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

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] 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]

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

Back

Lower back tenderness may be present^[2]^[4]

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

↑ ^1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.
↑ ^2.0 ^2.1 ^2.2 ^2.3 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
↑ ^3.0 ^3.1 Stevermer JJ, Easley SK (2000). "Treatment of prostatitis". Am Fam Physician. 61 (10): 3015–22, 3025–6. PMID 10839552.
↑ ^4.0 ^4.1 ^4.2 Acute Prostatitis. Wikipedia 2016. https://en.wikipedia.org/wiki/Acute_prostatitis. Accessed on March 4, 2016

[pmid20704171-1] 1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.

[nid-2] 2.0 ^2.1 ^2.2 ^2.3 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

[pmid10839552-3] 3.0 ^3.1 Stevermer JJ, Easley SK (2000). "Treatment of prostatitis". Am Fam Physician. 61 (10): 3015–22, 3025–6. PMID 10839552.

[wik-4] 4.0 ^4.1 ^4.2 Acute Prostatitis. Wikipedia 2016. https://en.wikipedia.org/wiki/Acute_prostatitis. Accessed on March 4, 2016

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