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All you should know: Granulomatous prostatitis


It is an uncommon inflammatory condition in the prostate, a gland that produces the male sex hormones. This condition features the presence of granulomas.

This condition affects men of all ages but is most common in men above 60 years.[1]
- Self-diagnosable
- A rare condition
- Mimics prostatic cancer
- Mostly resolves naturally
- Affects only men
- Treatment options available
- Lab tests, blood test, imaging are always required
Granulomatous prostatitis can be classified as nonspecific, specific, postsurgical or secondary to other rare systemic granulomatous diseases. Granulomatous prostatitis associated with tuberculosis is infrequent. Nonspecific granulomatous prostatitis (NSGP) is the most common condition and is self-limiting. NSGP is caused by the blockage of prostatic ducts. It resolves naturally. However, specific granulomatous prostatitis needs treatment. Infectious Granulomatous prostatitis can be a casualty of mycobacterium tuberculosis and various fungi. They tend to disappear with time.


1. Secondary to obstruction within the prostate
2. Bacterial, viral or fungal infection
3. Malakoplakia
4. BCG vaccine
5. Foreign body response


People may experience:
1. Painful urination
2. Fever
3. Mild hematuria
4. Pain in groin, abdomen, perineum
5. Difficult urination
6. Urinary frequency


Self-care: Avoiding alcohol, caffeine, soaking in a warm bath or using a heating pad, avoiding bicycling and prolonged sitting are advisable.
Medications: Anti-inflammatory agents, antibiotics, alpha blockers are helpful in reducing swelling and pain.
Specialists: Consult an urologist for immediate help and concerns. At mfine, we provide a comprehensive treatment plan for your optimum health.

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