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
出现脓毒症体征
无脓毒症体征
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.
鉴别诊断
- 良性前列腺增生 (BPH)
- 前列腺癌
- 泌尿道感染 (UTI)
更多 鉴别诊断指南
- 泌尿道感染
- 前列腺炎（急性）：抗菌药物处方
更多 指南患者教育信息
Prostatitis
更多 患者教育信息
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