PROSTATITIS

Acute inflammation/infection of the prostate, a gland present in the male and located below the bladder, around
the proximal urethra.

Cause

  • Bacterial infection as for UTI

Clinical features

  • Fever, chills
  • Rectal, perineal and low back pain
  • Urinary urgency, frequency and dysuria
  • May cause acute urinary retention
  • At rectal examination: tender enlarged prostate (avoid vigorous examination)

Investigations

  • Haemogram
  • Urine analysis and C&S

Management

  • IV fluids, antipyretics, bed rest
  • Stool softeners
  • Ciprofloxacin 500 mg 12 hourly for 4-6 weeks