IASH India: Institute of Andrology & Sexual Health India
  • Prostatitis: Symptoms, Causes, and Treatment – IASH

    Prostatitis is an infection in the prostate glands that includes Acute and chronic bacterial Prostatitis and CPPS. The prostate gland can get infected, enlarged, and uncomfortable. However, the man with acute Prostatitis must be treated immediately.

    What is Prostatitis?

    Prostatitis is a disorder that occurs when the prostate gland or nearby areas becomes inflamed. It typically causes groyne, pelvic or vaginal pain, discomfort, or difficulty urinating. However, bacterial infections are not the only reason for all occurrences of Prostatitis.

    The prostate gland is a walnut-size gland present in men beneath the bladder. It encircles the top portion of the tube that empties the bladder (urethra). The prostate and other sex glands produce the fluid that transports sperm during ejaculation (semen).

    Types of Prostatitis

    Researchers have identified four distinct forms of Prostatitis:

    • Chronic Prostatitis or chronic pelvic pain syndrome – Chronic Prostatitis or CPPS is very common and found in 2 in 5 men. 
    •  Acute Bacterial Prostatitis – If you have difficulty in peeing, frequent urination or both, that means you have acute Prostatitis. This becomes infected because of UTI. However, Medical attention is needed right away for acute bacterial Prostatitis.
    •  Asymptomatic inflammatory – Despite having no symptoms, this illness produces inflammation of the prostate gland. After undergoing tests to determine the root of other issues, you can discover that you have this ailment. For instance, a semen analysis for infertility may reveal silent inflammatory Prostatitis.
    •  Chronic bacterial Prostatitis – These occur more frequently in older males. The bacterial infection is less severe and can last for several months. Some men develop it following an acute bacterial prostatitis or urinary tract infection (UTI).

    How Common is Prostatitis?

    For males under 50, Prostatitis is the most frequent urinary tract issue, and for males over 50, it ranks third. Each year, roughly two million men in the United States seek medical attention for Prostatitis.

    Chronic Prostatitis or the syndrome of persistent pelvic pain

    • The type of Prostatitis that is most prevalent and least understood.
    •  It can happen to men of any age.
    •  It Impacts 10 to 15 percent of males in the US.

    What Causes Prostatitis?

    Several possible CPPS contributors include:

    • Stress
    •  muscular spasms in the pelvic floor
    •  autoimmune conditions

    Among the possible causes of bacterial Prostatitis are:

    • Bladder stones or bladder infections.
    •  Needing the use of a urinary catheter for surgery or biopsy.
    •  UTI
    •  urination difficulty,
    •  urethral stones

    What are The Symptoms of Prostatitis?

    Depending on the underlying cause, each form of Prostatitis may have different symptoms in different men. There are many illnesses whose symptoms are similar to many others. They may include:

    • When urinating, there may be pain or burning (dysuria)
    •  Urination difficulty, including dribble or hesitant urination
    •  frequent urinating, especially after dark (nocturia)
    •  Need to urinate immediately
    •  cloudy urine
    •  Urine with blood in it
    •  abdominal, groyne, or lower back pain
    •  Penis or testicles that are painful or uncomfortable
    •  unpleasant ejaculation
    •  discomfort between the scrotum and the rectum (perineum)
    •  Other symptoms such as a fever and body aches (with acute bacterial Prostatitis)

    When to see Doctor

    Various illnesses can cause the symptoms and signs of Prostatitis. You must receive a proper diagnosis and treatment as soon as it is practical. Get medical help right away if any of the following take place:

    • fever and painful or challenging urinating
    •  difficulty urinating
    •  pee with blood
    •  extremely uncomfortable or painful genitalia or pelvis

    Risk Factors

    Prostatitis risk factors include:

    • Prostate biopsy in Past
    • Infection in Urine
    • Adulthood may affect
    • urinary catheter
    • AIDS or HIV

    The following are possible additional risk factors for chronic prostatitis/chronic pelvic pain syndrome:

    • Psychiatric tension
    •  pelvic nerve injury brought on by trauma or surgery

    How is Prostatitis Diagnosed?

    A variety of illnesses can cause the symptoms of Prostatitis. An expert in problems of the urinary and reproductive systems may be recommended to you (a urologist). Your Doctor will do a physical exam, review your symptoms and medical history, and order testing to identify the exact origin of the issue and rule out other possible causes. Test for Bacterial Infection Diagnosis.

    Test for Diagnosis of Bacterial Infection

    Urinalysis: Checking for germs and UTIs using urinalysis and urine culture.

    Blood test: The blood is done to determine the prostate gland. High levels could indicate prostate cancer, BPH, or Prostatitis.

