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Prostatitis

Reviewed 06/2022
 


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

  • Urinar...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • 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.

Patient Monitoring

REFERENCES

1
Gill BC, Shoskes DA. Bacterial prostatitis. Curr Opin Infect Dis. 2016;29(1):86–91.

SEE ALSO

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

  • Algorithm: Hematuria

CODES

ICD10

  • N41.9 Inflammatory disease of prostate, unspecified

  • N41.0 Acute prostatitis

  • N41.1 Chronic prostatitis

  • N41.4 Granulomatous prostatitis

SNOMED

  • 9713002 Prostatitis (disorder)

  • 79411002 Acute prostati...

CLINICAL PEARLS

  • Prostatic massage is contraindicated in acute prostatitis.

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

  • At least 14 to 30 days of antibiotic therapy ...

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