The main manifestations of acute bacterial prostatitis

  The clinical manifestations of acute bacterial prostatitis vary according to the type of pathology (khat prostatitis, follicular prostatitis, substantial prostatitis, prostate abscess) and different routes of infection. The most important thing is that you can get a good idea of what you are looking for. In the case of bloodstream infections, the onset is sudden, with signs of acute systemic infection or sepsis.        The prostate caused by urinary tract infection often has significant urinary symptoms.  (a) systemic symptoms: weakness, weakness, anorexia, nausea, vomiting, high fever, chills, deficiency or septic manifestations. Systemic symptoms may mask local symptoms at sudden onset.  (ii) Local symptoms: heavy pressure in the perineum or suprapubic area, aggravated by prolonged sitting or defecation, and radiating to the waist, lower abdomen, back, thighs, etc.  (iii) Urinary tract symptoms: burning pain during urination, urinary urgency, frequency, dribbling and purulent urethral discharge. Bladder neck edema may lead to dyspareunia, thinning or interruption of urine flow, and in severe cases, urinary retention.  (iv) Rectal symptoms: rectal fullness, urgency and painful defecation, and white urethral flow during stool.  (v) Sexual symptoms: decreased libido, painful intercourse, phallic fistula, and hematospermia.  Patients with acute bacterial prostatitis should be suspected of forming a prostate abscess if the above symptoms are prolonged for more than 7-10 days, the body temperature continues to rise, and the white blood cell count and neutrophilia increase. Abscesses are most often seen in 20-40 year olds, with rectal symptoms and urinary retention being more common. Intravesical abscesses can discharge large amounts of pus and blood via the urethra on their own after the ejaculatory duct edema subsides, as if the abscess had punctured, and symptoms can be immediately and significantly relieved. Acute bacterial prostatitis can also be complicated by epididymitis, seminal vesiculitis and vasovaginitis, which can be accompanied by groin involvement pain or renal colic in severe cases.

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