Chronic Prostatitis Treatment

If you observe signs of chronic prostatitis, you should immediately see an urologist or andrologist.

Specialist will suggest you to undergo a primary examination which includes analysis for sexually transmitted infections, ultrasound examination of pelvic organs and prostate gland, digital rectal examination.

You should not fear digital rectal examination, because an experienced doctor will not hurt you. This investigation is very informative because it helps to make right diagnosis and find out the degree of the disease.

Digital rectal examination helps the doctor  to determine prostate gland condition and also  helps the doctor to take its secretion for test. Before treatment, in the laboratory will be made bacteriological inoculation of prostatic fluid to determine vulnerability of your microflora to different antibacterial drugs.

Treatment will be ineffective without these examinations and this may lead not to recovery of prostatitis but to passing into a more severe form. Drug treatment of prostatitis is accompanied with prostate massage which helps to reduce stagnant occurrences and improve bloodflow and release of prostate gland secretion.

Unfortunately, modern medicine still cannot solve problem of full treatment of prostatitis. Modern treatment brings the disease to stage of remission (absence of symptoms) for 2 – 3 years, after which treatment should be repeated.

Acute Prostatitis Diagnostics

To diagnose acute prostatitis is necessary to undergo digital rectal examination during which doctor identifies that prostate gland is increased and painful.

Besides this, to find infection nature should be made urine culture test. In case of acute prostate, urine test shows increased number of red blood cells, white blood cells, bacteria and protide. Prostate gland secretion test is contraindicated due to severe pain.

Ultrasound examination of prostate gland helps to detect its abscess.

Treatment of acute prostatitis
In bacterial prostatitis are prescribed antibiotics during quite long period of 30 – 90 days. Over shorter period of time the antibiotic would just partially kill the infection in the body which may result in chronic prostatitis. Besides antibiotics also are prescribed anti-spasmatic and anti-inflammatory drugs.

If there was developed abscess of prostate, the only treatment here is surgery during which surgeon opens abscess to remove white matter with further rinsing with antiseptic solution.

In case of non-infectious prostatitis are prescribed heat bath, prostate gland massage and small enema. To relieve from pain it is necessary to take anaesthetics and spasmolytic drugs. It is recommended also to take mild lapactics and drink plenty of water.

Prostate Cancer Diagnostic Methods

At early stages cancer shows no symptoms, therefore prostate cancer is difficult to detect.

Urologist must perform here digital rectal examination of prostate gland. This examination helps to detect induration of prostate and exclude cancerous growths.

Also are performed next examinations:

• identification of PSA rate in blood
• transrectal ultrasound
• biopsy of prostate gland

When prostate cancer is suspected, it is necessary to examine areas where lymph glands are located in order to find if they were affected by cancer or not.

Most important test in cancer diagnostics is PSA (prostate specific antigen) test. Today this test is major method of screening and early detection of prostate cancer.

Unfortunately, PSA is not specific for prostate cancer, its rate may be increased after sexual intercourse, in case of various inflammations in prostate, adenoma, and after various operations. However, often this is the only symptom which helps to suspect cancerous growths in prostate gland.

To exclude false-positive results, there do exist several methods to calculate PSA:
1) pace of PSA rate increase (increase by 0,75ng/ml and more each year may be an indication of prostate cancer)
2) age norms of PSA rate (PSA rate increases with aging as prostate gland increases in its size, however its rate must be no more than 4ng/ml at age of 50)
3) rates of free and connected PSA (correlation between these rates is most significant criteria of prostate cancer diagnostics)

Next stage in prostate cancer diagnostics after PSA test is transrectal ultrasound which shows size of prostate gland, indurations and nodular lumps. Transrectal ultrasound helps more precise than digital rectal examination to detect stage of prostate cancer.

Biopsy of prostate cancer is major method to confirm prostate cancer diagnosis. It is performed along with ultrasound examination. In biopsy is used special device which is inserted into rectum to take several (6 – 12) fragments of prostate gland. Then is performed microscopic examination to define types of cells. Fragments where nodular lumps were found are examined more carefully. In case biopsy showed negative result, but in the course of several months PSA rate is increased, then PSA test is made once again.

After diagnosis of prostate cancer is made computed tomography and magnetic resonance imaging (MRI) of pelvis organs, and also scanning of bones to detect metastasis.