Prostatitis

Question 1

What is prostatitis?

Answer 1

Inflammation of the prostate

Question 2

How does acute bacterial prostatitis present?

Answer 2

Suprapubic / pelvic pain
Lower urinary tract symptoms
Urethral discharge
Pain with bowel movements
Fever, myalgia, nausea, fatigue.
Sepsis

Question 3

How does chronic prostatitis present?

Answer 3

At least a 3 month history of :
Sexual dysfunction, pelvic pain, LUTS, pain with bowel movements
Perineal pain
Tender and enlarged prostate

Question 4

What investigations can be done for prostatitis?

Answer 4

Urine dipstick testing to look for infections
Urine microscopy, culture and sensitivity
STI testing

Question 5

How is acute bacterial prostatitis managed?

Answer 5

Oral antibiotics - ciprofloxacin 500mg twice daily
Analgesia - paracetamol
Laxatives
Hospital admission if systemically unwell (sepsis)

Question 6

How is chronic prostatitis managed?

Answer 6

Alpha blockers - tamsulosin to relax smooth muscle
Analgesia
Antibiotics if less than 6 months symptoms
Laxatives

Question 7

What are the complications of acute bacterial prostatitis?

Answer 7

Sepsis
Prostate abscess
Acute urinary retention
Chronic prostatitis

Question 8

What is the most common cause of acute bacterial prostatitis?

Answer 8

Ascending urethral infection

Question 9

What are some risk factors for acute bacterial prostatitis?

Answer 9

Catheters
Phimosis or urethral strictures
Recent surgery / cystoscopy . prostate biopsy
Immuno compromised