Can chronic prostatitis be cured?

Prostatitis can't always be cured, but its symptoms can be managed. Treatment should be followed even if you feel better. Patients with prostatitis aren't at higher risk for getting prostate cancer. There's no reason to stop normal sex unless it bothers you.

urologyhealth.org - Prostatitis (Infection of the Prostate): Symptoms, Diagnosis & Treatment

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Your health care provider may start by asking you questions about your pain to find out what’s wrong. A digital rectal exam (DRE) may be done to check the prostate. Your doctor may do a transrectal ultrasound to look at your prostate or do a test called cystoscopy to check your urinary system. You may also be asked to get lab tests to look for bacteria in your urine or prostate fluid. A urine flow study or urodynamics test may be done to look for a block in your urinary system. If your health care provider suspects a problem with your prostate or nearby tissues, he/she may send you to a urologist. A urologist is a doctor who treats problems of the urinary tract and male reproductive systems. Each type of prostatitis calls for a different treatment. Your doctor will want to know exactly what is causing your symptoms. To find the answers, more than one type of test may be used.

Physical Exam

Your health care provider may do a digital rectal exam (DRE). This is done by putting a lubricated, gloved finger into your rectum. Your doctor will press and feel the prostate to see if it is enlarged or tender. Lumps or firmness can suggest prostate cancer. He/she will ask you how much pain you feel during this test. If you have prostatitis, this exam may hurt a bit. But it doesn't cause any harm or lasting pain.

Tests

Ultrasound

To get a closer look at the prostate gland, your health care provider may order a transrectal ultrasound. An ultrasound uses sound waves to show a picture of the prostate. To "see" the prostate, the ultrasound probe is placed in the rectum.

Urine and prostate fluid tests

Your doctor may test your urine and fluid from your prostate gland. When the prostate is massaged during the DRE, a fluid called expressed prostatic excretion (EPS) comes out of the penis. Urine and EPS are checked for signs of inflammation and infection. The test results may tell the doctor if the problem is in your urethra, bladder, or prostate. Your blood and semen may also be tested for bacteria, white blood cells, or other signs of infection. Because it can be hard to get good samples, health care providers can sometimes have trouble telling if prostatitis is caused by bacteria. Also, if you have been treated with antibiotics in the recent past, this can change the results. If you are at risk for cancer, your health care provider may order a blood test to check your prostate specific antigen (PSA) level. But if you have a prostate infection, your PSA can be falsely raised. Because of this, doctors are careful about how they read your PSA test results.

Cystoscopy

Your urologist may look inside your urethra, prostate, and bladder with a cystoscope. A cystoscope is a long, thin telescope with a light at the end. First, your urologist will numb your urethra. Then, he or she will gently guide the cystoscope through your urethra into the bladder.

Urine Flow Studies (Urodynamics)

Your urologist may also order urine flow studies or urodynamics. These help measure the strength of your urine flow. These tests also spot any blockage caused by the prostate, urethra, or pelvic muscles.

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Does sugar affect prostate cancer?

But those with the highest insulin levels were more than twice as likely to get prostate cancer compared with those with the lowest insulin levels. They didn't see the same pattern with blood sugar. Men with blood sugar levels on the higher end didn't show more prostate cancer risk.

webmd.com - Prostate Cancer: What's the Link to Insulin? - WebMD

Prostate cancer is the most common type of cancer in men. More than 1 in 10 men will get it at some point in their life. Your chances of getting prostate cancer will depend on many different things: your age, family history, genetics, diet, weight, and more. Another thing that can influence your prostate cancer risk in complicated ways is your insulin level. Your body needs the hormone insulin to control blood sugar (glucose). When you have diabetes or prediabetes, your body stops responding to insulin the way it should. Doctors call this insulin resistance. Your body will respond by making more insulin. Your blood sugar levels also will go up. What’s this have to do with prostate cancer? The connections between insulin, blood sugar, diabetes, and prostate cancer might surprise you. They certainly seem to not make sense at first. Studies have linked higher levels of insulin to a greater risk of prostate cancer. Diabetes comes with an increased risk for many cancer types and plenty of other health problems. But it turns out that people with diabetes are actually less likely to get prostate cancer than those who don’t have it. At the same time, people with diabetes who get prostate cancer more often do worse.

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