Post Date December, 03 2023
Acute inflammation of prostate tissue caused by bacteria is called acute bacterial prostatitis, and if the inflammation further develops into an abscess, it is called a prostate abscess. Acute bacterial prostatitis is a rare type of prostatitis. Acute onset, high fever, frequent urination, urgency, and pain in urination. Anal finger examination showed that the prostate gland was swollen, softened, and visibly tender. Prostate massage is strictly prohibited at this time. Take terminal urine and culture bacteria to find pathogenic bacteria; Conduct drug sensitivity tests to develop the best antibacterial treatment plan.
Symptoms and signs
The disease usually occurs 1-5 weeks after infection. The symptoms include itching of the urethra, painful urination, and secretion of a small amount of white, thin fluid. Sometimes it's just a membrane seal or dirty crotch. Common in the morning. In men, infection can invade the epididymis and cause acute epididymitis, as well as infertility in men.
Disease etiology
Any condition that causes prostate congestion and is conducive to bacterial reproduction can induce acute bacterial prostatitis. Common predisposing factors include fatigue, cold, excessive alcohol consumption, excessive libido, perineal injury, and injection of drugs into hemorrhoids. The main pathogens are chlamydia trachomatis or mycoplasma, while the rest are trichomonas, herpes simplex virus, hepatitis virus, candida albicans, and foreskin bacillus, which are transmitted through sexual contact or homosexuality. It has a higher incidence rate than gonococcal urethritis and ranks first among sexually transmitted diseases.
Diagnostic Checks
Contact infection with typical clinical manifestations and unclean sexual behavior. Before urination in the morning, the secretory arytenoids of the urethra were taken for mycoplasma and chlamydia inoculation and culture. Non gonococcal urethritis and gonococcal urethritis can have dual infections in the same patient at the same time. Due to similar symptoms, differential diagnosis should be cautious. On the urethral secretion smear, 10-15 multinucleated white blood cells were seen under high magnification, and inclusions of chlamydia or mycoplasma were found. There is no intracellular gram negative diplococcus, which can be distinguished from gonococcal urethritis.
In recent years, due to the widespread use of effective antibiotics, most acute bacterial prostatitis can be cured with a good prognosis. However, in the case of delayed diagnosis and treatment or improper treatment, there may be two consequences: one is the transformation into chronic prostatitis, and the other is the development of prostate abscess.
