Prostatitis (Chronic Pelvic Pain Syndrome or CPPS) is a common and painful disease of the prostate gland and surrounding organs. The prostate gland is part of the male reproductive system which produces ejaculatory fluid.

There are four different types of prostatitis making it a challenge to diagnosis and treat. Bacteria can cause two types of prostatitis. The causes of the other forms of prostatitis are unknown but may be due to a persistent infection, inflammation and/or muscle spasm in the pelvic area.

Acute Bacterial Prostatitis (CPPS I)
This form of prostatitis is the least common and is always caused by a bacterial infection. The common symptoms are chills, fever, severe burning while urinating, and the inability to completely empty the bladder. The symptoms are severe, often occur suddenly, and require prompt medical treatment.

Chronic Bacterial Prostatitis (CPPS II)
This type of prostatitis is characterized by a bacterial infection, similar to the acute condition, but without the chills or fever. Chronic bacterial prostatitis is episodic, meaning symptoms frequently disappear and reappear. The common symptoms include pain in the lower abdomen and back, painful ejaculation, burning while urinating and a frequent need to urinate, especially at night.

Chronic Nonbacterial Prostatitis (CPPS III)
Chronic nonbacterial prostatitis is the most common form of prostatitis, although the causes are the least understood. Common symptoms include: a frequent need to urinate, persistent pain in the lower abdomen or back, painful ejaculation, and erectile dysfunction.

Asymptomatic Inflammatory Prostatitis (CPPS IV)
Men with this form of prostatitis have no symptoms, despite experiencing an inflammation of the prostate. This form of prostatitis does not require treatment.

These different forms of prostatitis require various treatments. Antibiotics, anti-inflammatories, and other classes of medications may be used for varying lengths of time to treat the different forms of prostatitis. Other therapies including, heat therapies, biofeedback, and relaxation exercises may also help improve the symptoms of prostatitis.

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