Prostatitis
Prostatitis is inflammation of the prostate gland, which may be caused by infection, irritation, or immune-related factors. It can occur suddenly (acute prostatitis) or develop gradually and persist over time (chronic prostatitis or chronic pelvic pain syndrome). Symptoms vary widely, ranging from pelvic pain and urinary issues to fever or discomfort during ejaculation. Some individuals have no clear infection but still experience inflammation and pain.
What is it?
Prostatitis refers to inflammation of the prostate, which may arise from infection, irritation, or congestion of the gland. Acute bacterial prostatitis typically begins suddenly with fever, chills, painful urination, and pelvic pain. Chronic prostatitis may involve long-term pelvic discomfort, urinary symptoms, or pain during ejaculation, even when infection is not present.
Imaging is not always needed but may be used when symptoms are severe, persistent, or unclear. MRI or ultrasound can show inflammation, swelling, or complications such as abscess formation. Urine tests, cultures, and physical exam findings guide diagnosis and treatment.
Important to Know
Prostatitis can be painful but is usually treatable. Acute bacterial prostatitis requires prompt antibiotics to prevent complications. Chronic prostatitis may need a combination of medication, pelvic floor therapy, and lifestyle adjustments. Many individuals experience symptom improvement with proper management.
Red flag symptoms include high fever, chills, inability to urinate, severe pelvic pain, blood in urine or semen, or signs of infection spreading (such as rapid heartbeat or confusion). These require urgent medical evaluation. Follow-up may be recommended if symptoms persist or recur.