User:Mr. Ibrahem/Chronic bacterial prostatitis

Chronic bacterial prostatitis (CBP) is a bacterial infection of the prostate gland that results in symptoms for greater than 3 months. Typical symptoms include pain with urination, trouble with the stream, and frequent urination. Other symptoms may include pain in the lower abdomen or perineum, sexual dysfunction, or fever. Symptoms are generally milder than acute bacterial prostatitis.

Chronic bacterial prostatitis develops in about 10% of people after acute bacterial prostatitis. Risk factors include urinary catheterization, diabetes, prostate biopsy, being uncircumcised, and transurethral resection of the prostate (TURP). Most cases are due to the bacteria Escherichia coli. Diagnosis is based on symptoms, examination, and urine testing. Positive cultures are required for the diagnosis. Other forms of prostatitis include acute bacterial prostatitis and chronic pelvic pain syndrome (CPPS).

Treatment is generally with antibiotics by mouth for 4 to 12 weeks. The antibiotics used should be based on the urine culture results with commonly used agents including levofloxacin or azithromycin. Alpha blockers, such as tamsulosin, and pain medications may also be used. Re-occurrence of disease is common. Chronic bacterial prostatitis occurs in less than 1% of males at some point in time. It most commonly occurs in those under the age of 50.