Prostatitis

INFLAMATION OF THE PROSTATE


Prostatitis refers to symptoms caused by an inflamed prostate — we offer simple, effective treatments that can help

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About

Prostatitis refers to symptoms caused by an infection or inflammation of the prostate. It is not the same as an enlarged prostate or prostate cancer, and can often be caused by bacterial infections. Prostatitis is the most commonly-complained urinary condition in men aged 18 to 50. Depending on your symptoms, we may be able to help.

Need to know

There are different types of prostatitis, each with their own set of symptoms. The general symptoms of prostatitis include:

  • pain in lower back
  • pain in the penis and/or testicles
  • pain in the perineum (area between the anus and scrotum)
  • pain in the prostate, lower abdomen, rectum or inner thighs
  • chills and fever
  • urinary frequency or urgency
  • not urinating to completion
  • pain during or after ejaculation
  • occasional blood in the semen
  • lack of sexual appetite
  • difficulties maintaining an erection

We're able to carry out tests to find out if you have prostatitis or if your symptoms are the result of other conditions, such as an enlarged prostate. They may include:

  • A digital rectal examination to find out if there is swelling or tenderness of the prostate gland when the muscles of the pelvic floor and perineum are pressed.
  • A urine test to check for white cells and bacteria.
  • Stamey localisation test to find out if an infection or inflammatory is present.
  • TRUS (transrectal ultrasound of the prostate).
  • A cystoscopy to look at the urethra, prostate and bladder.
  • A flow test under local or general anaesthetic.

Your consultant will discuss your treatment options and help to determine the best approach for you. Your treatment options will vary depending on the type of prostatitis you have.

Acute prostatitis is treated with antibiotics, usually for four to six weeks. Chronic prostatitis is treated antibiotics, usually for six to eight weeks. Chronic non-inflammatory prostatitis is more difficult to treat, so we look to treat the symptoms. All types of prostatitis can be treated with analgesia to ease discomfort. A schedule of prostate massage may also be prescribed to complement your treatment.

Types of prostatitis

Acute bacterial prostatitis

Caused by a bacterial infection, the symptoms can be severe and sudden. However, it's less common and the easiest form of prostatitis to diagnose.

Chronic prostatitis

This is also caused by bacterial infection but chronic prostatitis develops gradually and can continue for a longer period of time.

Chronic non-bacterial prostatitis

This is the most common form of prostatitis. Symptoms are severe and sudden at the start but tend to disappear and recur unexpectedly.

Asymptomatic inflammatory prostatitis

This form of prostatitis has no symptoms, but white cells are found in the urine usually when tests are being carried out for other reasons.

Our Prostatitis locations

The Harley Street Clinic

The Harley Street Clinic

35 Weymouth Street W1G 8BJ London
The Portland Hospital

The Portland Hospital

205-209 Great Portland Street W1W 5AH London
The Shard Outpatients

The Shard Outpatients

The Shard, 32 St Thomas Street SE1 9BS London
The Wellington Hospital

The Wellington Hospital

8A Wellington Place NW8 9LE London

Patient stories

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.