Acute bacterial prostatitis

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Revision as of 15:14, 27 September 2024 by Nikolas (talk | contribs) (Created page with "<section begin="urology" />'''Acute bacterial prostatitis''' is a severe infection of the prostate. It typically affects young and middle-aged men and is usually associated with a lower UTI. Untreated it can progress to sepsis, prostatic abscess, and endocarditis. * Etiology ** UTIs ** Genitourinary tract interventions * Clinical features ** High fever ** Pain *** Perineal or pelvic area *** On defecation ** Dysuria ** Frequency * Diagnosis ** Urinalysis **...")
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Acute bacterial prostatitis is a severe infection of the prostate. It typically affects young and middle-aged men and is usually associated with a lower UTI. Untreated it can progress to sepsis, prostatic abscess, and endocarditis.

  • Etiology
    • UTIs
    • Genitourinary tract interventions
  • Clinical features
    • High fever
    • Pain
      • Perineal or pelvic area
      • On defecation
    • Dysuria
    • Frequency
  • Diagnosis
    • Urinalysis
    • Urine culture
    • DRE
      • Usually not needed
      • Very carefully, to prevent bacteriaemia
      • Painful, firm, oedematous prostate
  • Treatment
    • Inpatient treatment in most cases
    • Long duration antibiotic treatment (6 weeks)
      • Fluoroquinolones and sulphametoxazole/trimethoprim penetrate the prostate
    • Suprapubic catheter in case of urinary retention