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Prostatitis

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Encyclopedia of Intensive Care Medicine

Synonyms

Acute bacterial prostatitis; Prostate infection; Prostatic abscess

Definition

The prostatitis syndrome is one of the most common entities encountered in urologic practice. Classification of the prostatitis syndrome is based on the clinical presentation of the patient, the presence or absence of inflammatory markers, and/or bacteria in localizing samples, such as the expressed prostatic secretion. Depending upon the duration of symptoms, prostatitis is described as either acute or, where symptoms are present for at least 3 months, chronic.

In accordance with the classification of the National Institutes of Health (NIH), the prostatitis syndrome is classified into four categories [1].

  • Acute bacterial prostatitis (ABP), category I

    ABP is characterized by severe obstructive and irritative symptoms of the lower respiratory tract, pain in the area of the prostate, and acute bacterial urinary tract infection (UTI), with systemic involvement.

  • Chronic bacterial prostatatis (CBP),...

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References

  1. Krieger JN, Nyberg L Jr, Nickel JC (1999) NIH consensus definition and classification of prostatitis. JAMA 282(3):236–237

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  2. Millan-Rodriguez F, Palou J, Bujons-Tur A, Musquera-Felip M, Sevilla-Cecilia C, Serrallach-Orejas M et al (2006) Acute bacterial prostatitis: two different sub-categories according to a previous manipulation of the lower urinary tract. World J Urol 24(1):45–50

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  3. Naber KG, Bergman B, Bishop MC, Bjerklund-Johansen TE, Botto H, Lobel B et al (2001) EAU guidelines for the management of urinary and male genital tract infections. Urinary tract infection (UTI) working group of the Health Care Office (HCO) of the European Association of Urology (EAU). Eur Urol 40(5):576–588

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  4. Fulmer BR, Turner TT (2000) A blood-prostate barrier restricts cell and molecular movement across the rat ventral prostate epithelium. J Urol 163(5):1591–1594

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  5. Hara N, Koike H, Ogino S, Okuizumi M, Kawaguchi M (2004) Application of serum PSA to identify acute bacterial prostatitis in patients with fever of unknown origin or symptoms of acute pyelonephritis. Prostate 60(4):282–288

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Correspondence to Florian M. E. Wagenlehner M.D., Ph.D. .

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© 2012 Springer-Verlag Berlin Heidelberg

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Wagenlehner, F.M.E., Naber, K.G. (2012). Prostatitis. In: Vincent, JL., Hall, J.B. (eds) Encyclopedia of Intensive Care Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00418-6_94

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  • DOI: https://doi.org/10.1007/978-3-642-00418-6_94

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-00417-9

  • Online ISBN: 978-3-642-00418-6

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