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Chronic bacterial prostatitis: Difference between revisions
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(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-...") |
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* Diagnosis | * Diagnosis | ||
** Meares-Stamey four-glass test | ** Meares-Stamey four-glass test | ||
*** 1st glass | *** Used to determine the location of the bacterial infection within the urinary tract | ||
*** 2nd glass | *** Only performed in men | ||
*** 3rd glass | *** Four glasses are taken | ||
*** 4th glass | **** 1st glass – the first 10 mL of urine | ||
**** The patient then voids another approx. 100 mL of urine | |||
**** 2nd glass – another 10 mL of urine | |||
**** 3rd glass – the patient’s prostate is massaged, and the fluid ejected from the urethra is collected | |||
**** 4th glass – another 10 mL of urine after the prostate massage | |||
*** The first glass represents the urethral specimen | |||
*** The second glass represents the bladder specimen | |||
*** The third and fourth glasses represent the prostate specimen | |||
*** Each glass is cultured for bacteria and examined for WBCs -> which glass has bacteria will give information on the location of the infection | |||
*** In chronic bacterial prostatitis, the third or fourth glasses will have evidence of bacteria | |||
** Enlarged, soft or boggy, moderately tender prostate on DRE | ** Enlarged, soft or boggy, moderately tender prostate on DRE | ||
* Treatment | * Treatment | ||