Prostate Infections (cont.)
IN THIS ARTICLE
When to Seek Medical Care for Prostate Infections
Contact a doctor for any of the following symptoms. These symptoms are even more significant if accompanied with high fever and chills:
Doctors usually diagnose and treat prostate infections on an outpatient basis. If a person develops high fever with chills or a new onset of difficulty in urinating, seek medical care immediately or go to a hospital's emergency department because the infection may be spreading to other areas of the body.
Prostate Infection Diagnosis
The diagnosis of both acute and chronic prostate infections begins with the history of the symptoms described above, the physical exam, including the digital exam of the prostate and often confirmed by culture and identification of the infecting organism.
Acute bacterial prostatitis diagnosis
Chronic bacterial prostatitis diagnosis
One of two tests are sometimes performed to help with the diagnosis:
The classic test is a Meares-Stamey 3-glass test. Three separate urine samples are collected and examined during this test. The last sample is taken after prostatic massage.
Premassage and postmassage test (PPMT)
Men with recurrent urinary tract infections should have ultrasound imaging of their upper urinary tract and a plain abdominal X-ray or an intravenous urography (IVU) to exclude a possible structural problem or a kidney stone.
Certain other disorders that are very common display symptoms similar to chronic bacterial prostatitis, for example, pelvic area pain, decreased sex drive, and impotence. No one knows what causes them. Men who have these disorders often become depressed. Symptoms may be worsened by a number of factors, for example, diet, posture, or alcohol.
The role of antibiotics is unclear in chronic bacterial prostatitis, but because prostate infections often go unnoticed, doctors may often try antibiotics to help stop the infection. Antibiotics reported to be helpful include erythromycin (E-Mycin, Erythrocin), doxycycline (Atridox, Vibramycin), or a fluoroquinolone (ciprofloxacin [Cipro, Cipro XR, Proquin XR]).
Other possible diagnostic tests/treatments for chronic bacterial prostatitis may include the following:
Medically Reviewed by a Doctor on 11/20/2017
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