Chronic Bacterial Prostatitis Questions & Answers

Updated: Jan 15, 2019
  • Author: Samantha D Kraemer, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Questions & Answers

Overview

What is chronic bacterial prostatitis (CBP) characterized?

How is a diagnosis of chronic bacterial prostatitis (CBP) confirmed?

What is the diagnostic standard for chronic bacterial prostatitis (CBP)?

What are the most effective antibiotics for treatment of chronic bacterial prostatitis (CBP)?

What is the traditional classification of chronic bacterial prostatitis (CBP)?

What is the NIH classification for chronic bacterial prostatitis (CBP)?

What are category I and category II chronic bacterial prostatitis (CBP)?

What is category III chronic bacterial prostatitis (CBP)?

What is category IV chronic bacterial prostatitis (CBP)?

What is the anatomy relevant to chronic bacterial prostatitis (CBP)?

What are the distinct zones in the anatomy of the prostate relevant to chronic bacterial prostatitis (CBP)?

What is in the posterior midline of the prostatic urethra relative to the anatomy of chronic bacterial prostatitis (CBP)?

What is the composition of the prostate relative to chronic bacterial prostatitis (CBP)?

What is the physiology of natural host defenses that prevent chronic bacterial prostatitis (CBP)?

What are the risk factors for chronic bacterial prostatitis (CBP)?

What is the role of intraprostatic ductal reflux and prostatic calculi in the pathogenesis of chronic bacterial prostatitis (CBP)?

What is the role of the secretory dysfunction of prostate gland in the pathogenesis of chronic bacterial prostatitis (CBP)?

What causes chronic bacterial prostatitis (CBP)?

What is the role of gram-negative bacteria in the etiology of chronic bacterial prostatitis (CBP)?

What is the role of gram-positive organisms in the etiology of chronic bacterial prostatitis (CBP)?

What is the role of Chlamydia trachomatis in the etiology of chronic bacterial prostatitis (CBP)?

What uropathogens cause chronic bacterial prostatitis (CBP)?

What is the role of mycotic infections in the etiology of chronic bacterial prostatitis (CBP)?

What is the pathophysiology of chronic bacterial prostatitis (CBP)?

Which medical treatments increase the risk of developing chronic bacterial prostatitis (CBP)?

What are the routes of infection in chronic bacterial prostatitis (CBP)?

What is the prevalence of chronic bacterial prostatitis (CBP)?

What is the prognosis of chronic bacterial prostatitis (CBP)?

What are the effects of chronic bacterial prostatitis (CBP) on quality of life?

What is the relationship between severity of chronic bacterial prostatitis (CBP) and erectile dysfunction?

What is the risk of prostate cancer in patients with chronic bacterial prostatitis (CBP)?

What is the mortality risk associated with chronic bacterial prostatitis (CBP)?

Where can patient education resources for chronic bacterial prostatitis (CBP) be found?

Presentation

What are the signs and symptoms of chronic bacterial prostatitis (CBP)?

Which clinical history is characteristic of chronic bacterial prostatitis (CBP)?

What should be the focus of sexual history in the evaluation of chronic bacterial prostatitis (CBP)?

What are the main symptom domains of chronic bacterial prostatitis (CBP)?

How is genitourinary pain characterized in chronic bacterial prostatitis (CBP)?

What are the lower urinary tract symptoms (LUTS) of chronic bacterial prostatitis (CBP)?

What are the voiding symptoms of chronic bacterial prostatitis (CBP)?

What is the psychological symptoms of chronic bacterial prostatitis (CBP)?

What are the symptoms of sexual dysfunction in chronic bacterial prostatitis (CBP)?

How are quality of life and functional status assessed in chronic bacterial prostatitis (CBP)?

What is the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) and how is it used in the evaluation of chronic bacterial prostatitis (CBP)?

Which validated symptom-scoring instruments can be used to evaluate patients with chronic bacterial prostatitis (CBP)?

What are the physical findings characteristic of chronic bacterial prostatitis (CBP)?

When is a prostate exam performed in evaluation of chronic bacterial prostatitis (CBP)?

How is pelvic floor muscle dysfunction assessed in the evaluation of chronic bacterial prostatitis (CBP)?

Which abdominal exam findings suggest urinary retention in chronic bacterial prostatitis (CBP)?

DDX

Which conditions should be included in the differential diagnoses of chronic bacterial prostatitis (CBP)?

What are the differential diagnoses for Chronic Bacterial Prostatitis?

Workup

How is chronic bacterial prostatitis (CBP) diagnosed?

Which additional studies are performed in the evaluation of chronic bacterial prostatitis (CBP) when symptoms suggest chronic pelvic pain syndrome (CPPS)?

Which tests are done to exclude other diagnoses on the differential for chronic bacterial prostatitis (CBP)?

What is the role of prostatic massage in the workup of chronic bacterial prostatitis (CBP)?

What is the collection procedure for the four glass urine test to diagnose chronic bacterial prostatitis (CBP)?

How are urine specimens cultured in the evaluation of chronic bacterial prostatitis (CBP)?

How is the two-glass test performed for the diagnosis of chronic bacterial prostatitis (CBP)?

What localization culture results are diagnostic of chronic bacterial prostatitis (CBP)?

