{"id":1430,"date":"2020-07-24T08:00:00","date_gmt":"2020-07-24T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1430"},"modified":"2026-05-18T19:39:09","modified_gmt":"2026-05-18T12:39:09","slug":"was-ist-eine-akute-prostata-infektion","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/de\/2020\/07\/24\/what-is-acute-prostate-infection\/","title":{"rendered":"Was ist die akute Prostata-Infektion?"},"content":{"rendered":"<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\" 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1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 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<path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"Google Scholar Profil ansehen\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">Zu viele Patienten kamen mit denselben und vielen Fragen in meine Praxis, wie zum Beispiel, hatte ich die akute Prostataentz\u00fcndung oder nicht? Sie sind wegen ihrer Harnwegssymptome wirklich ver\u00e4rgert. Ich werde Ihnen sagen, was eine akute Prostataentz\u00fcndung ist, warum sie auftritt und was Sie dagegen tun sollten.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">akute Prostatitis\u201c<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459257\/\">Akute Prostatitis<\/a>\u201dSymptome umfassen typischerweise:<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Hochgradiges Fieber oder Sch\u00fcttelfrost<\/li>\n\n\n\n<li>Schmerzhaftes Gef\u00fchl beim Urinieren<\/li>\n\n\n\n<li>H\u00e4ufiger Urinabgang<\/li>\n\n\n\n<li>Malaise<\/li>\n\n\n\n<li>Schmerzen im Beckenbereich<\/li>\n\n\n\n<li>Starke Schmerzen w\u00e4hrend der rektalen Untersuchung der Prostata<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"579\" data-attachment-id=\"1433\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2020\/07\/17\/hpv-prevent-penis-ca-genital-wart\/prostatitis-disease-causes-explanation-vector\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Prostatitis-2.jpg?fit=1200%2C869&amp;ssl=1\" data-orig-size=\"1200,869\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Prostatitis Vector Medical Chart with Reproductive&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Prostatitis Disease Causes Explanation Vector&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Acute prostatitis mostly caused by bacteria\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Acute prostatitis mostly caused by bacteria&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Prostatitis-2.jpg?fit=800%2C580&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Prostatitis-2.jpg?resize=800%2C579&#038;ssl=1\" alt=\"Akute Prostata-Infektion\" class=\"wp-image-1433\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Prostatitis-2.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Prostatitis-2.jpg?resize=300%2C217&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Prostatitis-2.jpg?resize=1024%2C742&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Prostatitis-2.jpg?resize=768%2C556&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Akute Prostatitis wird meist durch Bakterien verursacht<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Akute prostatitis wird durch bakterielle Infektionen verursacht \u2013 E. coli ist der h\u00e4ufigste Erreger. Neisseria und Chlamydia-Arten sind ebenfalls h\u00e4ufig, insbesondere bei sexuell \u00fcbertragbaren Krankheiten. Erreger dringen in die nat\u00fcrlichen Immunabwehrmechanismen der Prostata ein, indem sie sich von der Harnr\u00f6hre oder der Blase ausbreiten. Risikofaktoren unterscheiden sich nach Altersgruppe:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Bei jungen M\u00e4nnern \u2013 Ungesch\u00fctzter vaginaler oder analer Geschlechtsverkehr kann zu einer Harnr\u00f6hren- oder Blasenentz\u00fcndung f\u00fchren, die sich auf die Prostata ausbreitet.