{"id":1430,"date":"2020-07-24T08:00:00","date_gmt":"2020-07-24T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1430"},"modified":"2026-08-29T05:19:07","modified_gmt":"2026-08-28T22:19:07","slug":"acute-prostate-infection-%e1%80%86%e1%80%ad%e1%80%af%e1%80%90%e1%80%ac%e1%80%98%e1%80%ac%e1%80%9c%e1%80%b2","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/my\/2020\/07\/24\/what-is-acute-prostate-infection\/","title":{"rendered":"What Is Acute Prostatitis (Acute Prostate Infection)?"},"content":{"rendered":"\n<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\/my\/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;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, 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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=\"View Google Scholar Profile\"\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\">Do I have a prostate infection? is one of the questions I am asked most often, usually by men who are thoroughly unsettled by their urinary symptoms. This article explains what an acute prostate infection is, why it happens, and what needs to be done about it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The medical term is <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459257\/\">acute prostatitis<\/a>. It is not a mild urinary infection \u2014 it is a bacterial infection of the prostate gland itself, and it can make a man genuinely unwell.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Needs Attention Today<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Fever together with urinary symptoms in a man needs medical care the same day.<\/strong> Acute prostatitis is one of the urinary infections that can progress to sepsis, and it is not one to wait out at home.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Go straight to an emergency department, rather than waiting for a clinic appointment, if any of the following apply. In Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>You cannot pass urine at all.<\/strong> A swollen, inflamed prostate can block the outlet completely, and <a href=\"https:\/\/drsoaraweeurology.com\/2020\/10\/21\/male-urinary-retention\/\">acute urinary retention<\/a> needs draining the same day.<\/li>\n\n\n<li><strong>Shaking chills, confusion, drowsiness, faintness, or a racing heart.<\/strong> These suggest the infection has entered the bloodstream.<\/li>\n\n\n<li><strong>The fever keeps climbing after antibiotics have been started<\/strong>, or you are no better after two to three days of treatment. That can mean the organism is resistant or that an abscess has formed.<\/li>\n\n\n<li><strong>You cannot keep tablets or fluids down.<\/strong> Some men need admission for intravenous antibiotics rather than oral treatment at home, particularly if they are elderly, diabetic, or have a weakened immune system.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Typical symptoms<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>High fever or chills<\/li>\n\n\n<li>Pain on passing urine<\/li>\n\n\n<li>Passing urine frequently, urgently, or with a weakening stream<\/li>\n\n\n<li>Feeling generally unwell<\/li>\n\n\n<li>Pelvic or perineal pain<\/li>\n\n\n<li>Marked tenderness of the prostate on rectal examination<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">One point about that last item, since patients sometimes expect it: in acute prostatitis the prostate is examined <strong>gently, once<\/strong>. Vigorous examination or prostate massage is avoided, because pressing on an acutely infected gland can push bacteria into the bloodstream. Prostate massage belongs to the assessment of the chronic forms, and even there it has largely been superseded \u2014 see <a href=\"https:\/\/drsoaraweeurology.com\/2026\/06\/17\/chronic-prostatitis-cpps-diagnosis-treatment-guide\/\">the modern path to diagnosing chronic prostatitis<\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"579\" data-attachment-id=\"1433\" data-permalink=\"https:\/\/drsoaraweeurology.com\/my\/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;\n\" 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=\"An inflamed prostate gland in acute bacterial prostatitis\" 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\">Acute prostatitis is almost always bacterial.