Diagnosis and treatment of bacterial prostatitis

Prostate inflammation is a common syndrome, especially in men under the age of 50. It usually presents with dysuric symptoms and pain in the urogenital area and sometimes as sexual dysfunction. Based on clinical and laboratory features, prostatitis is classified as acute bacterial prostatitis, chronic bacterial prostatitis, chronic inflammatory and non-inflammatory prostatitis or chronic pelvic pain syndrome, and asymptomatic prostatitis. Bacterial prostatitis is most often caused by infection with common uropathogens, mainly Gram-negative organisms, but also Gram-positive and other microorganisms have also been identified as causative agents of chronic prostatitis. Both acute and chronic bacterial prostatitis can be difficult to diagnose and treat.