Acute prostatitis

Acute prostatitis is a serious bacterial infection of the prostate gland. This condition is a medical emergency. It should be differentiated from other forms of prostatitis such as chronic bacterial prostatitis and chronic pelvic pain syndrome (CPPS).

Causes

Acute prostatitis is usually caused by a sudden bacterial infection. It can be triggered by a variety of conditions such as a urinary tract infection or a sexually transmitted infection. The most common bacteria involved are Escherichia coli and other gram-negative bacteria.

Symptoms

Symptoms of acute prostatitis can vary, but often include severe pelvic pain, difficulty urinating, and flu-like symptoms. Other symptoms may include blood in the urine or semen, pain during ejaculation, and discomfort in the lower back, abdomen, or groin.

Diagnosis

Diagnosis of acute prostatitis is typically based on a patient's symptoms and a physical examination, including a digital rectal examination. Additional tests may include a urine test to identify bacteria and white blood cells, and a blood test to check for signs of infection.

Treatment

Treatment for acute prostatitis typically involves antibiotics, which are usually given intravenously at first, and then orally. Pain medications and alpha blockers may also be used to relieve symptoms. In severe cases, hospitalization may be required.

Prognosis

With prompt treatment, most men with acute prostatitis start feeling better within a few days. However, the condition can recur or may lead to serious complications if not treated promptly.

See also

• Chronic prostatitis
• Prostate cancer
• Benign prostatic hyperplasia