Chronic bacterial prostatitis: Difference between revisions
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[[Image:Gray1160.png|Gray1160|thumb]] '''Chronic Bacterial Prostatitis''' is a condition that represents a recurrent infection of the [[prostate gland]]. It is characterized by the persistence of [[bacteria]] in the [[prostate]] after treatment. Unlike its acute counterpart, chronic bacterial prostatitis presents with more subtle symptoms over a longer period, making diagnosis and treatment more challenging. | {{SI}} | ||
{{Infobox medical condition | |||
| name = Chronic bacterial prostatitis | |||
| image = [[File:prostatelead.jpg|alt=Prostate illustration]] | |||
| caption = Illustration of the prostate gland | |||
| field = [[Urology]] | |||
| synonyms = Chronic bacterial prostatitis syndrome | |||
| symptoms = [[Pelvic pain]], [[urinary tract infection]] symptoms, [[dysuria]], [[urinary frequency]], [[urinary urgency]], [[perineal pain]] | |||
| complications = [[Epididymitis]], [[infertility]], [[prostate abscess]] | |||
| onset = Gradual | |||
| duration = Long-term | |||
| causes = [[Bacterial infection]] | |||
| risks = [[Urinary tract infection]], [[catheterization]], [[prostate biopsy]] | |||
| diagnosis = [[Urine culture]], [[prostate massage]] | |||
| differential = [[Chronic prostatitis/chronic pelvic pain syndrome]], [[benign prostatic hyperplasia]], [[prostate cancer]] | |||
| treatment = [[Antibiotics]], [[alpha blockers]], [[anti-inflammatory medications]] | |||
| medication = [[Fluoroquinolones]], [[trimethoprim/sulfamethoxazole]] | |||
| frequency = Less common than other forms of [[prostatitis]] | |||
}} | |||
[[Image:Gray1160.png|Gray1160|left|thumb]] '''Chronic Bacterial Prostatitis''' is a condition that represents a recurrent infection of the [[prostate gland]]. It is characterized by the persistence of [[bacteria]] in the [[prostate]] after treatment. Unlike its acute counterpart, chronic bacterial prostatitis presents with more subtle symptoms over a longer period, making diagnosis and treatment more challenging. | |||
==Symptoms== | ==Symptoms== | ||
Symptoms of chronic bacterial prostatitis may include: | Symptoms of chronic bacterial prostatitis may include: | ||
| Line 9: | Line 27: | ||
* Blood in the urine ([[Hematuria]]) | * Blood in the urine ([[Hematuria]]) | ||
* Painful ejaculation | * Painful ejaculation | ||
==Causes== | ==Causes== | ||
The condition is often caused by a recurrent [[urinary tract infection]] (UTI) that has spread to the prostate gland. Common bacteria responsible for this condition include ''[[Escherichia coli]]'' and other Gram-negative bacteria. Factors that may increase the risk of developing chronic bacterial prostatitis include: | The condition is often caused by a recurrent [[urinary tract infection]] (UTI) that has spread to the prostate gland. Common bacteria responsible for this condition include ''[[Escherichia coli]]'' and other Gram-negative bacteria. Factors that may increase the risk of developing chronic bacterial prostatitis include: | ||
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* [[Dehydration]] | * [[Dehydration]] | ||
* Engaging in anal intercourse | * Engaging in anal intercourse | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of chronic bacterial prostatitis involves a combination of clinical history, physical examination, and laboratory tests. Key diagnostic tests include: | Diagnosis of chronic bacterial prostatitis involves a combination of clinical history, physical examination, and laboratory tests. Key diagnostic tests include: | ||
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* [[Ultrasound]] or [[CT scan]] of the urinary tract | * [[Ultrasound]] or [[CT scan]] of the urinary tract | ||
* [[Cystoscopy]] (in some cases) | * [[Cystoscopy]] (in some cases) | ||
==Treatment== | ==Treatment== | ||
Treatment typically involves a prolonged course of [[antibiotics]], often lasting from 4 to 12 weeks. The choice of antibiotic depends on the type of bacteria identified in the cultures. In addition to antibiotics, treatment may include: | Treatment typically involves a prolonged course of [[antibiotics]], often lasting from 4 to 12 weeks. The choice of antibiotic depends on the type of bacteria identified in the cultures. In addition to antibiotics, treatment may include: | ||
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* [[Prostate massage]] (in some cases) | * [[Prostate massage]] (in some cases) | ||
* [[Warm baths]] | * [[Warm baths]] | ||
==Prevention== | ==Prevention== | ||
