User:Mr. Ibrahem/Acute prostatitis

Acute prostatitis is a type of prostatitis which is sudden in onset. Symptoms may include significant pelvic or lower back pain, fever, and pain with urination. Complications may include urinary retention, prostate abscess, sepsis, and chronic prostatitis.

Acute prostatitis is usually due to a bacterial infection of the prostate gland. While various types of bacteria may be involved, E. coli is most common. Risk factors include urinary tract infections, urinary catheters, prostate biopsy, sexually transmitted infections, and anal sex. Diagnosis is generally based on symptoms, examination and urine testing. Doing a prostate massage during the exam is not recommended.

Treatment is generally with antibiotics for two to four weeks. Pain medications may also be required. A urinary catheter may be placed if retention is present. Alpha blockers and NSAIDs may be useful to decrease the swelling. Outcomes are usually good with treatment.

Acute prostatitis is rare. It makes up about 5 to 10% of prostatitis cases. Those in their 20s and 30s are most commonly affected. Prostatitis was first described by Verdies in 1838.