Gonorrhoea prostatitisA54.23
Synonym(s)
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- 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!
TablesThis section has been translated automatically.
Clinical classification of gonorrheic prostatitis
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. |