Prostatitis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2]

Overview

Physical Examination

Physical examination of patients with acute prostatitis may be remarkable for fever and chills. Patients with chronic prostatitis are usually well-appearing.[1][2]

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.[1][2]

Vital Signs

  • Fever may be present

Genitourinary

  • In acute prostatitis, palpation of the prostate reveals a tender and enlarged prostate[1][3]
  • In chronic prostatitis, palpation of the prostate reveals a tender and soft (boggy) prostate gland[1]
  • A prostate massage should never be done in a patient with suspected acute prostatitis, since it may induce sepsis[4]

References

  1. 1.0 1.1 1.2 1.3 Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.
  2. 2.0 2.1 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
  3. Stevermer JJ, Easley SK (2000). "Treatment of prostatitis". Am Fam Physician. 61 (10): 3015–22, 3025–6. PMID 10839552.
  4. Acute Prostatitis. Wikipedia 2016. https://en.wikipedia.org/wiki/Acute_prostatitis. Accessed on March 4, 2016