The prostate gland is located at the base or outlet of the bladder. Any infection or inflammation of the prostate can result in the development of prostatitis. Prostatitis is a common problem in men and is classified into acute or chronic prostatitis.
This condition is secondary to a bacterial infection in the prostate and patients are unwell with a fever, pain in the perineum and difficulty passing urine. The infection can be so severe that generalised sepsis can develop if antibiotics are not administered promptly. Patients are normally admitted to hospital in order to have intravenous antibiotics, pain relief and monitoring. In rare cases a prostatic abscess may also develop which requires drainage.
In some individuals intermittent exacerbations of pain without the presence of bacteria may occur. It is important to establish the correct diagnosis and administer treatment which may include antibiotics, alpha blockers or just symptomatic treatment.
The classification according to the NIDDK/NIH is shown below and an accurate diagnosis should be established before commencing treatment
Some men will develop long term pain in the pelvis following prostatitis or it may develop due to an unknown cause. At LMC, we organise multiparametric MRI scans to image the pelvis and prostate in order to establish a diagnosis and ensure that there is no other underlying lesion accounting for the pain.
At LMC our team of experts can investigate chronic pelvic pain and prostatitis extensively if symptoms do not resolve. LMC adopts a team approach with specialist input from pain specialists and pain psychologists who can help patients manage the symptoms which may impact on day to day life.