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Acute bacterial prostatitis is a serious inflammation of the prostate gland. The prostate gland is located beneath a man’s bladder and produces some of the fluid that makes up a man’s semen. Acute bacterial prostatitis is a rare type of prostatitis and is caused by a potentially life-threatening bacterial infection of the prostate gland. Other types of prostatitis include nonbacterial prostatitis, asymptomatic prostatitis and chronic bacterial prostatitis.
Acute bacterial prostatitis is generally the result of an infection that has spread to the prostate from another part of the body, often a urinary tract infection, such as a bladder infection.
Typical symptoms of acute bacterial prostatitis include severe pain in and around the base of the penis. There is also pain behind the scrotum. Men may also experience fever, hematuria, urgency and frequency. It may also be difficult to pass more than a small amount of urine. There may be a feeling of fullness in the rectum and a frequent urge to defecate.
Acute bacterial prostatitis is a medical emergency that can lead to life-threatening complications. For additional symptoms and more details about complications, refer to symptoms of acute bacterial prostatitis.
Risk factors for acute bacterial prostatitis include having a bladder infection, cystitis, HIV/AIDS, dehydration, trauma to the prostate, and the use of a urinary catheter.
Making a diagnosis of acute bacterial prostatitis includes taking a medical history, performing diagnostic testing, and completing a physical examination and an exam of the penis and testicles. A person with symptoms of acute bacterial prostatitis or other urinary symptoms also fills out an extensive questionnaire about symptoms.
Diagnostic testing includes an urinanalysis, testing of the semen, and a complete blood count. These tests check for signs of infection in the urine, semen and blood respectively. Other tests may be performed to rule-out other diseases or conditions that can cause similar symptoms, such as nonbacterial prostatitis. This includes a cystoscopy procedure. In this diagnostic test, a small, flexible lighted viewing tube is inserted through the urethra to examine the prostate gland.
A diagnosis of acute bacterial prostatitis can be missed or delayed because symptoms may be similar to symptoms of other diseases and conditions, such as nonbacterial prostatitis, epididymitis or varicocele. For more information diseases and conditions that can mimic acute bacterial prostatitis, refer to misdiagnosis of acute bacterial prostatitis.
Acute prostatitis is swelling and irritation (inflammation or infection) of the prostate gland that develops rapidly.
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