آخر تحديث: 18 مايو 2026
Too many patients came to see me at the office with the same and lots of questions like, did I have the acute prostate infection or not? They really get upset with their urinary symptom. I will tell you what the acute prostate infection is, why it happens, and what you should do about it.
The medical term for acute prostate infection is “التهاب البروستاتا الحاد”. Symptoms typically include:
- حمى عالية الدرجة أو قشعريرة
- الإحساس المؤلم عند التبول
- خروج البول بشكل متكرر
- توعك
- آلام الحوض
- Severe pain during prostate rectal examination
Acute prostatitis is caused by bacterial infection – E. coli is the most common pathogen. Neisseria and Chlamydia species are also common, especially in sexually transmitted disease cases. Pathogens infiltrate the prostate’s natural immune defenses by spreading from the urethra or bladder. Risk factors differ by age group:
- In young men – Unprotected vaginal or anal intercourse can cause urethral or bladder infection that spreads to the prostate gland.
- In elderly men – History of prostate biopsy or prolonged urethral catheterization are important risk factors.
When acute bacterial prostatitis is suspected, a urologist must manage the case properly. Fluoroquinolone antibiotics are preferred as they penetrate prostatic tissue effectively. Complications that can occur even after completing treatment include:
- خطر مشاكل العقم
- Risk of progression to chronic prostatitis, epididymitis, or pyelonephritis
- 10% of cases may develop chronic pelvic pain syndrome – a persistent unexplained perineal discomfort
أي أسئلة، لا تتردد في مناقشة مع أنا.
If you have fever with painful urination, pelvic pain, or suspect an acute prostate infection, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. احجز استشارة.
Frequently Asked Questions about Acute Prostatitis
Acute prostatitis is a sudden bacterial infection of the prostate gland. It typically presents with high fever, chills, painful urination, urinary frequency, pelvic pain, and severe tenderness on rectal examination. E. coli is the most common causative organism. It is a urological emergency that requires prompt antibiotic treatment and specialist evaluation.
Acute prostatitis is most commonly caused by bacteria spreading from the urethra or bladder to the prostate. In younger men, sexually transmitted pathogens such as Chlamydia and Gonorrhea are frequent causes, often from unprotected intercourse. In older men, risk factors include prostate biopsy procedures and prolonged urethral catheterization. Atypical pathogens may be found in immunocompromised patients.
Fluoroquinolone antibiotics (such as ciprofloxacin or levofloxacin) are the first-line treatment for acute bacterial prostatitis because they penetrate prostatic tissue particularly well. The unique anatomical structure of the prostate limits the effectiveness of many other antibiotics. Treatment duration is typically 4–6 weeks to ensure complete eradication and minimize the risk of chronic infection.
Yes. If not treated properly, acute prostatitis can progress to serious complications including prostatic abscess, epididymitis, pyelonephritis (kidney infection), and sepsis. Even with adequate treatment, approximately 10% of cases develop into chronic pelvic pain syndrome – a persistent and difficult-to-treat perineal discomfort. Fertility may also be affected due to inflammatory damage to the reproductive ducts.
Acute prostatitis has a sudden onset with pronounced systemic symptoms including fever, chills, and significant pain, and is caused by active bacterial infection. Chronic prostatitis develops gradually and may or may not involve bacterial infection. The chronic form is more difficult to treat and often presents with long-standing pelvic discomfort, urinary symptoms, and sexual dysfunction without the dramatic acute presentation of the infectious form.
إخلاء المسؤولية: هذا المحتوى مكتوب ومراجع من قبل الدكتورة سواروي ويراباسون، أخصائية أمراض المسالك البولية المعتمدة في مستشفى بانكوك الرئيسي. الغرض منه تعليمي فقط ولا يشكل نصيحة طبية. استشر دائمًا أخصائي رعاية صحية مؤهل قبل البدء في أي علاج طبي.
مكتوب طبياً ومراجع بواسطة: الدكتورة سوارافي ويراسوبون (الدكتورة بوم) - أخصائية المسالك البولية المعتمدة، مستشفى بانكوك الرئيسي. زمالة دولية: كلية بايلور للطب (الولايات المتحدة الأمريكية) · جامعة جوندندو (اليابان) · مستشفى تشانغ غونغ التذكاري (تايوان).
الدكتور سواراوي ويرسوبون (د. بوم) هو أخصائي مسالك بولية معتمد من البورد في مستشفى بانكوك الرئيسي، متخصص في صحة الرجل، والجراحة الروبوتية (نظام دافنشي)، وعلاج حصوات الكلى. أكمل زمالات دولية في كلية بايلور للطب (الولايات المتحدة الأمريكية)، ومستشفى جامعة جـونتـندو (اليابان)، ومستشفى تشانغ جـونج التذكاري (تايوان). كل المحتوى الطبي الموجود على هذا الموقع مكتوب ومراجع من قبل الدكتور سواراوي بناءً على خبرته السريرية وتدريبه الدولي.
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