Prostate inflammation – prostatitis – is usually a consequence of urinary tract infection (see cystitis in men article). Like infections and inflammations in every other part of the body, prostatitis can be calmed by itself, the disease may cause a discharge of pus, and the inflammation may become long-lasting, i.e. become chronic.
Acute (sudden) prostatitis is accompanied by a general feeling of illness, elevated temperature, chills, and pain in the base (of the penis) or around it. With the development of the inflammation, the prostate will swell even more and become painful to the touch, and the patient will have problems with urination (the urination is often painful) because of the narrowed urethra. In chronic prostatitis and mild seizures, which are not dangerous and often disappear by themselves, there are usually no symptoms.
Prostatitis is not common and, annually, only 1 men out of 2000 is treated by a physician due to this inflammation. Older men with an enlarged prostate are prone to this infection and, after the initial seizures, the disease can re-appear.
If prostatitis is not treated or, which is sometimes the case, if the drug therapy is unsuccessful, the gland can be filled with pus and rupture (break), releasing the pus into the urethra. This is very painful, but also, it can create a fistula (an abnormal channel) through which the pus will constantly flow into the urethra. Because of this, a very severe infection may occur in some other part of the urinary tract.
What to do?
If you suspect you have prostatitis, go to a doctor who will listen to your symptoms and then touch the prostate (with a finger in the rubber glove through the rectum) to determine if the prostate is swollen or painful to the touch. You will also need to give a urine sample for analysis to determine the possible cause of inflammation.
If prostatitis is the result of a bacterial infection, your doctor will prescribe antibiotics that usually resolve the problem. In most cases, there is no need to refrain from intercourse; in fact, the intercourse is considered to be useful in this condition. Sometimes, prostatitis can not be fully cured by medication. If the inflammation does not respond to antibiotics, and the pus accumulates in the prostate, an operation – removing of pus from the prostate – will be required. This operation requires a stay in the hospital for a few days, and the infection is usually completely cured.