diagnostic prostatitis and epididymitis.txt

• visual examination of external genitalia
• self-examinationof testes for presence of tumors
• digital rectal examinationfor palpating prostate gland
• cystoscopy for visualizing urethra and urinary bladder
• urinalysis (for STDs)
• blood testing (PSA, hormones, STDs)

• inflammation or infection of the prostate gland
• may account for up to 25% of all office visits among young and middle-aged men
• ~5-10% or prostatitis caused by bacterial infection

• urination; dysuria (pain or burning), difficult (dribbling or hesitancy), nocturia (frequently at night), urgency
• pain; located in perineum (between penis and rectum)

• category 1 - acute bacterial prostatitis
• category 2 - chronic bacterial prostatitis
• category 3 - chronic prostatitis/chronic pelvic pain
• category 4 - asymptomatic inflammatory prostatitis

• sudden onset of infection
• general feeling of malaise
• high fever/chill
• nausea/vomiting

• intravenous antibiotics if hospitalized
• oral antibiotics for two to four weeks
• pain medications

• frequent urinary tract infections
• similar symptoms to acute bacteral prostatitis
• general feeling of malaise, high fever/chill, nausea/vomiting
• between episodes of infection, may be asymptomatic or have mild to severe symptoms

• same as category 1 - acute bacterial prostatitis
• IV antibiotics if hospitalized
• oral antibiotics for two to four weeks
• pain medications

• lasts for at least three months, remain about the same over time or cycles between less and more severe
• improves over time without treatment

• alpha1-adrenergic receptor antagonists
• pain medications
• muscle relaxants

inflammation of the prostate gland found only by chance while undergoing tests for other condittions

• digital rectal examination
• bacterial cultures of urine or prostate gland fluid
• cystoscopy
• urodynamic testing

may not require treatment

• swelling or inflammation of the epididymis (tube that connects the testicle with the vas deferens)
• common condition in men 19-35
• major cause of hospital admissions in the military

• bacterial infection of urethra or urinary bladder
• class III antidysrhythmic drug amiodarone

• unilateral or bilateral testicular swelling
• mild to severe scrotal pain
• tenderness in one or both testicles or groin
• discomfort in the lower abdomen or pelvis
• dysuria
• penile discharge
• bloody semen
• pain during ejaculation
• fever

• abstinence
• monogamy
• use of condoms
• early treatment for infection

• physical/digital rectal examination
• blood/urine testing for bacterial culture
• ultrasound
• testicular scan (nuclear)