Prostatitis

The term prostatitis is the inflammation of a prostate either related by infectious processes such as sexually transmitted diseases, or bacterial.

Prostatitis is the most common urinary infection in men between the second and fourth decades of life. Only about 2 million medical consultations per year in Mexico.

 
  • Need to urinate frequently.
  • Sensation of having to urinate urgently.
  • Inability to urinate completely or urinate in breaks.
  • Blood or semen in the urine.
  • Pain in the back side of the back.
  • Burning or pain when the urine passes.
  • Pain in the rectum or in the scrotum area.
  • Fever and chills.
  • Inability to have or maintain an erection.
 

Pain in Two divided by time of manifestation, in acute prostatitis, chronic in case of chronic prostatitis the symptoms last for at least 3 months and, given the similarity with the clinical and pathological process of benign prostatic hyperplasia, it is sometimes makes it difficult to distinguish between these two entities. the rectum or in the scrotum area. Fever and chills. Inability to have or maintain an erection.

 
  • Multiple sexual partners.
  • Poor hygiene.
  • Decrease in defenses.
  • No circumcision.
 
  • Exfoliative prostatic cytology or sensitivity.
  • Sperm culture.
  • Urine and urine culture tests.
  • Ultrasound bladder and prostate which shows an increase in its size.
  • Biochemical study (prostate antigen).
  • Rectal touch (in some cases).

Rectal examination is only significant in acute infection, where the prostate, enlarged, is very sensitive to palpation, with pain and a vivid voiding reflex always present.

The total prostate-specific antigen in blood increases in acute prostatitis and normalizes with its resolution.

However, the presence of high PSA values ​​maintained after an episode of chronic prostatitis always requires to rule out prostate cancer (that is why the importance of digital rectal examination.

 

Acute prostatitis is a serious infectious disease that requires immediate antimicrobial treatment. A bactericidal antibiotic is preferable. The absence of improvement in acute prostatitis should warn us of the possibility of a fungal infection. The duration of the treatment will be 10-14 days, normally the recovery is depending on the resistance of the pathogen and the initial time of the manifestation and can vary between 2 months to 4 months to a recovery, with previous laboratory studies, culture of urine and semen for bacterial control.

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