– Prostatitis is an acute bacterial infection of the prostate.
– The most common causative pathogen is Escherichia coli. Other pathogens include Proteus mirabilis, Klebsiella sp, Pseudomonas aeruginosa and Enterococcus sp.
– Progression to chronic prostatitis is possible.
– Fever (often high) and chills.
– Signs of cystitis (burning on urination and urinary frequency).
– Perineal, urethral, penile or rectal pain.
– Urinary retention.
– Very painful digital rectal examination. Fluctuant mass in case of prostatic abscess.
– Leukocyturia, pyuria, possible macroscopic haematuria.
– Antibiotic therapy:
ciprofloxacin PO: 500 mg 2 times daily for 14 days then review the patient. Stop treatment if signs and symptoms have completely resolved. If signs and symptoms are ongoing continue the same treatment for a further 14 days.1
– Refer to a surgeon in case of suspected prostatic abscess.