inflammation of Prostate, prostate me sujan k lakshan #prostatitis #prostategland #drshipra
Prostatitis-Inflammation of Prostate, Type- Acute, Chronic
Cause- Infectious or Non-infectious
Infection- Hematogenous spread from UTI
Causative organism- E. Coli, Staphylococcus etc.
Structural & Functional abnormalities- Bladder outlet obstruction
Unprotected sexual intercourse- Rectal intercourse
Indwelling catheter
Dehydration
Immunosuppressed
Stress
Clinical Features-
Acute Prostatitis- few days to week
High grade fever with chills
Painful micturition, urgency, frequency
Retention of urine
Common in young age
Perineal heaviness with rectal irritation & urethral discharge
Sample of initial urine contain thread- turbid urine
On rectal exam-Tender & boggy prostate
Investigation- CBC, Urine culture, Ultrasound abdomen
Treatment-
Prolonged Antibiotics- 2 month
Avoid alcohol, sexual intercourse- 6 week
Complication-
Formation of single & multiple abscess- common in diabetic
Chronic prostatitis
Retention of urine
Chronic Prostatitis- 3 month or more
Mainly- Old age
Always associated posterior urethritis
Epididymitis
Perineal heaviness & discomfort
Pain in perineum, rectum, low back pain, leg pain.
Infertility (Sexual dysfunction )
On rectal exam-Tender & boggy prostate
After prostatic massage- voided urine shows prostatic fluid (15 or more pus cells)
Investigation-
Blood test- for infection
Urine test- Urine culture & sensitivities
Semen test- for infection
3 glass urine test
Other-
PSA(prostate-specific antigen)
Cystoscopy
Trans rectal ultrasound
Treatment-
Antibiotics= 2-3 week
Anti- inflammatory
Anti pyretic
Muscle relaxant
Alpha blockers
IV fluid- if dehydration
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26 май 2022
