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Acute Prostatitis

Clinical findings of acute bacterial infection of the prostate gland and urgent treatment protocol.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Acute Prostatitis?

Acute bacterial prostatitis (NIH Category I) is acute inflammation of the prostate gland caused by hematogenous spread or ascending uroepithelial infection of gram-negative enteric bacteria (E. coli 80%, Klebsiella, Pseudomonas). Sexually transmitted organisms (Chlamydia, Gonococcus) should also be considered in younger men.

Clinical presentation is characterized by sudden high fever (>38.5°C), chills, severe perineal and suprapubic pain, dysuria, or urinary frequency. On rectal examination, the prostate is markedly tender and warm; soft areas suggesting abscess should be sought.

Complications include prostatic abscess, sepsis, and progression to chronic prostatitis. In cases requiring hospitalization, IV antibiotics and fluid resuscitation are mandatory.

Symptoms

Sudden high fever, chills, and rigors
Severe perineal, groin, and suprapubic pain
Dysuria, frequency, and urinary urgency
Urinary retention (in severe cases)
Markedly tender, warm prostate on rectal examination
Myalgia, weakness, and general malaise

Risk Factors

Urinary tract instrumentation (catheterization, cystoscopy, biopsy)
Benign prostatic hyperplasia and urinary stasis
Immunosuppression and diabetes
HIV infection
Anal intercourse
Previous urinary infection history

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Fever combined with perineal pain and urinary difficulty
  • Development of urinary retention
  • Signs of sepsis: tachycardia, hypotension, high fever
  • No improvement within 48 hours of starting antibiotics
  • Suspicion of prostatic abscess (soft areas, fluctuance)

Treatment Methods

01
Mild cases: oral fluoroquinolone (ciprofloxacin or levofloxacin) for 4-6 weeks
02
Hospitalization: IV ceftriaxone + aminoglycoside (sepsis or urinary retention)
03
Suprapubic catheter for urinary retention (transurethral catheter is contraindicated as it traumatizes the prostate)
04
Prostatic abscess: ultrasound or CT-guided transperineal or transrectal drainage
05
Antibiotic therapy for 4-6 weeks (long course to prevent progression to chronic prostatitis)
06
Post-treatment culture and PSA follow-up

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.