Prostatitis Flashcards
What is prostatitis?
inflammation of the prostate gland
What are the different types of prostatitis?
Acute bacterial prostatitis, chronic bacterial prostates, non bacterial prostatitis, and prostatodynia
What is the pathophysiology of Acute bacterial prostatitis (ABP)?
Ascending urethral infection, can also be direct or lymphatic spread from the rectum or hematogenous spread via bacterial sepsis
What are the usually causative organisms of ABP?
Ecoli, enterobacter, serrate pseudonyms, Proteus, and rarely Chlamydia or Gonorrhoea
When does chronic bacteria prostatitis occur?
inadequately treated acute prostatitis
What are the risk factors for ABP?
Indwelling catheters, phimosis or urethral stricture, recent surgery e.g. cystoscopy or transrectal prostate biopsy, immunocompromised
What are the risk factors for chronic prostatitis?
Intraprostatic ductal reflux, neuroendocrine dysfunction , dysfunctional bladder
What are the clinical features of prostatitis?
LUTS, systemic infection, perineal or suprapubic pain or urethral discharge
What would the prostate feel like in prostatitis?
tender and boggy prostate associated with inguinal lymphadenopathy
If pelvic pain and discomfort in men for at least three months, at the perineum, suprapubic or lower back or rectum, with LUTs, what is it likely to be?
Chronic prostatitis
What investigations would you do for prostatitis?
Urine culture, antibiotic therapy, STI screen and routing bloods, PSA
If someone with suspected prostatitis does not respond to antibiotics what needs to be ruled out and how?
Prostate abscess by transracial prostatic ultrasound or CT
What is the management for prostatitis?
prolonged Antibiotic therapy
What antibiotic is usually given for prostatitis?
Quinolone due to its good penetration into the prostate
What analgesia would you give for prostatitis?
Paracetamol or NSAIDs
