Gonorrhoea prostatitis - Altmeyers Encyclopedia

Synonym(s)

Interstitial prostatitis; parenchymatous prostatitis; Prostatitis catarrhal; Prostatitis follicular pseudoabscessory

Infection of the prostate with gonococcus in the context of gonorrhoea.

See Table 1.

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Dermatology

One of the i most common sexually transmitted infectious diseases worldwide. Gonorrhea is therefore an impo...

Pathogen detection; prostate primate/ejaculate (leukocytosis, methylene blue and Gram's preparation/culture).

Ceftriaxone (e.g. Rocephin) 1.0-2.0 g/day i.v. or Cefotaxime (e.g. Claforan) 2 times/day 2 g i.v.
Alternative: Gyrase inhibitors like Ofloxacin (e.g. Tavanic) 2 times/day 200 mg i.v. or Doxycyclin (e.g. Vibravenous) 2 times/day 100 mg i.v.
Therapy for at least 7 days, longer depending on the clinic.
Cave! Co-treatment of the sexual partner or repeated checks are necessary!

Form	Clinical picture/symptomatics
Acute form	Catarrhal prostatitis with minor inflammatory changes, pressure or pain at the perineum.
Follicular pseudoabscess forming prostatitis	Obstruction of the ducts of individual glandular lobules, obstruction of the outflow of pus, congestion (= pseudoabscess). Also real abscesses. Scarring possibly with unilateral or bilateral closure of the ductus ejaculatorius. Consequence: oligo- or aspermia.
Interstitial and parenchymatous prostatitis	Severe swelling of the prostate gland, urinary flow problems, severe pain in the perineum, high fever. Pain relief after the perforation of an abscess in the direction of the urethra. rectum, colon or perineum. Complications: rectal gonorrhoea, formation of a urinary fistula, periprostatic phlegmon with purulent pelvic vein thrombosis, sepsis.
Chronic form	Noticeable spread of gonorrhea of the posterior urethra to the prostate, almost without subjective symptoms: Mild catarrhal inflammation of the excretory ducts.