Chronic Prostatitis Etiology and Care Plan

Analysis of the Disorder

Prostatitis refers to a condition in men that causes inflammation and pain in the urinary tract or the prostate. Gantz (35) defines prostatitis as “A condition that involves inflammation of the prostate and sometimes the area around it.” This disorder may affect men of any age or social class. In this paper, the researcher will develop a comprehensive care plan for this disorder to promote awareness of disease prevention and proper management for those who are already suffering from it.

Pathophysiology of the disorder

Prostatitis may affect men at any stage of their development. In defining the pathophysiology of this disorder, Gillenwater (36) says that one of the initial developments may be an inflammation of the prostate or pelvic muscles. The tenderness is always caused by continual infection of the urinary tract. The figure below shows the regions that are affected by this inflammation.

Anatomy of the Prostrate and Related Organs.
Figure 1: Anatomy of the Prostrate and Related Organs.

When the patient fails to get medical intervention at the right time, then inflammation may worsen, and this may cause acute pain in the patient, especially when urinating. However, Shoskes (45) notes that this disorder may not lead to prostate cancer.

Signs and symptoms of the disorder

It is vital to understand the signs and symptoms of the disease so that intervention can be taken as early as possible to avoid the pain that is always associated with it. The most common symptom of prostatitis is discomfort or pain above the pubic bone, especially when urinating. This pain may also be experienced when passing stools. Sometimes the patient may develop a burning urge to pass out urine but the urine does not come out. The patient may also experience mild fever during this period.

Progression trajectory

It is still not clear what the real cause of chronic prostatitis is, but medical practitioners believe that it is caused by bacterial infections. At its early stages, the patient may experience residual pain. This can sometimes be accompanied by urinary symptoms like frequent urination or constant burning desire to urinate at close intervals. If this disorder is not addressed at this stage, the condition will worsen, as inflammation will occur in the pelvic region. At first, the inflammation will only cause pain during urination. However, the inflammation will be enlarged if left untreated. This will cause pain even when passing the stool. Chronic prostatitis will disappear, only to recur later.

Diagnostic testing

According to Buttaro (31), chronic prostatitis is still a poorly understood disorder with no definitive diagnostic testing procedures for CPPS. However, several conventional procedures that are currently used by urologists to test for this disease are still under development. Examining the prostate gland to determine if it is abnormally tender is the first procedure when examining this disease.

However, this may not be a confirmative test because there are other possible causes of such tenderness other than prostatitis. The urologist may need to conduct a urine test to rule out any possibilities of other urinary infections. In case there is any doubt, the patient may need to undergo further urinary tract or kidney tests. According to Buttaro (47), some of the symptoms of prostatitis are similar to those of sexually transmitted infections. A doctor may prescribe a test to rule out the STIs.

Treatment options

Once the urologist is convinced that the disorder is chronic prostatitis, a medical procedure will be undertaken to eliminate it. One of the most common ways of treating this disorder is by using antibiotics. However, it is recommended that the patient use the antibiotic as prescribed by the doctor to ensure that the bacteria are destroyed. According to the research by Buttaro (56), Alpha-blockers may sometimes be used when treating inflamed prostrate, especially when there is a need to relax its muscle tissues. Sometimes bioflavonoid may be administered. Shoskes (56) says that stress is one of the possible causes of this disorder.

For this reason, stress management pain relievers may be used when managing chronic prostatitis. When the infection is at an advanced stage, a doctor may prefer prostatectomy as the only solution to the complication. This is a surgical procedure to remove the prostate, especially if it is confirmed that the patient has small stones. However, it is not a common procedure because many patients prefer other alternative procedures.

Difference between the disorder and normal development

A patient should be able to determine if he is suffering from this disorder because some developments will point to some abnormalities. It is normal to have an urgent feeling to pass urine. However, if this is a persistent feeling, and the amount of urine that comes out is not commensurate to the amount of pressure generated, then this should be a signal of abnormal development. Experiencing some discomfort while urinating may be a normal occurrence, but if it is persistent, then this should be considered an abnormal issue. The biggest concern that points out to the possibility of having this disorder is the occurrence of inflammation in the prostate. Some of these specific factors should be monitored because they deviate from normal developments.

Physical and psychological demands the disorder places on the patient and family

When one is diagnosed with chronic prostatitis, there are physical and psychological demands that will be placed on the patient and members of his family. The patient will need to engage in regular exercise. The patient will need to know some types of food that he will need to avoid. If he is married, the wife will need to understand the fact that conjugal benefits may be regulated during the treatment period, especially when there is inflammation in the prostate.

