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Prostatitis

AMBULATORY CARE:

Prostatitis

is inflammation of the prostate gland. The prostate gland is the male sex gland that produces a fluid that is part of semen. It is about the size of a walnut and is located under the bladder. Prostatitis is not contagious. Prostatitis may be an acute (short-term) or chronic (long-term) condition. You can get prostatitis at any age and more than 1 time.

Male Reproductive System

Signs and symptoms of prostatitis:

You may have no signs or symptoms, or you may have any of the following:

  • Deep pain in the area between your scrotum and anus or your lower back
  • Pain during a bowel movement
  • Pain during or right after sexual intercourse
  • Burning during urination
  • Feeling like you have not emptied your bladder
  • Urine does not flow right away when you start to urinate
  • Feeling the need to urinate often or right away, especially at night
  • Fever, chills, and fatigue
  • Blood in your urine or semen

Call your doctor or urologist if:

  • You have a fever.
  • You see blood in your urine.
  • You cannot urinate.
  • Your symptoms are getting worse, or they return after you have been treated.
  • You have questions or concerns about your condition or care.

Treatment

will depend on the cause of your prostatitis, your signs and symptoms, and other factors. You may need any of the following:

  • Prostate massage may be used to treat chronic prostatitis. Massage can help decrease fullness and prevent infection. Healthcare providers can teach you how to do a prostate massage.
  • Alpha blockers relax the muscles in your prostate and bladder to help you urinate more easily.
  • Antibiotics may be given to treat a bacterial infection.
  • NSAIDs help decrease swelling and pain or fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Prescription pain medicine may be given. Ask your healthcare provider how to take this medicine safely. Some prescription pain medicines contain acetaminophen. Do not take other medicines that contain acetaminophen without talking to your healthcare provider. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Ask your healthcare provider how to prevent or treat constipation.
  • Surgery may be used if other kinds of treatment do not work. Surgery may be used to drain an abscess. Less commonly, surgery called transurethral resection of the prostate (TURP) may be used to make your prostate smaller.

Go to a healthcare provider for a yearly prostate exam

if you are over the age of 40.

Self-care:

  • Place a heating pad on the area. Heat may help blood flow to your prostate area. Warm baths may decrease prostate fullness and discomfort.
  • Drink plenty of liquids to prevent dehydration. Ask your healthcare provider how much liquid to drink each day and which liquids are best for you.
  • Do not drink alcohol or eat spicy foods until you have finished treatment for prostatitis. Limit the amount of caffeine you drink.
  • Urinate often. Do not wait to urinate.
  • You may have sex if you feel well.

Follow up with your doctor or urologist as directed:

Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Prostatitis (Ambulatory Care)

Associated drugs

IBM Watson Micromedex

Symptom checker

Symptoms and treatments

Mayo Clinic Reference

Medicine.com Guides (External)

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.