CHRONIC BACTERIAL PROSTATITIS
Chronic Bacterial Prostatitis is also caused by bacteria, and is treated by antimicrobial drugs. It can be a recurring illness, coming back periodically for years after an initial episode of acute bacterial prostatitis. Its symptoms include: Difficult, frequent, urgent, burning or painful urination; and pain in one or more of these sites—the lower back, perineum (the area between the rectum and scrotum), penis, scrotum, and pubic region. A doctor might suspect that a patient has chronic bacterial prostatitis when a urine test shows bacteria in the absence of any other symptoms (although other problems, such as infected kidney stones, also might show up in this way). The symptoms of chronic bacterial prostatitis usually don’t manifest themselves until sufficient amounts of bacteria have built up.
Chronic bacterial prostatitis is one of the most common causes of a repeated urinary tract infection in men, as the same bacteria tend to be involved in both problems. The disease is linked so intrinsically with urinary tract infections that many doctors believe that if you don’t have a urinary tract infection, and if you’ve never had one, you probably don’t have chronic bacterial prostatitis. One reason the situation remains chronic is that, even though the urine becomes free of bacteria and the symptoms of a urinary tract infection go away after treatment, the bacteria persist in the prostate because many antibiotics are not as effective there; these drugs do not diffuse well in the prostatic tissue.
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