Renal & Urology/ Prostatitis Flashcards
1
Q
What are the different types of prostatitis?
A
- acute bacterial
- chronic bacterial
- chronic nonbacterial
2
Q
What are signs and symptoms of acute bacterial prostatitis?
A
- fever
- chills
- dysuria
- obstructive symptoms
- dribbling
- hesitancy
- retention
- tender edematous prostate
3
Q
How do you diagnose acute bacterial prostatitis?
A
Clinical signs and symptoms, frequently associated with pyuria, positive urine culture
4
Q
What are the signs and symptoms of chronic bacterial prostatitis?
A
- frequency
- dysuria
- urgency
- perineal discomfort
- discomfort during ejaculation
- deep pelvic pain
- pain radiating to the back
5
Q
How do you treat acute and chronic bacterial prostatitis?
A
- Fluoroquinolones or trimethoprimsulfamethoxazole (continue antibiotics for 4-6 weeks)
- NSAIDs
6
Q
What causes chronic nonbacterial prostatitis?
A
The etiology is unclear
- Specific bacteria
- trauma
- autoimmunity
- neuropathic pain
- increased prostate pressure
- psychologic factors have been hypothesized.
7
Q
What are the clinical manifestations of chronic nonbacterial prostatitis?
A
- urinary frequency
- dysuria
- perineal pain
- absence of urinary tract disease
- active urethritis
- urethral strictures
- neurologic disease or
- urogenital cancer
8
Q
What therapies have been studied in the treatment of chronic nonbacterial prostatitis?
A
Quinolones, alpha-blockers, NSAIDs, 5 alpha-reductase inhibitors, and sitz baths have been researched, though none have consistently proven to be beneficial.
