What is Acute Bacterial Prostatitis?

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  • Written By: J.M. Willhite
  • Edited By: Heather Bailey
  • Last Modified Date: 23 November 2018
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Acute bacterial prostatitis is a common presentation of prostate gland inflammation. Caused by the presence of an infectious microorganism, this form of prostatitis is generally associated with regular urinary catheterization, dehydration and frequent bladder and urethral infections. Treatment generally involves antibiotics. Men who develop acute bacterial prostatitis should seek timely and appropriate medical treatment to prevent a worsening of symptoms and complication development.

Prostatitis is considered a prostatic disease that can adversely affect bladder and urethral function. Though the condition may take many forms, acute bacterial forms of the condition are the most frequently diagnosed. Acute bacterial prostatitis occurs when bacterial-laden urine seeps into the prostate during its transport from the bladder to the urethra. Once the bacteria enter the prostate, inflammation and irritation develop. Continued inflammation of the prostate can lead to prostatic swelling that places undue pressure on surrounding organs, impairing functionality.

Men who develop symptoms of acute bacterial prostatitis generally seek timely medical treatment because of the discomfort the condition can cause, especially in the pelvic region. During their initial consultation and physical examination, men may be asked a series of questions regarding the onset and severity of symptoms. A prostate examination is generally performed to evaluate the condition of the prostate and to check for signs of inflammation and tenderness. Diagnostic tests, including a cystoscopy, may also be performed to evaluate the condition and functionality of the bladder and urethra.


Prostatitis can often cause a variety of common symptoms regardless of its categorization. Men with acute bacterial prostatitis will often experience frequent and sometimes painful urination, abdominal discomfort that radiates to the groin area, and testicular tenderness. It is not uncommon for men with prostatitis to experienced discomfort during intercourse. Symptoms exclusive to acute bacterial prostatitis are usually flu-like in presentation, including fever, nausea and vomiting, and malaise. If acute bacterial prostatitis symptoms are ignored, complications may develop, including blood infection and prostatic abscess formation.

Treatment for acute bacterial prostatitis requires the aggressive administration of antibiotics. Severe symptoms can necessitate hospitalization and the injected administration of antibiotics. Individuals who are hospitalized will usually be required to take an additional oral antibiotic to ensure the eradication of the infection. All antibiotic regimens must be taken in their entirety to prevent re-infection and the development of chronic bacterial prostatitis. Acute cases of infection generally necessitate a treatment regimen that can last up to one month.



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