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Is prostatitis reversible?

BPH can be treated but not cured, but prostatitis is curable in many patients. The large majority of men with prostatitis have an infection of the prostate gland, while those with BPH do not have an infection.

medicinenet.com - Prostatitis vs. BPH (Enlarged Prostate): Differences & Causes

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How can I tell the difference between prostatitis and BPH (signs and symptoms)?

If you do not have any symptoms of BPH or any of the types of prostatitis, which can be the situation for some men, you may not be able to tell if you have either problem. However, a doctor or other health care professional can detect enlargement of the prostate with a digital rectal exam (digital examination of the rectal area and prostate), even if you don’t have any symptoms. If you do have symptoms, they are related to the increase in the size of your prostate gland. When the gland enlarges, it can constrict the urethra and produce one or more of these symptoms.

The need to urinate frequently during the day or night

The sudden urgent need to urinate

Difficulty initiating a urinary stream

Feeling like you still need to urinate even though you recently urinated

Feeling like you need to push or strain to empty your bladder

A decrease in the force of the urine stream

Loss of small amounts of urine (dribbling urine)

The symptoms of prostatitis depend upon the type of prostatitis.

Acute bacterial prostatitis (type I) symptoms

Fever

Chills

Muscle soreness

Joint discomfort

Feeling tired

Prostatic discomfort and/or pain

Painful urination (dysuria)

Low back pain and/or abdominal pain

Possible urethral discharge

Urinary stream problems such as frequency, urgency, weak urine stream

Chronic bacterial prostatitis (type II)

Intermittent painful urination

Intermittent obstructive urinary tract symptoms

Recurrent urinary tract infections (with some symptoms of type I)

Chronic prostatitis and chronic pelvic pain syndrome (type III)

Pelvic pain and/or discomfort

Obstructive urinary tract symptoms such as frequency, painful urination, and incomplete urination

Pain with ejaculation

Erectile dysfunction (ED)

Asymptomatic inflammatory prostatitis (type IV)

By definition, type IV has no symptoms, but sometimes is diagnosed from a prostate biopsy or suspected when a prostate-specific antigen test (PSA blood test) is elevated. Some men may have some of these symptoms with both BPH and prostatitis. If you are over age 50, it is more likely BPH than prostatitis, and if you are under age 35, acute bacterial prostatitis is more likely than BPH. In some patients, prostatitis may be recurrent (you may get the condition again).

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Does coffee inflame the prostate?

sharecare.com - How can caffeine affect an enlarged prostate? - Sharecare

Most urologists believe that caffeine can irritate an enlarged prostate, so it is best to limit consumption of coffee, tea, and soft drinks with caffeine. Caffeine tends to cause the muscles in the neck of the bladder (where it enters the urethra) to tighten up, making the ability to urinate more difficult. Caffeine also acts as a diuretic, increasing the amount of urine that enters the bladder. These two factors can increase the urgency and frequency of urination, making urinary symptoms worse. If you must have caffeine, tea -- especially green tea -- is the best choice because it contains antioxidants and is lower in caffeine than coffee and many sodas.

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