Prostatitis

Question 1

Prostatitis refers to inflammation of the prostate and can either be a____ b___ prostatitis, or chronic prostatitis

Answer 1

acute bacterial

Question 2

For chronic prostatitis, the symptoms last for at least _ month

Answer 2

3

Question 3

Chronic prostatitis may be subdivided into chronic p____ p___ syndrome or chronic b_____ prostatitis

Answer 3

pelvic pain syndrome
chronic bacterial prostatitis

Question 4

What are symptoms of chronic prostatitis?

Answer 4

Pelvic pain
Lower urinary tract symptoms: dysuria, hesitancy, frequency, retention
Sexual dysfunction
Pain with bowel movements
Tender and enlarged prostate

Question 5

Acute bacterial prostatitis has similar symptoms to chronic prostatitis with systemic symptoms of infection like…

Answer 5

Fever
Myalgia
Nausea
Fatigue
Sepsis

Question 6

The NIH (national institute of health) has an online scoring tool for chronic prostatitis to asses the s____ of symptoms and impact on ____ __ ___

Answer 6

severity
quality of life

Question 7

What investigations can be taken for prostatitis?

Answer 7

Urine dipstick testing (confirms evidence of infection)

MC+S (causative organism and antibiotic sensitivities)

Chlamydia and gonorrhoea NAAT system

Question 8

How do you manage acute prostatitis?

Answer 8

Hospital admission for systemically unwell or septic patients

Oral antibiotics for 2-4 weeks eg ciproflaxacin

Analgesia (NSAIDs or paracetamol)

Laxatives for pain during bowel movements

Question 9

How do you manage chronic prostatitis?

Answer 9

To relax smooth muscle:
alpha blocker eg Tamsulosin

Analgesia (paracetamol or NSAIDs)

Psychological treatment where needed

Antibiotics if less than 6 moths of symptoms

Laxatives for pain during bowel movements

Question 10

What are complications of acute bacterial prostatitis

Answer 10

Sepsis
Prostate abscess
Acute urinary retention
Chronic prostatitis