Chronic bacterial prostatitis history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Chronic bacterial prostatitis is a relatively rare condition — occurs in less than 5% of patients with prostate-related non-BPH lower urinary tract symptoms (LUTS) — that usually presents with an intermittent UTI-type picture and that is defined as recurrent urinary tract infections in men originating from a chronic infection in the prostate.

History

Dr. Weidner, Professor of Medicine, Department of Urology, University of Gießen, has stated: “In studies of 656 men, we seldom found chronic bacterial prostatitis. It is truly a rare disease. Most of those were E-coli.”^[1] Symptoms may be completely absent until there is also bladder infection, and the most troublesome problem is usually recurrent cystitis.^[2]

Symptoms

Symptoms of chronic prostatitis are similar to those of acute prostatitis but are not as severe. They usually begin more gradually. Patients may have no symptoms in between episodes, or they may experience mild symptoms all the time.

Symptoms may include:

Blood in the urine
Decreased urinary stream
Delayed start of urination (urinary hesitancy)
Frequent urination
Incontinence
Low-grade fever
Pain or burning with urination

Subtle symptoms may include:

Low back pain
Pain in the perineum or pelvic floor
Pain with bowel movement
Pain with ejaculation
Testicular pain

References

↑ Schneider H, Ludwig M, Hossain HM, Diemer T, Weidner W (2003). “The 2001 Gießen Cohort Study on patients with prostatitis syndrome–an evaluation of inflammatory status and search for microorganisms 10 years after a first analysis”. Andrologia. 35 (5): 258–62. doi:10.1046/j.1439-0272.2003.00586.x. PMID 14535851.
↑ Habermacher GM, Chason JT, Schaeffer AJ (2006). “Prostatitis/chronic pelvic pain syndrome”. Annu. Rev. Med. 57: 195–206. doi:10.1146/annurev.med.57.011205.135654. PMID 16409145.

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[pmid14535851-1] Schneider H, Ludwig M, Hossain HM, Diemer T, Weidner W (2003). “The 2001 Gießen Cohort Study on patients with prostatitis syndrome–an evaluation of inflammatory status and search for microorganisms 10 years after a first analysis”. Andrologia. 35 (5): 258–62. doi:10.1046/j.1439-0272.2003.00586.x. PMID 14535851.

[pmid16409145-2] Habermacher GM, Chason JT, Schaeffer AJ (2006). “Prostatitis/chronic pelvic pain syndrome”. Annu. Rev. Med. 57: 195–206. doi:10.1146/annurev.med.57.011205.135654. PMID 16409145.

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