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Where the infection comes from<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Acute prostatitis is caused by bacteria, and E. coli is the commonest organism. Neisseria and Chlamydia species are also frequent, particularly where a sexually transmitted infection is involved. The bacteria reach the prostate by spreading from the urethra or bladder, overcoming the gland\u2019s own defences. The typical route differs by age:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Younger men<\/strong> \u2014 unprotected vaginal or anal intercourse leading to a urethral or bladder infection that then spreads to the prostate. Where that is the route, the sexually transmitted organisms need testing for and the partner needs treating too.<\/li>\n\n\n<li><strong>Older men<\/strong> \u2014 a previous <a href=\"https:\/\/drsoaraweeurology.com\/2021\/04\/30\/prostate-biopsy-instruction\/\">prostate biopsy<\/a> or prolonged urethral catheterisation are the important risk factors. An obstructing prostate that does not empty the bladder properly adds to the risk.<\/li>\n<\/ol>\n\n\n\n<h4 class=\"wp-block-heading\">How it is treated \u2014 and why the course is so long<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Suspected acute bacterial prostatitis should be managed by a urologist. A urine culture is taken before antibiotics start wherever possible, because it is what allows the treatment to be corrected later. Fluoroquinolone antibiotics remain first-line because they penetrate prostatic tissue well, which many other antibiotics do not \u2014 the structure of the prostate makes it a difficult gland to get drugs into. Trimethoprim-sulfamethoxazole or doxycycline are the usual alternatives where the organism\u2019s sensitivities point that way. The choice is adjusted once the culture identifies the organism, since antibiotic resistance is common and the first agent is not always the right one. Men who are severely unwell are treated in hospital with intravenous antibiotics before switching to tablets.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Expect several weeks of antibiotics.<\/strong> There are no high-quality trials defining an ideal duration, but current reviews describe <strong>two to four weeks as typical<\/strong> for acute bacterial prostatitis, sometimes extended further \u2014 the six-week courses often quoted belong to the <em>chronic<\/em> bacterial form rather than this one. One randomised comparison found cure rates of around 92% with two weeks of ciprofloxacin against 97% with four. That length surprises most patients, because the fever and pain usually settle within days. Stopping early is the commonest reason an acute infection turns into a chronic one, so the course needs finishing even once you feel completely well. The exact length is decided case by case rather than by a fixed rule.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A word about fluoroquinolones.<\/strong> They remain the right first choice for this infection, but they are not a harmless class. Regulators in the United States and Europe carry warnings about tendon inflammation and rupture, aortic aneurysm and dissection, peripheral nerve damage, effects on the central nervous system, disturbances of blood sugar and prolongation of the heart\u2019s QT interval, and they can provoke a difficult bowel infection. Because the course in prostatitis runs for weeks rather than days, this matters more here than it does for a short bladder-infection course.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Stop the drug and be reviewed the same day<\/strong> for new pain in a tendon \u2014 most often the heel \u2014 sudden severe pain in the abdomen, chest or back, or new numbness, tingling or burning in the hands or feet. Nerve damage from this class can be permanent, which is why it is reported rather than pushed through. Finish a course that is genuinely indicated; do not accept repeat courses for a prostate that was never proven to be infected.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Possible complications<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Acute urinary retention<\/strong> \u2014 the swollen gland blocks the outlet and the bladder cannot empty. This needs draining the same day.<\/li>\n\n\n<li><strong>Prostatic abscess, and in severe cases sepsis<\/strong> \u2014 the reasons this infection is treated urgently rather than casually. An abscess is suspected when a man does not improve on appropriate antibiotics, and it is found on imaging rather than by examination.<\/li>\n\n\n<li><strong>Spread<\/strong> to become <a href=\"https:\/\/drsoaraweeurology.com\/2020\/09\/25\/testicular-infection\/\">epididymo-orchitis<\/a> or <a href=\"https:\/\/drsoaraweeurology.com\/2021\/04\/02\/acute-pyelonephritis\/\">pyelonephritis<\/a>.