Renal: Prostatitis: Free MSRA Podcast

⚕️ FREE MSRA PODCAST – Prostatitis🎧 A clear, high-yield breakdown of this common but complex prostate condition – perfect for exam prep and real-life clinical scenarios.🧠 Key Learning Points📌 Definition• Prostatitis is inflammation of the prostate gland.• It may be acute or chronic, and bacterial or non-bacterial.• Chronic pelvic pain syndrome (CPPS) accounts for over 90% of cases.📌 Causes & Risk Factors• Acute bacterial: E. coli (most common), other gram-negative bacteria• STIs: Chlamydia, Gonorrhoea• Non-bacterial: pelvic floor dysfunction, psychological stress• Risk factors: history of UTIs, BPH, catheterisation, recent instrumentation, age, sexual activity🧠 Mnemonic: “BE CUPS” – BPH, E. coli, Catheter, UTIs, Procedures, Sex📌 Pathophysiology• Acute: ascending infection from urethra• Chronic bacterial: persistent/hidden infection (e.g., in stones)• CPPS: unclear – involves inflammation, neuromuscular dysfunction, stress• Asymptomatic inflammatory: inflammation without symptoms📌 Symptoms• Pelvic/perineal pain• Dysuria, frequency, urgency• Painful ejaculation, sexual dysfunction• Fever/chills (in acute)• Chronic cases: fluctuating symptoms, psychological impact🧠 Mnemonic: “Pee FEVER” – Pain, Ejaculation pain, Frequency, Erectile issues, Void urgency, Emotional distress, Recurring discomfort📌 Differential Diagnosis• Cystitis• BPH• UTI or bladder stones• Bladder/prostate cancer• Prostatic abscess• Enterovesical fistula📌 Diagnosis• DRE: acute = hot, boggy, tender prostate• Urine dip + culture• STI screening if indicated• PSA test• Chronic cases: cystoscopy, urodynamics• CPC-PPS: symptoms >3 months, negative cultures• NIH Chronic Prostatitis Symptom Index (CPSI) for assessment📌 Management• Acute: admit if severe → IV antibiotics, fluids, pain relief• Suprapubic catheter if retention• Chronic bacterial: long-course antibiotics (e.g., doxycycline, trimethoprim), refer to urology• CPC-PPS: – Analgesia (NSAIDs, paracetamol) – Avoid repeated antibiotics – Alpha-blockers – Multidisciplinary care: pain team, pelvic floor physio, psychological support – Neuromodulators (e.g. pregabalin)📌 Complications• Recurrent infections• Prostatic abscess• Urinary retention• Sexual dysfunction• Chronic pain → reduced quality of life• Sepsis (in acute)📌 Prognosis• Acute: good if promptly treated• Chronic: variable, often relapsing-remitting• CPPS may need long-term, tailored care🧠 Key stat: Over 90% of prostatitis cases are non-bacterial CPPS📎 More MSRA Resources for Prostatitis📝 Revision Notes: https://www.passthemsra.com/topic/prostatitis-revision-notes/🧠 Flashcards: https://www.passthemsra.com/topic/prostatitis-flashcards/💬 Accordion Q&A Notes: https://www.passthemsra.com/topic/prostatitis-accordion-qa-notes/🚀 Rapid Quiz: https://www.passthemsra.com/topic/prostatitis-rapid-quiz/🎯 Topic Quiz: https://www.passthemsra.com/quizzes/prostatitis/🎓 Full Course: https://www.passthemsra.com/courses/renal-for-the-msra/#MSRA #MSRARevisionNotes #MSRAFlashcards #MSRAProstatitis #MSRAQuiz #MSRAQuestionBank #MSRAQ&ANotes #MSRAAccordions #MultiSpecialityRecruitmentAssessment #MSRAOnlineRevision #MSRARevisionWebsite #Renal #ChronicPelvicPainSyndrome