Prognosis
The prognosis of prostatitis depends largely on the course and the start of therapy. An acute inflammation of the prostate, which is quickly treated with antibiotics, usually heals without consequences and therefore has a fairly good prognosis. Approximately 60% of the patients show no more symptoms after 6 months, in about 20% the acute inflammation turns into a chronic form.
The prognosis is worse, and recurrent attacks of the disease frequently occur over many years. In addition, a chronic inflammation of the prostate (but also an untreated acute prostatitis) can lead to infertility in the long term: the inflammatory process can lead to an (in)complete closure of the seminal ducts due to adhesions or strictures (urethral stricture). A blockage of the seminal duct can thus restrict or disrupt the transport of sperm. On the other hand, the sperm function (motility of the sperm) itself and the composition of the ejaculate can be affected by secondary inflammatory reactions.
