Dr. Philippe Smith on Prostatitis: Symptoms, Treatment & Long-Term Care

Prostatitis is a common condition affecting men of all ages. Dr. Philippe Smith, a medical expert and Vice President of AMOSO, provides insights into its symptoms, treatment options, and long-term care.

What Is Prostatitis?

Prostatitis is an umbrella term used to describe inflammation or infection of the prostate gland. It can occur suddenly or develop gradually and may last for a few weeks or persist for months or even years. The condition is typically classified into four types:

1. Acute Bacterial Prostatitis – A sudden bacterial infection that requires prompt medical attention.
   
   
2. Chronic Bacterial Prostatitis – A recurring bacterial infection with milder symptoms that may come and go.
   
   
3. Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) – The most common form, with no clear bacterial cause but chronic pain and discomfort.
   
   
4. Asymptomatic Inflammatory Prostatitis – Inflammation is detected during exams or tests, but the patient does not experience symptoms.
   
   

Common Symptoms of Prostatitis

The symptoms of prostatitis can vary depending on the type and severity. However, men with the condition often report:

• Pain or burning during urination
• Frequent or urgent need to urinate
• Difficulty starting urination or a weak urine stream
• Pain in the lower back, groin, or pelvic area
• Painful ejaculation or sexual dysfunction
• Flu-like symptoms (in acute bacterial prostatitis) such as fever and chills
  
  

For many, the symptoms can be frustrating and persistent, impacting not only physical health but emotional well-being and intimate relationships.

What Causes Prostatitis?

The causes of prostatitis depend on the type. Bacterial prostatitis is typically caused by bacteria entering the urinary tract, which then infect the prostate. This may result from a urinary tract infection (UTI), catheter use, or other sources of bacterial exposure.

Chronic prostatitis or CP/CPPS is more complex and often has no identifiable infection. Possible contributing factors include pelvic muscle tension, nerve inflammation, stress, and previous infections. In some cases, lifestyle habits like long periods of sitting or high-impact activities such as cycling may aggravate symptoms.

Diagnosing Prostatitis

A thorough medical evaluation is necessary to determine the type of prostatitis and develop an appropriate treatment plan. Diagnosis may involve:

• Medical history and symptom review
• Physical examination, including a digital rectal exam (DRE)
• Urine tests to detect infection
• Prostate secretion analysis or semen test
• Imaging tests (in some cases) to rule out other conditions
  
  

It’s important for men experiencing symptoms to consult a healthcare provider promptly. Early diagnosis can help prevent complications and guide more effective treatment.

Treatment Options for Prostatitis

Treatment depends on the specific type and severity of the condition.

1. Acute Bacterial Prostatitis

• Antibiotics (oral or intravenous)
• Pain relievers and anti-inflammatories
• Hospitalisation if symptoms are severe
  
  

2. Chronic Bacterial Prostatitis

• Long-term oral antibiotics (typically 4–6 weeks)
• Alpha-blockers to help with urination
• Anti-inflammatory medications
  
  

3. Chronic Prostatitis/CPPS

• Pain management strategies (NSAIDs, heat therapy, muscle relaxants)
• Physical therapy, especially pelvic floor therapy
• Stress reduction techniques (mindfulness, relaxation training)
• Lifestyle changes: increased hydration, avoiding alcohol/caffeine, reducing sitting time
• In some cases, low-dose antibiotics or medications like alpha-blockers may still be used, though the cause is not bacterial
  
  

4. Asymptomatic Inflammatory Prostatitis

• Usually requires no treatment unless associated with other urologic conditions
  
  

It’s worth noting that treatment for chronic prostatitis may require a combination approach and patience, as symptom relief can take time.

Long-Term Care and Lifestyle Management

Managing prostatitis, especially chronic forms, often involves ongoing care beyond the initial treatment. Here are a few strategies that can help:

• Regular follow-ups with a family practitioner or urologist to monitor progress
• Pelvic floor physiotherapy to relieve tension and improve function
• Exercise and movement, particularly low-impact activities like walking or swimming
• Dietary modifications, including reducing spicy foods, caffeine, and alcohol
• Stress management techniques such as meditation, breathing exercises, or counselling
• Avoiding prolonged sitting—especially on hard surfaces
  
  

Men are encouraged to take an active role in their health by tracking symptoms, following treatment plans, and discussing any changes with their doctor.

Emotional Wellbeing and Support

Living with prostatitis can take a toll on emotional health. The chronic nature of symptoms may lead to frustration, anxiety, or feelings of helplessness. Open communication with healthcare providers, support from loved ones, and connecting with others facing similar challenges (through support groups or forums) can be incredibly beneficial.

A compassionate and patient-centered approach—from both the practitioner and the patient—is key to navigating the ups and downs of this condition.

Final Thoughts

For men experiencing symptoms of prostatitis, Dr. Philippe Smith recommends seeking medical evaluation promptly to begin effective care and avoid complications.

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