Granulomatous prostatitis

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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W8MD medical weight loss NYC and sleep center NYC

Granulomatous prostatitis
Granulomatous inflammation of bladder neck
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Pelvic pain, urinary frequency, dysuria
Complications	Urinary obstruction, chronic pelvic pain syndrome
Onset	Typically in middle-aged to elderly men
Duration	Can be chronic
Types	N/A
Causes	Infection, autoimmune disease, surgery
Risks	Prostate biopsy, BCG therapy for bladder cancer
Diagnosis	Histopathology
Differential diagnosis	Prostate cancer, benign prostatic hyperplasia
Prevention	N/A
Treatment	Antibiotics, anti-inflammatory drugs, surgery
Medication	N/A
Prognosis	Generally good with treatment
Frequency	Rare
Deaths	N/A

Granulomatous prostatitis is a rare condition that involves inflammation of the prostate, often mistaken for prostate cancer. It is characterized by the formation of granulomas, which are small areas of inflammation, in the prostate gland.

Causes

The exact cause of granulomatous prostatitis is unknown. However, it is often associated with certain medical conditions such as tuberculosis, bladder infections, and prostate biopsy. It can also occur as a reaction to certain medications.

Symptoms

The symptoms of granulomatous prostatitis can vary greatly from person to person. Some men may have no symptoms at all, while others may experience symptoms similar to those of prostate cancer, including:

• Difficulty urinating
• Frequent urination, especially at night
• Pain or discomfort in the pelvic area
• Blood in the urine or semen
• Painful ejaculation

Diagnosis

Diagnosis of granulomatous prostatitis can be challenging due to its similarity to prostate cancer. It is often diagnosed through a combination of physical examination, medical history, and various tests, including:

• Prostate-specific antigen (PSA) test
• Biopsy of the prostate
• Magnetic resonance imaging (MRI)
• Computed tomography (CT) scan

Treatment

Treatment for granulomatous prostatitis depends on the underlying cause and the severity of symptoms. In some cases, no treatment is necessary and the condition resolves on its own. In other cases, treatment may include:

• Antibiotics to treat any underlying infection
• Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain
• Corticosteroids to reduce inflammation
• Surgery to remove the prostate (in severe cases)

See also

• Prostatitis
• Prostate cancer
• Prostate-specific antigen
• Prostate biopsy

References

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