Prostatitis
Prostatitis is an inflammation of the prostate. It comprises a set of syndromes, diseases and functional disorders affecting the prostate or perineal area with a similar symptomatology and etiology in some cases unknown.
It usually occurs in young adults or middle-aged men. UTI is more common in men between the second and fourth decades of life. Should be noted that prostatitis is exclusively male, since women do not have prostates.
For the diagnosis relies on analysis of urine, blood, digital rectal prostate massage to obtain prostatic secretion, prostate and transrectal ultrasound are rarely used to biopsy, CT or MRI.
There are different types of prostatitis. Acute prostatitis is a type of common bacterial infection that is easily diagnosed and usually responds well to antibiotic treatment. The clinical picture is characterized by sudden onset with high fever, chills, shivering, malaise, back pain and severe micturition can get acute urinary retention.
In the urine is common to find diuria, bacteriuria, and hematuria. At rectal examination the prostate is soft, painful and congestive; there may appear meatus purulent exudate. Avoid aggressive digital rectal exam by the possibility of sepsis. In plasma PSA level is usually high.
Common germs found in the cultures are Escherichia coli, Enterococcus, Klebsiella pneumoniae, Proteus Mirabilis, Staphylococcus aureus and Pseudomonas aeruginosa. Acute bacterial prostatitis can be caused by a sexually transmitted disease, although it is very common in patients with benign prostatic hyperplasia, after a urinary tract infection.
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