Prostatitis (Prostate Infection): Types

by Carlo Raj, MD

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    Our topic is prostate pathology. I’ll walk you through some infections and I’ll walk you through BPH and then finally get into what’s known as your prostate cancer. I’ll begin our discussion by looking at acute bacterial prostatitis. Think about the prostate and now there might be infection. So now with this infection, how is the patient going to present? Lower back pelvic pain. Do not confuse this with pyelonephritis or urinary tract infection. Keep it as a differential. In a male, the prostate should come to mind. Dysuria, frequency, tender, warm, enlarged prostate. Dysuria, frequency, what about that? Be careful, do not confuse this with BPH. Okay. So two differentials with the first two presentations. Lower back pain, maybe pyelonephritis being a differential or urinary tract infection with suprapubic pain. Or number two here, with frequency as a differential, BPH. How can you rule out one from the other? The next statement. Upon digital rectal examination, warm, enlarged prostate. DRE. Digital rectal. Warm, enlarged, what does it feel like? See my big nose? You press on big nose and it’s kind of soft and boggy. That’s protatitis. If it feels like my ugly chin and it’s gritty, that’s not good. That’s prostate cancer. Next, etiology, sexually transmitted infections such as gonococcal, Chlamydia, usual suspects. And BPH with what’s known as coliform or E. coli in elderly. Understand the statements here. Pathogenesis: Young patient with sexually transmitted infection. Uh-oh. Acute bacterial prostatitis. If you have a male who’s older, 67-72, has frequency and you don’t find an increase in PSA and you can’t feel any prostate issues because this is BPH, imagine now if there’s frequency and unable to properly void when he goes to the bathroom. The perfect nidus or environment for urinary tract infection, E. coli, E. coli,...

    About the Lecture

    The lecture Prostatitis (Prostate Infection): Types by Carlo Raj, MD is from the course Male Reproductive System Diseases.

    Included Quiz Questions

    1. Tender stony hard prostate on digital rectal exam
    2. Lower back pain
    3. Frequency
    4. Dysuria
    5. Lower abdominal pain
    1. Chronic prostatitis is always abacterial.
    2. Pyelonephritis, UTI, and BPH are in the differential diagnosis.
    3. In bacterial acute prostatitis the prostate is boggy tender on DRE.
    4. STD’s are the causes of acute prostatitis in Young men.
    5. E. coli and BPH are the causes of acute prostatitis in elderly.
    1. Benign prostatic hypertrophy is easy to palpate by digital rectal exam.
    2. In bacterial acute prostatitis the prostate is boggy tender on digital rectal exam.
    3. Prostate cancer is easy to palpate by digital rectal exam.
    4. Prostate cancer affect mainly the peripheral zone.
    5. Benign prostatic hypertrophy mainly affects the periurethral zone.
    1. Terazosin
    2. Doxycycline
    3. Tazocin
    4. 5-alpha reductase inhibitor
    5. Finasteride
    1. Osteolytic bony metastasis
    2. Glandular type of cancer
    3. Affect mainly the peripheral zone
    4. Associated with high PSA
    5. Stony hard prostate on digital rectal exam

    Author of lecture Prostatitis (Prostate Infection): Types

     Carlo Raj, MD

    Carlo Raj, MD

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