La prostatitis es una condición que afecta la glándula prostática, provocando inflamación y una variedad de síntomas que pueden impactar tanto la calidad de vida como la salud general masculina. 

Aunque a menudo se relaciona con infecciones, las causas pueden variar, lo que hace esencial un diagnóstico preciso para determinar el tratamiento más adecuado.

La prostatitis se caracteriza por la inflamación de la próstata, una glándula clave del sistema reproductor masculino. Esta condición puede manifestarse de diferentes maneras según su origen, ya sea de tipo infeccioso o no infeccioso.

Los síntomas más comunes incluyen:

• Trastornos urinarios como dificultad para orinar, aumento en la frecuencia y urgencia urinaria.

• Molestias en la región perineal o lumbar.

• Cambios en la función sexual, como dolor durante la eyaculación o disminución de la libido.

Causas, Síntomas y Tratamiento

La causa más frecuente de prostatitis es una infección bacteriana. Bacterias asociadas con infecciones urinarias o ciertas enfermedades de transmisión sexual (ETS) pueden colonizar la glándula prostática, dando lugar a una prostatitis bacteriana aguda. Sin embargo, no todas las formas de prostatitis tienen un origen infeccioso; algunas están relacionadas con factores como el estrés o la irritación prolongada de la zona.

What is Prostatitis? 

Prostatitis is a condition that affects the prostate gland, causing inflammation and a variety of symptoms that can impact both quality of life and overall male health. Although often related to infections, the causes can vary, making accurate diagnosis essential to determine the most appropriate treatment.

Prostatitis is characterised by inflammation of the prostate, a key gland of the male reproductive system. This condition can manifest itself in different ways depending on its origin, either infectious or non-infectious.

The most common symptoms include:

• Urinary disorders such as difficulty urinating, increased urinary frequency and urinary urgency.

• Discomfort in the perineal or lumbar region.

• Changes in sexual function, such as pain during ejaculation or decreased libido.

Causes, Symptoms and Treatment

The most common cause of prostatitis is a bacterial infection. Bacteria associated with urinary tract infections or certain sexually transmitted diseases (STDs) can colonise the prostate gland, resulting in acute bacterial prostatitis. However, not all forms of prostatitis are infectious in origin; some are related to factors such as stress or prolonged irritation of the area.

Acute and Chronic Prostatitis

• Acute prostatitis: Occurs suddenly and is often accompanied by severe symptoms. With proper treatment, including the use of antibiotics and adjustments in diet or daily habits, it may resolve completely.

• Chronic prostatitis: Occurs when symptoms persist for a prolonged period or when acute prostatitis recurs. Management can be more complex and involves a comprehensive approach to reduce symptoms and improve quality of life.

The management of chronic prostatitis requires the use of antibiotics that have a good ability to penetrate prostate tissue, preferably those with fat-soluble properties. Common antibiotics include:

1. Tobramycin

2. Netilmicin

3. Trimethoprim

4. Doxycycline

5. Ciprofloxacin

6. Fosfomycin

7. Ceftriaxone

Treatment usually lasts 6 to 12 weeks, depending on the severity of the condition and the patient's response.