Prostatitis

Question 1

What is prostatitis?

How can it be classified?

Answer 1

Inflammation of the prostate, which may be caused by infection

It can be classified as acute (infective) or chronic (may be infective/non infective)

Question 2

What are the symptoms of prostatitis?

Answer 2

Local infection:

• Pelvic pain
• LUTS
• Pain when opening bowels

Systemic infection:
- Features of sepsis, e.g. fever

Question 3

What are the causes of acute prostatitis?

Answer 3

• Recent prostate biopsy
• Recent UTI
• STI

Question 4

Describe the management of acute bacterial prostatitis

Answer 4

• Hospital admission if systemically unwell/features of sepsis
• Antibiotics (ciprofloxacin is first line)
• Analgesia

Question 5

What are the potential complications of prostatitis?

Answer 5

• Abscess
• Sepsis
• Acute urinary retention