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Acute prostatitis
Last reviewed: 23.04.2024
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As a rule, acute prostatitis is easily recognized and successfully treated, therefore, it does not cause particular difficulties for urologists.
What causes acute prostatitis?
Acute prostatitis is [1]always infectious, often caused by Gram-negative bacteria (E coli, Proteus, Klebsiella, Enterobacter, Pseudomonas, etc.), which enter the prostate as a result of reflux of infected urine or ascending urethral infection, as well as hematogenous or lymphogenous (from the rectum and urinary tract). Channel) by. Gram-positive bacteria (Enterococcus, Staphylococcus, Streptococcus, etc.) are rare.[2], [3], [4]
Symptoms of acute prostatitis
Symptoms of acute prostatitis are manifested by a sudden increase in body temperature to moderately high or high numbers, chills and general malaise (including pain in the joints and muscles), pain in the lower back and perineum region, frequent urination and irresistible urination, nocturia. [5]
How to recognize acute prostatitis?
Palpation through the rectum allows you to detect a swollen, painful prostate that is tight, lumpy, hot to the touch. Many leukocytes and macrophages are found in the prostate secretion, and the secretion of the secret produces abundant growth of pathogenic bacteria. It should be borne in mind, however, that in the acute period, prostate massage (getting a secret) is not recommended, as it is not only very painful, but can also lead to bacteremia. To establish the pathogenic microflora that accompanies acute prostatitis usually allows urine culture.[6], [7]
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