Acute Bacterial Prostatitis Clinical Presentation

  • Author: Samuel G Deem, DO; Chief Editor: Edward David Kim, MD, FACS   more...
 
Updated: Dec 15, 2011
 

History

Acute bacterial prostatitis typically presents as an acute onset of fever, chills, malaise, dysuria, and perineal or rectal pain. It may also present as dysuria, urinary frequency, urinary urgency, and, occasionally, urinary retention. Acute bacterial prostatitis can be a complication of previous instrumentation, such as cystoscopy or prostate needle biopsy. Hematuria, although rare, can be in the presentation.

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Physical

It is important to be cautious when performing a digital rectal examination as palpation can be very painful, and, in most cases, perineal tenderness alone is sufficient for a diagnosis. It is important to include vital signs to exclude signs and symptoms of sepsis. Urinary retention is occasionally seen and would present with an inability to void and abdominal fullness.

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Contributor Information and Disclosures
Author

Samuel G Deem, DO  Faculty in Urology, Institutional Scientific Review Board, Charleston Area Medical Center

Samuel G Deem, DO is a member of the following medical societies: American College of Osteopathic Surgeons, American College of Surgeons, American Osteopathic Association, American Society of Clinical Oncology, American Urological Association, Endourological Society, and Society of Urologic Oncology

Disclosure: Nothing to disclose.

Coauthor(s)

Jonathan J Rhee, MD  Staff Physician, Department of Urology, University of Virginia School of Medicine

Jonathan J Rhee, MD is a member of the following medical societies: Alpha Omega Alpha

Disclosure: Nothing to disclose.

Michael Piesman, MD  Staff Physician, Department of Internal Medicine, Madigan Army Medical Center

Michael Piesman, MD is a member of the following medical societies: American Medical Association

Disclosure: Nothing to disclose.

Raymond A Costabile, MD  Jay Y Gillenwater Professor of Urology and Vice Chairman, Senior Associate Dean for Clinical Strategy, University of Virginia Health System

Raymond A Costabile, MD is a member of the following medical societies: Alpha Omega Alpha, American Medical Association, American Society of Andrology, American Urological Association, and Phi Beta Kappa

Disclosure: Nothing to disclose.

Chief Editor

Edward David Kim, MD, FACS  Professor of Surgery, Division of Urology, University of Tennessee Graduate School of Medicine; Consulting Staff, University of Tennessee Medical Center

Edward David Kim, MD, FACS is a member of the following medical societies: American College of Surgeons, American Society for Reproductive Medicine, American Society of Andrology, American Urological Association, Sexual Medicine Society of North America, and Tennessee Medical Association

Disclosure: Lilly Consulting fee Advisor; Astellas Consulting fee Speaking and teaching; Watson Consulting fee Speaking and teaching; Allergan Consulting fee Speaking and teaching

Additional Contributors

Edmund S Sabanegh Jr, MD Chairman, Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic Foundation

Edmund S Sabanegh Jr, MD is a member of the following medical societies: American Medical Association, American Society for Reproductive Medicine, American Society of Andrology, American Urological Association, Society for the Study of Male Reproduction, Society of Reproductive Surgeons, and Southwest Oncology Group

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

References

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Leukocytic infiltration of the stroma and glandular lumina during acute bacterial prostatitis (ABP).
 
 
 
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