Question

42-year-old man presents to ED with 2-day history of dysuria, low back pain, inability to fully empty his bladder, severe perineal pain along with fevers and chills. He says the pain is worse when he stands up and is somewhat relieved when he lies down. Vital signs T 104.0 F, pulse 138, respirations 24. PaO2 96% on room air. Digital rectal exam (DRE) reveals the prostate to be enlarged, extremely tender, swollen, and warm to touch. The factors that affect fertility to include STDs

Why inflammatory markers rise in STD/Prostatitis

Why prostatitis and infection happen. Also explain the causes of systemic reaction.

Explain the different types of prostatitis

Explain the pathophysiological process of the condition

Answer 1

Answers:

Inflammation is a body's self respone for injury, infection, trauma, etc. During inflammation certain proteins are released into bloodstream. This proteins are taken as inflammatory markers for diagnositc purposes. Main inflammatory markers such as CRP, ESR, PCT, etc are increased when a body become infected. Thus, when body occurs STD or prostatitis a high level of inflammatrory markers like CRP, ESR, etc will rise in bloodstream.

Prostatitis is an inflammation of the prostate gland. Bacteria causes urinary tract infections, which can cause acute bacterial prostatitis. Prostatitis also occurs through sexual contacts. These include chlamydia and gonorrhea. STD can cause prostatitis. Unsafety sexual practices such as anal sex, not taking hygenic sexual intercourses, and more sexual partners can cause prostatitis.

Prostatitis is the inflammation of prostate gland. Mainly urinary tract bacterial infections causes prostatitis. Generally there are 4 types of prostatitis. They are acute bacterial prostatitis, chronic bacterial prostatitis, chronic prostatitis or nonbacterial prostatitis, and asymptomatic inflammatory prostatitis. Acute bacterial prostatitis is caused by bacterial infection that occurs suddenly. It usually occurs due to urinary infection. Using antibiotic treatment with large fluid intake is recommended for this infection. Chronic bacterial prostatitis is also caused by urinary infection that has not treated well. Chronic urinary infection causes infection to prostate gland and thus chronic bacterial prostatitis occurs. Also some sexually transmitted diseases causes chronic bacterial prostatitis. Chronic prostatitis or nonbacterial prostatitis may cause from a previous infection of the prostate and atypical bacteria which is antibiotic resistant. General symptoms are inflammation, pain in genital area, difficult is urination, etc. By lab tests no bacteria can be found. Asymptomatic inflammatory prostatitis occurs who have prostatic disorders like prostate hyperplasia or enlarged prostate. Some sexually transmitted infections also causes asymptomatic inflammatory prostatitis.

The pathophysiologic process of prostatitis is not clear. Generally infection from the urethra causes obstruction of urine flow and causes infection to prostate gland. This can cause different type of prostatitis. Anatomical abnormality of certain prostate ducts may cause prostatitis. Functional disorders of some endocrine organs or some nervous system organs may also cause different types of prostatitis. Also some sexually transmitted infections plays important role for causing different types of prostatitis.