Prostatitis

Question 1

What is prostatitis?

Answer 1

Inflammatory and/or infectious condition involving the prostate gland

Question 2

What is the most common cause of prostatitis?

Answer 2

Bacterial infection

Question 3

What is the classification of prostatitis?

Answer 3

Acute bacterial prostatitis
Chronic bacterial prostatitis
Chronic non-bacterial prostatitis/ chronic pelvic pain syndrome
Asymptomatic inflammatory prostatitis

Question 4

What are the risk factors for prostatitis?

Answer 4

UTIs
Epididymitis
Catheter use
Previous urethral surgery
Presence of prostate stones
HIV

Question 5

What is the presentation of acute bacterial prostatitis?

Answer 5

Fever
Myalgia
Nausea
Fatigue
Sepsis
+ similar symptoms to chronic prostatitis

Question 6

What are the symptoms of chronic prostatitis?

Answer 6

Pelvic pain
LUTS
Sexual dysfunction
Pain with bowel movements
Tender and enlarged prostate

Question 7

What are the differentials of prostatitis?

Answer 7

UTI
Epididymitis
BPH

Question 8

What investigations are useful in the diagnosis of prostatitis?

Answer 8

DRE
Urinalysis
Urine MC&S
PSA
Screening for STIs

Question 9

What is the management of acute bacterial prostatitis?

Answer 9

Hospital admission
Sepsis screen
Oral antibiotics for 2-4 weeks - ciprofloxacin, ofloxacin or trimethoprim
Analgesia
Laxatives for pain during bowel movements

Question 10

What is the management of chronic prostatitis?

Answer 10

Alpha-blockers
Analgesia
Antibiotics if <6 months of symptoms - trimethoprim or doxycycline for 4-6 weeks
Laxatives for pain during bowel movements