Prostatitis
Chronic prostatitis is prostate inflammation that lasts over 3 months. Usually in young and middle-aged men.
Causes
- Bacterial in the urine or urethra
- Chemicals in the urine
- Nerve damage from surgery/trauma
- Abnormal prostate anatomy
- Previous prostate surgery or biopsy
Symptoms may include
- Discomfort when urinating
- Slowing of urinary stream
- Night and daytime urinary frequency and urgency
- Blood and/or infection in the urine
- Pain in abdomen, groin, back, perineum, penis, scrotum, testicles and rectum
- Ejaculatory pain
Work-Up
- Review of previous tests
- Urine/Blood Tests
- Semen Cultures
- Digital rectal exam
- Trans-rectal Ultrasound of Prostate
Treatments
- Antibiotics based on cultures
- Anti-inflammatory and alpha-blockers (tamsulosin)-usually minimal effect
- Prostatic Massages with IM antibiotics
- Low-Intensity Shock Wave Therapy to the prostate (new modality)
Dr. Shtainer customizes prostatitis therapy to each patient. Often many symptoms above are not caused by prostatitis and correct diagnosis is crucial. We utilize European and Asian treatment protocols in difficult cases.
