Prostate Disorders and Infections Part 1

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The male urethra is a strong barrier against infection but the prostate is vulnerable to infections, cancers, and benign enlargements.

In contrast to female urinary infections, male urinary infections are uncommon because the male urethra presents a stronger barrier against ascending bacteria. However, when bacteria succeed in swimming up to the bladder, they hide inside the prostate and from its sinuses may invade and reinvade the urinary bladder and kidneys.

Like women, when men get urinary bladder infections, they have similar symptoms such as frequency, urgency, and burning. But, unlike women, men’s bladder infections are always secondary to prostate infections and therefore require longer treatments (7-10 days instead of 2-4 days).

Since prostate and bladder infections don’t cause much fever, when men have fever and chills, it indicates that they actually have three infections that have occurred in sequence: prostatitis (prostate infection), which caused the cystitis (bladder infection), which in turn caused the pyelonephritis (kidney infection). In such cases of ascending urinary infections, antibiotic treatments will not normalize the fever before three days and antibiotics should be given for at least two weeks. Because kidneys seldom get infected in normal men, when they do, further investigations become necessary to rule out secondary causes such as kidney stones, scars, anatomical abnormalities, and tumors.

Once a prostate gets infected with bacteria, it becomes resistant to antibiotic cure because bacteria can hide deep in the prostate where antibiotics cannot reach. Because of that peculiarity, it is imperative that patients who have had one episode of infection be informed that they are likely to have relapses. Consequently, it is wiser to teach these patients to treat their own infections at the first sign of urinary symptoms such as burning, frequency, urgency, or fever. This strategy would avoid unnecessary delays in therapy and would diminish serious complications.

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