User:Mr. Ibrahem/Acute prostatitis
Serious bacterial infection of the prostate gland / From Wikipedia, the free encyclopedia
Acute prostatitis is a type of prostatitis which is sudden in onset.[2] Symptoms may include significant pelvic or lower back pain, fever, and pain with urination.[2] Complications may include urinary retention, prostate abscess, sepsis, and chronic prostatitis.[2][3]
Acute prostatitis | |
---|---|
Other names | Acute bacterial prostatitis[1] |
Specialty | Urology |
Symptoms | Sudden onset pelvic pain, fever, pain with urination[2] |
Complications | Urinary retention, prostate abscess, sepsis, chronic prostatitis[2][3] |
Usual onset | 20s or 30s[1] |
Causes | Bacterial infection[2] |
Risk factors | Urinary tract infection, urinary catheter, prostate biopsy, sexually transmitted infection, anal sex[2] |
Diagnostic method | Based on symptoms, examination, urine testing[1] |
Differential diagnosis | Pyelonephritis, urethritis, prostate cancer[3] |
Treatment | Antibiotics, pain medication[2] |
Frequency | Rare[3] |
Acute prostatitis is usually due to a bacterial infection of the prostate gland.[2] While various types of bacteria may be involved, E. coli is most common.[1] Risk factors include urinary tract infections, urinary catheters, prostate biopsy, sexually transmitted infections, and anal sex.[2] Diagnosis is generally based on symptoms, examination and urine testing.[1] Doing a prostate massage during the exam is not recommended.[1]
Treatment is generally with antibiotics for two to four weeks.[2] Pain medications may also be required.[2] A urinary catheter may be placed if retention is present.[2] Alpha blockers and NSAIDs may be useful to decrease the swelling.[1] Outcomes are usually good with treatment.[2]
Acute prostatitis is rare.[3] It makes up about 5 to 10% of prostatitis cases.[3] Those in their 20s and 30s are most commonly affected.[1] Prostatitis was first described by Verdies in 1838.[4]