Prostatitis (Prostate Inflammation): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate prostatitis (inflammation of the prostate): Pain or discomfort with punctum maximum in the perineal area. Radiation in the direction of the testicles or penis Occasionally also pain continuation in the area of the urinary bladder, rectum and back Pain during urination (alguria) (40%). Pain associated with ejaculation (ejaculatory … Prostatitis (Prostate Inflammation): Symptoms, Complaints, Signs

Prostatitis (Prostate Inflammation): Causes

Pathogenesis (development of disease) The underlying pathophysiology of prostatitis is still poorly understood. It is recognized that there is a multifactorial etiology (cause). Acute bacterial prostatitis (ABP; NIH type I). Acute bacterial prostatitis can be either urogenic (originating in the urinary organs), hematogenic (caused by the blood), or, in rare cases, caused by the spread … Prostatitis (Prostate Inflammation): Causes

Prostatitis (Prostate Inflammation): Therapy

General measures Observance of the general hygiene measures! In the case of abacterial prostatitis, that is, no bacteria can be detected as the cause, an active sexual life is recommended. Nicotine restriction (refrain from tobacco use). Limited alcohol consumption (max. 25 g alcohol per day). Avoidance of psychosocial stress: Mental conflicts Stress Nutritional medicine Nutritional … Prostatitis (Prostate Inflammation): Therapy

Prostatitis (Prostate Inflammation): Medical History

Medical history (history of illness) represents an important component in the diagnosis of prostatitis (inflammation of the prostate). Family history Is there a frequent occurrence of diseases of the genitourinary system in your family? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic … Prostatitis (Prostate Inflammation): Medical History

Prostatitis (Prostate Inflammation): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count [leukocytes (white blood cells) ↑] Inflammatory parameters – C-reactive protein Urinalysis – urinalysis typically reveals bacteria as well as leukocytes (white blood cells) as an indication of existing inflammation. A germ culture (for pathogens (aerobic and anaerobic) and resistance should be created … Prostatitis (Prostate Inflammation): Test and Diagnosis

Prostatitis (Prostate Inflammation): Drug Therapy

Therapeutic target Healing of the inflammation and thus prevention of complications. Therapy recommendations Acute bacterial prostatitis (ABP; NIH type I): Immediate, high-dose administration of an antibiotic (see below): fluoroquinolones [first-line antibiotics), third-generation cephalosporins, or piperacillin/tazobactam. Atypical pathogens and intracellular germs: tetracyclines and macrolides. Protozoa such as trichomonads: Metronidazole Selection of antibiotic according to the age … Prostatitis (Prostate Inflammation): Drug Therapy

Prostatitis (Prostate Inflammation): Diagnostic Tests

Obligatory medical device diagnostics. Transrectal prostate ultrasonography (transrectal ultrasonography (TRUS); for ultrasound diagnosis of the prostate and seminal vesicles; ultrasound probe is inserted through the anus (anus) into the rectum (rectal cavity)) [evidence of prostatic abscess/encapsulated pus cavity in the prostate, if applicable]Note: If fever persists for more than 36 hours after initiation of therapy, … Prostatitis (Prostate Inflammation): Diagnostic Tests

Prostatitis (Prostate Inflammation): Micronutrient Therapy

Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for supportive therapy: Trace element zinc Prostatitis may further be associated with the risk of deficiency of the following vital elements (micronutrients): Vitamin C and vitamin E Secondary plant substance beta-carotene The above vital substance recommendations (micronutrients) were created with … Prostatitis (Prostate Inflammation): Micronutrient Therapy

Prostatitis (Prostate Inflammation): Prevention

To prevent prostatitis (inflammation of the prostate), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Psycho-social situation Psychological factors Sexual problems Relationship problems Stress, “Risky” sexual behavior, such as insertive anal intercourse (person inserting their penis). Too little exposure to sunlight

Prostatitis (Prostate Inflammation): Or something else? Differential Diagnosis

Cardiovascular System (I00-I99). Internal hemorrhoids Mouth, esophagus (food pipe), stomach and intestines (K00-K67; K90-K93). Anal fissures – mucosal tears in the wall of the anus (anal fissures). Anal fistulas – ganglions in the wall of the anus. Neoplasms – tumor diseases (C00-D48) Prostate carcinoma (prostate cancer) Psyche – nervous system (F00-F99; G00-G99) Chronic pelvic pain … Prostatitis (Prostate Inflammation): Or something else? Differential Diagnosis

Prostatitis (Prostate Inflammation): Complications

The following are the most important diseases or complications that can be caused by prostatitis (inflammation of the prostate): Psyche – Nervous System (F00-F99; G00-G99). Chronic pain Loss of libido Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99) Chronic prostatitis Prostate abscess – accumulation of pus in the prostate gland. Male fertility disorder (due … Prostatitis (Prostate Inflammation): Complications