Abstract:
Prostatitis is a common and important urological problem
which affects men of all ages. It is a challenging condition to
be diagnosed and treated. It is classified under four categories
according to the National Institute of Health Classification
(Category 1 - Acute bacterial prostatitis, Category 2- Chronic
bacterial prostatitis, Category 3-Chronic prostatitis / chronic
pelvic pain syndrome, Category 4 – Asymptomatic
inflammatory prostatitis). The most common causative
organism for both acute and chronic prostatitis is Escherichia
coli. Investigation and treatment of prostatitis depend on the
clinical presentation of the respective clinical category.
Antimicrobials are the mainstay of treatment of acute
bacterial prostatitis according to the culture and sensitivity
pattern. Chronic bacterial prostatitis needs a long duration of
treatment depending on clinical conditions and treatment
response. Surgery is rarely indicated in bacterial prostatitis
except for a prostatic abscess. Granulomatous prostatitis is an
uncommon inflammatory condition with different
management options for morphologically different entities.
This review looks at each category's presentation, aetiology,
diagnosis, treatment, and prognosis