Acute bacterial
prostatitis
Diagnosis:
Pain → perianal
radiating to tip of penis.
→ pain in micturition.
→ pain in defication.
May be acute
urine retention.
Urine analysis →
pus and may be RBCs.
CBC → leucocytosis.
Most common G -ve
infection.
Treatment : 1- specific
(antibiotic → quinolone).
2- drugs for increased
frequency of urine.
3- analgesics (pain).
4- instructions.
1- Antibiotics:
Quinolone group (see
acute pyelonephritis).
As Ciprofar –
ciprocin – rancif – ciprofloxacin.
But it is better
to start with gentamycin 80 mg amp. 1×2×2 or flumox 1 gm vial 1×3×2 in first 2
days and then continue with quinolone group tab. 1×2
2- Drugs for
increased urine frequency: (flavoxate)
Genurin tab. 1×3
3- Analgesics: (Declofenac
Na or K)
Oflam 25 – 50 mg
tab. = voltaren = olfen
Cataflam 25 – 50
mg tab. = adwiflam cap.
Brufen tab. 200 –
400 – 600 – tab. (Ibuprofen).
4- Instructions:
No sexual
intercourse for one and half month.
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