Prostatitis - Diagnosis and treatment - Mayo Clinic

Prostatit prosztatitis. What is prostatitis?

Urinalysis involves testing a urine sample. A health care provider tests the sample during an office visit or sends it to a lab for analysis.

Diagnosis and treatment

For the test, a nurse or technician places Prostatit prosztatitis strip of chemically treated paper, called a dipstick, into the urine. Patches on the dipstick change color to indicate signs of infection in urine. The health care provider can diagnose the bacterial forms of prostatitis by examining the urine sample with a microscope.

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The health care provider may also send the sample to a lab to perform a culture. In a urine culture, a lab technician places some of the urine sample in a tube or dish with a substance that encourages any bacteria present to grow; once the bacteria have multiplied, a technician can identify them. Blood tests.

Blood tests involve a health care provider drawing blood during an office visit or in a commercial facility and sending the sample to a lab for analysis.

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Blood tests can show signs of infection and other prostate problems, such as prostate cancer. Urodynamic tests.

Prostatitis: Inflammation of the Prostate

Urodynamic tests include a variety of procedures that look at how well the bladder and urethra store and release urine. A health care provider performs urodynamic tests during an office visit or in an outpatient Prostatit prosztatitis or a hospital. Some urodynamic tests do not require anesthesia; others may require local anesthesia. Cystoscopy is a procedure that uses a tubelike instrument, called a cystoscope, to look inside the urethra and bladder.

A urologist inserts the cystoscope through the opening at the tip of the penis and into the lower urinary tract. He or she performs cystoscopy during an office visit or in an outpatient center or a hospital. Prostatit prosztatitis or she will give the patient local anesthesia. In some cases, the patient may require sedation and regional or general anesthesia.

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A urologist may use cystoscopy to look for narrowing, blockage, or stones in the urinary tract. Transrectal ultrasound. Transrectal ultrasound uses a device, called a transducer, that bounces safe, painless sound waves off organs to create an image of their structure. The health care provider can move the transducer Prostatit prosztatitis different angles to make it possible to examine different organs.

Urologists most often use transrectal ultrasound to examine the prostate. The ultrasound image shows the size of the prostate and any abnormalities, such as tumors. Transrectal ultrasound cannot reliably diagnose prostate cancer.

Treating prostatitis

Biopsy is a procedure that involves taking a small piece of prostate tissue for examination with a microscope. A urologist performs the biopsy in an outpatient center or a hospital. He or she will give the patient light sedation and local anesthetic; however, in some cases, the patient will require general anesthesia.

The urologist uses imaging techniques such as ultrasound, a computerized tomography scan, or magnetic resonance imaging to guide the biopsy needle into the prostate. A pathologist—a doctor who specializes in examining tissues to diagnose diseases—examines the prostate tissue in a lab.

Tests Ultrasound To get a closer look at the prostate gland, your health care provider may order a transrectal ultrasound. An ultrasound uses sound waves to show a picture of the prostate. To "see" the prostate, the ultrasound probe is placed in the rectum.

The test can show whether prostate cancer is present. Semen analysis. A health care provider analyzes the sample during an office visit or sends it to a lab for analysis. A semen sample can show blood and signs of infection. How is prostatitis treated? Treatment depends on the type of prostatitis. A wide range of symptoms exists and no single treatment works for every man. Although antibiotics will not help treat nonbacterial prostatitis, a urologist may prescribe them, at least initially, until the urologist can rule out a bacterial infection.

A urologist may prescribe other medications: silodo 5-alpha reductase inhibitors such as finasteride Proscar and dutasteride Avodart nonsteroidal anti-inflammatory drugs—also called NSAIDs—such as aspirin, ibuprofen, and naproxen sodium glycosaminogly cans such as chondroitin sulfate muscle relaxants such as cyclobenzaprine Amrix, Flexeril and clonazepam Klonopin neuromodulators such as amitriptyline, nortriptyline Aventyl, Pamelorand pregabalin Lyrica Alternative treatments may include warm baths, called sitz baths Prostatit prosztatitis heat therapy with hot water bottles or heating pads physical therapy, such as Kegel exercises—tightening and relaxing the muscles that hold urine in the bladder and hold the bladder in its proper position.

Also called pelvic muscle exercises. Also known as myofascial trigger point release.

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Read more at www. To help measure the effectiveness of treatment, a urologist may ask a series of questions from a standard questionnaire called the National Institutes of Health NIH Chronic Prostatitis Symptom Prostatit prosztatitis. A urologist may ask questions several times, such as before, during, and after treatment. Acute bacterial prostatitis. A urologist treats acute bacterial prostatitis with antibiotics. Prostatit prosztatitis antibiotic prescribed may depend on the type Prostatit prosztatitis bacteria causing the infection.

Urologists usually prescribe oral antibiotics Prostatitis a HPV- től at least 2 weeks. The infection may come back; therefore, some urologists recommend taking oral antibiotics for 6 to 8 weeks. Severe cases of acute prostatitis may require a short hospital stay so men can receive fluids and antibiotics through an intravenous IV tube.

Symptoms of prostatitis

After the IV treatment, the man will need to take oral antibiotics for 2 to 4 weeks. Most cases of acute bacterial prostatitis clear up completely with medication and slight changes to diet. The urologist may recommend avoiding or reducing intake of substances that irritate the bladder, such as alcohol, caffeinated beverages, and acidic and spicy foods increasing intake of liquids—64 to ounces per day—to urinate often and help flush bacteria from the bladder Chronic bacterial prostatitis.

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A urologist treats chronic bacterial prostatitis with antibiotics; however, treatment requires a longer course of therapy. The urologist may prescribe a low dose of antibiotics for up to 6 months to prevent recurrent infection.

Prostatitis (Infection of the Prostate)

The urologist may also prescribe a different antibiotic or use a combination of antibiotics if the infection keeps coming back. The urologist may recommend increasing intake of liquids and avoiding or reducing intake of substances that irritate the bladder. These medications help relax the bladder muscles near the prostate and lessen symptoms such as painful urination.

Men may require surgery to treat urinary retention caused by chronic bacterial prostatitis. Surgically removing scar tissue in the urethra often improves urine flow and reduces urinary retention. How can prostatitis be prevented?

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  2. While gentle palpation of the prostate gland on physical examination will often reveal a pathognomonic finding of an exquisitely tender, boggy prostate gland, care should be taken to avoid vigorous prostate massage as this may precipitate bacteremia and sepsis.

Men cannot prevent prostatitis. Researchers are currently seeking to better understand what causes prostatitis and develop prevention strategies. Eating, Diet, and Nutrition Researchers have not found that eating, diet, and nutrition play a role in causing or preventing prostatitis. During treatment of bacterial prostatitis, urologists may recommend increasing intake of liquids and avoiding or reducing intake of substances that irritate Böjtölés a prosztatitis bladder.

Prostatitis

Men should talk with a health care provider or dietitian about what diet is right for them. What are clinical trials, and are they right for you?

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Clinical trials are part of clinical research and at the heart of all medical advances. Clinical trials look at new ways to prevent, detect, or treat disease. Researchers also use clinical trials to look at other aspects of care, such as improving the quality of life for people with chronic illnesses. Find out if clinical trials are right for you. What clinical trials are open?

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Clinical trials that are currently open and are recruiting can be viewed at www. References [1] Nickel JC. Prostatitis and related conditions, orchitis, and epididymitis.

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Campbell-Walsh Urology. Philadelphia: Saunders; — Benign prostatic hyperplasia and prostatitis. Chronic prostatitis: management strategies. The NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public.