prostatitis

Question 1

types

Answer 1

acute bacterial prostattiis

chronic prostatitis (3mo)

Question 2

chronic prostatitis subdivisions

Answer 2

chronic prostatitis/pelvic pain syndrome (no infection)

chronic bacterial prostatitis (infection)

Question 3

The cause of inflammation and pain in chronic prostatitis

Answer 3

may be initially triggered by an infection, with inflammation persisting after the infection has resolved.

Question 4

presentation - chronic prostatitis

Answer 4

3+ months of

• pelvic pain : perineum, testicles, sctotum, penis, suprapubic, groin areas
• LUTS
• sexual dysfunction : ED, haematospermia
• pain with bowel movements
• tender + enlarged prostate on DRE

Question 5

presentation - acute bacterial prostatitis

Answer 5

• pelvic pain
• LUTs
• sexual dysfunction
• painful bowel movements
• tender and enlarged prostate on DRE
• systemic infective symptoms: fever, myalgia, fatigue, sepsis

Question 6

Ix

Answer 6

urine dipstic
urine MC&S
STI screen

Question 7

Mx of acute bacterial prostatitis

Answer 7

• hospital admission if unwell/septic
• oral antibiotics
• analgesia
• laxatives

Question 8

Mx of acute bacterial prostatitis - antibiotic choice

Answer 8

ciprofloxacin
ofloxacin
or
trimethoprom

Question 9

Mx of chronic prostatitis

Answer 9

• alpha blockers
• analgesia
• psychological treatment
• antibx
• laxatives

Question 10

Mx of chronic prostatitis - Antibx prescribing

Answer 10

if <6mo of symptoms or Hx of infection

trimethroprim or doxycycline for 4-6wks

Question 11

complications of acute bacterial prostatitis

Answer 11

sepsis
prostate abscess
acute urinary retention
chronic prostatitis

Question 12

antibiotic choice

Answer 12

14days of quinolone antibiotic