Prostatitis: What it is

Prostatitis is an inflammation of the prostate gland and it has its highest incidence in the third and fourth decade of life, affecting every year, about a third of the male population.

Generally, prostatitis is caused by infectious factors, though not to be underestimated elements of a general nature such as stress and smoking, abuse of alcohol and spicy foods, bowel dysfunction, disorderly sexual activity, sedentary lifestyle and the local order as microtrauma perineal due to cycling, horseback riding, long journeys by car and motorcycle.
According to the most recent classification we can distinguish prostatitis in 4 categories:

Categories and clinical definition
I.   Acute bacterial prostatitis (ABP)
II.  Chronic bacterial prostatitis (CBP)
III. Chronic prostatitis / chronic pelvic pain syndrome (CPPS)
___A. Inflammatory
___B. Not inflammatory
IV. Asymptomatic inflammatory prostatitis

Classification NIH prostatitis (1999)


Prostatitis: How does it manifest

Acute prostatitis (category I), in its most classic form, it is characterized by urinary problems, pelvic pain or perineal, ejcualation pain and fever.

In rare cases, you can also check a complete urine retention requiring catheterization. Digital rectal examination showed a congested and tender gland, while the urine culture and spermioculture test positive for Gram- bacteria (especially E. coli, Klebsiella, Serratia and Pseudomonas), some Gram + (Enterococcus, Staphylococcus) and other pathogens such as Chlamydia , Ureaplasma, Candida and Trichomonas. Targeted therapy and prolonged often results in complete recovery. Often there is also an anti-inflammatory therapy with corticosteroids or NSAIDs.

In the first instance it must obviously be required spermioculture; in these cases the collection of the semen can be performed before and after prostatic massage (Test Stamey); the analysis may reveal the presence of pathogens (CBP), the mere presence of an increased number of leukocytes (CPPS-A) or the absence of pathogens that both of an increased number of leukocytes (CPPS-B)

Prostatitis: Therapy

Where the crops can be isolated the presence of pathogenic strains within the prostatic secretions, both in the acute or chronic prostatitis therapy will obviously be targeted (cotrimoxazole and fluoroquinolones are the most used molecules), of variable duration between 7 and 30 days, with subsequent seriated controls of prostatic fluid. 

Medical therapy should be recommended and prescribed only by the doctor.

positive effects have been reported, also, with herbal medicine although these aspects, for many phytotherapeutic, still require the accurate evaluation of prospective studies to determine a precise indication. Instead there are many studies about the serenoa.

Hygienic – Dietary rules:

  • First you need to regularize the intestines as many times prostatitis derives from episodes of diarrhea or constipation
  • Avoid the use of the motorbike, bicycle and long car trips
  • Avoid coitus interruptus
  • Avoid spicy foods and spices
  • Avoid alcohol, spirits and beer