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Prostatitis is inflammation of the prostate. The prostate is a walnut-sized gland in men that surrounds the urethra. It produces a fluid that is part of semen. There are three main types of prostatitis: acute bacterial, chronic bacterial, and chronic non-bacterial.Acute bacterial prostatitis is the easiest form to treat, but it is also the least common. Symptoms include chills, fever, pain in the lower back and genital area, urinary frequency and urgency (often at night), burning or painful urination, and body aches. Examination of the urine shows white blood cells. Antibiotic treatment is highly successful for this form of prostatitis.Chronic bacterial prostatitis resembles acute prostatitis, but it is milder and may go on for a long time (months or years). It is believed that chronic bacterial prostatitis is caused by a problem in the prostate that makes the gland a focus for infection. Antibiotic treatment usually relieves symptoms, but they often come back after treatment is stopped.Chronic non-bacterial prostatitis, also known as chronic pelvic pain syndrome or prostatodynia, is the most common form of prostatitis. Unfortunately, it is also the least understood and the hardest to treat. Symptoms include urinary urgency, urinary frequency (especially at night), pain or burning while urinating, difficulty urinating, lower abdominal pain or pressure, rectal or perineal discomfort, lower back pain, painful ejaculation, and impotence. These symptoms may wax and wane for no obvious reason. Conventional medicine lacks a specific treatment for chronic non-bacterial prostatitis. Supportive treatments may be used, including stool softeners, pain medications, and warm sitz baths.

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