
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Prostatitis natural history, complications and prognosis
Introduction
Overview
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]Complete recovery without sequelae is usual among patients with acute prostatitis. Patients with chronic prostatitis have a gradual recovery and relapse is common.[4]
Natural history
Natural history
If left untreated, patients with acute bacterial prostatitis may progress to develop:[1][2][5]
- Prostatic abscess
- Septicemia
- Urosepsis
- Urinary retention
- Chronic prostatitis
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
Complications
Common complications of prostatitis include[1][2][3][6][7]
- Urinary retention
- Sepsis
- Prostatic abscess
- BPH
- Prostatic cancer
- Pelvic pain
- Metastatic infections such as pyogenic vertebral osteomyelitis
- Erectile dysfunction
- Infertility
Prognosis
Prognosis
Patients with acute prostatitis usually recover completely, without a sequelae. Patients with chronic prostatitis gradually recover over time and with time, the rate of relapse is high, reaching up to 50%.[4]
References
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 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
|month=ignored (help) - ↑ Dong Sup Lee, Hyun-Sop Choe, Hee Youn Kim, Sun Wook Kim, Sang Rak Bae, Byung Il Yoon & Seung-Ju Lee (2016). “Acute bacterial prostatitis and abscess formation”. BMC urology. 16 (1): 38. doi:10.1186/s12894-016-0153-7. PMID 27388006. Unknown parameter
|month=ignored (help)
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2], Usama Talib, BSc, MD [3]
