Acute bacterial prostatitis is typically caused by gram-negative bacteria entering the prostate gland via the urethra.

Escherichia coli is the most commonly isolated pathogen.

Risk factors for acute bacterial prostatitis include recent urinary tract infection, urogenital instrumentation, intermittent bladder catheterisation and recent prostate biopsy.

Acute prostatitis = <3 months

PC

• the pain of prostatitis may be referred to a variety of areas including the perineum, penis, rectum or back
• obstructive/voiding symptoms may be present
• fever and rigors may be present

Examination:

• digital rectal examination: tender, boggy prostate gland

Investigations

• STI screen

Management

• Quinolone or Trimethoprim (Ciprofloxacin)
• consider screening for sexually transmitted infections