Acute bacterial prostatitis

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 chronic bacterial prostatitis, 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