Prostatitis common and debilitating
About 8% of men over 50 years of age from swelling of the prostate gland or prostatitis (1, 2). Prostatitis can cause a number of chronic problems including pain, redness, swelling, blood in urination, frequent urination, and sexual dysfunction (1). Prostatitis is also associated with higher levels of PSA= prostate specific antigen which associated with higher risk of prostate cancer.
Prostatitis can be caused by chronic bacterial or fungal infections(1). Fungal prostatitis ie especially common in elderly, hospitalized, catheterized, and immunosuppressed patients (2). Fungal prostatitis is commonly caused by Candida species, especially Candida albicans and glabrata (2).
ANTIFUNGAL TREATMENT MAY BE HELPFUL FOR PROSTATITIS
An Egyptian study reported that anti-fungal treatment may be very helpful for men with chronic prostatitis (3). One thousand consecutive male patients with chronic prostatitis (average age 34 years) were treated for two weeks with a low-carbohydrate diet and the antifungal drug fluconazole . Over 80% of men with prostatitis (803 of 1,000) reported significantly improvement of prostatitis symptoms. Successful treatment was also associated with significant reductions in PSA levels (3).
Research and References:
1. Sandhu J, Tu HYV. Recent advances in managing chronic prostatitis/chronic pelvic pain syndrome. F1000Research. 2017;6.
2. Demirci A, Bozlak N, Turkel S. Chronic prostatitis developing due to candida infection: A case diagnosed 20 years later and review of up-to-date literature. Urology case reports. 2018;20:88-9.
3. Kotb AF, Ismail AM, Sharafeldeen M, Elsayed EY. Chronic prostatitis/chronic pelvic pain syndrome: the role of an antifungal regimen. Cent European J Urol. 2013;66(2):196-9.