The acute prostatitis is an inflammation of the prostate gland, which occurs spontaneously.
Causes
The acute prostatitis is often caused by a bacterial infection of the prostate gland. Bacteria are the usual prostatitis causes also produce a urinary tract infection (Escherichia coli , enterococci, Pseudomonas aeruginosa and Staphylococcus aureus , etc.).
Also prostatitis may occur for some sexually transmitted infections, which are often seen in cases of persons under 35 years, such as gonorrhea, chlamydia, and trichomonas. In this case the infection of both partners.
On the other hand the prostatitis symptoms in men over the cause that is often seen is the Escherichia coli.
At other times the prostatitis is secondary to injuries resulting from medical examinations (catheterization or cystoscopy), direct trauma, or acute exacerbations of the bladder or kidney stones.
Symptoms
Initial symptoms of acute prostatitis are:
- Chills with fever
- Lower abdominal discomfort
- Pain between the genitals and anus
- Burning urination
- Reduced flow of urine and difficulty urinating
- Painful ejaculation
- Painful bowel movements
- Blood in urine
- Semen with blood
- Urine odor.
Diagnosis
A physical examination by digital rectal examination can be observed that the prostate may be swollen, bigger than normal, hot and tender.
After performing a urinalysis to taking several samples:
First initial stream,
Second half of the jet,
Third after a prostate massage by the physician, in the case of clear symptoms of acute prostatitis can ignore this third sample to prevent the spread of infection.
The analysis of urine and prostate secretions appear red blood cells and bacteria, and then it may have a culture with sensitivity.
Treatment
In the acute infectious prostatitis are used antibiotics such as sulfonamides, quinolones and tetracyclines.
In young men prostatitis and sexually transmitted diseases are treated using a 250 mg dose of ceftriaxone followed by a 10-day course of doxycycline or ofloxacin. For other bacterial causes, treatment is usually sulfa or quinolone antibiotics for 4 weeks.
It is usually recommend some dietary restrictions to avoid foods that irritate the bladder such as alcohol, coffee, citrus and strong condiments. In addition to stimulate amount of drinking water for a few days.