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Flashcards in Prostatitis Deck (18)
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1
Q

What is prostatitis?

A

inflammation of the prostate gland

2
Q

What are the different types of prostatitis?

A

Acute bacterial prostatitis, chronic bacterial prostates, non bacterial prostatitis, and prostatodynia

3
Q

What is the pathophysiology of Acute bacterial prostatitis (ABP)?

A

Ascending urethral infection, can also be direct or lymphatic spread from the rectum or hematogenous spread via bacterial sepsis

4
Q

What are the usually causative organisms of ABP?

A

Ecoli, enterobacter, serrate pseudonyms, Proteus, and rarely Chlamydia or Gonorrhoea

5
Q

When does chronic bacteria prostatitis occur?

A

inadequately treated acute prostatitis

6
Q

What are the risk factors for ABP?

A

Indwelling catheters, phimosis or urethral stricture, recent surgery e.g. cystoscopy or transrectal prostate biopsy, immunocompromised

7
Q

What are the risk factors for chronic prostatitis?

A

Intraprostatic ductal reflux, neuroendocrine dysfunction , dysfunctional bladder

8
Q

What are the clinical features of prostatitis?

A

LUTS, systemic infection, perineal or suprapubic pain or urethral discharge

9
Q

What would the prostate feel like in prostatitis?

A

tender and boggy prostate associated with inguinal lymphadenopathy

10
Q

If pelvic pain and discomfort in men for at least three months, at the perineum, suprapubic or lower back or rectum, with LUTs, what is it likely to be?

A

Chronic prostatitis

11
Q

What investigations would you do for prostatitis?

A

Urine culture, antibiotic therapy, STI screen and routing bloods, PSA

12
Q

If someone with suspected prostatitis does not respond to antibiotics what needs to be ruled out and how?

A

Prostate abscess by transracial prostatic ultrasound or CT

13
Q

What is the management for prostatitis?

A

prolonged Antibiotic therapy

14
Q

What antibiotic is usually given for prostatitis?

A

Quinolone due to its good penetration into the prostate

15
Q

What analgesia would you give for prostatitis?

A

Paracetamol or NSAIDs

16
Q

What is a secondary line therapy for Prostatitis?

A

Alpha blockers or 5a reductase inhibitors

17
Q

What is the patient told about chronic prostatitis?

A

it is difficult to treat as it is not fully understood, so start by treating the symptoms

18
Q

What is the treatment for chronic prostatitis?

A

LUTS management with Alpha blockers, antibiotics for 6 weeks and chronic pain specialist