Abstract
Answer A. Acute bacterial prostatitis
The classical presentation of acute prostatitis is an abrupt onset of irritative urinary symptoms including dysuria, urinary urgency and frequency with cloudy urine. Poorly localised perineal discomfort or tip-of-penis pain that may radiate to the rectum, lower back or abdomen might be present too. Systemic signs of bacteraemia – fever, malaise and myalgia can be noted. Diagnosis is generally clinical, but one study showed a urine dipstick test positive for nitrites and leucocytes has been shown to have a positive predictive value of 95% and a negative predictive value of 70%.
InnovAiT article: Acute and chronic prostatitis. DOI: 10.1177/1755738020966359.