Prostatitis

What is a prostate gland?

-Chestnut shaped gland, lies at base of bladder and surrounds the urethra -Produces alkaline fluid which functions to neutralize seminal fluid and helps propel sperm forward

how do you do a culture of prostatic fluid?

1. have patient void small amount of urine to culture and stop (10-15 mL) 2. Doctor gives prostatic massage 3. have patient void remaining urine to culture

how long is the antibiotics run for chronic prostatitis?

4-16 weeks

Medical management of prostatitis

Antibiotics Analgesia Antispasmodics - ditropan Stool softner Prostatic massage

Diagnostic Tests for prostatitis

Culture of prostatic fluid Prostatic Specific Anitgen PSA Digital Rectal Exam DRE WBC Blood culture ( if fever present)

Nursing management

Hospitalized client - admin. antibiotics Comfort measures - sitz bath Health teaching - complete full course of antibiotics, sitz bath for 10 - 20 min several times a day, avoid fluids with diuretic action, avoid sexual intercourse during acute phase

Prostatitis

Inflammation of the prostate, can be chronic or acute when it is a bacterial infection -not an STI, not infectious

signs and symptoms of prostatitis

Perineal discomfort Burning, urgency, and urinary frequency Pain after ejaculation

complications of prostatitis

Urinary retention Epididymitis Bacteremia pyelonephritis (kidney infection) urinary infections can also occur

Why do you need an antispasmodic for prostatitis?

bladder spasms can occur and can be painful and uncomfortable

what medication do you use for prostatitis?

ciprofloxicin

DRE

digital rectal exam

what kind of antispasmodic is given for prostatitis?

ditropan, it is a smooth muscle relaxant

what else can you reccommend to your patient with prostatitis for comfort measures?

ejaculation will also relieve build up of prostate, sitz bath

An acute infection with prostatitis may result in..

fever, chills, perineal, rectal or low back pain

what should the test for prostatic fluid tell you?

first one should test negative for infection, second one should show infection because it has prostate fluid in it. if first test is positive for infection it probably means patient has a UTI

what do you use for pain with prostatitis?

ibuprofen because it is an anti-inflammatory

What you do if your patient has urinary retention?

if prostate has completely obstructed the urethra you will have to do a suprapubic catheterization, if only partially occluded use in and out coude catheter

epididymitis in prostatitis

it is an inflammation of the coiled tube (epididymis) at the back of the testicle that stores and carries sperm -pressure on seminal vesicles which results in inflammation of the epididymis

How do you get prostatitis?

it is caused by infectious agent - usually the bacteria Escherichia coli Micro-organisms are usually carried to prostate via the urethra

who is at a higher risk for prostatitis?

men who have sex with men

Nursing diagnosis for prostatitis

pain r/t inflammatory proces 2nd to prostatitis AEB pain, enlarged prostate, urinary retention, pain after ejaculation

what do you find with a DRE and prostatitis?

prostate is enlarged, firm and slightly tender when assessed through rectum

What is the most common urological problem in men under 50 yrs?

prostatitis

why give prostatic massages?

relieves congestion of fluid

urinary retention in Prostatitis

swells around urethra making it hard to void, which can result in a UTI or kidney infection

how long is the antibiotics run for acute prostatitis?

up to 4 weeks