释义 |
DictionarySeeprostatitischronic bacterial prostatitis
prostatitis syndrome Urology Any inflammatory condition defined by the Intl Prostatitis Collaborative Network under the aegis of the NIH. See Prostate. Prostatitis syndromes Acute bacterial prostatitis Pts present with acute Sx of UTI–eg urinary frequency and dysuria, as well as malaise, fever, myalgia; bacteria and pus are usually present in the urine and due to uropathic bacteria–eg, E coli Chronic bacterial prostatitis Pts have recurrent UTIs, usually due to the same organisms–eg, E coli , another GNR or an enterococcus; between symptomatic bouts, Pts continue to be carriers in cultures from the lower urinary tract Chronic prostatitis/chronic pelvic pain syndrome The most common of the prostatitis syndromes, CP/CPPS recognizes the limited understanding of the cause of this condition and implies that other organs beside the prostate may be involved and is a diagnosis of exclusion, after active urethritis, urogenital cancer, GU disease, functionally significant urethral and neurological disease have been completely excluded; it is divided into an inflammatory subtype with leukocytes in the urine and a noninflammatory subtype which has no manifestation of inflammation Asymptomatic inflammatory prostatitis A condition which is diagnosed in Pts who lack a Hx of GU complaints who have ↑ PSA or infertility chronic bacterial prostatitis Abbreviation: CBP Inflammation of the prostate caused by a long-standing bacterial infection that often develops insidiously; causative organisms include gram-negative bacteria and enterococci. Clinically, the patient may have mild to moderate low back pain, pain with urination, and perineal discomfort, or he may be asymptomatic. Patients may have a history of multiple urinary tract infections; bacteria can hide in the prostate, which resists penetration by antibiotics, and reinfect the urinary tract. Causal bacteria are identified by culture of prostatic secretions and urine. Treatment consists of ciprofloxacin or another fluoroquinolone antibiotic for 4 to 6 weeks. The long course is needed because of poor penetration into the prostate. See also: prostatitisAcronymsSeeCBP |