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Antibiotics are not beneficial in the management of category III prostatitis: A meta analysis
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<blockquote data-quote="Nelson Vergel" data-source="post: 10131" data-attributes="member: 3"><p>Types of Prostatitis</p><p></p><p>[ATTACH]932[/ATTACH]</p><p></p><p>[h=3]CLINICAL PRESENTATION[/b]The diagnosis of acute bacterial prostatitis is often based on symptoms alone. Urinary symptoms may be irritative (e.g., urinary frequency, urgency, dysuria) or obstructive (e.g., hesitancy, poor or interrupted stream, straining to void, incomplete emptying). Pain may be present in the suprapubic or perineal region, or in the external genitalia. Systemic symptoms of fever, chills, malaise, nausea, emesis, and signs of sepsis (tachycardia and hypotension) may be present as well. On physical examination, the prostate should be gently palpated. Prostatic massage should not be performed and may be harmful<a href="http://www.aafp.org/afp/2010/0815/p397.html#afp20100815p397-b14" target="_blank">14</a>; the prostate is tender, enlarged, and boggy. On abdominal examination, a palpable, distended bladder indicates urinary retention.</p><p>[h=3]DIAGNOSIS[/b]Midstream urine culture should be obtained. The presence of more than 10 white blood cells per high-power field suggests a positive diagnosis. Other laboratory testing (e.g., CBC, electrolyte levels, blood culture) is determined by the severity of the presentation. Residual urine should be documented if a patient has a palpable bladder or symptoms consistent with incomplete emptying.</p></blockquote><p></p>
[QUOTE="Nelson Vergel, post: 10131, member: 3"] Types of Prostatitis [ATTACH=CONFIG]932[/ATTACH] [h=3]CLINICAL PRESENTATION[/b]The diagnosis of acute bacterial prostatitis is often based on symptoms alone. Urinary symptoms may be irritative (e.g., urinary frequency, urgency, dysuria) or obstructive (e.g., hesitancy, poor or interrupted stream, straining to void, incomplete emptying). Pain may be present in the suprapubic or perineal region, or in the external genitalia. Systemic symptoms of fever, chills, malaise, nausea, emesis, and signs of sepsis (tachycardia and hypotension) may be present as well. On physical examination, the prostate should be gently palpated. Prostatic massage should not be performed and may be harmful[URL="http://www.aafp.org/afp/2010/0815/p397.html#afp20100815p397-b14"]14[/URL]; the prostate is tender, enlarged, and boggy. On abdominal examination, a palpable, distended bladder indicates urinary retention. [h=3]DIAGNOSIS[/b]Midstream urine culture should be obtained. The presence of more than 10 white blood cells per high-power field suggests a positive diagnosis. Other laboratory testing (e.g., CBC, electrolyte levels, blood culture) is determined by the severity of the presentation. Residual urine should be documented if a patient has a palpable bladder or symptoms consistent with incomplete emptying. [/QUOTE]
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General Health & Fitness
Health & Wellness
Antibiotics are not beneficial in the management of category III prostatitis: A meta analysis
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