I have chronic prostatitis. How do I cure it?

I want a vasctomy. What can I expect?

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Here's my serious answer :)

Prostatitis
Prostatitis is often described as an infection of the prostate, but it can also be an inflammation with no sign of infection. Just 5 percent to 10 percent of cases are caused by bacterial infection.

Prostatitis can affect men of all ages. An estimated 50 percent of all men experience prostatitis-like symptoms at some point during their lifetime. In fact, chronic prostatitis is the number one reason men under the age of 50 visit a urologist. In some cases, chronic prostatitis follows an attack of acute prostatitis. Chronic prostatitis might also be associated with other urinary tract infections.

The primary symptom of chronic infectious prostatitis is usually repeated bladder infections. Prostatitis is considered chronic if it lasts more than three months.

Types of prostatitis include:

Acute bacterial prostatitis — This is a sudden bacterial infection that is characterized by inflammation of the prostate. It is the least common form of prostatitis, but the symptoms are usually severe. Patients with this condition have an acute urinary tract infection with increased urinary frequency and urgency, a need to urinate a lot at night, and pain in the pelvis and genital area. They often have fever, chills, nausea, vomiting, and burning when urinating. Acute bacterial prostatitis requires prompt treatment, as the condition can lead to bladder infections, abscesses in the prostate or — in extreme cases — completely blocked urine flow. Left untreated, the condition can cause confusion and low blood pressure, and might be fatal. The condition is usually treated in the hospital with intravenous antibiotics, pain relievers, and fluids.

Chronic bacterial prostatitis — This condition is the result of recurrent urinary tract infections that have entered the prostate gland. The symptoms are similar to acute bacterial prostatitis, but are less severe and can fluctuate in intensity. The diagnosis of this condition is often challenging. It’s often difficult to find the bacteria in the urine. Treatment includes antibiotics for 4 to 12 weeks and other treatment for pain. Sometimes men are given suppressive low-dose, long-duration antibiotic therapy.

Chronic non-bacterial prostatitis/chronic pelvic pain syndrome — This is the most common form of the disease, accounting for 90 percent of the cases. The condition is characterized by urinary and genital pain for at least three of the past six months. Patients have no bacteria in their urine, but might have other signs of inflammation. The condition can be confused with another called interstitial cystitis (a chronic infection of the bladder)

What causes prostatitis?
How the prostate becomes infected is not clearly understood. The bacteria that cause prostatitis might get into the prostate from the urethra by backward flow of infected urine or stool from the rectum.

At one time, prostatitis was believed to be a sexually transmitted disease, but more recent research suggests that only a small number of cases are passed on through sex.

Certain conditions and medical procedures increase the risk of developing prostatitis. You are at higher risk for getting prostatitis if you:

Recently had a medical instrument, such as a urinary catheter (a soft, lubricated tube used to drain urine from the bladder) inserted during a medical procedure
Engage in rectal intercourse
Have an abnormal urinary tract
Have had a recent bladder infection
Have an enlarged prostate
What are the symptoms of prostatitis?
You might experience no symptoms, or symptoms so sudden and severe that you seek emergency medical care.

When present, symptoms include:

Frequent urge to urinate
Difficulty urinating
Pain or burning during urination
Chills and fever
Other symptoms might include pain that comes and goes low in the abdomen, around the anus, in the groin, or in the back. In some cases, bacteria can get into the vas deferens (the tube that carries sperm from the testicles to the urethra), causing groin pain or an infection of the epididymis (area near the testicles where sperm mature and are stored). The prostate might swell, causing a less forceful urine stream. Sometimes blood in the urine and painful ejaculation are other symptoms of prostatitis.

Men might also complain of pelvic pain, pain during ejaculation, and pain with sexual intercourse.

How is prostatitis diagnosed?
If your doctor suspects that you have prostatitis or another prostate problem, he or she might refer you to a urologist (a doctor who specializes in diseases of the urinary tract and the male reproductive system) to confirm the diagnosis.

Patients typically undergo a comprehensive examination, including a digital rectal exam. Then, if the doctor is still not sure what you have, more tests, such as a biopsy, voiding studies, or MRI might be conducted. Voiding studies involve the collection and analysis of urine to determine which part of the urinary system is infected.

What is the treatment for prostatitis?
Treatments vary among urologists and are tailored to the type of prostatitis you have. Correct diagnosis is crucial because each type of prostatitis is treated differently, and it’s important to make sure your symptoms are not caused by urethritis (inflammation of the urethra) or another condition that might lead to permanent bladder or kidney damage.

Treatments generally include the following:

Taking anti-inflammatory medicines along with warm sitz baths (sitting in 2-3 inches of warm water) is the most conservative treatment for chronic prostatitis.
Antibiotic medicine for infectious prostatitis are not effective treatments for non-infectious prostatitis. For acute infectious prostatitis, patients usually need to take antibiotic medicine for 2-4 weeks. Almost all acute infections can be cured with this treatment.
For chronic infectious prostatitis, antibiotic medicine is taken for a longer period of time, usually 4 to 12 weeks. About 60 percent of all cases of chronic infectious prostatitis clear up with this treatment. For cases that don't respond to this treatment, taking antibiotics at a low dose for a long time might be recommended to relieve the symptoms.
Pain medicines might be use to relieve pain.
Surgical removal of the infected portions of the prostate might be advised for severe cases of chronic prostatitis or for men whose swollen prostate is blocking the flow of urine.
Supportive therapies for chronic prostatitis include stool softeners and prostate massage.
Other treatments for chronic non-infectious prostatitis include the use of the drugs Proscar, Hytrin, and Cardura. These drugs relax the muscles of the prostate and bladder to improve urine flow and decrease symptoms.

Many cases of abacterial (non-bacterial) prostatitis (also considered chronic pelvic pain syndrome) respond to multidisciplinary approaches incorporating exercise, myofascial trigger point release, progressive relaxation, and counseling.

Prostatitis is a treatable disease. Even if the problem cannot be cured, you can usually get relief from your symptoms by following the recommended treatment. It is important to follow the full course of the prescription, even if you no longer have any symptoms. With infectious prostatitis, for example, the symptoms might disappear before the infection has completely cleared.

What are the long-term effects of chronic prostatitis?
Chronic prostatitis affects men differently, with varying degrees of discomfort or pain.

Prostatitis is not a contagious disease. You can live your life normally and continue sexual relations without passing it on.

Having prostatitis does not increase your risk of developing prostate cancer or any other prostate or kidney disease. But even if your prostatitis is cured, you should continue to have regular examinations to detect prostate cancer.

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I have chronic prostatitis. How do I cure it?

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