Prostatitis

  1. General information
    1. Inflammatory condition that affects the prostate gland
    2. Several forms: acute bacterial prostatitis, chronic bacterial prostatitis, or abacterial chronic prostatitis
    3. Acute and chronic bacterial prostatitis usually caused by E. coli, N. gonorrhoeae, Enterobacter or Proteus species, and group D streptococci
    4. Most important predisposing factor: lower UTIs
  2. Assessment findings
    1. Acute: fever, chills, dysuria, urethral discharge, prostatic tenderness, copious purulent urethral discharge upon palpation
    2. Chronic: backache; perineal pain; mild dysuria; frequency; enlarged, firm, and slightly tender prostate upon palpation
    3. Diagnostic tests
      1. WBC elevated
      2. Bacteria in initial urinalysis specimens
  3. Nursing interventions
    1. Administer antibiotics, analgesics, and stool softeners as ordered.
    2. Provide increased fluid intake.
    3. Provide sitz baths/rest to relieve discomfort.
    4. Provide client teaching and discharge planning concerning
      1. Importance of maintaining adequate hydration
      2. Antibiotic therapy regimen (may need to remain on medication for several months)
      3. Activities that drain the prostate (masturbation, sexual intercourse, prostatic massage)

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