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Can urine get into your prostate?

Bacteria can get into the prostate when infected urine flows backwards from the urethra. A sex partner cannot ""catch"" this type of infection.

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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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How can I make my wife happy at night?

Ask her what she wants to do in the bedroom. Mix things up by trying something new and exciting to make her happy. Tell her often how much you enjoy being sexually intimate with her. Let her know that you are having the best sex of your life with her.

This article was co-authored by Jin S. Kim, MA . Jin Kim is a Licensed Marriage and Family Therapist based out of Los Angeles, California. Jin specializes in working with LGBTQ individuals, people of color, and those that may have challenges related to reconciling multiple and intersectional identities. Jin received his Masters in Clinical Psychology from Antioch University Los Angeles, with a specialization in LGBT-Affirming Psychology, in 2015. This article has been viewed 176,405 times.

Article Summary

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To make your wife happy, try to show you appreciate her in small ways, like with a kiss in the morning and saying thank you when she does something for you. You can also surprise her with a gift, like flowers, or a box of chocolates, to show that you think of her. When she comes to you with news or a problem, listen carefully to her and try to understand her point of view to show that you care. You can also take her on regular dates to keep your relationship exciting and spend quality time together without distractions. However, you should also give her space and encourage her to spend time pursuing her own interests and other things that make her happy. For more tips, including how to show intimacy through small gestures, read on!

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