Prostits Flashcards
The prostate can be divided into biologically distinct regions
• the most important of which are .. this is important because
the peripheral and transition zones
→The types of proliferative lesions are different in each region
The prostate is involved by what types of disorders
infectious,
inflammatory, hyperplastic, and neoplastic disorders
PROSTATITIS types
1) Acute bacterial prostatitis
2) Chronic bacterial prostatitis
3) Chronic pelvic pain syndrome
Acute bacterial prostatitis percentage
2%–5% of cases
Acute bacterial prostatitis caused by
the same organisms associated with other acute urinary tract infections
Chronic bacterial prostatitis percentage
2%–5% of cases
Chronic bacterial prostatitis cause
also caused by common uropathogens
3) Chronic pelvic pain syndrome percentage
90%–95% of cases
Chronic pelvic pain syndrome can be subdivided into →
inflammatory cases, leukocytes in prostatic secretions +, *noninflammatory cases, leukocytes are absent
The diagnosis of prostatitis is not typically based on biopsy why
the histologic findings are nonspecific
• biopsy of an infected prostatitis can result in sepsis
granulomatous prostatitis
may produce
prostatic induration (hardness)
biopsy to rule out prostate cancer
……prostatitis is relatively common
Nonspecific granulomatous
Nonspecific granulomatous prostatitis stems from
foreign-body reaction to fluids that leak into tissue from
ruptured prostatic ducts and acini
Type of granuloma that may be seen in granulomatous prostatitis
Postsurgical prostatic granulomas also may be seen.
Clinical Features
• Acute bacterial prostatitis
sudden onset of → fever,
chills,
dysuria,
perineal pain, and
bladder outlet obstruction; it may be complicated by sepsis
Clinical features Chronic bacterial prostatitis
usually is associated with recurrent urinary tract infections
bracketed by asymptomatic periods low back pain,
dysuria, and
perineal and suprapubic discomfort
Both acute and chronic bacterial prostatitis is treated with
antibiotics.
Clinical features Chronic pelvic pain syndrome
chronic pain localized to the perineum, suprapubic area, and penis
• Pain during or after ejaculation is a prominent finding
• The etiology is uncertain, and it is a diagnosis of exclusion
• it is not even clear if the pain is related to an abnormality of the prostate
Therapy for chronic pelvic pain syndrome is
empirical and depends on the nature of the symptoms.
