How does bacterial prostatitis develop?
Acute bacterial prostatitis is the easiest of the three conditions to diagnose because it comes on suddenly and the symptoms require quick medical attention. Not only will you have urinary problems, but you may also have a fever and pain and, occasionally visible blood in your urine. Your urine may be cloudy and microscopic examination of the urine specimen will be loaded with white blood cells and bacteria.
Chronic bacterial prostatitis is associated with repeated urinary tract infections, while nonbacterial prostatitis is not. In fact, if you do not have a urinary tract infection or a history of one, you probably do not have chronic bacterial prostatitis. Other symptoms, if any, may include urinary problems such as the need to urinate frequently, a sense of urgency, burning or painful urination, and possibly perineal and low-back pain. Microscopic examination of the urine specimen will be loaded with white blood cells and bacteria.
Acute and chronic bacterial prostatitis are not contagious and are not considered to be sexually transmitted diseases. Your sexual partner cannot catch this infection from you. How then did you get it? The way in which the prostate becomes infected is not clearly understood. The bacteria that cause prostatitis may get into the prostate from the urethra by backward flow of infected urine into the prostate ducts or from rectal bacteria.
Certain conditions or medical procedures increase the risk of contracting prostatitis. You are at higher risk for getting prostatitis if you:
recently have had a medical instrument, such as a urinary catheter (a soft, lubricated tube used to drain urine from the bladder) inserted during a medical procedure
engage in rectal intercourse
have abnormal urinary tract anatomy (congenital defect)
have had a recent bladder infection
have an enlarged prostate
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