<\/li>\n\n\n<li><strong>Progression to a chronic form<\/strong>, either <a href=\"https:\/\/drsoaraweeurology.com\/2020\/10\/09\/chronic-prostatitis-am-i\/\">chronic bacterial prostatitis<\/a> or chronic pelvic pain syndrome \u2014 a persistent perineal discomfort that is far harder to treat than the original infection, and which usually does <em>not<\/em> respond to more antibiotics. What does help is set out in <a href=\"https:\/\/drsoaraweeurology.com\/2021\/11\/12\/chronic-prostatitis-treatment\/\">why antibiotics are usually not the answer in chronic prostatitis<\/a>.<\/li>\n\n\n<li><strong>Effects on fertility<\/strong>, through inflammatory damage to the reproductive ducts.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A figure this page used to give, and no longer does.<\/strong> An earlier version said that around 10% of acute cases go on to develop chronic pelvic pain syndrome. On checking, that number could not be supported. The 4% to 10% figure that circulates in this area refers to something different \u2014 the proportion of all chronic prostatitis diagnoses that turn out to be chronic <em>bacterial<\/em> prostatitis, which is a different denominator entirely. Progression is a real risk and a real reason to complete treatment; how often it happens is not something I can put a reliable number to, and it is better to say that than to repeat a figure that does not mean what it appears to mean.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These complications can occur even after appropriate treatment, which is exactly why the first episode is worth taking seriously and treating fully.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have fever with painful urination, pelvic pain, or suspect an acute prostate infection, Dr. Soarawee Weerasopone offers specialist consultations at <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital Headquarters<\/a>. Appointments at Samitivej Sriracha Hospital in Chonburi can be arranged by calling the Urology department on <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for follow-up and non-urgent consultations, including for international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Samitivej Sriracha is in-person only. Enquiries about cost are answered by the hospital rather than through this website. <strong>A fever with urinary symptoms is not a telemedicine problem \u2014 it needs seeing in person today.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions about Acute 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\">What is acute prostatitis?<\/strong> <p class=\"schema-faq-answer\">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 marked tenderness on rectal examination. E. coli is the most common causative organism. It requires prompt antibiotic treatment and specialist evaluation, and fever with urinary symptoms in a man should be assessed the same day.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">What causes acute prostatitis?<\/strong> <p class=\"schema-faq-answer\">Acute prostatitis is most commonly caused by bacteria spreading from the urethra or bladder to the prostate. In younger men, sexually transmitted organisms such as Chlamydia and gonorrhoea are frequent causes, often following unprotected intercourse, and the partner needs testing and treatment as well. In older men, risk factors include a previous prostate biopsy, prolonged urethral catheterisation, and a prostate that prevents the bladder emptying properly.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">What antibiotic is used to treat acute prostatitis, and for how long?<\/strong> <p class=\"schema-faq-answer\">Fluoroquinolone antibiotics such as ciprofloxacin or levofloxacin remain first-line because they penetrate prostatic tissue particularly well, which many other antibiotics do not, with trimethoprim-sulfamethoxazole or doxycycline as susceptibility-guided alternatives. The choice is adjusted once urine culture identifies the organism. No high-quality trials define an ideal duration, but current reviews describe two to four weeks as typical for the acute form, sometimes extended further; the six-week courses often quoted belong to chronic bacterial prostatitis rather than acute. One randomised comparison found cure rates of around 92% with two weeks of ciprofloxacin against 97% with four. Men who are severely unwell are treated in hospital with intravenous antibiotics first.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">Are fluoroquinolone antibiotics safe to take for that long?