Acute Bacterial Prostatitis Differential Diagnoses
- Author: Samuel G Deem, DO; Chief Editor: Edward David Kim, MD, FACS more...
Diagnostic Considerations
A prostatic abscess should be suspected when worsening clinical symptoms follow an initial favorable response to treatment of acute bacterial prostatitis or a fluctuant mass is developing in the prostate gland.
Differential Diagnoses
- Benign prostatic hypertrophy with urinary retention
- Cystitis
- Prostate Cancer
- Prostatic abscess
- Seminal vesiculitis
- Urethritis
- Urinary Tract Infection in Males
Nickel JC. Inflammatory conditions of the male genitourinary tract: prostatitis and related conditions, orchitis, and epididymitis. In: Wein. AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: WB Saunders: 2005; Chapter 9.
Nickel JC. 5 alpha reductase therapy for chronic prostatitis. In: Nickel JC, ed. Textbook of Prostatitis. Oxford, UK: ISIS Medical Media; 1999:333-7.
Collins MM, Stafford RS, O'Leary MP, Barry MJ. How common is prostatitis? A national survey of physician visits. J Urol. Apr 1998;159(4):1224-8. [Medline].
Kanamaru S, Kurazono H, Terai A, Monden K, Kumon H, Mizunoe Y, et al. Increased biofilm formation in Escherichia coli isolated from acute prostatitis. Int J Antimicrob Agents. Aug 2006;28 Suppl 1:S21-5. [Medline].
Bergman B. On the relevance of gram-positive bacteria in prostatitis. Infection. 1994;22 Suppl 1:S22. [Medline].
Lomberg H, Cedergren B, Leffler H, Nilsson B, Carlström AS, Svanborg-Edén C. Influence of blood group on the availability of receptors for attachment of uropathogenic Escherichia coli. Infect Immun. Mar 1986;51(3):919-26. [Medline]. [Full Text].
Nickel JC. The Pre and Post Massage Test (PPMT): a simple screen for prostatitis. Tech Urol. Spring 1997;3(1):38-43. [Medline].
Magri V, Cariani L, Bonamore R, Restelli A, Garlaschi MC, Trinchieri A. Microscopic and microbiological findings for evaluation of chronic prostatitis. Arch Ital Urol Androl. Jun 2005;77(2):135-8. [Medline].
Meares EM, Stamey TA. Bacteriologic localization patterns in bacterial prostatitis and urethritis. Invest Urol. Mar 1968;5(5):492-518. [Medline].
Terrone C, Poggio M, Bollito E, Cracco CM, Scarpa RM. [Asymptomatic prostatitis: a frequent cause of raising PSA]. Recenti Prog Med. Jul-Aug 2005;96(7-8):365-9. [Medline].
Granados EA, Riley G, Salvador J, Vincente J. Prostatic abscess: diagnosis and treatment. J Urol. Jul 1992;148(1):80-2. [Medline].
Barbalias GA, Nikiforidis G, Liatsikos EN. Alpha-blockers for the treatment of chronic prostatitis in combination with antibiotics. J Urol. Mar 1998;159(3):883-7. [Medline].
Aravantinos E, Kalogeras N, Zygoulakis N, Kakkas G, Anagnostou T, Melekos M. Ultrasound-guided transrectal placement of a drainage tube as therapeutic management of patients with prostatic abscess. J Endourol. Aug 2008;22(8):1751-4. [Medline].
Chou YH, Tiu CM, Liu JY, Chen JD, Chiou HJ, Chiou SY, et al. Prostatic abscess: transrectal color Doppler ultrasonic diagnosis and minimally invasive therapeutic management. Ultrasound Med Biol. Jun 2004;30(6):719-24. [Medline].
Barozzi L, Pavlica P, Menchi I, De Matteis M, Canepari M. Prostatic abscess: diagnosis and treatment. AJR Am J Roentgenol. Mar 1998;170(3):753-7. [Medline].
Meares EM Jr. Prostatitis. Med Clin North Am. Mar 1991;75(2):405-24. [Medline].
Kabay S, Kabay SC, Yucel M, Ozden H. Efficiency of posterior tibial nerve stimulation in category IIIB chronic prostatitis/chronic pelvic pain: a Sham-Controlled Comparative Study. Urol Int. 2009;83(1):33-8. [Medline].
Lee SH, Lee BC. Electroacupuncture relieves pain in men with chronic prostatitis/chronic pelvic pain syndrome: three-arm randomized trial. Urology. May 2009;73(5):1036-41. [Medline].
Liu L, Yang J. Physician's practice patterns for chronic prostatitis. Andrologia. Oct 2009;41(5):270-6. [Medline].
Ludwig M. Diagnosis and therapy of acute prostatitis, epididymitis and orchitis. Andrologia. Apr 2008;40(2):76-80. [Medline].
Nickel JC, Shoskes D. Phenotypic approach to the management of chronic prostatitis/chronic pelvic pain syndrome. Curr Urol Rep. Jul 2009;10(4):307-12. [Medline].
Wagenlehner FM, Naber KG, Bschleipfer T, Brähler E, Weidner W. Prostatitis and male pelvic pain syndrome: diagnosis and treatment. Dtsch Arztebl Int. Mar 2009;106(11):175-83. [Medline]. [Full Text].

