Having to urinate many times during the day and night, often urgently overactive bladder. Changes in food or drink. Increasing your fiber intake can help manage diarrhea and constipation. Drinking plenty of fluids can also ease constipation. Not drinking fluids at certain times can help manage overactive bladder and urinary incontinence.
Kegel exercises can strengthen the sphincter muscles and pelvic floor. This can help you have better control. Some medicines can help control bowel incontinence. Antidiarrheal medicines can help manage diarrhea. And medicine can help bladder muscles relax to give you better control.
Keeping a bathroom schedule. This is prostatitis with no symptoms. Your healthcare provider often diagnoses it during an exam for another health problem. He or she may diagnose it if you have infection-fighting cells in your prostate fluid or semen.
What causes prostatitis? Who is at risk for prostatitis? You can get prostatitis at any age, but some things raise your risk: Recent bladder or urinary tract infection, or other infection in the body Injury to the area between the scrotum and the anus Abnormal urinary tract anatomy Enlarged prostate Recent test where a catheter or scope was put into the urethra What are the symptoms of prostatitis?
These are the most common symptoms of prostatitis: Need to urinate often Burning or stinging while urinating Pain when urinating Less urine when you urinate Rectal pain or pressure Fever and chills often only with an acute infection Pain in your lower back or pelvis Discharge through the urethra during bowel movements Erectile dysfunction or loss of sex drive Throbbing sensations in the rectal or genital area The symptoms of prostatitis may look like other medical conditions or problems.
How is prostatitis diagnosed? Other tests may include: Urine culture. This test collects prostatic fluid and urine.
They are checked for white blood cells and bacteria. Digital rectal exam DRE. In this test, the healthcare provider puts a gloved finger into the rectum to check the part of the prostate next to the rectum. This is done to look for swelling or tenderness.
Prostate massage. The healthcare provider massages your prostate gland to drain fluid into the urethra. This fluid is then checked under a microscope to look for inflammation or infection. This test is usually done during a digital rectal exam DRE.
Semen culture. A semen sample is tested in the lab for bacteria and white blood cells. A thin, flexible tube and viewing device is put into the penis and through the urethra. Your healthcare provider uses the device to look at your bladder and urinary tract for structure changes or blockages.
Transrectal ultrasound. A thin transducer is inserted into the rectum next to the prostate to show images of the prostate. CT scan. This is an imaging test that uses X-rays and a computer to make detailed images of the body. A CT scan shows details of the bones, muscles, fat, and organs.
How is prostatitis treated? Your healthcare provider will figure out the best treatment based on: How old you are Your overall health and health history How sick you are How well you can handle specific medicines, procedures, or therapies How long the condition is expected to last Your opinion or preference Treatment depends on what type of prostatitis you have. Chronic prostatitis You may take antibiotics until infection can be ruled out. Depending on the symptoms, other treatments may include: Medicines to help relax the muscles around the prostate and bladder, decrease inflammation, and ease pain Prostate massage to release the fluid that is causing pressure in the prostate Heat from hot baths or a heating pad to help ease discomfort Chronic bacterial prostatitis Treatment usually involves taking antibiotics for 4 to 12 weeks.
Acute bacterial prostatitis For this type of prostatitis, you usually take antibiotics for 2 to 4 weeks. Always see your healthcare provider for more information about the treatment of prostatitis.
Bladder fistulas do not heal on their own; however, they are preventable and treatable. Types of bladder fistula There are many types of fistulas. The most common bladder fistulas include the following: Colovesical fisulas colon bladder fistula occur between the bladder and bowel, and is the most common type of fistula between the bladder and bowel. This type of fistula is more common in males, with an occurrence rate of three to one.
Enterovesical fistulas occur between the bowel and vagina. Other names for this type of fistula are vesicocenteric fistural or intestinovesical fistula. Ureterovaginal fistulas occur between the ureter and vagina. This type of fistula occurs only in women. Vesicovaginal fistulas occur between the bladder and vagina.
Classification of fistulas includes: Blind — the tunnel connects two structures but is open on only one end Complete — the tunnel is open on both ends Horseshoe — the tunnel connects the anus to the surface of the skin Incomplete — tunnel connection is formed, but does not connect to another internal structure.
They may include any of the following: Abdominal pain Dysuria painful urination Foul-smelling urine urine smells like sulphur Incontinence Sore or infected genital area Pain during intercourse Pyelonephritis urinary tract infection where both kidneys become infected Recurrent sepsis Urinary obstruction inability to completely void urine Unusual vaginal discharge Problematic urinary tract infections recurrent cystitis Urine that looks like stool Gas that escapes through the urethra when urinating.
Pelvic fractures Abortion Prolonged childbirth Infected episiotomies after childbirth Cancer of the pelvic area Radiation treatment of the pelvic area Abscess of glands near rectum Sexual abuse Rape Vesicovaginal fistulas may be caused by the following: Surgery complication to treat bladder or vaginal problems — common cause Gynecological cancer or canter treatment, such as radiation Recurrent, severe urinary tract infections — rare.
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