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Acute prostatitis is a serious bacterial infection of the prostate gland. This infection is a medical emergency. It should be distinguished from other forms of prostatitis such as chronic bacterial prostatitis and Prävention von Prostatitis Wikipedia pelvic pain syndrome CPPS.
Men with acute prostatitis often have chills, fever, pain in the lower back, perineumor genital area, urinary frequency and urgency often at nightburning or painful urinationbody aches, and a demonstrable infection of the urinary tract, as evidenced by white blood cells and bacteria Prävention von Prostatitis Wikipedia the urine.
Acute prostatitis may be a complication of prostate biopsy. Acute prostatitis is relatively easy to diagnose due to its symptoms that suggest infection. The organism may be found in blood or urine, and sometimes in both. This can be a medical emergency in some patients and hospitalization with intravenous antibiotics Prävention von Prostatitis Wikipedia be required.
A complete blood count reveals increased white blood cells. Sepsis from prostatitis is very rare, but may occur in immunocompromised patients; high fever and malaise generally prompt blood cultureswhich are often positive in sepsis. A prostate massage should never be done in a patient with suspected acute prostatitis, since it may induce sepsis.
Since bacteria causing the prostatitis is easily recoverable from the urine, prostate massage is not required to make the diagnosis. Rectal palpation usually reveals an enlarged, exquisitely tender, swollen prostate gland, which is firm, warm, and, occasionally, irregular to the touch.
C-reactive protein is elevated in most cases. Prostate biopsies are not indicated as the clinical features described above are diagnostic. The histologic correlate Prävention von Prostatitis Wikipedia acute prostatitis is a neutrophilic infiltration of the prostate gland. Acute prostatitis is associated with a transiently elevated PSA Prävention von Prostatitis Wikipedia, i.
PSA testing is not indicated in the context of uncomplicated acute prostatitis. Other diagnostic method is sonography. Antibiotics are the first line of treatment in acute prostatitis. Antibiotics usually resolve acute prostatitis infections in a very short time, however a minimum of two to four weeks of therapy is recommended to eradicate the offending organism completely.
In acute prostatitis, penetration of the prostate is not as important as for category II because the intense inflammation disrupts the prostate-blood barrier. It is more important to choose a bactericidal antibiotic kills bacteria, e.
Severely ill patients may need hospitalization, while nontoxic patients can be treated at home with bed restanalgesics, stool softeners, and hydration.
Men with acute prostatitis complicated by urinary retention are best managed with a suprapubic catheter Prävention von Prostatitis Wikipedia intermittent catheterization.
Lack of clinical response to antibiotics should raise the suspicion of an abscess and prompt an imaging study such as a transrectal ultrasound TRUS. From Wikipedia, the free encyclopedia. Retrieved 20 July Goldman's Cecil Medicine 24th ed. Philadelphia: Elsevier Saunders. American Family Physician. North Am. European Journal of Radiology. ICD - 10 Prävention von Prostatitis Wikipedia N Male diseases of the pelvis and genitals N40—N51— Epididymitis Spermatocele Hematocele. Seminal vesiculitis.