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Pathology - Prostatitis
Acute bacterial prostatitis, can be owing to an ascending infection from the urethra or can be caused to urine reflux into the prostatic ducts. The microorganisms are usually gram-negative bacteria, and sepsis can occur if left untreated. Patients with indwelling catheters or history of sexually transmitted infections are at greater risk. This patient has a history of benign prostatic hyperplasia, which causes constriction of the urethra as it passes through the prostate gland to reach the bladder. This produces secondary blockage of urinary flow with possible stasis of urine and reflux into the prostatic ducts. Bacteria can proliferate and induce inflammation, leading to prostatodynia.
Treatment consists mostly of empiric antibiotics such as fluoroquinolones until urine culture sensitivities are discovered.
Acute bacterial prostatitis, can be owing to an ascending infection from the urethra or can be caused to urine reflux into the prostatic ducts. The microorganisms are usually gram-negative bacteria, and sepsis can occur if left untreated. Patients with indwelling catheters or history of sexually transmitted infections are at greater risk. This patient has a history of benign prostatic hyperplasia, which causes constriction of the urethra as it passes through the prostate gland to reach the bladder. This produces secondary blockage of urinary flow with possible stasis of urine and reflux into the prostatic ducts. Bacteria can proliferate and induce inflammation, leading to prostatodynia.
Treatment consists mostly of empiric antibiotics such as fluoroquinolones until urine culture sensitivities are discovered.
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