<\/li>\n\n\n\n<li>Bei \u00e4lteren M\u00e4nnern \u2013 Anamnese einer Prostatabiopsie oder eine verl\u00e4ngerte urethrale Katheterisierung sind wichtige Risikofaktoren.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Bei Verdacht auf eine akute bakterielle Prostatitis muss der Urologe die Erkrankung ordnungsgem\u00e4\u00df behandeln. Fluorchinolon-Antibiotika werden bevorzugt, da sie das Prostatagewebe wirksam durchdringen. Komplikationen, die auch nach Abschluss der Behandlung auftreten k\u00f6nnen, sind:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Risiko der Unfruchtbarkeit<\/li>\n\n\n\n<li>Risiko einer Progression zu chronischer prostatitis, epididymitis oder pyelonephritis<\/li>\n\n\n\n<li>In 101 von 300 F\u00e4llen kann sich ein chronisches Beckenschmerzsyndrom entwickeln \u2013 ein anhaltendes, unerkl\u00e4rliches Unbehagen im Dammbereich<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Wenn Sie Fragen haben, k\u00f6nnen Sie sich gerne an folgende Adresse wenden <a href=\"https:\/\/drsoaraweeurology.com\/de\/\" class=\"rank-math-link\">ich<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Wenn Sie Fieber mit schmerzhaftem Wasserlassen, Beckenschmerzen haben oder eine akute Prostataentz\u00fcndung vermuten, bietet Dr. Soarawee Weerasopone Facharztberatungen in der Bangkok Hospital Zentrale an. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Beratungstermin buchen<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">H\u00e4ufig gestellte Fragen zu akuter Prostatitis<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">Was ist eine akute Prostatitis?<\/strong> <p class=\"schema-faq-answer\">Akute Prostatitis ist eine pl\u00f6tzliche bakterielle Infektion der Prostata. Sie \u00e4u\u00dfert sich typischerweise mit hohem Fieber, Sch\u00fcttelfrost, schmerzhaftem Urinieren, h\u00e4ufigem Harndrang, Beckenschmerzen und starker Druckempfindlichkeit bei der rektalen Untersuchung. E. coli ist der h\u00e4ufigste Erreger. Sie ist ein urologischer Notfall, der eine sofortige antibiotische Behandlung und fach\u00e4rztliche Abkl\u00e4rung erfordert.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">Akute Prostatitis wird haupts\u00e4chlich durch Bakterien verursacht, die in die Prostata eindringen. Dies kann auf verschiedene Weisen geschehen:\n\n*   **Aufsteigende Infektion:** Bakterien aus dem unteren Harntrakt (Harnr\u00f6hre oder Blase) steigen in die Prostata auf. Dies ist die h\u00e4ufigste Ursache. H\u00e4ufige Erreger sind Darmbakterien wie E. coli.\n*   **Harnretention:** Wenn Urin in der Blase zur\u00fcckgehalten wird, k\u00f6nnen sich Bakterien leichter vermehren und in die Prostata gelangen.\n*   **Infektionen in anderen K\u00f6rperregionen:** In seltenen F\u00e4llen k\u00f6nnen Bakterien von anderen Infektionsherden im K\u00f6rper \u00fcber die Blutbahn zur Prostata gelangen.\n*   **Strahlenbedingte Prostatitis:** Nach einer Strahlentherapie im Beckenbereich kann es zu einer Entz\u00fcndung der Prostata kommen.\n*   **Andere Ursachen:** Sexuell \u00fcbertragbare Infektionen (STIs), wie Chlamydien oder Gonorrh\u00f6, k\u00f6nnen ebenfalls eine akute Prostatitis verursachen, insbesondere bei j\u00fcngeren M\u00e4nnern. Eingriffe an der Prostata oder Harnr\u00f6hre k\u00f6nnen ebenfalls das Risiko erh\u00f6hen.