Prostatitis Flashcards

1
Q

What is acute bacterial prostatitis?

A

Acute infection in prostate with rapid onset of symptoms

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2
Q

What is chronic prostatitis?

A

Symptoms lasting for at least 3 months

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3
Q

How does chronic prostatitis present?

A

Pelvic pain

LUTS
- Dysuria
- Hesitancy
- Frequency
- Retention

Sexual dysfunction

Pain with bowel movements

Tender and enlarged prostate

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4
Q

How does acute bacterial prostatitis present?

A

Acute presentation of similar symptoms to chronic prostatitis

Systemic symptoms
- Fever
- Myalgia
- Nausea
- Fatigue
- Sepsis

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5
Q

What investigations are used for prostatitis?

A

Urine dipstick

Urine microscopy, culture and sensitivities
Identify organism + antibiotics to be used

Chlamydia and gonorrhoea NAAT
On a first pass urine, if STI considered

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6
Q

How is acute bacterial prostatitis managed?

A

Hospital admission

Oral antibiotics (ciprofloxacin or trimethoprim)

Analgesia

Laxatives

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7
Q

How is chronic prostatitis managed?

A

Alpha-blockers
Tamsulosin, rapid improvement in symptoms

Analgesia

Antibiotics
Trimethoprim or doxycycline for 4-6 weeks

Laxatives

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8
Q

What are the complications of acute bacterial prostatitis?

A

Sepsis
Prostate abscess
Acute urinary retention
Chronic prostatitis

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