User:Mr. Ibrahem/Acute prostatitis
| 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 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 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]
References[edit]
- ^ a b c d e f g h Khan, FU; Ihsan, AU; Khan, HU; Jana, R; Wazir, J; Khongorzul, P; Waqar, M; Zhou, X (October 2017). "Comprehensive overview of prostatitis". Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie. 94: 1064–1076. doi:10.1016/j.biopha.2017.08.016. PMID 28813783.
- ^ a b c d e f g h i j k l m n "Prostatitis". nhs.uk. 19 October 2017. Retrieved 7 November 2020.
- ^ a b c d e f Davis, NG; Silberman, M (January 2020). "Bacterial Acute Prostatitis". PMID 29083799.
{{cite journal}}: Cite journal requires|journal=(help) - ^ Partin, Alan W.; Wein, Alan J.; Kavoussi, Louis R.; Peters, Craig A.; Dmochowski, Roger R. (2020). Campbell Walsh Wein Urology, E-Book. Elsevier Health Sciences. p. 1202. ISBN 978-0-323-67227-6.