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Chronic prostatic inflammation most commonly results from inadequately treated acute prostatitis, or genito-urinary tuberculosis.
Presentation is usually with chronic, low grade perineal pain, usually varying in severity and frequency. The pain may be exacerbated by sitting on a hard chair. Other features may include low back pain, which may extend down the leg, mild bouts of fever and dysuria.
Rectal examination usually reveals an enlarged, firm, and irregular prostate. Massage exudes a purulent urethral discharge.
Treatment chronic bacterial prostatits is with the use of an appropriate antibiotic, generally a fluroquinolone such as ciprofloxacin, for a course of 4-8 weeks
Serum glucose should be checked to exclude diabetes mellitus.
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Last edited 07/2020
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