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Prostatitis

Ross C Stanton, MPH, JD, MD and Julie A Creech, DO, CAQSM Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Painful or inflammatory condition affecting the prostate gland with or without bacterial etiology, often characterized by urogenital pain, voiding symptoms, and/or sexual dysfunction

  • ...

DIAGNOSIS

HISTORY

  • Acute prostatitis (class I):

    • Acutely ill with fever, chills, malaise

    • Low back pain, myalgias

    • Nausea, vomiting

    • Frequency, urgency, dysuria, nocturia

    • Prostatodynia, pelvic pain, perineal pai...

TREATMENT

GENERAL MEASURES

  • NSAIDs for analgesia

  • α1-blockers for lower urinary tract symptoms (obstructive/voiding symptoms)

  • Antipyretics/stool softeners/hydration

  • Sitz baths to relieve pain and spasm

  • Urina...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Negative urine culture at 7 days predictive of cure after completion of treatment course 

PROGNOSIS

  • Fever and dysuria usually resolve in 2 to 6 days.

  • Acute infection...

REFERENCES

1
Marquez-Algaba E, Pigrau C, Bosch-Nicolau P, et al. Risk factors for relapse in acute bacterial prostatitis: the impact of antibiotic regimens. Microbiol Spectr. 2021;9(2):e0053421.
2
Coker ...

SEE ALSO

  • Prostate Cancer; Prostatic Hyperplasia, Benign (BPH); Urinary Tract Infection (UTI) in Males

  • Algorithm: Hematuria

CODES

ICD10

  • N41.8 Other inflammatory diseases of prostate

  • N41 Inflammatory diseases of prostate

  • N41.4 Granulomatous prostatitis

  • N41.1 Chronic prostatitis

  • N41.0 Acute prostatitis

  • N41.3 Prostatocystitis

  • N41.2 ...

CLINICAL PEARLS

  • Prostatic massage is contraindicated in acute prostatitis.

  • Fluoroquinolones are recommended first-line antibiotic for bacterial prostatitis.

  • Fourteen to 30 days of antibiotic therapy is ...

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