Prostatitis

Description

Medicine Treatment

Referral

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N41.0/N41.9 + (N34.2)

DESCRIPTION

Infection of the prostate caused by urinary or STI pathogens.

Clinical features include:

• Perineal, sacral or suprapubic pain
• Dysuria and frequency
• Varying degrees of obstructive symptoms which may lead to urinary retention
• Sometimes fever
• Acutely tender prostate on rectal examination

The condition may be chronic, bacterial or non-bacterial, the latter usually being assessed when there is failure to respond to antibiotics.

MEDICINE TREATMENT

Acute bacterial prostatitis

If there are features of associated urethritis (STI regimen):

• Ceftriaxone, IM, 250 mg as a single dose.

AND

• Azithromycin, oral, 1 g as a single dose.

LoE:IIIb¹³

If there are no features of associated urethritis:

• Ciprofloxacin, oral, 500 mg 12 hourly for 14 days.

LoE:IIIb¹⁴

REFERRAL

• No response to treatment.
• Urinary retention.
• High fever.
• Chronic/ relapsing prostatitis.

Click here to access the pdf

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Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare, 2020-2024_Version 1.0_17 October 2024

Chapter 8: Kidney and Urological Disorders_8.5 Prostatitis