Prostatitis Totally Explained

Everything about Prostatitis totally explained

Prostatitis is an inflammation of the prostate gland in men. A prostatitis diagnosis is assigned at 8% of all urologist and 1% of all primary care physician visits in the United States.

Classification

The term prostatitis refers, in its strictest sense, to histological (microscopic) inflammation of the tissue of the prostate gland, although it's loosely (and confusingly) used to describe several completely different conditions. To remedy this, the NIDDK devised a new classification system in 1999, comprising four categories of prostatitis:

Category I

Acute prostatitis is a bacterial infection of the prostate gland that requires urgent medical treatment.

Category II

Chronic bacterial prostatitis is a relatively rare condition that usually presents as intermittent urinary tract infections.

Category III

Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS), accounting for 90%-95% of prostatitis diagnoses, is also known as chronic nonbacterial prostatitis. Men in this category have no known infection, but do have extensive pelvic pain lasting more than 3 months. There are no standard diagnostic tests; diagnosis is by exclusion of other disease entities. Multimodal therapy is the most successful treatment option, and includes α-blockers, phytotherapy, and protocols aimed at quieting the pelvic nerves through myofascial trigger point release with psychological re-training for anxiety control. Antibiotics are not recommended.

Category IV

Asymptomatic inflammatory prostatitis patients have no history of genitourinary pain complaints, but leukocytosis is noted, usually during evaluation for other conditions.

Further Information

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