acute prostatitis


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acute prostatitis

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.

acute prostatitis

Urology An inflammation of the prostate of abrupt onset, caused by bacterial infection–eg, E coli, but also STD bacteria–N gonorrhoeae, U urealyticum, Trichomonas vaginalis; AP may also follow urethral instrumentation–eg, catheterization or cystoscopy, trauma, bladder outlet obstruction, or systemic infection Clinical Chills, fever, lower abdominal discomfort or perineal pain, burning with urination, difficulty urinating, painful defecation and ejaculation Associations Epididymitis, orchitis, men age 20 to 35 yrs old, multiple sexual partners, high-risk sexual behaviors
References in periodicals archive ?
Acute prostatitis can lead to prostatic abscess or epididymitis.
Presenting clinical signs in dogs with acute prostatitis included depression, pain on rectal palpation of prostate, fever, stranguria, pollakiuria, hematuria, tenesmus, stiff gait and edema of scrotum, prepuce or hindlimb.
Benign prostatic hyperplasia without and with inflammation, which includes chronic prostatitis, acute prostatitis, chronic active prostatitis.
Unlike acute prostatitis, which is usually down to bacterial infection and is treated with antibiotics, the cause is usually unknown.
A 29-year-old man, during an ultrasound examination after an episode of acute prostatitis, was found to have a mass involving the bladder.
Other benign conditions that can elevate serum PSA levels are acute urinary retention, acute prostatitis and prostatic ischemia, (9) although discriminating prostate cancer from benign prostatic conditions in patients who have undergone interventions in the prostate is difficult.
Acute prostatitis with sudden onset of chills, fever, malaise, and warmth and swelling of the prostate can also develop, although it is more commonly caused by gram-negative rods, such as Escherichia coli or Proteus mirabilis.
Unlike acute prostatitis, chronic prostatitis, nonbacterial prostatitis, and prostatodynia can be very difficult to treat.
Acute prostatitis is an infection of the prostate caused by bacteria.
The symptoms are similar to those of acute prostatitis, though usually milder and without fever.
4) Other diseases which have been found to be associated with eosinophiluria include rapidly progressive glomerulonephritis, acute prostatitis, postinfectious glomerulonephritis, and acute cystitis.
Prostatic abscess rarely follows acute prostatitis, with a reported incidence of 0.

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