Inflammation of the prostate gland

2. Prostatitis is an inflammation of the
prostate gland, that is caused by infectious
agents (bacteria, fungi and mycoplasma)
or other conditions including urethral
stricture, prostatic hyperplasia.

3.  Acute Bactrial (Type 1)
Chronic Bactrial (Type 2)
Chronic prostatitis or chronic pelvic pain
syndrome. CP/CPPS (Type 3)
 Asymptotic inflammatory prostatis (Type
4)

4.  Prostatitis is a broad term that describes a
group of inflammatory conditions affecting the
prostate gland.
 It is the most common urologic problem in
men younger than 50 years of age.

5.  Both acute and chronic Bactrial prostatis,
generally result from orginsms reaching the
prostate gland by one of the following routes :
1. Ascending from the urethra (upward)
2. Descending from the bladder (down wards)
and invasion via the blood stream or the
lymphatic channels.

6. Common orginsms are such as
 Escherichia coli
Klebsiella
Pseudomonas
Enterobacter
Proteus
Nisseeia gonorrhea and group D streptococi

7. Chronic Bactrial prostatis involves recurrent
episodes of infection.
Chronic prostatitis (CP) or chronic pelvic pain
syndrome (CPPS) is a new term that describes the
syndrome with prostate and urinary pain in the
absence of an obvious infectious process.
The Etiology or causes of CP or CPPS is unclear.
It may be associated with STDs

8. Asymptotic inflammatory prostatis is usually
diagnosed in individuals who have no
symptom, but are found to have an
inflammatory process in the prostate.

9. Perineal discomfort
Burning, Urgency and frequency
 Pain with ejaculation
 prostatodynia (pain in the prostate gland)
 Acute Bactrial prostatis may produce
sudden fever and chils a and
Perineal,rectal and low back pain.

10.  Dysuria, frequency, Urgency and Nocturia
may occur some patients do not have a
symptoms.

11.  Swelling of the prostate gland
 Urinary retention
Epididymitis (information of the
Epididymis)
 Bactermia and Pyelonephritis

12.  History collection and physical examination
 Culture of the prostate fluid or tissue and
occasionally histological examination of the tissue
 urine analysis and culture
WBC
MRI and Transabdominal ultrasound

13.  The goal of therapy for acute Bactrial prostatis is
avoid the complications of abscess formation and
septicemia.
 Antibiotics commonly used for acute or chronic
Bactrial prostatis antibiotics therapy involves for
up to 10 to 14 days.

14.  The patient is encouraged to remain on bed
rest to alleviate symptoms quickly.
 Comfort is provided with analgesics to relieve
pain, anti spasmodics medications and
bladder sedatives (to relive bladder irritability)
sitz bath and stool softners. Etc

15. Chronic bactrial prostatis is difficult to treat
because most antibiotics diffuse poorly from
the plasma into the prostatic fluid.
 Treatment includes alpha – adrenergic
blockers to promote relaxation of the bladder
and prostate.

16. Others treatment modalities include for
chronic prostatitis including the retention of
prostatic fluid by ejaculation through sexual
intercourse, others Anti spasmodic, sitz bath
and stool softners .

17. Nursing management including assess the
patient’s conditions.
 Administrating of prescribed antibiotics and
provision of comfort measures, including
prescribed analgesics agents and sitz bath.

18. If the patients with chronic prostatitis is
usually treated an OPD basis and needs to
be instructed about the importance of
continuing Anti biotics therapy.