Prostatitis

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.