<\/strong> <p class=\"schema-faq-answer\">They remain the appropriate first-line choice for this infection, but they carry regulatory warnings about tendon inflammation and rupture, aortic aneurysm and dissection, peripheral nerve damage, central nervous system effects, disturbances of blood sugar and QT prolongation, and they can provoke a difficult bowel infection. The long course used in prostatitis makes this more relevant than it is for a short bladder-infection course. New tendon pain, most often in the heel, sudden severe abdominal, chest or back pain, or new numbness, tingling or burning in the hands or feet means stopping the drug and being reviewed the same day rather than finishing the course, since nerve damage from this class can be permanent.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">Can acute prostatitis lead to serious complications?<\/strong> <p class=\"schema-faq-answer\">Yes. It can cause acute urinary retention, in which the swollen gland blocks the outlet and the bladder must be drained the same day. It can also progress to prostatic abscess, epididymo-orchitis, kidney infection and sepsis. Progression to a chronic form is a genuine risk, including chronic pelvic pain syndrome, which is difficult to treat and usually does not respond to further antibiotics; there is no reliable figure for how often that happens, and an earlier version of this page quoted one that could not be supported. Fertility may be affected through inflammatory damage to the reproductive ducts. Inability to pass urine, shaking chills, confusion, or a fever that keeps climbing after antibiotics have started should prompt emergency assessment; in Thailand, call 1669.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-6\"><strong class=\"schema-faq-question\">How is acute prostatitis different from chronic prostatitis?<\/strong> <p class=\"schema-faq-answer\">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 in most men involves no bacterial infection at all. The chronic form presents with long-standing pelvic discomfort, urinary symptoms and sexual difficulties without the dramatic acute presentation, and repeat courses of antibiotics are the commonest thing done wrong in it.<\/p><\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">References<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Borgert BJ, Wallen EM, Pham MN. Prostatitis. <em>JAMA<\/em>. 2025;334(11):1003\u20131013.<\/li>\n\n\n<li>Kulkarni PA, Cort\u00e9s-Penfield NW, Brehm TJ, et al. State-of-the-art review: diagnosis and management of acute and chronic bacterial prostatitis. <em>Clin Infect Dis<\/em>. 2026;82(1):1\u201313.<\/li>\n\n\n<li>Lam JC, Lang R, Stokes W. How I manage bacterial prostatitis. <em>Clin Microbiol Infect<\/em>. 2023;29(1):32\u201337.<\/li>\n<\/ul>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/07\/24\/what-is-acute-prostate-infection\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2020\/07\/24\/what-is-acute-prostate-infection\/\",\n      \"name\": \"What Is Acute Prostatitis (Acute Prostate Infection)?\",\n      \"description\": \"Acute bacterial prostatitis explained: the symptoms that distinguish it from an ordinary urinary infection, what needs an emergency department today, how the bacteria reach the prostate at different ages, how long the antibiotic course actually runs, the fluoroquinolone risks that matter over a long course, and the complications that make prompt treatment worthwhile.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2020-07-24\",\n      \"dateModified\": \"2026-08-29\",\n      \"lastReviewed\": \"2026-08-29\",\n      \"specialty\": \"https:\/\/schema.org\/Urologic\",\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/07\/24\/what-is-acute-prostate-infection\/#acute-prostatitis\" },\n      \"citation\": [\n        { \"@type\": \"ScholarlyArticle\", \"name\": \"Prostatitis\", \"isPartOf\": { \"@type\": \"Periodical\", \"name\": \"JAMA\" }, \"datePublished\": \"2025\", \"identifier\": \"10.1001\/jama.2025.11499\" },\n        { \"@type\": \"ScholarlyArticle\", \"name\": \"State-of-the-art review: diagnosis and management of acute and chronic bacterial prostatitis\", \"isPartOf\": { \"@type\": \"Periodical\", \"name\": \"Clinical Infectious Diseases\" }, \"datePublished\": \"2026\", \"identifier\": \"10.1093\/cid\/ciaf483\" }\n      ],\n      \"significantLink\": [\n        \"https:\/\/drsoaraweeurology.com\/2020\/10\/21\/male-urinary-retention\/\",\n        \"https:\/\/drsoaraweeurology.com\/2021\/04\/02\/acute-pyelonephritis\/\",\n        \"https:\/\/drsoaraweeurology.com\/2020\/09\/25\/testicular-infection\/\",\n        \"https:\/\/drsoaraweeurology.com\/2020\/10\/09\/chronic-prostatitis-am-i\/\",\n        \"https:\/\/drsoaraweeurology.com\/2021\/11\/12\/chronic-prostatitis-treatment\/\",\n        \"https:\/\/drsoaraweeurology.com\/2026\/06\/17\/chronic-prostatitis-cpps-diagnosis-treatment-guide\/\"\n      ],\n      \"disambiguatingDescription\": \"CORRECTION 29 August 2026: the claim that approximately 10% of acute cases progress to chronic pelvic pain syndrome has been removed as unsupported. 