Prostatitis physical examination
Prostatitis physical examination On the Web
American Roentgen Ray Society Images of Prostatitis physical examination
Appearance of the Patient
- Patients with chronic prostatitis are usually well-appearing.
- Patients with acute prostatitis may appear ill and have systemic symptoms such as fever, chills, and nausea.
- Elevated temperature may be present
- Lower back tenderness may be present
- In acute prostatitis, palpation of the prostate reveals a tender and enlarged prostate
- In chronic prostatitis, palpation of the prostate reveals a tender and soft (boggy) prostate gland
- A prostate massage should never be done in a patient with suspected acute prostatitis, since it may induce sepsis
- Digital rectal exam (DRE) is done in cases other than acute bacterial prostatitis to localize the pathology and palpate it.
- A digital rectal exam is a procedure performed in the office setting. The patient bends on a table or lays on one side with knees touching chest. The physician wears gloves, applies a lubricant to the gloved finger and enters it into the rectum to feel the prostate normally located in front of the rectum.
- Tachycardia (infection)
- Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.
- Prostatitis: Inflammation of the Prostate. NIDDK 2016. http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/prostatitis-disorders-of-the-prostate/Pages/facts.aspx#sec6. Accessed on March 4, 2016
- Stevermer JJ, Easley SK (2000). "Treatment of prostatitis". Am Fam Physician. 61 (10): 3015–22, 3025–6. PMID 10839552.