Prostatitis natural history, complications and prognosis: Difference between revisions
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==Complications== | ==Complications== | ||
Common complications of prostatitis include<ref name="pmid22031609">{{cite journal| author=Nickel JC| title=Prostatitis. | journal=Can Urol Assoc J | year= 2011 | volume= 5 | issue= 5 | pages= 306-15 | pmid=22031609 | doi=10.5489/cuaj.11211 | pmc=PMC3202001 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22031609 }} </ref><ref name="pmid10933636">{{cite journal| author=Naber KG, Weidner W| title=Chronic prostatitis-an infectious disease? | journal=J Antimicrob Chemother | year= 2000 | volume= 46 | issue= 2 | pages= 157-61 | pmid=10933636 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10933636 }} </ref><ref name="pmid17050893">{{cite journal| author=Schaeffer AJ| title=Clinical practice. Chronic prostatitis and the chronic pelvic pain syndrome. | journal=N Engl J Med | year= 2006 | volume= 355 | issue= 16 | pages= 1690-8 | pmid=17050893 | doi=10.1056/NEJMcp060423 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17050893 }} </ref> | Common complications of prostatitis include<ref name="pmid22031609">{{cite journal| author=Nickel JC| title=Prostatitis. | journal=Can Urol Assoc J | year= 2011 | volume= 5 | issue= 5 | pages= 306-15 | pmid=22031609 | doi=10.5489/cuaj.11211 | pmc=PMC3202001 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22031609 }} </ref><ref name="pmid10933636">{{cite journal| author=Naber KG, Weidner W| title=Chronic prostatitis-an infectious disease? | journal=J Antimicrob Chemother | year= 2000 | volume= 46 | issue= 2 | pages= 157-61 | pmid=10933636 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10933636 }} </ref><ref name="pmid17050893">{{cite journal| author=Schaeffer AJ| title=Clinical practice. Chronic prostatitis and the chronic pelvic pain syndrome. | journal=N Engl J Med | year= 2006 | volume= 355 | issue= 16 | pages= 1690-8 | pmid=17050893 | doi=10.1056/NEJMcp060423 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17050893 }} </ref><ref>{{Cite journal | ||
| author = [[John N. Krieger]], [[Donald E. Riley]], [[Phaik Yeong Cheah]], [[Men Long Liong]] & [[Kah Hay Yuen]] | |||
| title = Epidemiology of prostatitis: new evidence for a world-wide problem | |||
| journal = [[World journal of urology]] | |||
| volume = 21 | |||
| issue = 2 | |||
| pages = 70–74 | |||
| year = 2003 | |||
| month = June | |||
| doi = 10.1007/s00345-003-0329-0 | |||
| pmid = 12712363 | |||
}}</ref> | |||
*[[Urinary retention]] | *[[Urinary retention]] | ||
*[[Sepsis]] | *[[Sepsis]] | ||
*Prostatic abscess | *Prostatic abscess | ||
*[[BPH]] | |||
*[[Prostatic cancer]] | |||
*Pelvic pain | *Pelvic pain | ||
*Metastatic infections such as pyogenic vertebral osteomyelitis | *Metastatic infections such as pyogenic vertebral osteomyelitis |
Revision as of 17:40, 8 February 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2]
Overview
If left untreated, patients with acute bacterial prostatitis may progress to develop prostatic abscess, septicemia, urosepsis, and urinary retention.[1][2] Patients with untreated chronic prostatitis may develop chronic pelvic pain, sexual dysfunction, infertility, urinary frequency and urgency, and recurrent urinary tract infections.[2][3] Full recovery without sequelae is usual among patients with acute prostatitis.[4] Patients with chronic prostatitis have a gradual recovery and relapse is common.[5]
Natural history
If left untreated, patients with acute bacterial prostatitis may progress to develop:[1][2][6]
- Prostatic abscess
- Septicemia
- Urosepsis
- Urinary retention
If left untreated, patients with chronic prostatitis may progress to develop:[2][3]
- Chronic pelvic pain
- Sexual dysfunction
- Infertility
- Difficulty in urinating: frequency, urgency, dysuria
- Recurrent urinary tract infections
Complications
Common complications of prostatitis include[1][2][3][7]
- Urinary retention
- Sepsis
- Prostatic abscess
- BPH
- Prostatic cancer
- Pelvic pain
- Metastatic infections such as pyogenic vertebral osteomyelitis
- Sexual dysfunction, infertility
Prognosis
Full recovery without sequelae is usual among patients with acute prostatitis.[4] Patients with chronic prostatitis have a gradual recovery and over time, the relapse rate is high, exceeding 50%.[5]
References
- ↑ 1.0 1.1 1.2 Nickel JC (2011). "Prostatitis". Can Urol Assoc J. 5 (5): 306–15. doi:10.5489/cuaj.11211. PMC 3202001. PMID 22031609.
- ↑ 2.0 2.1 2.2 2.3 2.4 Naber KG, Weidner W (2000). "Chronic prostatitis-an infectious disease?". J Antimicrob Chemother. 46 (2): 157–61. PMID 10933636.
- ↑ 3.0 3.1 3.2 Schaeffer AJ (2006). "Clinical practice. Chronic prostatitis and the chronic pelvic pain syndrome". N Engl J Med. 355 (16): 1690–8. doi:10.1056/NEJMcp060423. PMID 17050893.
- ↑ 4.0 4.1 Acute Prostatitis. Wikipedia 2016. https://en.wikipedia.org/wiki/Acute_prostatitis#Prognosis. Accessed on March 1, 2016
- ↑ 5.0 5.1 Prostatitis. NHS 2016.http://www.nhs.uk/Conditions/Prostatitis/Pages/Introduction.aspx. Accessed on March 1, 2016
- ↑ Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.
- ↑ John N. Krieger, Donald E. Riley, Phaik Yeong Cheah, Men Long Liong & Kah Hay Yuen (2003). "Epidemiology of prostatitis: new evidence for a world-wide problem". World journal of urology. 21 (2): 70–74. doi:10.1007/s00345-003-0329-0. PMID 12712363. Unknown parameter
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