1. Information About Prostatitis
   
2. Categories of Prostatitis
   
3. Acute Bacterial Prostatitis
   
4. Chronic Bacterial Prostatitis
   
5. Prostato-Vesiculitis
   
6. Chronic Non-Bacterial Prostatitis
   
7. Prostatodynia
   
8. Treatment of Prostatitis

Acute Bacterial Prostatitis comes on suddenly and is accompanied by high fever, chills, blood in the urine, pain in the lower back and perineum and, urgency or difficulty of urinating which can lead to urinary retention.

The bacteria causing both acute and chronic bacterial prostatitis are similar in type and incidence to those causing simple urinary tract infections. Aerobic gram-negative enteric bacteria are the most common with Escherichia coli predominance. Infections caused by other gram-negative bacteria including Proteus, Klebsiella, Enterobacter, Pseudomonas, and Serratia are less common.

Prostatitis is usually related to a simple pathogen, but multiple organisms can be implicated. The role of gram-positive bacteria is unclear although it is generally accepted that enterococcus can be an etiologic agent. Currently, there is a great controversy as to whether other gram-positive bacteria such as coagulase-negative staphylococci and streptococci as causative organisms of prostatitis.

Anaerobic bacteria have also been isolated in the prostatic secretions, but it remains uncertain whether they contribute to prostatic inflammation. Ureaplasma and chlamydia have been proposed as possible etiologic organisms. Both these microorganisms are a major cause of nonspecific and postgonococcal urethritis and they might subsequently infect the prostate probably by way of intraductal ascension.