Doctor insights on:
Difference Between Prostatitis And Urethritis
Yes: Prostatitis affects the prostate gland, a pelvic organ responsible for semen production. Urethritis affects the urethra. Bacteria causing the 2 differ; urethritis is more often a sexually transmitted infection (but not always). Prostatitis is usually caused by the same bugs that cause uti's. Symptoms also differ--prostatitis is usaually a deep pain, urethritis is burning and penile discharge. Read more
Anatomic.: Prostatitis is inflammation of the prostate, usually due to infection. Urethritis is inflammation of the urethra, the outlet to the bladder. The difference it one of anatomic location, but there is overlap in the infectious agents that cause them. E. Coli & proteus; common causes of urinary tract infections, can cause both. Stds such as gonnorrhea & chylamydia are also common causes of urethritis. Read more
Infx: Both infections, one in prostate one in urethra, can have both. Read more
Probably not..., but: If done at right time, cystoscopy may evidence mucosal inflmmation to suggest urethritis or prostatitis. But, most of times, both can be diagnosed with good history, physical finding, urinalysis, and others as needed. And cystoscopy is only needed for protracted cases to rule out stricture. To detail both, go to see urologist timely. Best wishes... Read more
Likely bacterial.: Although reports of fungal prostatitis have been reported in the literature, this disease is quite rare, limited to severely immune-compromised (transplant or hiv) patients who are hospitalized. If your have a prostatic infection, it is most likely bacterial and candida is a urinary or culture contaminant. I recommend you see a urologist for evaluation & treatment. Read more
Is there any chance of urine reflux into vas deferes or ejaculatory ducts due to prostatitis or urethritis? What are the treatments?
Epididymitis: This is the proposed mechanism of epididymitis. Usually a strain such as lifting or exercising (increasing intra-abdominal pressure) causes the reflux a very tiny amounts of bacteria laden urine down the vas. The treatment is the same as it is for prostatitis: antibiotics and anti-inflammatories. Read more
Urethritis and burning on urination that lasts for days/weeks and then remits. Treated for prostatitis 5 years ago with 6 weeks Cipro, (ciprofloxacin) have had since?
My prostatitis started with non specific urethritis with yellow pus fro penis this proves its bacterial?
Usually not: Prostatitis primarily causes pain or discomfort in the low abdomen, back, rectum, testicles, etc, often hard to pinpoint the exact location; sometimes urinary frequency or urgency; usually no discharge. Urethritis primarily causes discharge of pus or mucus from the penis, sometimes with painful urination, usually without urinary symtoms or the kind of pain from prostatitis. Read more
My doctor says I have prostatis, after researching it seems it could be urethritis...What's the diff & how would I know?
UTI: "uti" includes all types of infections in the urinary tract. Cystitis is specifically a term describing inflammation of the bladder. Pyelonephritis (also a uti) on the other hand is an infection of the kidney causing significant systemic symptoms. Prostatitis often causes vague aching symptoms often with negative urine cultures. Read more
Can urethritis cause an overactive bladder? What is the difference between overactive bladder and bladder spasms?
Here are some. ..: Urethritis may incite a premature urge to void so the patient may void oftener than usual; after treated, urethritis-related urgency subsides, but not OAB-related. Although OAB generates urge to void, the patient still usually can make to bathroom to void; bladder spam is usually referred to the occurrence of uninhibited bladder contraction incited by catheter or poor central nerve control, etc. Read more
PROSTATITIS: You can have chronic bacterial or non bacterial. Read more
Here are some...: Prostatitis is one of the most misused and even abused medical Dx, and theoretically it denotes inflammatory change inside prostate but clinically most patients carrying Dx of prostatitis have no real infection or inflammation. Prostatorrhea is a term having been obseleting in its use. Clinically, it denotes some unwanted discharge of prostate and seminal fluid on constipation and straining... Read more
How do I know if I have Prostatitis or another prostate issue? Seems the symptoms are the same. Is there a difference in the symptoms?
Nope, no difference: Distinguishing prostatitis from other causes of similar symptoms (e.g., urinary urgency, bladder discomfort, testicular or low abdominal pain, etc) is difficult even for an expert doctor and impossible based on symptoms alone. Also, there are several kinds of prostatitis, with different treatments. Professional evaluation is needed, preferably by a urologist. Good luck! Read more
I have been treating prostatitis using difference types of antibiotics since last 3 years, still I could not recover from it. Please advise what todo?
Prostatitis: See a urologist. Prostate is not an organ which is penetrated effectively by most antibiotics, so the choice of drugs will limit their efficacy. You also need to promote drainage, first with sitz baths, frequent ejaculation, and when the acute process calms down, prostatic massage may help. But please see a good urologist as there may be other problems associated. Read more
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