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Prostatitis, Emergency Medicine

Reviewed 06/2017
 


Basics

Description

  • Acute (bacterial) prostatitis:

    • Acute febrile illness

    • Systemic symptoms may appear days before localizing urinary symptoms appear.

    • Patients may appear toxic and usually have a concurrent...

Diagnosis

Signs and Symptoms

History

  • Irritative voiding symptoms:

    • Frequency, urgency, dysuria

  • Low back pain

  • Perineal, suprapubic, or testicular pain

  • Bladder outlet obstruction and urinary retention

  • Ejaculato...

Treatment

Initial Stabilization/Therapy

Initial resuscitative measures as indicated 

Ed Treatment/Procedures

  • Prostatic abscess requires urgent urologic consultation and transrectal US-guided aspiration.

  • A...

Follow-Up

Disposition

Admission Criteria

  • Acute prostatitis:

    • Patients who appear ill or toxic

    • Hypotension

    • Urinary retention

  • Chronic prostatitis:

    • Admission generally not warranted unless patient has signs or s...

Pearls and Pitfalls

  • Obtain a good history to distinguish acute from chronic prostatitis, as longer antibiotic therapy may be warranted.

  • Consider this diagnosis even in sexually active adolescent males.

  • ...

Additional Reading

Codes

ICD9

  • 601.0 Acute prostatitis

  • 601.1 Chronic prostatitis

  • 601.9 Prostatitis, unspecified

  • 601.2 Abscess of prostate

  • 098.12 Gonococcal prostatitis (acute)

  • 099.54 Other venereal diseases due to chlamydia tr...

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