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    Prostitis

    Uploaded by

    Muhammad Makki
    The document discusses prostatitis, which is inflammation of the prostate gland and surrounding structures. There are several types of prostatitis including acute bacterial, chronic bacterial, chronic pelvic pain syndrome, and asymptomatic inflammatory prostatitis. Causes can be bacterial or non-bacterial infections, autoimmune issues, chemicals, or unknown. Symptoms vary depending on the type but may include fever, pain, urinary issues, and discomfort. Diagnosis involves history, exam, urine analysis, cultures, and imaging tests. Treatment options vary by type and may include antibiotics, muscle relaxants, sitz baths, physiotherapy, and alpha-blockers.

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    Download as PPTX, PDF, TXT or read online from Scribd

    Prostitis

    Uploaded by

    Muhammad Makki
    103 views31 pages
    The document discusses prostatitis, which is inflammation of the prostate gland and surrounding structures. There are several types of prostatitis including acute bacterial, chronic bacterial, chronic pelvic pain syndrome, and asymptomatic inflammatory prostatitis. Causes can be bacterial or non-bacterial infections, autoimmune issues, chemicals, or unknown. Symptoms vary depending on the type but may include fever, pain, urinary issues, and discomfort. Diagnosis involves history, exam, urine analysis, cultures, and imaging tests. Treatment options vary by type and may include antibiotics, muscle relaxants, sitz baths, physiotherapy, and alpha-blockers.

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    The document discusses prostatitis, which is inflammation of the prostate gland and surrounding structures. There are several types of prostatitis including acute bacterial, chronic bacterial, chronic pelvic pain syndrome, and asymptomatic inflammatory prostatitis. Causes can be bacterial or non-bacterial infections, autoimmune issues, chemicals, or unknown. Symptoms vary depending on the type but may include fever, pain, urinary issues, and discomfort. Diagnosis involves history, exam, urine analysis, cultures, and imaging tests. Treatment options vary by type and may include antibiotics, muscle relaxants, sitz baths, physiotherapy, and alpha-blockers.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    103 views31 pages

    Prostitis

    Uploaded by

    Muhammad Makki
    The document discusses prostatitis, which is inflammation of the prostate gland and surrounding structures. There are several types of prostatitis including acute bacterial, chronic bacterial, chronic pelvic pain syndrome, and asymptomatic inflammatory prostatitis. Causes can be bacterial or non-bacterial infections, autoimmune issues, chemicals, or unknown. Symptoms vary depending on the type but may include fever, pain, urinary issues, and discomfort. Diagnosis involves history, exam, urine analysis, cultures, and imaging tests. Treatment options vary by type and may include antibiotics, muscle relaxants, sitz baths, physiotherapy, and alpha-blockers.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 31

    Dr.

    Nazimuddin Jat
    FRCS
    Al-Tibri Medical College & Hospital
    Nazim Jat
    FRCS
    DEFINITION:

    It’s the inflammation of prostate tissue along


    with surrounding areas.
     Inflammation of the prostate gland and
    surrounding structures

    Causes can be following

     bacterial infection acute or chronic.


     autoimmune (Prostodynia)
     chemical prostatitis.
     without any obvious cause.
     Secondary to instrumentation
    1. Acute Bacterial Prostatitis

    2. Chronic Bacterial Prostatitis

    3. Chronic Pelivic Pain Syndrome ( Prostadynia)

    4. Asymptomatic inflammatory prostatitis.


     Not fully known
     Lot of theories about bacterial infection prostate.
    (Acute or chronic)
     Can be without any bacterial infection
    (Autoimmune or chemical prostodynia )
     Infecting organism get into prostate either from
    urine or from rectum by ascending infection.
     or Old patient on long term catheterization.
     Its rare to have a prostatitis because of sexual
    partner.
     Abnormality of Urinary tract pathways i.e BPH,
    no circumcision
     Long term urinary catheterization in young
    patient after spinal injury
     Acute prostatitis
    Symptoms
    ◦ Fever
    ◦ Chill
    ◦ Tachycardia
    ◦ UTI
    ◦ Pernial Pain Or lower abdominal pain.
    Signs
    ◦ Tender Prostate on PR.
    ◦ Tenderness lower Abdomin
    ◦ Sick looking patient.
     Chronic Prostatitis
    Symptoms
    ◦ All the above symptoms except fever.
    ◦ Frequency of micturation.
    ◦ Dysuria
    ◦ Chronic Pernial discomfort.
    ◦ Poor stream

    Signs
    ◦ No obvious signs except worried patient.
    Chronic Pelvic Pain Syndrome (Prostadynia)
    Symptoms
    ◦ Pain in the genitals & pelvic area.
    ◦ Pain during urination
    ◦ Pain during ejaculation
    ◦ Pain is dull continous ,irritating type
    ◦ Intermittent pain around anus.
    ◦ Poor Stream
    ◦ Dysuria
    Signs
    ◦ No obvious signs.
     Asymptomatic Inflammatory Prostatitis

    Symptoms

    ◦ No symptoms normally
    ◦ But prostatitis can be found during routine examination.
    ◦ Or biopsy can reveal it.

    Signs

    ◦ No Obvious Sign..
     Diagnosis can be made
    on 3. Investigations
    1. History  Urine Analysis
     UTI  Culture
     Expressed Prostatic
     Pain in Lower Abdomin Secretions (EPS)
     Pelvic floor  Radiological
     Pain around Anus Investigations
     & Chronic Sick looking  Transabdominal
    patient Ultrasound
    2. Physical Examination  Trans Rectal
     Blood pressure Ultrasound
     MRI
     Pulse
     Temperature
     DRE Examination
     Acute Bacterial Prostatitis

    ◦ IV antibiotics for 1 week followed by 3 weeks oral.


    ◦ Muscle relaxant ( Skeletal )
    ◦ Alpha 1 Blocker Drugs.
     Chronic Bacterial Prostatitis

    ◦ Antibiotics oral 4 weeks to 12 weeks


    ◦ Sits baths with warm water three inches deep for ten
    minutes BD.
    ◦ Perinial physiotherapy
    ◦ Muscle relaxant ( Skeletal )
    ◦ Alpha 1 Blocker Drugs
     Prostadynia

    ◦ Incision of the prostate transurethrally


    ◦ Prenial physiotherapy
    ◦ Muscle relaxant ( Skeletal )
    ◦ Alpha 1 Blocker Drugs
    1. Is prostatitis is related to prostate cancer.?

    ◦ No.
    1. Why do physicians have trouble diagnosing
    prostatitis?

    ◦ Its very difficult and some time quite frustating


    for patient and its physician.
    ◦ Symptoms overlap lot of diseases
    ◦ Once treated with antibiotic, it can be difficult to
    differentiate in bacterial or non bacterial
    prostatitis
    3.Did my partners urinary tract infection cause
    me prostatitis?

    ◦ No

    4. Why some patients are not cured after they


    have been diagnosed with prostatitis?

    ◦ Difficulty of antibiotic entering the prostate tissue


    Q.5. What are the most important facts about
    prostatitis

    1.Correct Diagnosis is the key to the


    management of prostatitis.

    2.Prostatitis cannot always be cured but can be


    managed
    Q.5. What are the most important facts about prostatitis

    3.Treatment should be followed even if the symptoms have


    improved.
    4.Patients with prostatitis are not at a higher risk for CA
    Prostate
    5.There is no reason to discontinue normal sexual relation
    Unless it is very uncomfortable
    ONE CAN LIVE
    RESONALBLY
    NORMAL LIFE WITH
    PROSTATITIS

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