Prostatitis Chart - nursing notebooks

Prostatitis Chart

TYPE	Acute Bacterial Prostatitis	Chronic Bacterial Prostatitis	Nonbacterial Prostatitis	Prostatodynia
Definition	Acute onset with systemic signs & symptoms	A chronic condition that occurs in older men. Systemic symptoms are usually not present	similar to chronic prostatitis but no evidence of a UTI	inflammation of the prostate that is not due to bacteria
Sign & Symptoms	↓ urine flow, dysuria, perineal & back pain, nocturia, may have painful sexual intercourse &/or defecation with systemic Signs & symptoms. Fever, chills, malaise, myalgia Hematuria may or may not be present	Dysuria, ↓ flow, hesitancy, dribbling, possible hematuria, painful ejaculations Patient usually has a history of recurrent UTIs	Dysuria, ↓ flow, hesitancy, dribbling, possible hematuria, painful ejaculations	Perineal &/or back pain, unilateral testicular pain, dysuria, hesitancy, decreased flow, possible post void dribbling
UA	pyuria and bacteria	pyuria and bacteria	pyuria but no bacteria Both urine and prostatic secretions yield no growth	Normal (no WBCs or bacteria)
Clinical Findings with rectal exam	Swollen, extremely tender, boggy prostate gland	Slightly tender, slightly irregular prostate	Slightly tender, slightly irregular prostate	Slightly tender, slightly irregular prostate
Labs	Expressed prostatic secretions should be cultured Older patients with negative cultures should be evaluated for CA U/A PSA *Always draw PSA prior to rectal exam (can get false positive from manipulation of prostate gland)	Expressed prostatic secretions should be cultured Older patients with negative cultures should be evaluated for CA U/A PSA *Always draw PSA prior to rectal exam bc can get false positive from manipulation of prostate gland	Expressed prostatic secretions should be cultured Older patients with negative cultures should be evaluated for CA U/A PSA *Always draw PSA prior to rectal exam bc can get false positive from manipulation of prostate gland	Expressed prostatic secretions should be cultured Older patients with negative cultures should be evaluated for CA U/A PSA *Always draw PSA prior to rectal exam bc can get false positive from manipulation of prostate gland
Treatments	Bactrim DS, Ampicillin, Tetracycline, Cipro, Levaquin NSAIDS for pain Administer for a minimum of 3-4 weeks. Some say 4-6 weeks. F/U in 2-3 days, then 2-3 weeks, then 1 month after antibiotics are completed. Refer if not better after 2 days.	Bactrim DS Cipro Noroxin Administer for 3-4 months	Doxycycline Erythromycin Bactrim DS Administer for a minimum of 4-6 weeks	Refer to a urologist