Prostatitis: Diagnosis and treatment

Victoria J. Sharp, Elizabeth B. Takacs, Charles Powell

Research output: Contribution to journalArticle

53 Citations (Scopus)

Abstract

Prostatitis ranges from a straightforward clinical entity in its acute form to a complex, debilitating condition when chronic. It is often a source of frustration for the treating physician and patient. There are four classifications of prostatitis: acute bacterial, chronic bacterial, chronic prostatitis/chronic pelvic pain syndrome, and asymptomatic. Diagnosis of acute and chronic bacterial prostatitis is primarily based on history, physical examination, urine culture, and urine specimen testing pre- and post-prostatic massage. The differential diagnosis of prostatitis includes acute cystitis, benign prostatic hyperplasia, urinary tract stones, bladder cancer, prostatic abscess, enterovesical fistula, and foreign body within the urinary tract. The mainstay of therapy is an antimicrobial regimen. Chronic pelvic pain syndrome is a more challenging entity, in part because its pathology is poorly understood. Diagnosis is often based on exclusion of other urologic conditions (e.g., voiding dysfunction, bladder cancer) in association with its presentation. Commonly used medications include antimicrobials, alpha blockers, and anti-inflammatory agents, but the effectiveness of these agents has not been supported in clinical trials. Small studies provide limited support for the use of nonpharmacologic modalities. Asymptomatic prostatitis is an incidental finding in a patient being evaluated for other urologic problems.

Original languageEnglish
Pages (from-to)397-406
Number of pages10
JournalAmerican Family Physician
Volume82
Issue number4
StatePublished - Aug 15 2010

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Prostatitis
Pelvic Pain
Urinary Bladder Neoplasms
Chronic Pain
Therapeutics
Urine
Urinary Calculi
Incidental Findings
Frustration
Cystitis
Massage
Prostatic Hyperplasia
Foreign Bodies
Urinary Tract
Abscess
Physical Examination
Fistula
Differential Diagnosis
Anti-Inflammatory Agents
History

ASJC Scopus subject areas

  • Family Practice

Cite this

Sharp, V. J., Takacs, E. B., & Powell, C. (2010). Prostatitis: Diagnosis and treatment. American Family Physician, 82(4), 397-406.

Prostatitis : Diagnosis and treatment. / Sharp, Victoria J.; Takacs, Elizabeth B.; Powell, Charles.

In: American Family Physician, Vol. 82, No. 4, 15.08.2010, p. 397-406.

Research output: Contribution to journalArticle

Sharp, VJ, Takacs, EB & Powell, C 2010, 'Prostatitis: Diagnosis and treatment', American Family Physician, vol. 82, no. 4, pp. 397-406.
Sharp VJ, Takacs EB, Powell C. Prostatitis: Diagnosis and treatment. American Family Physician. 2010 Aug 15;82(4):397-406.
Sharp, Victoria J. ; Takacs, Elizabeth B. ; Powell, Charles. / Prostatitis : Diagnosis and treatment. In: American Family Physician. 2010 ; Vol. 82, No. 4. pp. 397-406.
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