What Is the Fastest Way to Get Rid of Prostatitis?

Reviewed on 9/1/2021

Treatment to get rid of prostatitis depends on the type of prostatitis. Bacterial prostatitis may involve antibiotics and medications, while chronic prostatitis may involve medications to reduce pain, discomfort, and inflammation. Home remedies such as warm baths (“sitz baths”), and hot water bottles or heating pads may also help ease symptoms.
Treatment to get rid of prostatitis depends on the type of prostatitis. Bacterial prostatitis may involve antibiotics and medications, while chronic prostatitis may involve medications to reduce pain, discomfort, and inflammation. Home remedies such as warm baths (“sitz baths”), and hot water bottles or heating pads may also help ease symptoms.

Prostatitis is inflammation of the prostate gland, which is a gland located in front of the rectum and just below the bladder in men that helps produce fluid that goes into semen.

There are four types of prostatitis:

Treatment to get rid of prostatitis depends on the type of prostatitis.

Treatment for bacterial prostatitis includes: 

  • Antibiotics
  • Medications to make it easier to urinate
  • Fluids and intravenous (IV) antibiotics, for severe cases of acute bacterial prostatitis
  • Alpha blockers, for chronic bacterial prostatitis 
  • Surgery to treat urinary retention caused by chronic bacterial prostatitis
  • Treatment for symptoms may include: 
    • Avoiding or reducing intake of substances that irritate the bladder, such as alcohol, caffeinated beverages, and acidic and spicy foods
    • Increasing fluid intake to make patients urinate frequently and help flush bacteria from the bladder

Treatment of chronic prostatitis/chronic pelvic pain syndrome is aimed at reducing pain, discomfort, and inflammation and may include: 

Asymptomatic inflammatory prostatitis usually does not cause symptoms and does not generally require treatment. 

What Are Symptoms of Prostatitis?

Acute and chronic bacterial prostatitis can cause slightly different symptoms.

Symptoms of acute bacterial prostatitis come on suddenly, can be severe, and may include:

  • Fever
  • Chills
  • Flu-like symptoms
  • Tiredness
  • Muscle pain
  • Body aches
  • Pain or burning sensation during urination 
  • Urinary urgency
  • Urinary frequency
  • Nighttime urination (nocturia)
  • Urinary retention
  • Difficulty starting a urine stream
  • Weak or interrupted urine stream
  • Complete inability to urinate
  • Urinary tract infection (UTI)
  • Pain in or near the groin, genitals, lower abdomen, or lower back
  • Cloudy urine
  • Nausea
  • Vomiting

Seek medical care immediately for symptoms of acute bacterial prostatitis. 

Chronic bacterial prostatitis may not cause any symptoms. When symptoms occur, they are similar to those of acute bacterial prostatitis but not as severe. Chronic bacterial prostatitis usually develops gradually and lasts three months or more. 

Symptoms of chronic prostatitis/chronic pelvic pain syndrome include:

  • Pain or discomfort lasting 3 or more months in one or more of the following areas:
    • Between the scrotum and anus
    • Scrotum
    • Penis
    • Central lower abdomen
    • Lower back
  • Pain during or after ejaculation 
  • Pain in the urethra or penis during or after urination
  • Urinary frequency (eight or more times per day)
  • Urinary urgency
  • Weak or an interrupted urine stream

Asymptomatic inflammatory prostatitis does not cause symptoms and may be diagnosed when testing for other urinary tract or reproductive tract disorders. 

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What Causes Prostatitis?

  • The causes of prostatitis depend on the type.
  • Acute and chronic bacterial prostatitis are caused by a bacterial infection of the prostate that may happen when bacteria travel from the urethra into the prostate. Men who have urinary tract infections (UTIs) may be more likely to develop bacterial prostatitis. 
  • The cause of chronic prostatitis/chronic pelvic pain syndrome is not known but a microorganism is thought to cause the condition. It may also be due to chemicals in the urine, the immune system’s response to a previous UTI, or nerve damage in the pelvic area.

How Is Prostatitis Diagnosed?

Prostatitis is diagnosed with a patient history, and physical examination which may include a digital rectal exam that involves the doctor inserting a finger into the anus to feel the prostate.

Tests used to diagnose prostatitis or determine the cause of the inflammation may include: 

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Reviewed on 9/1/2021
References
https://www.uptodate.com/contents/bacterial-prostatitis-the-basics?search=Prostatitis&source=search_result&selectedTitle=1~102&usage_type=default&display_rank=1

https://www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostatitis-inflammation-prostate