Prostatitis diagnostic study of choice

Jump to navigation Jump to search
Urinary Tract Infections Main Page

Prostatitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Prostatitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-Ray

CT scan

Echocardiography and Ultrasound

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Future or Investigational Therapies

Case Studies

Case #1

Prostatitis diagnostic study of choice On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Prostatitis diagnostic study of choice

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Prostatitis diagnostic study of choice

CDC on Prostatitis diagnostic study of choice

Prostatitis diagnostic study of choice in the news

Blogs on Prostatitis diagnostic study of choice

Directions to Hospitals Treating Prostatitis

Risk calculators and risk factors for Prostatitis diagnostic study of choice

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

There is no gold standard for the diagnosis and evaluation of patients presenting with prostatitis. The evaluation of a patient with acute and chronic bacterial prostatitis consists of history and physical examination and urine culture for lower urinary tract localization cultures, respectively. The evaluation of chronic pelvic pain syndrome includes tests which can be broadly divided into mandatory, recommended and optional.

Diagnostic Study of Choice

Study of choice

  • There is no gold standard for the diagnosis and evaluation of patients presenting with prostatitis.
  • The evaluation of a patient with acute and chronic bacterial prostatitis consists of history and physical examination and urine culture for lower urinary tract localization cultures, respectively.
  • The evaluation of chronic pelvic pain syndrome includes tests which can be broadly divided into mandatory, recommended and optional.
Sequence of Diagnostic Studies in Acute Bacterial Prostatitis

The digital rectal exam (DRE) should be performed when:

  • The patient presented with fever, local pelvic/perineal pain, irritative and obstructive voiding symptoms, and other generalized symptoms of an acute infection.
  • The diagnosis of acute bacterial prostatitis is confirmed by microscopic analysis of a midstream urine specimen and confirmed by culturing uropathogenic bacteriuria in a urine specimen.
  • Bladder scan may be done to further rule out urinary tract obstruction.
  • Patients who don’t respond to appropriate therapy may require further imaging [transrectal ultrasound (TRUS), pelvic ultrasound or computed tomography (CT) scan] to rule out prostate abscess.

Sequence of Diagnostic Studies in Chronic Bacterial Prostatitis

References

Template:WH Template:WS