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what is the most common cause of prostatitis
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Kidney & Urinary Health
Question #16792
159 days ago
219

what is the most common cause of prostatitis - #16792

Divya

I am a bit confused about my symptoms and really need some guidance. For the past few weeks, I've been experiencing some discomfort in my lower abdomen, and urinating has become kinda painful. At first, I thought it was just a urinary tract infection or something, but after a visit to the doc, they mentioned prostatitis. What is the most common cause of prostatitis though? They said it can be due to various reasons, like infections or inflammation, but I’m not clear on what that exactly means. I’m 45 and have never had any serious health issues before this, and it’s just so strange to feel this way. The doc suggested I might need to do some tests, but I want to understand, what is the most common cause of prostatitis that I could be dealing with? I mean, is it something I did or just unlucky? I’ve been reading online and it’s confusing; there’s mention of bacterial and non-bacterial prostatitis, which just adds to my worries. Is there any advice or insight on this? Like, to help me cope with this situation?

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Doctors' responses

Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
158 days ago
5

Hi Divya

Actually I am also bit confused due to ur name. Confusion is understandable because prostatitis only affects men, as the prostate gland is present in males. It’s best not to worry too much or overthink based on online searching.

Recommended Initial Tests USG KUB (Ultrasound Kidney, Ureter, Bladder) with post-void residual urine (PVRU) and prostate evaluation. Urine routine microscopy (RM) and culture. Serum PSA (Prostate Specific Antigen). Uroflowmetry.

These tests are basic and help clarify if there is prostate inflammation, infection, or any other urinary tract issue.

Dr Nikhil Chauhan, Urologist

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Prostatitis can be frustratingly complex given its various causes, but getting familiar with its nuances might put your mind at ease. The most common cause of prostatitis tends to be bacterial, particularly when it comes to acute bacterial prostatitis. This type usually happens when bacteria from your urinary tract make their way to the prostate. In fact, a urinary tract infection (UTI) preceding this condition isn’t unusual, which aligns with your initial thoughts. Chronic bacterial prostatitis, on the other hand, emerges from recurrent or inadequate treatment of previous infections. That said, the most frequent form of prostatitis seen in men your age is actually chronic pelvic pain syndrome (CPPS), also known as non-bacterial prostatitis. This type comprises about 90-95% of prostatitis cases and its exact source isn’t always clear. It can involve chronic pain in the lower pelvic area without a resulting bacterial infection being found. Thinking about what led to your symptoms, remember environments that can potentially stress the prostate or increase the risks like prolonged sitting or specific physical activities can sometimes play a role, though not definitively. Since there are various types, your doctor might suggest tests such as urine analysis or a prostate secretion culture to pinpoint the cause and hone in on the correct treatment approach. Most times, antibiotics are prescribed if bacterial infection is found, but if it’s CPPS, managing symptoms with medications, lifestyle modifications, or physical therapy might be recommended. Crucially, following up with your doctor and adhering to their treatment strategies will help determine the direction you need to take to improve and protect your health.

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