What is the most accurate test for prostatitis?

How is prostatitis diagnosed? Digital rectal exam: Your provider inserts a gloved, lubricated finger into the rectum to check the prostate gland for pain and swelling. ... Urinalysis: A urinalysis and urine culture check for bacteria and UTIs. Blood test: A blood test measures PSA, a protein made by the prostate gland.

my.clevelandclinic.org - Prostatitis: Types, Symptoms, Causes, Diagnosis & Treatment

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Overview

What is prostatitis?

Prostatitis refers to four different conditions that affect the prostate gland. Two types of prostatitis are linked to urinary tract infections (UTIs). Other types are not. Men with prostatitis may have infection, inflammation and/or pain. Adult men of any age can get prostatitis. Many men who are told they have prostatitis are misdiagnosed and actually have a different condition. There’s a lot of outdated information about prostatitis. It’s important to see a healthcare provider who is up to date on the latest prostatitis research, diagnostic tests and treatments.

What is the prostate gland?

The prostate gland is part of the male reproductive system. It sits below your bladder, in front of the rectum. The urethra (tube that carries urine and semen out of the body) runs through the center of the gland.

How common is prostatitis?

Half of all men have symptoms of prostatitis at some point in their lives. It’s the most common urinary tract issue in men younger than 50. In men over 50, it’s the third most common. More than two million men see a healthcare provider every year for prostatitis symptoms.

What are the types of prostatitis?

Types of prostatitis include:

Acute bacterial prostatitis (category 1): A UTI causes an infection in the prostate gland. Symptoms include fever and chills. You may experience painful and frequent urination or have trouble urinating. Acute bacterial prostatitis requires immediate medical treatment. A UTI causes an infection in the prostate gland. Symptoms include fever and chills. You may experience painful and frequent urination or have trouble urinating. Acute bacterial prostatitis requires immediate medical treatment. Chronic bacterial prostatitis (category 2): Bacteria become trapped in the prostate gland, causing recurrent UTIs that are difficult to treat. Bacteria become trapped in the prostate gland, causing recurrent UTIs that are difficult to treat. Chronic pelvic pain syndrome, or CPPS (category 3): CPPS is the most common prostatitis type. Prostate gland inflammation occurs in approximately 1 out of 3 men. As the name implies, this type causes chronic pain in the pelvis, perineum (the area between the scrotum and rectum) and genitals. CPPS is the most common prostatitis type. Prostate gland inflammation occurs in approximately 1 out of 3 men. As the name implies, this type causes chronic pain in the pelvis, perineum (the area between the scrotum and rectum) and genitals. Asymptomatic inflammatory prostatitis (category 4): This condition causes prostate gland inflammation but no symptoms. You may learn you have this condition after getting tests to find the cause of other problems. For example, a semen analysis for infertility may detect asymptomatic inflammatory prostatitis. This type doesn’t need treatment.

Is prostatitis a sign of prostate cancer?

Prostatitis is benign (not cancerous). It doesn’t increase your risk of prostate cancer. However, inflammation from prostatitis sometimes raises the level of prostate-specific antigens (PSA) in blood — just like prostate cancer does. Further tests can help determine what’s causing elevated PSA levels.

What are the complications of prostatitis?

Men with acute bacterial prostatitis may develop sepsis. This widespread inflammation can be life-threatening. It requires immediate medical treatment. Antibiotics can cause an upset stomach. Men with chronic bacterial prostatitis may need lots of antibiotics to treat recurring infections. Some people develop antibiotic resistance, making treatment ineffective.

Asymptomatic inflammatory prostatitis can lower sperm count, affecting fertility.

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When should I be concerned about urine odor?

Urine normally has a slight smell, but some unusual and strong smells may also be noticed. Odd smells along with feeling sick, pain, or bloody urine are a sign you should see your doctor.

webmd.com - What to Know About Unusual Smell of Urine - WebMD

Urine normally has a slight smell, but some unusual and strong smells may also be noticed. Odd smells along with feeling sick, pain, or bloody urine are a sign you should see your doctor. Why Does My Pee Smell? Urine is mostly waste products and water and normally has a mild smell and a light yellow color. If you have more waste than water in your urine, it can smell more strongly. In most cases, a strong smell isn’t a sign of disease. It’s usually from your diet and medications, or it means you need to drink more water. Certain urine smells can be a sign of some conditions, but your doctor might not consider that to be the case unless you have other symptoms. What Causes a Bad Urine Smell? Your food, vitamins, and medications are the most common cause of a bad urine smell. Foods. Some foods have compounds that naturally have a strong odor and can make your urine smell. These include: Asparagus

Coffee

Dried fruit

Honey

Alcohol

Fennel

Brussel sprouts

Garlic

Onion

Vitamins. B vitamins are water soluble, which means your body doesn’t store them, and whatever you don’t need is removed in your urine. B vitamins in your multivitamin are often the culprit of smelly urine. Medications. Some medicines like antibiotics can make your urine stink. Some antibiotics are made from mold and can make your urine smell yeasty. Drinking lots of water throughout the day can help with these smells and keep your urine clear.

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