Painful or inflammatory condition affecting the prostate gland with or without bacterial etiology, often characterized by urogenital pain, voiding symptoms, and/or sexual dysfunction
Acute prostatitis (class I):
Acutely ill with fever, chills, malaise
Low back pain, myalgias
Frequency, urgency, dysuria, nocturia
Prostatodynia, pelvic pain, perineal pain
NSAIDs for analgesia
Alpha-1 blockers for lower urinary tract symptoms (obstructive/voiding symptoms)
Sitz baths to relieve pain and spasm
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.
Coker TJ, Dierfeldt DM. Acute bacterial prostatitis: diagnosis and management. Am Fam Physician. 2016;93(2):114–120.
Prostate Cancer; Prostatic Hyperplasia, Benign (BPH...
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
Prostatic massage is contraindicated in acute prostatitis.
Fluoroquinolones are recommended first-line antibiotic for bacterial prostatitis, both acute and chronic.
At least 14 to 30 day...
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FIGURE 28.20. Hematuria. This field shows a large number of red blood cells (RBCs) accompanied by one polymorphonuclear neutrophil in the sediment. Note that the RBCs appear to be regularly shaped, biconcave disks. (Bright-field microscopy, 3160.)
FIGURE 28.20. Hematuria. This field shows a large number of red blood cells (RBCs) accompanied by one polymorphonuclear neutrophil in the ...