Prostatitis

Low urgency
Common-
Inflammation of the prostate, both of infectious and non-infectious origin, is called prostatitis. It can be acute (lasts less than three months) and chronic (persists for more than three months). Generally, the cause of inflammation is a bacterial infection. Symptoms are based on the existence of urinary symptoms (burning sensation or pain when urinating, blood in urine, fever with chills, hot flushes, need to urinate more frequently than normal, weak flow of urine and difficulty in starting to urinate) and pelvic pain (in the suprapubic, perineal, lumbosacral, scrotal and penile areas and the inside of the thighs). Diagnosis is made through the medical history, a physical examination (including palpation of the prostate through a rectal examination), laboratory tests (blood and urine) and cultures. Treatment of prostatitis is with antibiotics, which must be administered for a long time: 4 to 6 weeks for acute prostatitis and up to 12 weeks for chronic prostatitis. To speed up the disappearance of symptoms, non-pharmacological measures such as taking hot baths, drinking plenty of fluids, taking laxatives and avoiding irritants can be taken.
Bibliographic references
  1. Alain Meyrier, Thomas Fekete. Acute bacterial prostatitis. UpToDate. Dec 03, 2015
  2. Gill BC, Shoskes DA. Bacterial prostatitis. Curr Opin Infect Dis 2016; 29:86.
  3. Kim JW, Oh MM, Bae JH, et al. Clinical and microbiological characteristics of spontaneous acute prostatitis and transrectal prostate biopsy-related acute prostatitis: Is transrectal prostate biopsy-related acute prostatitis a distinct acute prostatitis category? J Infect Chemother 2015; 21:434.
  4. Kalplana Gupta, Barbara W. Trautner. Infecciones de vías urinarias, pielonefritis y prostatitis. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición. 861:868
  5. Antonio M. López García-Moreno, Antonio Samprieto Crespo, Maria Antonia sepúlveda Berrocal, Fernanda Cuadra García-Tenorio. Infecciones del tracto urinario. Manual de protocolos y actuación en urgencias. Hospital Virgen de la Salud, Complejo Hospitalario de Toledo. Tercera edición. 2010. 717:721
  6. J. Mensa Pueyo. Infecciones de las vías urinarias. Farreras Rozman. Medicina Interna. Volumen 1. 12º edición. 909:913.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    A persistent urge to urinate that is uncomfortable


    Urinating differently than usual


    Urinating small amounts many times a day


    Pain when passing urine


    Stinging/burning sensation when urinating

Symptoms to watch out for

Fever not relieved by antipyretics (paracetamol, ibuprofen)
Lower back pain
Vomiting
Urinate less than a 16 oz soft drink in 24 hours

Self-care

Maintain a fluid intake of 6 - 8 cups per day.
Take over-the-counter pain relievers or anti-inflammatories.
Avoid contact of microorganisms from the anal region with the urethra (orifice through which urine exits).
Consult with your primary care physician regarding the prescription of antibiotics.