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Prostate Inflammation (Prostatitis)

Diagnosis, symptoms, and treatment methods.

General Information About Prostate Inflammation

Prostate Inflammation (Prostatitis) is the inflammation and swelling of the prostate gland, located just below the bladder in men, usually caused by a bacterial infection or sometimes unknown irritations. Unlike benign prostatic hyperplasia (BPH) mostly seen over the age of 50, prostatitis is the most common urological problem in young and middle-aged men under 50. It causes chronic, severe pain in the pelvic area, testicles, and perineum, significantly lowering the quality of life. In our Urology clinic, the type of disease (bacterial or chronic pelvic pain syndrome) is determined by prostate fluid analysis; permanent solutions are provided through long-term antibiotic courses, prostate massage, and muscle relaxant treatments.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What is Prostatitis (Prostate Inflammation)?

It is the infection of the prostate gland or chronic inflammation due to neurological/muscular reasons. It is accompanied by severe pelvic (lower abdominal) pain and urinary problems.

What are its types?

Acute Bacterial Prostatitis: Starts suddenly with high fever, chills, and inability to urinate. It is very severe and requires immediate hospital treatment.
Chronic Bacterial Prostatitis: Occurs when bacteria hide inside the prostate and cause mild, recurring infections over months.
Chronic Pelvic Pain Syndrome (Non-Bacterial): The most common type (90% of cases). Despite the absence of microbes, the patient suffers continuous inflammatory pain in the prostate and testicles.

What are the symptoms?

Continuous, dull, and uncomfortable pain in the perineum (between the testicles and the anus), groin, or lower back is the most typical symptom. Burning during urination, frequent urination, a feeling of not fully emptying the bladder, and pain during or after sexual intercourse (ejaculation) are also experienced.

Does it affect sexuality? Is it contagious?

Prostatitis can indirectly impair erection quality (due to pain and stress) and cause premature ejaculation. The bacterial type can be transmitted sexually, but the most common non-bacterial type is definitely not contagious and will not pass to your partner.

How is it diagnosed?

A highly sensitive and painful prostate during a rectal examination performed by a urologist confirms the diagnosis. The doctor gently squeezes the prostate (prostate massage) to take a fluid sample from the urinary tract, which is then analyzed in the laboratory for bacteria/inflammatory cells.

How is it treated? Why does it take so long?

The structure (capsule) of the prostate gland is very resistant to drug penetration. Therefore, if microbes are present, prescribed antibiotics must be used continuously for 4 to 6 weeks. In the non-microbial (chronic pelvic pain) type; hot water sitz baths, alpha-blocker pills that relax prostate muscles, painkillers, stress management, and regular prostate massage are used to break the vicious cycle created by the disease.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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