Prostatitis

Question 0

Chronic bacterial prostatitis - clinical presentation

Answer 0

Asymptomatic
Perineal pain
Dysprosium
Lower back and abd pain
Scrotal/penile pain
Pain on ejaculation

*commonly caught in this phase

Question 1

Acute bacterial prostatitis - clinical presentation

Answer 1

Hematuria
Lower back and abd pain
Fever
Perineal pain
Tender prostate

Question 3

Acute bacterial prostatitis - treatment <35 yrs old

Answer 3

Hydrate, analgesics, bed rest

Rocephin + doxycycline

usually gonorrhea or chlamydia

Question 4

Chronic bacterial prostatitis - treatment

Answer 4

Same nonpharmacological tx

DOC - Bactrim (diffuses to prostrate well)

If tx failure or recurrent - long term suppressive therapy. Consider Macrobid, if ? pseudomonas FQs (cipro or high dose levi)

Question 5

Acute bacterial prostatitis - treatment >35 yrs old

Answer 5

Bactrim or fluiroquinolones if resistant

usually e.coli, pseudomonas or klebsiella