Chronic bacterial prostatitis: Difference between revisions

From greek.doctor
(Created page with "<section begin="urology" />'''Chronic bacterial prostatitis''' refers to chronic or recurrent urogenital symptoms with evidence of bacterial infection of the prostate, usually defined as symptoms > 3 of the last 6 months. It's relatively rare. * Etiology ** Often a complication of acute bacterial prostatitis, due to inadequate or too short treatment * Clinical features ** Same as acute, but intermittent and less severe ** No systemic symptoms * Diagnosis ** Meares-...")
(No difference)

Revision as of 15:20, 27 September 2024

Chronic bacterial prostatitis refers to chronic or recurrent urogenital symptoms with evidence of bacterial infection of the prostate, usually defined as symptoms > 3 of the last 6 months. It's relatively rare.

  • Etiology
  • Clinical features
    • Same as acute, but intermittent and less severe
    • No systemic symptoms
  • Diagnosis
    • Meares-Stamey four-glass test
      • 1st glass - the first 5 - 10 mL of urine
      • 2nd glass - sample of midstream urine
      • 3rd glass - the prostate is massaged, and any prostatic secretions are collected
      • 4th glass - the subsequent 5 - 10 mL of urine after the prostate massage
    • Enlarged, soft or boggy, moderately tender prostate on DRE
  • Treatment
    • Long duration antibiotic treatment (6 – 12 weeks)
      • Fluoroquinolones and sulphamethoxazole/trimethoprim penetrate the prostate
    • NSAIDs