 prostatitis, chronic…
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male reproductive anatomy, chronic bacterial prostatitis, chronic prostatitis, inflammation, the prostate gland that develops gradually, continues, prolonged period, has subtle symptoms, chronic prostatitis, a bacterial infection, follow urinary tract infection, urethritis, epididymitis, acute prostatitis, most common causes, escherichia coli, proteus, enterobacter, klebsiella bacteria, disorder is diagnosed in 5 of every 1,000 outpatient visits, estimated, 35% of men older than 50, have chronic prostatitis, increased risk is associated, men over age 30, certain factors, predispose a man to develop chronic prostatitis, excessive alcohol intake, perineal injury, certain sexual practices, particularly anal sex, a condom, factors, congestion, the prostate gland, produces an excellent breeding ground, various bacteria, history of recurrent urinary tract infections, low-grade, subtle symptoms, low back pain, perineal, pelvic floor pain, testicular pain, pain, burning, urination, pain, ejaculation, pain, bowel movement, recurrent low-grade fever, pain on urination, decreased urinary stream, urinary hesitancy, delayed start of urination, frequent urination, blood, in the urine, incontinence, no symptoms, a physical examination, reveal an enlarged, mildly tender prostate, examination, reveal enlarged, tender lymph nodes, in the groin area, scrotal swelling, tenderness, a urethral discharge, triple-void urine specimens collected, urinalysis, urine culture, #1, initial stream, #2, midstream, #3, after prostatic massage by examiner, a urinalysis reveals increased white blood cells, wbcs, bacterial growth upon culture of urine #3, culture of prostatic secretions shows in increased levels of wbcs, concentrated bacterial growth, a semen analysis, increased numbers of white blood cells, decreased numbers of sperm, poor motility, treatment options, chronic prostatitis, combination, of medication, surgery, lifestyle changes, medications, chronic prostatitis is treated, an extensive course of antibiotics, trimethoprim-sulfamethoxazole, bactrim, ciprofloxacin, cipro, commonly used, antibiotics that used, tetracycline, carbenicillin, erythromycin, nitrofurantoin, course of antibiotic therapy is long, frequently 6 to 8 weeks, but continued much longer, most antibiotics, not able to adequately penetrate the prostate tissue, infectious organisms persist despite long periods of treatment, after antibiotic treatment has ended, recurrence of symptoms is common, stool softeners recommended to reduce the discomfort associated, bowel movements, surgery, transurethral resection, the prostate, antibiotic therapy is unsuccessful, recurrence occurs frequently, surgical treatment, not performed on younger men, it carries potential risks of sterility, impotence, incontinence, therapy, frequent, complete urination is recommended to decrease the symptoms of urinary urgency, swollen prostate restricts the urethra, bladder, not empty, insertion of a suprapubic catheter, allows the bladder to drain, the abdomen, diet, avoid substances that irritate the bladder, alcohol, caffeinated food, beverages, citrus juices, hot, spicy foods, increasing the intake of fluids, 64 to 128 ounces per day, encourages frequent urination, help flush the bacteria, bladder, monitoring, follow-up should include an examination at completion of antibiotic therapy to ensure that infection is no longer present, recurrence of symptoms is common, enlarged prostate restricts the flow of urine, the urethra, urinary retention, kidney damage, symptoms of chronic prostatitis occur, prevention includes avoiding urinary tract infections, sexually transmitted diseases, completion, the full course of antibiotic treatment decreases chance of recurrence.
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