Up to 50% of men experience at least one episode of prostatitis.1 Prostatitis is actually four different disorders: nonbacterial prostatitis, prostatodynia, acute bacterial prostatitis, and chronic bacterial prostatitis. The constellation of dysuria, perineal pain, urgency, frequency, and nocturia suggests that one of the prostatitis syndromes is present. If there is a urethral discharge, urethritis is the primary consideration. The symptoms of the prostatitis syndromes are similar, with the exception of acute bacterial prostatitis. The findings on digital examination of the prostate gland are inconsistent and nonspecific. Tenderness is present in some patients, but this finding is seen in a similar proportion of patients without prostate disease.
KeywordsProstate Cancer Benign Prostatic Hyperplasia Radical Prostatectomy Prostate Gland Watchful Waiting
Unable to display preview. Download preview PDF.
- 1.Fowler J. Prostatitis. In: Gillenwater J, Grayback J, Howards S, Duckett J, editors. Adult and pediatric urology. 3rd ed. St. Louis: Mosby, 1996:1715–45.Google Scholar
- 4.Sanford J, Gilbert D, Sande M. Sanford guide to antimicrobial therapy 1995. Dallas: Antimicrobial Therapy, Inc, 1995.Google Scholar
- 6.McConnell, J, Barry MJ, Bruskewitz RC. Clinical practice guideline no. 8: benign prostatic hyperplasia: diagnosis and treatment. Bethesda: US Department of Health and Human Services, 1994:1–225. AHCPR Publ. No. 94–0582.Google Scholar