How is acute cystitis treated in patients with suspected chronic bacterial prostatitis (CBP)?

What is the significance of a finding of 10 or more white blood cells per high-power field (WBCs/HPF) in the evaluation for chronic bacterial prostatitis (CBP)?

What is the role of semen cultures in the workup of chronic bacterial prostatitis (CBP)?

What are the benefits of semen cultures in the workup of chronic bacterial prostatitis (CBP)?

What is the role of routine prostate-specific antigen (PSA) testing in the workup of chronic bacterial prostatitis (CBP)?

What is the role of retrograde urethrography in the workup of chronic bacterial prostatitis (CBP)?

What is the role of transrectal ultrasonography in the workup of chronic bacterial prostatitis (CBP)?

What is the role of uroflowmetry in the workup of chronic bacterial prostatitis (CBP)?

What is the role of postvoid residual testing in the workup of chronic bacterial prostatitis (CBP)?

What is the role of urodynamic studies in the workup of chronic bacterial prostatitis (CBP)?

What is the role of prostate biopsy in the workup of chronic bacterial prostatitis (CBP)?

What is the role of endoscopy (cystoscopy) in the workup of chronic bacterial prostatitis (CBP)?

Which histologic findings are characteristic of chronic bacterial prostatitis (CBP)?

Treatment

What is the role of antibiotics in the treatment of chronic bacterial prostatitis (CBP)?

What is the efficacy of antibiotics for the treatment of chronic bacterial prostatitis (CBP)?

What is the mainstay of treatment of chronic bacterial prostatitis (CBP)?

What are considerations in the use of antibiotic treatment for chronic bacterial prostatitis (CBP)?

Which medications may be used to alleviate symptoms of chronic bacterial prostatitis (CBP)?

What is the role of surgery in the treatment of chronic bacterial prostatitis (CBP)?

Which therapies used to treat chronic pelvic pain syndrome (CPPS) may provide symptom relief in chronic bacterial prostatitis (CBP)?

Why is the choice of antimicrobial therapy important in chronic bacterial prostatitis (CBP)?

What is the course of antibiotic therapy for chronic bacterial prostatitis (CBP)?

Why are fluoroquinolones the antibiotics of choice for the treatment of chronic bacterial prostatitis (CBP)?

What are the eradication rates among fluoroquinolones for the treatment of chronic bacterial prostatitis (CBP)?

What are resistance rates to fluoroquinolones in the treatment of chronic bacterial prostatitis (CBP)?

What is the role of trimethoprim/sulfamethoxazole (TMP/SMX) for the treatment of chronic bacterial prostatitis (CBP)?

What is the role of azithromycin for the treatment of chronic bacterial prostatitis (CBP)?

What is the role of fosfomycin in the treatment of chronic bacterial prostatitis (CBP)?

What is the role of doxycycline in antimicrobial therapy for chronic bacterial prostatitis (CBP)?

What is the role of carbenicillin in the treatment of chronic bacterial prostatitis (CBP)?

What is the role of aminoglycoside antibiotics in the treatment of chronic bacterial prostatitis (CBP)?

What is the role of netilmicin in the treatment of chronic bacterial prostatitis (CBP)?

How are Ureaplasma infections treated in chronic bacterial prostatitis (CBP)?

How are nanobacteria eliminated in chronic bacterial prostatitis (CBP)?

When are suppressive antibiotics indicated in the treatment of chronic bacterial prostatitis (CBP)?

What is effective pharmacologic therapy for the treatment of chronic bacterial prostatitis (CBP) and chronic pelvic pain syndrome (CPPS)?

What is the efficacy of alpha blockers in the treatment of chronic bacterial prostatitis (CBP)?

How is pain managed in the treatment of chronic bacterial prostatitis (CBP)?

What is the role of 5-alpha-reductase inhibitors in the treatment of chronic bacterial prostatitis (CBP)?

What is the role of supplements in the treatment of chronic bacterial prostatitis (CBP)?

What are the benefits of ejaculation in the treatment of chronic bacterial prostatitis (CBP)?

What is the role of botulinum neurotoxin type A in the treatment of chronic bacterial prostatitis (CBP)?

What is the role of sitz baths and perianal massage in the treatment of chronic bacterial prostatitis (CBP)?

Which specialist consultations may be beneficial in the treatment of chronic bacterial prostatitis (CBP)?

What is the role of surgery in the treatment of chronic bacterial prostatitis (CBP)?

What is the role of prostatectomy in the treatment of chronic bacterial prostatitis (CBP)?

Which dietary and activity modifications are used in the treatment of chronic bacterial prostatitis (CBP)?

What is included in long-term monitoring of chronic bacterial prostatitis (CBP)?

How are symptom improvements monitored in chronic bacterial prostatitis (CBP)?

Medications

Which medications are used in the treatment of chronic bacterial prostatitis (CBP)?

Which medications in the drug class 5-Alpha-Reductase Inhibitors are used in the treatment of Chronic Bacterial Prostatitis?

Which medications in the drug class Alpha-Adrenergic Blocking Agents are used in the treatment of Chronic Bacterial Prostatitis?

Which medications in the drug class Antibiotics are used in the treatment of Chronic Bacterial Prostatitis?