Key concepts that must be shared with the patient and family to manage the outcome

Information is power, and the best way of managing this disorder is to have the right knowledge on how it should be managed. The patient and members of his family will need to know the type of food that the patient should avoid, and those that should be encouraged. If the patient is married, he and his wife will need to be informed of the right time to engage in conjugal activities. They should know when it should be avoided for the benefit of the patient. The patient and family members will also need to know that taking a rest and avoiding stressors is very important in achieving success in managing this disorder.

Key interdisciplinary team personnel needed in managing the disorder

Managing this disorder may require several professionals who will play different roles to ensure that there is a success. It was noted that this disorder is diagnosed by eliminating various possible diseases with similar symptoms. This means that several medical doctors will be needed to run and interpret the tests. A gynecologist will be needed to rule out the possibility of the patient suffering from any sexually transmitted infections. A nephrologist will be needed to determine if the patient could be suffering from any kidney-related problems. An oncologist may help in ruling out the possibility of prostate cancer in the patient.

Dietitians will help in managing the nutrition of the patient. A physical therapist may help in managing the problem with inflammation or chronic pains. An occupational therapist will be needed to design the physical activities of the patient once he leaves the hospital. Counselors and psychologists will be needed to help the patient understand the kind of new lifestyle that he will need in this new lifestyle. A urologist will be the main doctor if the patient is confirmed to be suffering from chronic prostatitis.

Facilitators and barriers to optimal disorder management and outcomes

According to Gantz (122), when addressing chronic prostatitis disorder, it is always important to understand some of the facilitators that may help in the fight against the disease, and barriers that may hinder success in managing the disease. The most important facilitators are the interdisciplinary personnel that have been discussed above. Each one of them has a role to play in managing this disease, especially the urologist, therapists, and counselors. They are needed to offer medication, prescribe a new lifestyle for the patient, and information about how the patient should manage this new health complication.

Supportive family members are also important facilitators in managing the outcome of this disorder. They will support the patient materially and emotionally during such trying times. Exercise, proper diet, and regular intake of medicine are positive practices that will help overcome this complication. Unsupportive or abusive families may be the biggest barrier to achieving success in this fight. Excessive intake of alcohol, limited physical exercise, and stressful activities are also barriers to managing this disease.

Strategies to overcome the identified barriers

It may not be easy to overcome this disorder as an individual. For this reason, the first barrier that should be eliminated is unsupportive families. One should consider staying away from such individuals. He will need to maintain supportive friends. The patient should also maintain physical exercise and a good diet as prescribed by the doctor. He may need to overcome the habit of smoking and alcohol taking. The patient should avoid a stressful environment that may escalate the condition. This will help him in fighting the disorder more effectively.

Care Plan Synthesis

Comprehensive and holistic recognition and planning for the disorder

According to Cooper (327), developing a comprehensive plan for recognition of the disorder is the first step in managing this disorder. As mentioned above, there are still no known tests that can directly be used to test for this disorder. However, some procedures should be followed when diagnosing this disease.

How a patient’s socio-cultural background can potentially affect optimal management and outcomes

The socio-cultural background of the patient may potentially affect optimal management and outcome. The patient should observe a special diet. If the patient cannot afford such a diet, then the positive outcome will be jeopardized. Other social practices such as smoking and alcohol taking may also affect the healing process.

An evidence-based approach to address key issues identified in the case study

Evidence-based practice is critical when handling patients suffering from sensitive health problems. This research has used scholarly articles and books based on practical information from experiments as a way of enhancing evidence-based practice.

A comprehensive but tailored approach to the disorder

This research has comprehensively looked at the practical ways of testing for the disease and ways of managing it through team effort from a team of interdisciplinary doctors.

Works Cited

Buttaro, Terry. Primary Care: A Collaborative Practice. St. Louis, Mo: Elsevier, 2013. Print.

Cooper, Arthur. “Chronic Prostatitis and Aspermatism.” British Medical Journal 2.88 (2003): 327-410. Print.

Gantz, Nelson. Manual of Clinical Problems in Infectious Disease. Philadephia: Lippincott Williams & Wilkins, 2006. Print.

Gillenwater, Jay. Adult and Pediatric Urology. Philadelphia: Lippincott Williams & Wilkins, 2001. Print.

Shoskes, Daniel. Chronic Prostatitis/chronic Pelvic Pain Syndrome. Totowa, NJ: Humana Press, 2008. Print.