    Other Tests

    You might undergo additional testing if initial examinations reveal no evidence of infection, such as:

    Urinalysis testing: The capacity of the bladder and urethra to store and release urine can be assessed using a variety of assays. These tests can aid in defining urination issues and locating their root causes.

    Imaging: This test is performed to check for abnormalities and other pelvic region problems.

    Treatment of Prostatitis

    The treatment of Prostatitis depends upon the type of Prostatitis and its symptoms. At IASH Jaipur, Dr Chirag Bhandari is the best Doctor to treat Prostatitis in Jaipur.

    Treating Infection

    If you have either acute or chronic bacterial Prostatitis, antibiotics are recommended. Intravenous (IV) antibiotics may be needed for a brief time in the hospital for an acute illness. Typically, an antibiotic treatment course lasts 4 to 6 weeks, though it occasionally lasts longer. It’s critical to take all the suggested medication to eliminate the infection and lower your risk of developing chronic bacterial Prostatitis.

    Treating Urinary Infection

    Alpha-blocker medications aid in relaxing the bladder neck and the muscle fibers where your prostate connects to your bladder. This therapy may help with bladder symptoms like uncomfortable or challenging urinating. Therefore, This can treat the urinary symptoms of bacterial infections and is usually administered to men with chronic prostatitis/pelvic pain syndrome.

    Treating Pain

    Your Doctor may recommend over-the-counter medications like acetaminophen (Tylenol, among others) or ibuprofen or prescribe painkillers (Advil, Motrin IB, others).

    Managing Psychological Pain

    Psychological pain such as stress, depression, and anxiety are related to chronic pain. However, please consult your doctor; he will recommend you a psychotherapist or mental health expert.


    Acute or chronic Prostatitis might have the following side effects:

    • blood infection caused by bacteria (bacteremia)
    •  condition of the coiled tube that is connected to the testicle’s spine (epididymitis)
    •  prostate cavity filled with feces (prostatic abscess)
    •  infection that travels to the lower spine or higher pelvic bone

    Chronic prostatitis/chronic pelvic discomfort syndrome complications could include:

    • The inability to achieve and sustain an erection is one example of sexual dysfunction (erectile dysfunction)
    •  Depression or anxiety
    •  Sperm and semen changes that could lead to infertility
    •  There isn’t any concrete proof that Prostatitis can cause prostate cancer. Whether persistent prostate inflammation poses a risk for cancer is a topic of research.

    How to Prevent Prostatitis?

    One should treat UTIs right away to prevent the prostate from becoming infected. Consult a doctor if you get pain in your perineum when sitting. Before it develops into chronic pelvic pain syndrome, you can take action to solve this issue.

    Frequently Asked Questions

    Q1. Is prostatitis a STD?

    Ans: A bacterial infection frequently leads to prostate inflammation. Typically, it’s not brought on by anything that can be transmitted to your partner during sex. However, in rare instances, an STI may be the reason for the Prostatitis.

    Q2. Is prostatitis permanent?

    Ans: Treatment for acute bacterial Prostatitis typically results in recovery. Even after treatment, Prostatitis can occasionally recur. One or more treatments may be administered concurrently by your healthcare professional. Some men must cope with the symptoms while waiting for the inflammation to subside.

    Q3. How can I fix prostatitis at home?

    Ans: The following treatments could help with specific prostatitis symptoms:

    • Use a heating pad or a warm bath (sitz bath).
    •  Alcohol, caffeine, and spicy or acidic foods should all be avoided since they irritate your bladder.
    •  Take in a lot of water. You’ll urinate more as a result, which will aid in clearing bacteria from your bladder.

    Q4. Would prostatitis show up in a urine test?

    Ans: The Doctor will need to do a urine test on you to look for bacteria and other infection-related symptoms. A blood test can also be required.

    Q5. What happens if prostatitis is left untreated?

    Ans: Acute or chronic Prostatitis might have the following side effects: blood infection caused by bacteria (bacteremia) infection of the coiled tube that is connected to the testicle’s spine (epididymitis) prostate cavity filled with feces (prostatic abscess).

    FAQs - Dr. Chirag Bhandari

    Frequently Asked Questions

    Q1. Who is Sexologist Doctor?

    A1. A sexologist is a medical professional who specializes in the field of sexual health. I am Dr. Chirag Bhandari, a sexologist, and I have dedicated my career to diagnosing and treating various sexual health issues.

    Q2. How to identify a Best Sexologist?

    A2. To identify a top sexologist, consider their credentials, experience, specialization, patient reviews, and your personal comfort. I have extensive experience in treating sexual health issues and am dedicated to providing the best care possible.

