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Does prostate pain come and go?

Chronic bacterial prostatitis is an infection of the prostate that can last for a long time – at least three months. Chronic means that it is long-lasting. It tends to come and go, causing episodes or flare-ups.

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Chronic pelvic pain syndrome (CPPS)

CPPS is the most common type of prostatitis – around 19 out of every 20 men (90 to 95 per cent) with prostatitis have it. You might also hear it called chronic non-bacterial prostatitis, chronic abacterial prostatitis or prostate pain syndrome. Chronic means long-lasting. Men with CPPS usually have symptoms for three months or longer. Even after treatment, you may still have prostatitis for a long time. It might come and go, causing occasional episodes of severe pain, sometimes known as flare-ups.

What causes it?

Nobody knows for certain what causes CPPS. Unlike other types of prostatitis it isn’t usually caused by a bacterial infection. There could be a number of causes, which makes it difficult to diagnose and treat.

There are also a number of things that might trigger it, including:

urine getting into the prostate

previous infections in or around the prostate

an infection that doesn’t show up in tests

problems with nerves pathway, so that they send pain signals to the brain even when there’s nothing physically wrong

stress, anxiety or depression

problems with the pelvic floor muscles (the muscles that support your bladder and bowel and help to control urination). Some research shows a link between stress, anxiety and depression and CPPS. But this doesn’t mean that CPPS is all in your head. If you’re feeling stressed or depressed, this may cause physical symptoms that trigger CPPS, or make symptoms worse. There’s some evidence that CPPS may be linked to other conditions such as chronic fatigue syndrome, which causes severe tiredness, and irritable bowel syndrome (IBS), which causes bowel problems. Some men with CPPS have symptoms of these conditions too. There’s also some evidence that in a small number of men, CPPS may be caused by a sexually transmitted infection. But we need more research to know for sure. You can read more about the symptoms of CPPS, the test used to diagnose it, and the treatments available.

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What happens when you have a MRI of your prostate?

Your exam may involve the use of a balloon-covered probe called an endorectal coil. You will be asked to lie on your side and the radiologist will gently insert the lubricated probe into your rectum, directly behind the prostate gland. Once in place, the balloon will be inflated with air.

health.ucdavis.edu - Prostate MRI - UC Davis Health

How do I prepare for my prostate exam?

What will happen during my prostate exam?

During the exam you will be given an injection of contrast fluid called gadolinium. This will be administered through an IV line in your arm, placed at the beginning of the exam. Your exam may involve the use of a balloon-covered probe called an endorectal coil. You will be asked to lie on your side and the radiologist will gently insert the lubricated probe into your rectum, directly behind the prostate gland. Once in place, the balloon will be inflated with air. This may cause some initial discomfort and is similar to having an endorectal ultrasound, which you may have already had in the evaluation of your prostate. For the MRI itself, you will lie on your back in the magnet for approximately 45 minutes. You will be given earplugs as the magnet creates a knocking sound during the exam. If you are claustrophobic, you may want to ask the doctor who ordered this MRI for a mild sedative to take before the exam. Please click here to be directed to our Comfort page. After the exam is complete, the technologist will deflate and remove the endorectal coil and remove your IV. The radiologist will review the images and send a report to your physician.

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