-IBIS-1.5.0-
tx
reproductive system
prostatitis
diagnoses
definition and etiology
definition:
An acute or chronic infection of the prostate gland.
etiology:
Usually infection by chlamydia, gram-negative enteric bacteria or neisseria gonorrhea.
signs and symptoms
signs and symptoms:
acute bacterial prostatitis: Often seen in young males and those receiving catheterization.
High fever with chills.
UTI with frequency, urgency, dysuria or burning, nocturia.
Occasional hematuria.
Low back/testicular/perineal pain.
Obstructive symptoms when voiding may occur.
Boggy, markedly tender prostate.
Vigorous massage of the prostate with suspected infection is contraindicated to avoid bacteremia.
lab findings:
Three-cup urinalysis and culture of urine for causative agent.
chronic bacterial prostatitis: The most common cause of recurrent bacteriuria in males.
often is asymptomatic except when there are frequent UTI.
Bacteriuria.
Bacteria found in prostate secretions.
May be symptomatic or asymptomatic.
Prostate may feel normal on palpation, or tender and boggy with significant secretions.
lab findings:
Three-cup urinalysis and culture.
Possibly WBCs and oval fat bodies in prostatic secretions.
acute nonbacterial prostatitis: Typically seen in young, sexually active men.
Symptoms are the same as bacterial prostatitis but no bacteria are present.
Recent history nonspecific urethritis.
lab findings:
WBCs are > 1000 leukocytes/mm3.
chronic nonbacterial prostatitis:
Symptom picture is similar to chronic bacterial prostatitis
Rarely have UTIs.
lab findings:
WBCs and oval fat bodies usually present in secretions.
Culture discharge.
course and prognosis
Antimicrobials are typically used with good results in the bacterial diseases. Nonbacterial prostatitis treatment is harder for conventional physicians to treat because drugs often do not help.
differential diagnosis
Other causes for UTIs in a male patient.
BPH.
Prostate cancer.
footnotes