Asymptomatic Inflammatory Prostatitis
Asymptomatic inflammatory prostatitis is a form of the disease you don’t read about often. However, at least one report says up to one-third of men who have an elevated PSA (prostate-specific antigen) level have asymptomatic inflammatory prostatitis. As its name implies, this form of prostatitis involves inflammation of the prostate, but men do not experience the symptoms that typically go along with it.
Men who have asymptomatic inflammatory prostatitis are usually told they have the disease after they undergo a prostate biopsy to rule out prostate cancer because of an elevated PSA level, or after they have a fertility test. Two typical signs of asymptomatic inflammatory prostatitis are the presence of white blood cells or pus cells that have come from the prostate gland and found their way into the urine, and an elevated PSA level.
According to a 2006 study done in Estonia, men with asymptomatic inflammatory prostatitis have bacteria in their semen. The researchers looked at the semen of 37 men with asymptomatic inflammatory prostatitis and the semen of 32 control group men. They found that the semen of the men with asymptomatic inflammatory prostatitis harbored abundant bacteria of up to eight different organisms and that the bacteria count correlated with the white blood cell count.
Men with asymptomatic inflammatory prostatitis who have no signs of infection often do not need treatment, although antibiotics are sometimes prescribed. Your doctor may prescribe antibiotics or nonsteroidal anti-inflammatory medications (such as ibuprofen) if you are undergoing testing for infertility.
If you have been given a diagnosis of asymptomatic inflammatory prostatitis, discuss any necessary treatment options with your healthcare provider. Your doctor may decide you do not need any treatment at all. If your PSA level is elevated due to this condition and you do take antibiotics, you should see PSA levels return to normal after about four to six weeks.