Prostatitis

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It is an inflammation of the prostate usually secondary to bacterial infection caused by urinary or STI pathogens.  

Clinical Presentation 

• Perineal, sacral or suprapubic pain  
• Dysuria and frequency  
• Varying degrees of obstructive symptoms which may lead to urinary retention
• Sometimes fever

Investigations 

• Urine analysis 
• Urine culture 

Pharmacological Treatment   

Acute bacterial prostatitis   

In men < 35 years or if there are features of associated urethritis (STI regimen):  

S: cefixime (PO) 400mg as a single dose  

Followed by:  

A: doxycycline (PO) 100mg 12hourly for 7days  

In men > 35 years or if there is associated cystitis:  

A: ciprofloxacin (PO) 500 mg 12hourly for 14days 

Referral to Urologist if 

• No response to treatment  
• Urinary retention  
• High fever  
• Chronic/relapsing prostatitis