Curriculum · Nephrology and Urology
Prostatitis
What it is
Prostatitis is one of the infections of the male urinary tract, and the files hold it in two forms, acute and chronic; a past paper sets a tender prostate of 3 months against that pair and asks which it is. Acute prostatitis is one of the causes of bladder outlet obstruction in the young male, alongside urethral stricture, where in the male child it would be a posterior urethral valve or meatal stenosis and in the older male an enlarged prostate, BPH or cancer. Chronic prostatitis also appears on the other side of medicine, as one of the associations of ankylosing spondylitis.
How it presents
Patients are typically acutely ill, with spiking fever, chills, malaise, myalgia, dysuria, irritative urinary symptoms of frequency, urgency and urge incontinence, pelvic or perineal pain, and cloudy urine. Men may also complain of pain at the tip of the penis. Swelling of the acutely inflamed prostate can cause voiding symptoms, ranging from dribbling and hesitancy to acute urinary retention.
Put among the causes of dysuria in men, the line reads that in addition to dysuria, men with prostatitis may have deep perineal pain and obstructive urinary symptoms, while those with epididymo-orchitis have localized testicular pain. In the epididymo-orchitis case itself, deep-seated pelvic pain is attributed to the prostatitis that runs with it.