Prostatitis

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

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Acute prostatitis (class I):

• Acutely ill with fever, chills, malaise

• Low back pain, myalgias

• Frequency, urgency, dysuria, nocturia

• Prostatodynia, pelvic pain, perineal pain

• Cloudy urine

• O...

Analgesics/antipyretics/stool softeners

Hydration

Sitz baths to relieve pain and spasm

Suprapubic catheter for urinary retention

Anxiolytics, antidepressants if anxiety and/or de...

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

Consider prostatic abscess in patients who do not respond well to therapy.

Anderson RU, Wise D, Sawyer T, et al. 6-Day intensive treatment protocol for refractory chronic prostatitis/chronic pelvic pain syndrome using myofascial release and paradoxical rel...

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

Algorithm: Hematuria

N41.9 Inflammatory disease of prostate, unspecified

N41.0 Acute prostatitis

N41.1 Chronic prostatitis

N41.4 Granulomatous prostatitis

601.9 Prostatitis, unspecified

601.0 Acute prostatitis

60...

Vigorous prostatic massage is contraindicated in acute prostatitis.

Fluoroquinolones are recommended first-line antibiotic for bacterial prostatitis, both acute and chronic (class I and...