PROSTATITIS

Prostatitis

Definition

• A type of inflammation of the prostate gland.
• Generally associated with urinary symptoms.

Types of Prostatitis

1. Acute Bacterial Prostatitis
   • A sudden onset of severe pain and inflammation of the prostate.
   • Often associated with infection.
2. Chronic Bacterial Prostatitis
   • A long-standing inflammation of the prostate gland.
   • May be associated with recurring infections.
3. Chronic Nonbacterial Prostatitis
   • A long-standing inflammation of the prostate gland not caused by bacteria.
   • Also known as chronic pelvic pain syndrome.
4. Asymptomatic Inflammatory Prostatitis
   • Inflammation of the prostate gland without symptoms.

Aetiology of Acute Prostatitis

1. Bacterial Infection
   • Most common cause.
   • Bacteria can enter the prostate through the urethra.
2. Sexual Intercourse
   • Can increase the risk of infection.
3. Urinary Tract Infections
   • Can spread to the prostate gland.
4. Catheterization
   • Can introduce bacteria into the prostate gland.

Clinical Features of Acute Prostatitis

1. Severe Pain
   • Pain in the lower abdomen, testicles, and penis.
   • Pain may radiate to the back and thighs.
2. Fever and Chills
   • May be present with severe pain.
3. Urgency and Frequency
   • Urinary urgency and frequency.
4. Dysuria
   • Painful urination.

Clinical Features of Chronic Prostatitis

1. Pain
   • Pain in the lower abdomen, testicles, and penis.
   • Pain may radiate to the back and thighs.
2. Urinary Symptoms
   • Urinary urgency and frequency.
   • Dysuria or painful urination.
3. Recurrent Infections
   • May experience recurring urinary tract infections.

Diagnostic Tests for Prostatitis and Their Interpretation

1. Digital Rectal Examination (DRE)
   • May feel a tender or swollen prostate gland.
2. Urinalysis
   • May show evidence of infection (e.g., leukocytes, bacteria).
3. Prostate-Specific Antigen (PSA) Test
   • May be elevated in men with prostatitis.
4. Urodynamic Studies
   • May show abnormalities in bladder function.

Homoeopathic Therapeutics for Prostatitis

1. Arsenicum Album
   • For prostatitis with urinary symptoms and pain.
2. Bryonia
   • For prostatitis with pain and tenderness.
3. Calcarea Carbonica
   • For prostatitis with recurring infections.
4. Pulsatilla
   • For prostatitis with pain and urinary symptoms.
5. Thuja Occidentalis
   • For prostatitis with pain and tenderness.
6. Urea Nitrogen
   • For prostatitis with urinary symptoms.
7. Sulphur
   • For prostatitis with pain and tenderness.