chronic bacterial prostatitis


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Related to chronic bacterial prostatitis: Chronic prostatitis

chronic bacterial prostatitis

prostatitis syndrome

Urology Any inflammatory condition defined by the Intl Prostatitis Collaborative Network under the aegis of the NIH. See Prostate.
Prostatitis syndromes
Acute bacterial prostatitis Pts present with acute Sx of UTI–eg urinary frequency and dysuria, as well as malaise, fever, myalgia; bacteria and pus are usually present in the urine and due to uropathic bacteria–eg, E coli
Chronic bacterial prostatitis Pts have recurrent UTIs, usually due to the same organisms–eg, E coli , another GNR or an enterococcus; between symptomatic bouts, Pts continue to be carriers in cultures from the lower urinary tract
Chronic prostatitis/chronic pelvic pain syndrome The most common of the prostatitis syndromes, CP/CPPS recognizes the limited understanding of the cause of this condition and implies that other organs beside the prostate may be involved and is a diagnosis of exclusion, after active urethritis, urogenital cancer, GU disease, functionally significant urethral and neurological disease have been completely excluded; it is divided into an inflammatory subtype with leukocytes in the urine and a noninflammatory subtype which has no manifestation of inflammation
Asymptomatic inflammatory prostatitis A condition which is diagnosed in Pts who lack a Hx of GU complaints who have ↑ PSA or infertility  

chronic bacterial prostatitis

Abbreviation: CBP
Inflammation of the prostate caused by a long-standing bacterial infection that often develops insidiously; causative organisms include gram-negative bacteria and enterococci. Clinically, the patient may have mild to moderate low back pain, pain with urination, and perineal discomfort, or he may be asymptomatic. Patients may have a history of multiple urinary tract infections; bacteria can hide in the prostate, which resists penetration by antibiotics, and reinfect the urinary tract. Causal bacteria are identified by culture of prostatic secretions and urine. Treatment consists of ciprofloxacin or another fluoroquinolone antibiotic for 4 to 6 weeks. The long course is needed because of poor penetration into the prostate.
See also: prostatitis
References in periodicals archive ?
Treatment of chronic bacterial prostatitis with levofloxacin and ciprofloxacin lowers serum prostate specific antigen.
Antimicrobial therapy for chronic bacterial prostatitis.
Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis / chronic pelvic pain syndrome: a consensus guideline.
It is considered that cytokines play a role in the formation of autoimmune reactions and the development of an imbalance in the system of pro and antioxidant factors, leading to the sperm damage and the development of male infertility in patients with chronic bacterial prostatitis [8, 9].
The most common sperm pathology at patients with chronic bacterial prostatitis is asthenozoospermia.
Lomefloxacin versus ciprofloxacin in the treatment of chronic bacterial prostatitis.

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