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Chronic bacterial prostatitis
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Epidemiology
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- Young & middle-aged men
- ↑ Risk with diabetes mellitus, smoking, urinary tract procedure
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Pathogens
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- Coliforms enter from urethra via intraprostatic reflux
- Escherichia coli causes >75% of cases
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Presentation
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- Recurrent urinary tract infection (with the same organism)
- ± Prostatic tenderness & swelling (often absent)
- Pain with ejaculation
- History of antibiotic treatment → transient improvement
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Diagnosis
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- Pyuria and bacteriuria on urinalysis
- Bacteria in prostatic fluid > bacteria in urine
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Treatment
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- Fluoroquinolones (eg, ciprofloxacin) for 6 weeks
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