prostatitis

Question 1

types of prostatitis

Answer 1

acute bacterial prostatitis
chronic prostatitis

Question 2

chronic prostatitis sub-divisions?

Answer 2

chronic prostatitis or chronic pelvic pain syndrome (no infection)
chronic bacterial prostatitis (infection)

Question 3

presentation of chronic prostatitis

Answer 3

pelvic pain (affecting perineum, testicles, scrotum, penis, rectum, groin, lower back)
lower urinary tract symptoms
sexual dysfunction
pain with bowel movements
tender and enlarged prostate

Question 4

presentation of acute bacterial prostatitis

Answer 4

acute presentation
similar symptoms to chronic
systemic signs of infection

Question 5

investigations of prostatitis

Answer 5

urine dipstick testing
urine microscopy, culture, and sensitivities
chlamydia and gonorrhoea NAAT testing on first pass urine

Question 6

management of acute bacterial prostatitis

Answer 6

hospital admission (bloods, blood cultures, IV abx)
oral Abx typically 2-4 weeks
analgesia
laxatives

Question 7

management of chronic prostatitis

Answer 7

alpha blockers (tamsulosin)
analgesia
psychological treatment
antibiotics (if less than 6 month history)
laxatives

Question 8

complications of acute prostatitis

Answer 8

sepsis
prostate abscess
acute urinary retention
chronic prostatitis