Prostatitis

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Acute inflammation/infection of the prostate, a gland present in the male and located below the bladder, around the proximal urethra.

Cause

• Bacterial infection as for UTI

Clinical features

• Fever, chills
• Rectal, perineal and low back pain
• Urinary urgency, frequency and dysuria
• May cause acute urinary retention
• At rectal examination: tender enlarged prostate (avoid vigorous examination)

Investigations

• Haemogram
• Urine analysis and C&S

ManagementTreatment

• IV fluids, antipyretics, bed rest
• Stool softeners
• Ciprofloxacin 500 mg 12 hourly for 4-6 weeks