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
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Pharmacological
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Non-pharmacological
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Prevention
Updated on,
23 Novemba 2020, 12:20:11
References
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