Prostatitis in Singapore
Prostatitis is the commonest problem of the Prostate in young men.
It can be caused by infections (aka Bacterial Prostatitis) or the inflammation can be present without an active infection (aka Abacterial Prostatitis). Your doctor will need to conduct tests to find out which one you have before prescribing the correct treatment.
Read on to find out more.
What is Prostatitis?
Prostatitis is the inflammation of the Prostate Gland.
The Prostate Gland lies just below the bladder. It is responsible for producing Prostatic Secretions. Prostatic Secretions are mixed with sperm produced in the testis to form semen.
What causes Prostatitis?
There are many possible causes of Prostatitis. They can be classified into those caused by Infection and those not caused by Infection.
The most common cause of Prostatitis especially in young men is Infection. These are frequently Sexually Transmitted Infections (STIs) such as Chlamydia, Gonorrhea and NSU organisms such as Ureaplasma and Mycoplasma. Urinary Tract Infections (UTIs) such as E. Coli, Klebsiella can also cause Prostatitis. Tuberculosis is a rare cause of Prostatitis.
Non-Infectious causes of Prostatitis include Chronic Prostatic Pain Syndrome and Abacterial Prostatitis. This can result from an Infection that has been treated or minor trauma to the Prostate such as sitting on a hard surface for too long or cycling long distances on a hard saddle.
What are the symptoms of Prostatitis?
Symptoms of Prostatitis vary greatly. Patients can suffer from systemic symptoms of infection including fever, chills and rigors. This is especially when the infection of the prostate is quite severe and caused by an Infection.
More localized symptoms include pain when passing urine, erectile dysfunction, discharge from the penis, a heaviness or dragging sensation in the scrotum and pain at the tip of the penis.
Other symptoms include a constant need to go to the toilet to pass urine, low back pain, muscles aches, poor flow when passing urine or pain during ejaculation.
What do I do if I suspect I have Prostatitis?
See Our Doctors. We will take a detailed history from you and conduct a physical examination. The examination might involve a Digital Rectal Examination (DRE). This is done by the Doctor gently inserting a lubricated gloved finger into your rectum to feel for your prostate. The process itself is not painful. However, you might feel some pain when the Doctor presses on your prostate gland. This is a sign of Prostatitis.
Our Doctor might then need to do blood and urine tests to determine the cause of the Prostatitis.
Our Doctor might also need to conduct a test on the Prostate Secretions. This is done by the Doctor conducting a DRE and massaging the Prostate. This will squeeze some secretions out. You will then be asked to pass urine into a bottle and the urine will be sent for tests. For this tests, please give the Doctor the first catch of urine. This is different from regular urine tests when you are asked to collect the mid-stream.
What are the treatments for Prostatitis?
Infections are treated with anti-biotics.
Our Doctor might also give your nerve stabilizers such as Gabapentin and anti-inflammatories.
Our Doctor might also ask you to have repeat visits for prostatic massage.
Electro Shock Wave treatment to the prostate induces inflammation and has been used successfully in the treatment of Chronic Prostatic Pain. This is a painless procedure where a machine is used to send Shock Waves into the prostate. It however takes at least 6 sessions or more.
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