Prostatitis

N41.0/N41.9 + (N34.2)

DESCRIPTION

Infection of the prostate caused by urinary or STI pathogens.

Clinical features include:

  • perineal, sacral or suprapubic pain
  • dysuria and frequency
  • varying degrees of obstructive symptoms which may lead to urinary retention
  • sometimes fever
  • acutely tender prostate on rectal examination.

The condition may be chronic, bacterial or non-bacterial, the latter usually being assessed when there is failure to respond to antibiotics.

MEDICINE TREATMENT

Acute bacterial prostatitis

In men ≤ 35 years of age or if there are features of associated urethritis (STI regimen) :

  • Ceftriaxone, IM, 250 mg as a single dose.

AND

  • Azithromycin, oral, 1 g as a single dose.

In men > 35 years of age or if there is associated cystitis :

  • Ciprofloxacin, oral, 500 mg 12 hourly for 14 days.

LoEIII [7]

REFERRAL

  • No response to treatment.
  • Urinary retention.
  • High fever.
  • Chronic/relapsing prostatitis.