Signs of Prostatitis (Prostate infection)

Prostatitis (Prostate Infection)

Description

Infection of the prostate gland, and can be either an acute or a chronic condition. The prostate gland is located at the base of the bladder, where it surrounds the urethra. The gland is an important source of fluid for semen. The inflammation can enlarge the prostate causing compression of the the tube connecting the bladder to the penis (urethra), resulting in difficultly urinating, and urinary retention. Palpation of the prostate during a rectal exam revels a very tender prostate. Rarely an abscess can develop. This disorder is most often seen in 20-40 year old men, in those with a urinary catheter, and with patients having unprotected sex with multiple partners.

Symptoms

Chills and fever, lower abdominal discomfort, perineal pain (pain in the area between the genitals and the anus), burning with urination, difficulty urinating, urinary retention, painful ejaculation, painful bowel movement .

Tests

A history and physical exam will be performed. Diagnosis is made by palpating the prostate during a rectal exam. A urine culture can identify the bacteria.

Standard Workup

UA
CT Scan

Treatment

Oral antibiotics are usually effective. The most commonly used are: trimethoprim-sulfamethoxazole (Bactrim), fluoroquinolones (Floxin, Cipro, Levoquin), and tetracycline derivatives. If a STD is considered the source, a shot of ceftriaxone followed by oral doxycycline or ofloxacin is recommended. Rarely intravenous antibiotics are needed. Some patients require prolonged courses of treatment to eradicate the infection.