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Prostatitis

Introduction

It is an infection of the prostate caused by urinary or STI pathogens.

Risk factors

Signs and Symptoms

Diagnostic criteria

• perineal, sacral or suprapubic pain
• dysuria and frequency
• varying degrees of obstructive symptoms which may lead to urinary retention
• sometimes fever

Investigation

• Urine analysis
• Urine culture

Management

Acute bacterial prostatitis

In men < 35 years or if there are features of associated urethritis (STI regimen):
• Cefixime 400mg (PO) as a single dose
Followed by:
• Doxycycline 100 mg (PO) 12 hourly for 7 days

In men > 35 years or if there is associated cystitis:
• Ciprofloxacin 500 mg (PO) 12 hourly for 14 days

Referral to Urologist if
• No response to treatment
• Urinary retention
• High fever
• Chronic/relapsing prostatitis

  • Pharmacological

  • Non-pharmacological

Prevention

Updated on,

23 Novemba 2020 12:20:11

References

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