Acute bacterial prostatitis

Etiology

• Intraprostatic reflux of pathogens in urine
• Primarily gram-negative bacilli (Escherichia coli ~75%)

Manifestations

• Flu-like illness (eg, fever, chills, malaise, myalgia)
• Lower urinary symptoms (eg, dysuria, urine retention, pelvic pain)

Diagnosis

• Digital rectal examination: tender, swollen prostate
• Urine culture

Treatment

• 6 weeks of TMP-SMX or fluoroquinolone

Complications

• Bacteremia/systemic spread
• Prostatic abscess
• Chronic prostatitis

TMP-SMX = trimethoprim-sulfamethoxazole.