1. Information About Prostatitis
   
2. Categories of Prostatitis
   
3. Acute Bacterial Prostatitis
   
4. Chronic Bacterial Prostatitis
   
5. Prostato-Vesiculitis
   
6. Chronic Non-Bacterial Prostatitis
   
7. Prostatodynia
   
8. Treatment of Prostatitis

Chronic Bacterial Prostatitis typically manifests itself by recurrent urinary tract infections, due to primarily a partially treated infection or to a persistent bacterium. The hallmark of chronic bacterial prostatitis is that, when the infection returns, it is caused by the same type of bacteria that caused the previous infection.

Cystoscopic view of pus and exudate emanating from the prostatic ducts

Cystoscopy provides an invaluable tool for evaluating prostatitis. By examining the prostatic ducts during inhalation and exhalation one can document the presence of infection.

Posterior urethritis is practically always present and in most cases the seminal vesicles share in the pathological process. The histopathology of prostatitis is characterized by significant numbers of lymphocytes and neutrophils in prostatic secretions. The diagnosis of chronic prostatitis is usually based on the amount of white blood cells (WBC) in the prostatic secretions. Microbiologic culture findings from fractionated urine specimens is also used to differentiate bacterial from nonbacterial prostatitis.

The presence of chronic prostatitis can be established by fluorescent microscopy and cytologic analysis of the prostatic fluid, enabling the detection of alterations in the nuclei of the epithelial cells lining the small glands of the prostate.This highly effective technique is practiced exclusively by the Prostatic Center.