This document discusses different types of prostatitis, including acute bacterial, chronic bacterial, chronic prostatitis/chronic pelvic pain syndrome, and asymptomatic inflammatory prostatitis. It describes symptoms such as painful urination, pelvic discomfort, and lower back pain. Causes include bacterial infections from the urinary tract as well as pelvic trauma. Treatment involves antibiotics, warm baths, stress reduction, and avoiding irritants. A prostatic abscess may develop as a complication of acute prostatitis and requires drainage and antibiotics. Benign prostatic hyperplasia can also cause urinary symptoms as the prostate gland enlarges.

1. PROSTATITIS
Dr. Chetana Ijeri
Dept. of Shalya Tantra

2. Introduction: What is Prostatitis?
• Prostatitis is the inflammation of the prostate
gland.
• A small organ positioned below the bladder and
in front of the rectum. The urethra, responsible
for carrying urine and semen out of the body,
passes through the center of the prostate.
• The condition manifests in four types, causing the
tissue around the prostate to become swollen,
tender, and irritated.
• Prostatitis is characterized by painful or difficult
urination and discomfort in the groin, pelvic area,
or genitals.

3. Types of
Prostatitis
• Acute Bacterial Prostatitis: Caused by a bacterial
infection, this form of prostatitis can be sudden and
severe. Symptoms my include fever, chills, pain in the
lower abdomen or lower back, and discomfort during
urination.
• Chronic Bacterial Prostatitis: Characterized by
recurrent urinary tract infections linked to bacteria in
the prostate. Symptoms may be less severe but persist
over a longer period.
• Chronic Prostatitis/Chronic Pelvic Pain Syndrome
(CP/CPPS): This is the most common type and presents
with long-term pelvic pain and discomfort. The cause is
often unknown, and symptoms may include pain during
urination, difficulty urinating, and discomfort in the
genital and pelvic area.
• Asymptomatic Inflammatory Prostatitis: In this type,
there is inflammation in the prostate, but there are no
noticeable symptoms. It is often discovered incidentally
during medical examinations for other conditions.

4. Symptoms of Prostatitis
• Acute Bacterial Prostatitis:
• Sudden onset of symptoms.
• High fever and chills.
• Pain or burning sensation during urination.
• Frequent urge to urinate.
• Lower abdominal or pelvic pain.
• discomfort or Pain in the testicles or penis.
• Chronic Bacterial Prostatitis:
• Recurrent urinary tract infections.
• Frequent or urgent need to urinate.
• Pain or discomfort in the pelvic area.
• Pain or burning during urination.
• Discomfort or pain in the penis or testicles.

5. Symptoms….
• Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS):
• Persistent pelvic pain or discomfort (often lasting for at least three months).
• Pain in the genitals or rectal area.
• Pain or discomfort during or after ejaculation.
• Lower back pain.
• Frequent or urgent need to urinate.
• Pain or burning during urination.
• Chronic Asymptomatic Inflammatory Prostatitis
• Typically no noticeable symptoms.
• Inflammation is detected incidentally during medical examinations.

6. Causes of Prostatitis
• Bacterial Infection:
• Acute Bacterial Prostatitis: Caused by a bacterial infection, often originating from the urinary
tract or other parts of the body. Bacteria can enter the prostate, leading to inflammation.
• Chronic Bacterial Prostatitis: Recurrent urinary tract infections can be a source of chronic
bacterial prostatitis. Bacteria may be present in the prostate, causing persistent inflammation.
• Asymptomatic Inflammatory Prostatitis:
• The cause is often unclear, and individuals may not experience noticeable symptoms.
Inflammation is detected incidentally during medical examinations.
• Pelvic Trauma:
• Injury or trauma to the pelvic region may contribute to the development of prostatitis.
• Urethral Infection:
• In some cases, infection of the urethra can spread to the prostate, causing prostatitis.

7. Prostatitis Treatment at Home
• Drink plenty of water to help flush out bacteria and maintain overall urinary tract health.
• Soaking in a warm bath may help relax pelvic muscles and alleviate pain or discomfort.
• Limit or avoid substances that can irritate the prostate, such as caffeine, spicy foods, and
alcohol.
• Performing pelvic floor exercises, such as Kegel exercises, may help strengthen and relax
the pelvic muscles.
• Practice stress-reduction techniques, such as deep breathing, meditation, or yoga, as
stress can exacerbate symptoms.
• Ensure proper hygiene to prevent infections. Clean the genital area thoroughly, and
practice safe sex.

8. PROSTATIC ABSCESS
• A prostatic abscess is a localized collection of purulent fluid within the
prostate, often forming as a complication of Acute prostatitis.

9. Clinical Presentation
• similar symptoms to those with acute bacterial prostatitis.
• Patients were treated for acute bacterial prostatitis previously and had a
good initial response to treatment with antibiotics. However, their
symptoms recurred during treatment, suggesting development of prostatic
abscesses.
• DRE: prostate is usually tender and swollen

10. Management
• Antibiotic therapy in conjunction with drainage of the abscess is
requiredTransrectal ultrasonography or CT scan can be used to direct
transrectal drainage of the abscessTransurethral resection and drainage
may be required if transrectal drainage is inadequate.When properly
diagnosed and treated, most cases of prostatic abscess resolve without
significant sequelae

11. INTRODUCTION :
Benign prostatic hyperplasia (BPH) is one of the most common diseases in
aging men.

12. BPH
• It is the enlargement or hypertrophy of the prostate gland.
• The prostate gland enlarges, extending upward into the bladder and
obstructing the outflow of urine. Incomplete emptying of the bladder and
urinary retention leading to urinary stasis may result in
hydronephrosis, hydroureter, and urinary tract infections (UTIs).
• The cause is not well understood, but evidence suggests
hormonal involvement.
• It can cause bothersome lower urinary tract symptoms that affect quality of
life by interfering with daily normal activities and sleep pattern.

13. Clinical Presentation
• similar symptoms to those with acute bacterial prostatitis.
• Patients were treated for acute bacterial prostatitis previously and had a
good initial response to treatment with antibiotics. However, their
symptoms recurred during treatment, suggesting development of prostatic
abscesses.
• DRE: prostate is usually tender and swollen