Prostatitis Flashcards
What are classifications of prostatitis
Acute bacterial and chronic
How can chronic prostatitis be divided
chronic prostatitis - no infection
chronic bacterial prostatitis - infection
How does chronic prostatitis present
at least 3 months of:
pelvic pain
LUTS
Sexual dysfunction
pain w bowel movements
tender and enlarged prostate
How does acute bacterial prostatitis present?
acute presentation of pelvic pain, LUTS, sexual dysfunction, tender enlarged prostate, fever, myalgia, nausea, fatigue, sepsis
What tool can be used to assess severity of chronic prostatitis
National institute of health chronic prostatitis symptom index
What investigations would you do
dipstick
urine MCS
chlamydia and gonorrhoea NAAT testing
What is management of acute bacterial prostatitis
ABx
Analgesia
Laxatives
What is management of chronic prostatitis
Alpha blockers
Analgesia
Psychological treatment
Abx
Laxatives
When are antibiotics indicated in chronic prostatitis
Less than 6 months of symptoms or hx of infection
What. are complications of acute bacterial prostatitis
Sepsis
Prostate abscess
Acute urinary retention
Chronic prostatitis