    Q3. Why Choose Dr. Chirag Bhandari for the treatment of your Sexual Problems?

    A3. Choosing Dr. Chirag Bhandari means choosing a dedicated and experienced sexologist who is committed to addressing your sexual health concerns. My clinic provides personalized care and effective treatment options.

    Q4. What is the Consultation Fee at Dr. Chirag Bhandari's Clinic?

    A4. Consultation fees at my clinic may vary. Please contact my clinic directly for specific information about fees and payment options.

    Q5. What is the duration of time slot for a Consultation at Dr. Chirag Bhandari's Clinic?

    A5. The duration of a consultation can vary depending on the nature of your concerns. Initial consultations may take longer as we gather essential information about your condition.

    Q6. Do I pay every time I undergo a Consultation?

    A6. Consultation fees are typically charged for each visit. However, we may offer package deals or discounts for multiple consultations. Please inquire at the clinic for more details.

    Q7. Do I need to Book an Appointment on the Scheduler of Website for an Online Consultation?

    A7. Yes, for online consultations, it is advisable to book an appointment through our clinic's website scheduler. This helps ensure you receive dedicated time for your consultation.

    Q8. I wish to proceed with an Online Consultation, what are the Steps ahead?

    A8. To proceed with an online consultation, visit our clinic's website and use the appointment scheduling system to book a convenient time. You'll receive further instructions via email or phone.

    Q9. Can masturbation have a negative impact on my overall health?

    A9. Masturbation is generally considered a normal and healthy sexual activity. However, excessive or compulsive masturbation may lead to physical or psychological issues. It's essential to maintain a balanced approach to ensure it doesn't interfere with your well-being.

    Q10. Is Sexual Disorders common?

    A10. Yes, sexual disorders are relatively common, and they can affect people of all ages. It's essential to seek professional help if you're experiencing any sexual health concerns.

    Q11. What are the Sexual problems that you Providing the treatment in clinic?

    A11. I provide treatment for a wide range of sexual problems, including but not limited to erectile dysfunction, premature ejaculation, low libido, sexually transmitted infections, and more. Feel free to discuss your specific concerns during the consultation.

    Q12. How long does it take to get rid of premature ejaculation or Erectile Dysfunction?

    A12. The duration of treatment for premature ejaculation or erectile dysfunction varies depending on the individual's condition and the chosen treatment plan. It can take several weeks to several months to see improvements. We'll discuss this during your consultation.

    Q13. I am suffering with Penile Infections/ Balanitis/ Balanoposthitis/ STDs/ STIs/ Phimosis/ Paraphimosis.

    A13. Penile infections and related conditions require careful evaluation and treatment. I can help diagnose and provide appropriate treatment options based on your specific condition during a consultation.

    Q14. I am suffering with Sexual Dysfunction, what do I expect in my consultation?

    A14. In a sexual dysfunction consultation, you can expect a thorough assessment of your medical history, a physical examination, and a discussion of your symptoms and concerns. We'll work together to create a personalized treatment plan.

    Q15. What is a Level 1 Consultation for patients suffering with Sexual Dysfunction?

    A15. The meaning of "Level 1" consultations can vary. At my clinic, a Level 1 consultation may involve an initial assessment and diagnosis of your sexual dysfunction. Specific details will be provided during your visit.

    Q16. What is a Level 2 Consultation for patients suffering with Sexual Dysfunction?

    A16. A Level 2 consultation may involve a more in-depth assessment, additional testing, or a review of your progress. This level is determined based on your specific needs and the nature of your condition.

    Q17. I have already had so many bad and failed experiences with previous Clinics/ Doctors in my City/ Country, how do I trust Dr. Chirag Bhandari?

    A17. I understand your concerns. Trust is essential. I am dedicated to providing the best care possible, and I encourage you to read patient reviews and testimonials to gain confidence in my expertise. My goal is to help you achieve the best results.

    Q18. What are all the payment options available at Dr. Chirag Bhandari's Clinic?

    A18. We accept various payment options, including cash, credit/debit cards, and health insurance in some cases. Please inquire at the clinic for specific details about payment methods.

    Q19. Is the Consultation Fee/ Online Assessment Fee/ Treatment Fee Refundable or Transferable?

    A19. The refund and transfer policies for consultation fees, online assessments, and treatment fees can vary. Please discuss these policies with our clinic staff to understand your options.

    Q20. Can I get an approximate idea of the cost of the treatment?

    A20. The cost of treatment can vary widely depending on the specific condition and the treatment plan. We'll discuss treatment costs during your consultation, and our team will provide you with an estimate based on your individual needs.