Prostatitis natural history, complications and prognosis

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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]

If left untreated, patients with chronic prostatitis may progress to develop:[2][3]

Complications

Common complications of prostatitis include[1][2][3]

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. ↑ 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. ↑ 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. ↑ 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. ↑ 4.0 4.1 Acute Prostatitis. Wikipedia 2016. https://en.wikipedia.org/wiki/Acute_prostatitis#Prognosis. Accessed on March 1, 2016
  5. ↑ 5.0 5.1 Prostatitis. NHS 2016.http://www.nhs.uk/Conditions/Prostatitis/Pages/Introduction.aspx. Accessed on March 1, 2016
  6. ↑ Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.

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