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Earlier additions retained: a standalone emergency list including acute urinary retention, shaking chills or confusion, failure to improve after two to three days and inability to keep fluids down; the Thai emergency number 1669; hospital admission with intravenous antibiotics for men who are severely unwell; and the caution that the prostate is examined gently and prostate massage avoided in acute infection.\"\n    },\n    {\n      \"@type\": \"MedicalCondition\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/07\/24\/what-is-acute-prostate-infection\/#acute-prostatitis\",\n      \"name\": \"Acute bacterial prostatitis\",\n      \"description\": \"A bacterial infection of the prostate gland itself, not a mild urinary infection. E. coli is the commonest organism, with Neisseria and Chlamydia frequent where a sexually transmitted infection is involved. Bacteria reach the prostate from the urethra or bladder. 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The choice is adjusted once urine culture identifies the organism. Men who are severely unwell are treated in hospital with intravenous antibiotics before switching to oral treatment.\",\n        \"duration\": \"No high-quality trials define an ideal duration. Current reviews describe two to four weeks as typical for acute bacterial prostatitis, sometimes extended further; six-week courses belong to chronic bacterial prostatitis. One randomised comparison reported cure rates of approximately 92% with two weeks of ciprofloxacin versus 97% with four weeks. Stopping early is the commonest reason an acute infection becomes chronic.\",\n        \"seriousAdverseOutcome\": {\n          \"@type\": \"MedicalEntity\",\n          \"name\": \"Fluoroquinolone class effects: tendon inflammation and rupture, aortic aneurysm and dissection, peripheral neuropathy which may be permanent, central nervous system effects, dysglycaemia, QT prolongation and Clostridioides difficile colitis. Relevant here because the course runs for weeks. New tendon pain, sudden severe abdominal, chest or back pain, or new numbness, tingling or burning in the hands or feet means stopping the drug and being reviewed the same day rather than completing the course.\"\n        }\n      },\n      \"possibleComplication\": [\n        {\"@type\": \"MedicalEntity\", \"name\": \"Acute urinary retention requiring same-day bladder drainage\"},\n        {\"@type\": \"MedicalEntity\", \"name\": \"Prostatic abscess\"},\n        {\"@type\": \"MedicalEntity\", \"name\": \"Sepsis\"},\n        {\"@type\": \"MedicalEntity\", \"name\": \"Epididymo-orchitis\"},\n        {\"@type\": \"MedicalEntity\", \"name\": \"Pyelonephritis\"},\n        {\"@type\": \"MedicalEntity\", \"name\": \"Progression to chronic bacterial prostatitis or chronic pelvic pain syndrome, which usually does not respond to further antibiotics. No reliable figure for the rate of progression is available; a previously quoted 10% could not be supported and has been removed.\"},\n        {\"@type\": \"MedicalEntity\", \"name\": \"Impaired fertility from inflammatory damage to the reproductive ducts\"}\n      ]\n    }\n  ]\n}\n<\/script>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for general education only and does not constitute medical advice, diagnosis or treatment for any individual. <strong>Fever with urinary symptoms needs same-day medical care, and inability to pass urine, shaking chills, confusion or a climbing fever needs an emergency department.<\/strong> No advice, diagnosis or prescription is given through personal messaging channels or social media, and Dr. Soarawee operates no public social media account. Always consult a qualified doctor about your own symptoms. In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fever, chills and pain on passing urine in a man is not an ordinary urinary infection \u2014 acute prostatitis needs treating promptly, and for longer than most people expect. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains the symptoms, the causes at different ages, and what proper treatment involves.<\/p>","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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