Acute bacterial prostatitis

Prostate

•         Normal weights approximately 20 gm.

•          Its a retroperitoneal organ.

•         consist of 5 lo

bes: posterior, middle, anterior & 2 lateral lobes.

•         Histology: it composed of 2 element

–       Glandular element of large size lined by 2 cell layers.

–       Fibro muscular stroma.

Diseases affecting:

–       Inflammation.

–       Nodular prostatic hyperplasia.

–       Prostatic carcinoma.

Inflammation

•         Three categories:

–       Acute bacterial prostatitis.

–       chronic bacterial prostatitis.

–       Chronic a bacterial prostatitis.

1- Acute bacterial prostatitis:

•         Acute focal or diffuse suppurative inflammation.

•         caused by various strains of E. coli, enterococci, gram negative rods & staphylococci.

•         The m.o. become implanted in the prostate usually by intraprostatic reflux of urine from the posterior urethra, or by the lymphohematogenous routes from distant foci of infection.

•         It may follow some surgical manipulations of the urethra or the prostate itself.

•         Diagnosis : by clinical features &urine culture.