Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • fever, chills, malaise
  • tender prostate

Other diagnostic factors

  • age <50 years
  • urinary frequency
  • dysuria
  • diminished urinary stream
  • perineal pain
  • warm or soft, boggy gland
  • indwelling urinary catheter
  • recent transrectal prostate biopsy
  • recent transurethral surgery

Risk factors

  • urinary tract infection
  • benign prostatic enlargement
  • poor general health
  • smoking and alcohol consumption

Diagnostic investigations

1st investigations to order

  • urinalysis
  • urine culture
  • culture of prostatic secretions
  • blood cultures
  • serum PSA
Full details

Investigations to consider

  • cystoscopy
  • transrectal ultrasound
  • 4-glass test
Full details

Emerging tests

  • urine cytology
  • prostatic biopsy
  • biochemical analysis of expressed prostatic secretions
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Honorary Senior Lecturer of Urology

University of Sheffield

Consultant Urological Surgeon

Department of Urology

Royal Hallamshire Hospital

Sheffield

UK

Disclosures

CC is a consultant, researcher, and speaker for Allergan, Astellas, Medtronic, and Recordati; consultant and speaker for Lilly; researcher and speaker for ONO and Pfizer; and speaker for Ranbaxy.

Research Fellow

Department of Urology

Royal Hallamshire Hospital

Sheffield

UK

Disclosures

AM declares that he has no competing interests.

Dr Christopher Chapple and Dr Altaf Mangera would like to gratefully acknowledge the contribution of Robyn Webber MB, ChB, MD, FRCSEd (Urol) to this monograph. Not disclosed.

Peer reviewers VIEW ALL

Department of Urology and Centre for Research and Development

Karnsjukhuset

Skovde

Sweden

Disclosures

HH declares that he has no competing interests.

Professor of Medicine

University of Washington

VA Puget Sound Health Care System

Seattle

WA

Disclosures

BAL has received research funding from, and been a consultant to, several pharmaceutical companies that make antibiotic agents that might be used for treating bacterial prostatitis.

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