Prostatitis

Question 1

What is the most common cause of acute prostatitis?

Answer 1

E. coli

Question 2

What are the risk factors fr acute prostatitis?

Answer 2

Recent UTI
Urogenital instrumentation
Intermittent bladder catheterisation
Recent prostate biopsy

Question 3

What is the presentation of acute prostatitis?

Answer 3

PAin- referral to perineum, penis, rectum, back
Tender, boggy prostate
Hesitancy, poor stream, terminal dribbling
Fever, rigors

Question 4

What investigations are done for acute prostatitis?

Answer 4

Urinalysis- elevated leucocytes, bacteria
PSA- elevated
Screen for STIs

Question 5

What os the management of acute prostatitis?

Answer 5

14 days antibiotics

Question 6

Wha are the complications of acute prostatitis?

Answer 6

Can become chrinic

Urinary retention

Question 7

What is chronic prostatitis?

Answer 7

Pelvic/perineal pain without evidence of UTI for >3 months

Can be bacterial or abacterial

Question 8

What is the presentation of chronic prostatitis?

Answer 8

Pain- variable, referral to perineum, penic, rectum, back
Dysuria, frequency
Post ejaculatory pain

Question 9

How is chronic prostatitis diagnosed?

Answer 9

Diagnosis of exclusion

PSA often elevated

Question 10

How is chronic prostatitis managed?

Answer 10

Anti-inflammatories, symptomatic management
Bacterial= weeks antibiotics
Abacterial= anxiety relief