Acute prostatitis


Acute infection of the prostate, most commonly due to Gram negative bacteria.

Clinical features

– Signs of cystitis (burning on urination and urinary frequency) with fever in men, perineal pain is common.

– Very painful rectal examination.

– Urinalysis: leucocyturia and pyuria; haematuria may be present.

Treatment

Difficult, the infection may become chronic.

– Increase fluid intake: 3 to 4 litres daily

– Fever and pain (Chapter 1)

– Prolonged antibiotherapy:
ciprofloxacin PO: 500 mg 2 times daily for 28 days