When the prostate is inflamed, urination is difficult and painful. Men who have prostatitis will also experience symptoms in adjacent parts of the body like the wider pelvic area, genitals and the rectal region. This pain can either come on swiftly with other symptoms or develop gradually. In some cases, the pain is persistent though dull, which is consistent with chronic prostatitis. If you are experiencing pain in your groin area, it is important to first rule out common causes of such pain like UTIs. In some cases, a UTI can cause prostatitis.
As a group of conditions all affecting the prostate, prostatitis can be caused by a range of factors. These factors determine the type of prostatitis you have.
The following are the types of prostatitis based on the cause:
Acute Bacterial Prostatitis
As the name suggests, this type of prostatitis is caused by a bacterial infection originating from anywhere in the urinary tract. ABP catches on quickly and is accompanied by symptoms that can include chills and high fever, muscular pain and joint pain, a dull pain at the base of your penis and behind your scrotum, bowel movement urge, lower back pain and difficulty urinating. This is a serious condition, so if you notice any of these symptoms, contact your urologist immediately.
Chronic Bacterial Prostatitis
This type is more prevalent in older men and comes as a milder infection compared to acute bacterial prostatitis. Symptoms are also milder and can last for months on end without getting better or worse. In some cases, it develops after a UTI or ABP. Sometimes the symptoms may be intermittent, making it hard to diagnose the condition effectively. Symptoms include urgency to urinate, difficult and painful urination, post-ejaculatory pain, lower back pain, bloody semen, a UTI and a blocked urethra (urinary blockage.)
Chronic Prostatic/Chronic Pelvic Pain Syndrome (CP/CPPS)
While this type shares many characteristics with bacterial prostatitis, when tests are done, no bacteria are found to be present. It is not clear what causes CP/CPPS, but some trigger factors have been identified as linked to increased risk. These include nerve damage, injury, and stress. Immune disorders and IBS have also been linked to the condition. The only symptom of CP/CPPS is pain that lasts more than 3 months in your penis, scrotum lower abdomen, perineum, or lower back.
A person with this condition will have an inflamed prostate but no symptoms. While treatment for prostatitis may not seem necessary, the condition can result in infertility if left untreated. For this reason, regular prostate exams are recommended.