Chronic bacterial prostatitis. Literature review


Agnė Matulevičiūtė1, Simona Nikolaičiukaitė1, Gerda Želvytė1

1 Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania

Abstract: Chronic bacterial prostatitis is an inflammatory disease of the prostate gland caused by a bacterial infection. Chronic bacterial prostate can be caused by Eschericia coli or other gram-negative Enterobacteriaceae. The disease usually affects men from 20 to 40 years of age. The disease develops gradually and can last up to several months or even years. Although the disease has no specific symptoms or signs, quality of life may be impaired in LBP patients. The etiology of the disease has not been fully elucidated, but its onset has been associated with recurrent urinary tract infections, immunodeficiency conditions, anatomical abnormalities of the urogenital system, and increasing antibiotic resistance. Therefore, it is very important to consider the cause of the disease, eliminate it and give the frequency of recurrent infections before prescribing treatment. Currently, the main treatment for chronic bacterial prostate is antibiotic therapy, which is given individually to each patient, depending on the cause disease.
Aim: to review the literature the most up-to-date diagnosis and treatment options of chronic bacterial prostatitis.

Methods: the search of literature sources was carried out using these databases: Pubmed, UpToDate, Cohrane, ScienceDirect. Certain keywords and their combinations were used to find specific medical articles. The newest articles on the topic were evaluated and analyzed. A summarized analysis of scientific articles is presented in this review.
Conclusions: chronic bacterial prostatitis can present with a variety of signs and symptoms that impair the quality of life of patients. Individual assessment of symptoms allows the patient to be assigned an appropriate method of treatment. Accurate research is needed to assess the potential for management of chronic bacterial prostatitis and to identify possible causes of the disease, thus preventing recurrent and prolonged infections.

Keywords: chronic bacterial prostatitis, prostatitis, genitourinary infection, males, category II prostatitis, male pelvic pain, acute antibiotics, recurrence, combinate therapy.