What
is prostatitis?Prostatitis is inflammation of the prostate gland. The prostate
gland's job is to make some of the semen, the fluid that is released during
sex. The prostate gland forms a ring around the urethra, the tube that carries
urine from the bladder to the end of the penis
What
is chronic prostatitis/chronic pelvic pain syndrome?This is the term
doctors use to describe 1 type of prostatitis. It is also called
"CP/CPPS."
People with
CP/CPPS have pain in the groin area. They can have other symptoms, too, such as
pain with urination and problems with sex. "Chronic" means that
symptoms last for at least 3 months, or go away and come back.
Doctors do
not know exactly what causes CP/CPPS.
There is
another type of prostatitis, called bacterial prostatitis. This is when
symptoms are caused by a bacterial infection. CP/CPPS is not caused by
bacteria.
What
are the symptoms of CP/CPPS?Symptoms can include:
●Pain when you urinate
●Feeling like you have to urinate much more often than normal
●Suddenly needing to urinate in a hurry
●Pain in or near the groin or genitals
●Pain or trouble with ejaculation
CP/CPPS
does not cause a fever. If you have a fever, it's more likely that you have
bacterial prostatitis.
Should
I see a doctor or nurse?Yes. If you have any of the above symptoms, see your doctor or
nurse. They can figure out if your symptoms are caused by CP/CPPS or something
else.
You should
also call your doctor or nurse right away if you have:
●A lot of pain in your groin or genitals
●Trouble urinating
●Fever or chills
These
symptoms might mean you have a problem other than CP/CPPS.
Is
there a test for CP/CPPS?No, there is no 1 test. Doctors diagnose CP/CPPS by checking
for, and ruling out, infection and other conditions that might be causing a
person's symptoms. This involves asking questions, doing an exam, and ordering
tests.
Your doctor
or nurse will test your urine for bacteria. This will tell them if your
symptoms are related to a bacterial infection. They might also do a rectal
exam, which involves putting a finger in your anus to feel your prostate.
If there is
no bacteria in your urine, your doctor might do more tests. If they cannot find
a clear cause for your symptoms, they might conclude that you have CP/CPPS.
How
is CP/CPPS treated?Your doctor can prescribe medicines to help with your symptoms.
These might include medicines to help with pain, inflammation, and urination.
If you have CP/CPPS, antibiotics will likely not help.
Although
there is not a lot of evidence, some people also find that other things help,
such as:
●Physical therapy – This involves working with a physical
therapist who is trained in pelvic muscle issues. They can use special
techniques to help you relax certain muscles.
●Cognitive behavioral therapy – This involves talking with a
psychologist or counselor. They can help you learn ways to cope with your
symptoms.
●Acupuncture – This is when someone who knows traditional Chinese
medicine inserts tiny needles into your skin.
If none of
the above treatments help, your doctor might recommend seeing a urologist. A
urologist is a doctor who specializes in urinary problems.