Prostatitis

Prostatitis

• 2.
  Prostatitis is aninflammation 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 isa 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 acuteand 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 aresuch as  Escherichia coli Klebsiella Pseudomonas Enterobacter Proteus Nisseeia gonorrhea and group D streptococi
• 7.
  Chronic Bactrial prostatisinvolves 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 prostatisis usually diagnosed in individuals who have no symptom, but are found to have an inflammatory process in the prostate.
• 9.
  Perineal discomfort Burning, Urgencyand 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 ofthe prostate gland  Urinary retention Epididymitis (information of the Epididymis)  Bactermia and Pyelonephritis
• 12.
   History collectionand 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 goalof 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 patientis 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 prostatisis 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 modalitiesinclude 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 includingassess the patient’s conditions.  Administrating of prescribed antibiotics and provision of comfort measures, including prescribed analgesics agents and sitz bath.
• 18.
  If the patientswith chronic prostatitis is usually treated an OPD basis and needs to be instructed about the importance of continuing Anti biotics therapy.