Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with recurrent episodes of pelvic pain, dysuria, and frequency persisting for >3 months. Reports perineal, suprapubic, or ejaculatory discomfort. Denies acute systemic toxicity. History of recurrent UTI symptoms with documented bacteriuria.
Clinical Examination Findings
Digital Rectal Examination (DRE) reveals a prostate that may be normal in size, boggy, or slightly tender. No fluctuant masses or acute inflammatory signs suggestive of abscess. External genitalia examination unremarkable.
Treatment Protocol
Initiate long-term antibiotic therapy (e.g., Fluoroquinolones or Trimethoprim-sulfamethoxazole) for 6-12 weeks. Adjunctive therapy includes alpha-blockers for voiding symptoms and NSAIDs for pain management. Follow-up culture required post-treatment.