What is the Best Prostatitis Diet
Properly treat prostate inflammation
The prostate gland lies below the bladder and is about the size of a chestnut. It is surrounded by supporting pelvic floor muscles. The urethra runs through the middle of the prostate, from the bladder to the tip of the penis. Prostate inflammation (prostatitis) is relatively common: around 15 to 20 percent of all men will be affected in the course of their lives. Some experts even assume up to 30 percent. But many men go to the doctor too late or not at all out of fear or shame. In doing so, you run the risk of the inflammation becoming chronic and spreading to the bladder. Ultimately, the infection threatens to reach the kidneys and, in the worst case, life-threatening blood poisoning (urosepsis).
Typical signs of an inflammation of the prostate include:
- Increasing urge to urinate
- Dripping urine
- Anal pain
- Painful urination
- Frequent urination
- Fever, chills, and feeling very sick
In the case of prostatitis, the doctor (urologist) can feel a swelling of the prostate from the rectum. The examination only takes a few seconds and is usually not painful. Alternatively, the doctor can assess the condition of the prostate and bladder using ultrasound through the rectum and check whether there are other causes behind the symptoms.
If prostatitis is suspected, the doctor will have blood and urine samples examined for bacteria. In order to check which antibiotic works best and whether there is resistance, bacteria are grown from the urine (bacterial culture). A typical germ that can lead to acute prostatitis is Escherichia coli (E. coli). These bacteria get from the anus via the genital area and the urethra to the prostate. The pathogens rarely reach the prostate via the blood, for example in the case of a severe tooth infection.
Course of prostatitis
At a acute prostate inflammation the prostate swells. As a result, it constricts the urethra and can even squeeze it off completely. When this happens, the urine builds up in the bladder and the bladder becomes infected too. The infection can advance to the kidneys and cause blood poisoning. The pelvic floor muscles often cramp as a result of prostate inflammation. That too leads to pain.
A chronic prostate inflammation keeps coming back - with or without bacteria as the cause of the infection. Non-bacterial chronic prostatitis is believed to have several causes:
- The bacteria concentration may be so low that it cannot be detected.
- It is a weakness in the autoimmune system or in the nervous system.
Urologists often prescribe an antibiotic from the group of fluoroquinolones, for example ciprofloxazine. As a side effect, these drugs can damage nerves and connective tissue, causing tendons and blood vessels to tear. For this reason, fluoroquinolones should only be prescribed when other antibiotics are not working and risks such as multiple organ failure or sepsis have to be prevented.
Experts on the subject
Dr. Henrik Zecha, chief physician
Clinic for Urology and Urooncology
Immanuel Albertinen Diakonie
(040) 55 88-22 53/-2712
Dr. Immo Ries, urologist
Urological practice Othmarschen
(040) 21 90 97 10
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Visit | 10/08/2019 | 8:15 pm
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