Condition Info - BotMed Application

ConditionName

Prostatitis acute or chronic

ConditionDescription

Symptoms

Dysuria;
Urgent need to urinate;
Frequent urination, particularly at night (nocturia);
Cloudy urine;
Blood in the urine;
Pelvic of perineal pain;
Flu-like signs and symptoms (with bacterial prostatitis);

Acute: fever, systemic symptoms;
Chronic: recurrent episodes of infection with or without complete resolution between bouts. Symptoms and signs tend to be milder than in acute prostatitis.

PhysicalFindings

Rectal exam: tender and boggy prostate;

ClinicalTests

UA: ↑WBC;
Urine culture;

RiskFactors

Having had prostatitis previously;
Having an infection in the bladder or the tube that transports semen and urine to the penis (urethra);
Having pelvic trauma, such as an injury from bicycling or horseback riding;
Using a tube inserted into the urethra to drain the bladder (urinary catheter);
Having HIV/AIDS;
Having had a prostate biopsy;

IsRedFlag

IsNPLEX

Consequence

Bacteremia;
Epididymitis;
Pus-filled cavity in the prostate (prostatic abscess);
Semen abnormalities and infertility, which can occur with chronic prostatitis;

ProgressionFromCondition

Men <=35: 
Infections: Chlamydia, Gonorrhea;

Men >35 or anal sex: 
Enterobacteriaceae;
Gram-negative infections;

TreatmentOptions

PharmOptions

Trimethoprim-sulfamethoxazole;
Treatment 4-6 weeks;

WebLink

https://www.merckmanuals.com/en-ca/professional/genitourinary-disorders/benign-prostate-disease/prostatitis