\n\nFaktoren, die das Risiko f\u00fcr eine akute Prostatitis erh\u00f6hen k\u00f6nnen, sind:\n\n*   Vorherige Harnwegsinfektionen\n*   Kathetereinf\u00fchrung in die Harnr\u00f6hre\n*   Vergr\u00f6\u00dferte Prostata (benigne Prostatahyperplasie), die den Harnfluss behindert\n*   Schutzlos ausge\u00fcbte sexuelle Praktiken\n*   Infektionen des Beckens\n*   Eine geschw\u00e4chte Immunabwehr<\/strong> <p class=\"schema-faq-answer\">Die akute Prostatitis wird am h\u00e4ufigsten durch Bakterien verursacht, die sich von der Harnr\u00f6hre oder der Blase auf die Prostata ausbreiten. Bei j\u00fcngeren M\u00e4nnern sind sexuell \u00fcbertragbare Krankheitserreger wie Chlamydien und Gonorrh\u00f6e h\u00e4ufige Ursachen, oft durch ungesch\u00fctzten Geschlechtsverkehr. Bei \u00e4lteren M\u00e4nnern geh\u00f6ren Prostatabiopsien und langwierige Katheterisierungen zu den Risikofaktoren. Bei immungeschw\u00e4chten Patienten k\u00f6nnen atypische Erreger gefunden werden.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">Welches Antibiotikum wird zur Behandlung einer akuten Prostatitis eingesetzt?<\/strong> <p class=\"schema-faq-answer\">Fluorchinolon-Antibiotika (wie Ciprofloxacin oder Levofloxacin) sind die Erstlinienbehandlung f\u00fcr akute bakterielle Prostatitis, da sie das Prostatagewebe besonders gut durchdringen. Die einzigartige anatomische Struktur der Prostata schr\u00e4nkt die Wirksamkeit vieler anderer Antibiotika ein. Die Behandlungsdauer betr\u00e4gt in der Regel 4\u20136 Wochen, um eine vollst\u00e4ndige Ausrottung zu gew\u00e4hrleisten und das Risiko einer chronischen Infektion zu minimieren.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">Kann eine akute Prostatitis zu ernsthaften Komplikationen f\u00fchren?<\/strong> <p class=\"schema-faq-answer\">Ja. Bei unzureichender Behandlung kann eine akute Prostatitis zu schwerwiegenden Komplikationen f\u00fchren, darunter ein Prostataabszess, eine Nebenhodenentz\u00fcndung, eine Pyelonephritis (Nierenentz\u00fcndung) und eine Sepsis. Selbst bei ad\u00e4quater Behandlung entwickelt sich in etwa 10 % der F\u00e4lle ein chronisches Beckenschmerzsyndrom \u2013 ein anhaltendes und schwer zu behandelndes Unwohlsein im Dammbereich. Auch die Fruchtbarkeit kann durch entz\u00fcndliche Sch\u00e4den an den Fortpflanzungsorganen beeintr\u00e4chtigt werden.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">Wie unterscheidet sich eine akute von einer chronischen Prostatitis?<\/strong> <p class=\"schema-faq-answer\">Akute Prostatitis hat einen pl\u00f6tzlichen Beginn mit ausgepr\u00e4gten systemischen Symptomen, darunter Fieber, Sch\u00fcttelfrost und starke Schmerzen, und wird durch eine aktive bakterielle Infektion verursacht. Chronische Prostatitis entwickelt sich allm\u00e4hlich und kann eine bakterielle Infektion beinhalten oder auch nicht. Die chronische Form ist schwieriger zu behandeln und \u00e4u\u00dfert sich oft mit lang anhaltenden Beckenbeschwerden, Harnwegssymptomen und sexueller Dysfunktion ohne die dramatische akute Pr\u00e4sentation der infekti\u00f6sen Form.<\/p><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">**Haftungsausschluss:** Dieser Inhalt wurde von Dr. Soarawee Weerasopone, einem Facharzt f\u00fcr Urologie am Bangkok Hospital Headquarters, verfasst und \u00fcberpr\u00fcft. Er dient ausschlie\u00dflich Bildungszwecken und stellt keine medizinische Beratung dar. Konsultieren Sie immer einen qualifizierten Mediziner, bevor Sie eine medizinische Behandlung beginnen.<\/p>","protected":false},"excerpt":{"rendered":"<p>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. [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10013,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Fever, pelvic pain, and painful urination in men? 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