Prostatitis is an infectious or inflammatory of the prostate that can cause very bothersome symptoms. Prostatitis can also be non-bacterial and due to inflammation. The condition can be difficult to treat and can become chronic. Evaluation includes a digital rectal examination to palpate the prostate, which is often boggy or tender during an active infection.
A urinalysis is ordered to determine if a bacterial infection is present and to determine which antibiotics are appropriate. Our lab utilizes some of the most complete and accurate tests available. If an initial urine sample is negative, further samples after prostate massage can also be performed to try and express bacteria from the prostate.
Imaging of the prostate with ultrasound may also be used to make sure that that a cavity of infection abscess is not present. Treatment of prostatitis often begins with antibiotics, often for at least weeks, if it is caused by a bacterial infection.
Other useful medications include anti-inflammatories such as ibuprofen, and alpha-blockers such as Flomax or Uroxatral to relax the prostate smooth muscle. In chronic cases with persistent pelvic pain, occasionally anti-depressants or muscle relaxants may be used.
If you are already seeing, or want to see a specific board-certified urologist at AUS, please let us know and we will find their quickest appointment possible. If not, we are happy to help you find one that best fits your criteria, such as location, urgency of appointment or even personality.