Preventive measures for chronic bacterial prostatitis focus on reducing the risk of UTIs and include: | Preventive measures for chronic bacterial prostatitis focus on reducing the risk of UTIs and include: | ||
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* Avoiding bladder irritants such as caffeine and alcohol | * Avoiding bladder irritants such as caffeine and alcohol | ||
* Good personal hygiene | * Good personal hygiene | ||
==Complications== | ==Complications== | ||
If left untreated, chronic bacterial prostatitis can lead to: | If left untreated, chronic bacterial prostatitis can lead to: | ||
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* Reduced fertility | * Reduced fertility | ||
* Chronic pelvic pain syndrome | * Chronic pelvic pain syndrome | ||
==See Also== | ==See Also== | ||
* [[Prostatitis]] | * [[Prostatitis]] | ||
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* [[Chronic nonbacterial prostatitis]] | * [[Chronic nonbacterial prostatitis]] | ||
* [[Benign prostatic hyperplasia]] | * [[Benign prostatic hyperplasia]] | ||
[[Category:Urology]] | [[Category:Urology]] | ||
[[Category:Men's health]] | [[Category:Men's health]] | ||
[[Category:Infectious diseases]] | [[Category:Infectious diseases]] | ||
{{medicine-stub}} | {{medicine-stub}} | ||
Latest revision as of 01:52, 5 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's medical weight loss NYC, sleep center NYC
Philadelphia medical weight loss and Philadelphia sleep clinics
| Chronic bacterial prostatitis | |
|---|---|
| |
| Synonyms | Chronic bacterial prostatitis syndrome |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Pelvic pain, urinary tract infection symptoms, dysuria, urinary frequency, urinary urgency, perineal pain |
| Complications | Epididymitis, infertility, prostate abscess |
| Onset | Gradual |
| Duration | Long-term |
| Types | N/A |
| Causes | Bacterial infection |
| Risks | Urinary tract infection, catheterization, prostate biopsy |
| Diagnosis | Urine culture, prostate massage |
| Differential diagnosis | Chronic prostatitis/chronic pelvic pain syndrome, benign prostatic hyperplasia, prostate cancer |
| Prevention | N/A |
| Treatment | Antibiotics, alpha blockers, anti-inflammatory medications |
| Medication | Fluoroquinolones, trimethoprim/sulfamethoxazole |
| Prognosis | N/A |
| Frequency | Less common than other forms of prostatitis |
| Deaths | N/A |

Chronic Bacterial Prostatitis is a condition that represents a recurrent infection of the prostate gland. It is characterized by the persistence of bacteria in the prostate after treatment. Unlike its acute counterpart, chronic bacterial prostatitis presents with more subtle symptoms over a longer period, making diagnosis and treatment more challenging.
Symptoms[edit]
Symptoms of chronic bacterial prostatitis may include:
- Pain in the pelvis, genitals, or lower back
- Frequent and urgent need to urinate
- Burning or painful urination (Dysuria)
- Cloudy urine
- Blood in the urine (Hematuria)
- Painful ejaculation
Causes[edit]
The condition is often caused by a recurrent urinary tract infection (UTI) that has spread to the prostate gland. Common bacteria responsible for this condition include Escherichia coli and other Gram-negative bacteria. Factors that may increase the risk of developing chronic bacterial prostatitis include:
- Previous UTIs
- Bladder obstruction
- Catheter use
- Dehydration
- Engaging in anal intercourse
Diagnosis[edit]
Diagnosis of chronic bacterial prostatitis involves a combination of clinical history, physical examination, and laboratory tests. Key diagnostic tests include:
- Urinalysis and urine culture to identify bacteria
- Prostate secretion tests after prostate massage
- Ultrasound or CT scan of the urinary tract
- Cystoscopy (in some cases)
Treatment[edit]
Treatment typically involves a prolonged course of antibiotics, often lasting from 4 to 12 weeks. The choice of antibiotic depends on the type of bacteria identified in the cultures. In addition to antibiotics, treatment may include:
- Anti-inflammatory drugs to reduce pain and inflammation
- Alpha-blockers to ease urine flow
- Prostate massage (in some cases)
- Warm baths
Prevention[edit]
Preventive measures for chronic bacterial prostatitis focus on reducing the risk of UTIs and include:
- Adequate hydration
- Urinating soon after sex
- Avoiding bladder irritants such as caffeine and alcohol
- Good personal hygiene
Complications[edit]
If left untreated, chronic bacterial prostatitis can lead to:
- Recurrent urinary tract infections
- Prostate abscess
- Reduced fertility
- Chronic pelvic pain syndrome
See Also[edit]
- Prostatitis
- Acute bacterial prostatitis
- Chronic nonbacterial prostatitis
- Benign prostatic hyperplasia

