acute bacterial prostatitis

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Acute Prostatitis

An uncommon (2/10,000/year) condition characterised by abrupt onset of prostate inflammation linked to coliform bacterial infection—e.g., Escherichia coli—as well as STD pathogens—e.g., Chlamydia trachomatis, Neisseria gonorrhoeae, Ureaplasma urealyticum, Trichomonas vaginalis.
Aetiology/risk factors Age 20 to 35, multiple sexual partners, high-risk sexual activity—e.g., non-use of condom, anal intercourse, bacterial migration up urethra; cystitis; kidney stones; prostate surgery; haematogenous spread of infection; urethral instrumentation—e.g., catheterisation, cystoscopy—trauma, bladder outlet obstruction, epididymitis, orchitis, systemic infection.
Clinical findings Pain at the base of the penis, perineal and perianal, urgency, burning with urination, fever, malaise, penile discharge; other findings include chills, painful defecation and ejaculation.
Management Symptomatic; 4-week course of antibiotics.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.

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  
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.

acute bacterial prostatitis

Inflammation of the prostate, commonly associated with urinary tract infections caused by enterococci, staphylococci, or gram-negative bacteria such as Escherichia coli. It often is caused by reflux of urine resulting from an anatomical abnormality. Patients present with fever, chills, urethral discharge, pain on urination, difficulty voiding, malaise, myalgias, and discomfort in the perineal area; the prostate is soft, swollen, and tender on examination.

The causative organism is identified through a culture of prostatic secretions and is treated with an extended course of antibiotics. Narcotics and antispasmodics may be needed to relieve pain.

See also: prostatitis
Medical Dictionary, © 2009 Farlex and Partners
References in periodicals archive ?
The symptoms are similar to acute bacterial prostatitis, but are less severe and can fluctuate in intensity.
Clinical courses following acute bacterial prostatitis. Prostate Int.
Acute bacterial prostatitis is a urologic emergency that commonly presents with severe voiding symptoms and pelvic pain, and may be complicated by hemodynamic instability and sepsis.[sup.1] Cystic fibrosis (CF) is the most common, fatal, inherited disease of Caucasians.
Urologic consultation confirmed the diagnosis of acute bacterial prostatitis. All isolates were sent for genotyping and were identical on pulsed gel field electrophoresis (Fig.
Category I: Acute bacterial prostatitis (ABP) which is associated with severe prostatitis symptoms, systemic infection and acute bacterial UTI.

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