What is acute prostatis? Into directory a to z medical environment
Acute prostatitis is a sudden inflammation of the prostate.
This disease is diagnosed in approximately 2 out of 10,000 outpatients. The increased risk associated with men between 20 and 35 years old who have multiple sexual partners and those who engage in high-risk sexual behaviors, such as not using condoms, particularly anal intercourse.
Acute prostatitis is rare in young men. Men over 50 with prostate enlargement BPH, prostatitis have higher risk due to the increased likelihood of urinary tract infection.
What causes it?
Acute prostatitis is usually caused by a bacterial infection of the prostate gland. Any organism capable of producing a urinary tract infection can cause acute bacterial prostatitis. The most frequent bacteria enterococci, Escherichia coli, Klesiella pneumonia, Proteus mirabilis, Pseudomonas aeruginosa and Staphylococcus aureus on. Also some sexually transmitted diseases (STDs) can cause acute prostatitis, typically seen in men younger than 35 years, among them are gonorrhea, chlamydia and trichomonas.
Other ways in which you can file an acute prostatitis, is secondary to urethral catheterization, cystoscopy, by trauma, by outlet obstruction of the bladder or an infection somewhere in the body.
Acute prostatitis usually begins with chills and fever, lower abdominal discomfort (above the pubic bone), perineal pain and burning with urination (dysuria), painful ejaculation, low back pain, pain with bowel movements. The more advanced symptoms of prostatitis include reduced urinary stream and urinary difficulty, and urinary retention (inability to completely empty the bladder).
Prostatitis may occur in conjunction with epididymitis or orchitis, especially if caused by an STD, in which case also be symptoms of venereal disease.
Other symptoms that may be associated with this disease: Blood in urine, increased frequency, decreased force of urinary stream, pain in the testicle, semen with blood and smelling of urine.
Set to perform a physical examination to assess if the prostate is swollen, hard, hot or sensitive, and if there is an enlarged and tender lymph nodes in the groin, scrotal edema and tenderness or urethral discharge.
Urine analysis and culture is carried out with three urine samples, the first being the initial jet, the second half of the jet and the third sample is collected after prostate massage. This third step can be omitted consideration of the physician, the risk of spreading infection.
In laboratory studies we found an increase in white blood cells in urine and bacterial growth as well as in prostatic secretions.
Other studies may be altered, such as urinalysis, the prostate specific chalcogen (APE).
TREATMENTS AND RECOMMENDATIONS
The acute prostatitis is mostly solved with pharmacological management, coupled with a proper diet and a change of sexual habits.
DRUGS: The recommended antibiotics trimethoprim-sulfamethoxazole are, fluoroquinolones and tetracycline derivatives.
For men with prostatitis caused by an STD is given a dose of 250 mg of ceftriaxone followed by a series of 10 days of doxycycline or ofloxacin. For other causes bacterial standard treatment consists of trimethoprim-sulfamethoxazole, ciprofloxacin for 4 weeks at least, and that recurrences are common. In severe cases, hospitalization is recommended and the use of intravenous antibiotics.
The use of mild laxatives may relieve the discomfort associated with bowel movements. Avoid substances that irritate the bladder, such as alcohol, food and caffeinated beverages and citrus juices, and hot or spicy foods.
Increased fluid intake of 2.000 to 3.700 ml daily, encourages frequent urination, which will help to eliminate bacteria from the bladder.
SURGERY: Surgery or urethral instrumentation (urinary catheterization or cystoscopy) is not recommended for patients with acute prostatitis.
OTHER THERAPY: Recommended urinate frequently and conduct full evacuation to lessen symptoms of urinary frequency and urgency.
If the enlarged prostate obstructs the urethra, the bladder may be difficult to completely empty and may require the placement of a suprapubic catheter that allows the bladder drained through the abdomen. The hot baths in the tub or sitz baths may relieve some perineal pain and low back pain associated with acute prostatitis.
Most men who are correctly diagnosed acute prostatitis, become asymptomatic after treatment ends. Patients who have had acute prostatitis are more likely to have a recurrence and likelihood of developing chronic prostatitis.
One complication is chronic prostatitis, scarring of the prostate and urethra can lead to permanent narrowing of the urethra.
Not all types of prostatitis are preventable, but wash their hands after defecation and before touching the penis can prevent the transfer of bacteria from the rectal area to the genitourinary tract. The secondary prostatitis associated with STD infections can be prevented by safe sexual behavior.