最后审阅: 19 九月 2021
最后更新: 13 十月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 发热、寒颤、不适感
  • 前列腺触痛

其他诊断因素

  • 年龄<50岁
  • 尿频
  • 排尿困难
  • 尿流变细
  • 会阴疼痛
  • 温暖或柔软、呈沼泽样的腺体
  • 留置导尿管
  • 近期经直肠前列腺活组织检查
  • 近期经尿道手术

危险因素

  • 泌尿道感染(UTI)
  • 良性前列腺肥大
  • 泌尿道器械操作/手术操作
  • 总体健康状况差/免疫抑制
  • 吸烟和酒精摄入
  • 遗传学

诊断性检查

首要检查

  • 尿液分析
  • 尿液培养
  • 前列腺分泌物培养
  • 血液培养
  • 血清前列腺特异性抗原 (PSA)

需考虑的检查

  • 膀胱镜检查
  • 经直肠超声
  • 4 杯试验

新兴检查

  • 尿液细胞学检查
  • 前列腺活组织检查
  • 前列腺按摩液生化分析

治疗流程

撰稿人

作者

Christopher Chapple, BSc, MD, FRCS (Urol), FEBU

Honorary Senior Lecturer of Urology

University of Sheffield

Consultant Urological Surgeon

Department of Urology

Royal Hallamshire Hospital

Sheffield

UK

利益声明

CC is an author for Allergan; researcher, author meeting participant, speaker, consultant/advisor for Astellas Pharma, from whom he has received a grant and been involved in scientific studies/trials; consultant/advisor for Bayer Schering Pharma AG, Ferring, Galvani Bioelectronics (GSK), Pierre Fabre, Taris Biomedical, and Urovant Sciences; consultant/advisor and patent holder for Symimetics; meeting participant and speaker for Pfizer; scientific study/trial researcher for Ipsen.

Altaf Mangera, MBChB (Hons), MD, FRCS (Urol)

Consultant Urologist

Department of Urology

Royal Hallamshire Hospital

Sheffield

UK

利益声明

AM declares that he has no competing interests.

鸣谢

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

同行评议者

Hans Hedelin, MD

Department of Urology and Centre for Research and Development

Karnsjukhuset

Skovde

Sweden

利益声明

HH declares that he has no competing interests.

Benjamin A. Lipsky, MD, FACP, FIDSA, FRCP

Professor of Medicine

University of Washington

VA Puget Sound Health Care System

Seattle

WA

利益声明

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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