causes
It is usually caused by common bacteria such as Escherichia coli, which often originate from the gastrointestinal tract. These bacteria can travel from the urethra or the bladder into the prostate. Risk factors include a recent urinary tract infection, catheter use, or an enlarged prostate.
Treatment
Treatment for acute bacterial prostatitis typically involves antibiotics and may require hospitalization for intravenous drugs. Chronic prostatitis is treated with a longer course of oral antibiotics, sometimes lasting 4-6 weeks. Pain relievers, stool softeners, and warm baths can help relieve symptoms.
When to See a Doctor
Seek immediate medical attention if you have symptoms of acute prostatitis, such as high fever, severe pain, and difficulty urinating. Chronic prostatitis symptoms should also be evaluated by a doctor for proper diagnosis and treatment.