{"id":12137,"date":"2025-07-10T09:11:11","date_gmt":"2025-07-10T13:11:11","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/prostatitis\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"prostatitis","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/prostatitis\/","title":{"rendered":"Prostatitis"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[104,105],"class_list":["post-12137","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-conditions","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p>La prostatitis es un trastorno a menudo doloroso que se caracteriza por la inflamaci\u00f3n de la gl\u00e1ndula prost\u00e1tica y, en ocasiones, de las zonas circundantes.<sup>1<\/sup> Este trastorno se manifiesta en cuatro categor\u00edas distintas seg\u00fan el sistema de clasificaci\u00f3n de los National Institutes of Health (NIH): prostatitis bacteriana aguda (categor\u00eda I), prostatitis bacteriana cr\u00f3nica (categor\u00eda II), prostatitis cr\u00f3nica\/s\u00edndrome de dolor p\u00e9lvico cr\u00f3nico (categor\u00eda III) y prostatitis inflamatoria asintom\u00e1tica (categor\u00eda IV).<sup>2<\/sup> La prostatitis bacteriana (PB) se refiere espec\u00edficamente a una infecci\u00f3n bacteriana de la gl\u00e1ndula prost\u00e1tica que presenta una distribuci\u00f3n bimodal en hombres j\u00f3venes y de m\u00e1s edad.<sup>3<\/sup> Puede ser aguda (PBA) o cr\u00f3nica (PBC) y, si no se trata adecuadamente, puede causar una morbilidad significativa.<sup>4<\/sup> El proceso inflamatorio puede implicar diversos mecanismos, como agentes infecciosos, desregulaci\u00f3n inmunitaria, factores neurol\u00f3gicos y disfunci\u00f3n del suelo p\u00e9lvico, sobre todo en los casos de prostatitis cr\u00f3nica\/s\u00edndrome de dolor p\u00e9lvico cr\u00f3nico, que es la forma m\u00e1s frecuente del trastorno.<sup>5<\/sup><\/p>","gt-synonyms":"Inflamaci\u00f3n de la pr\u00f3stata, Inflamaci\u00f3n prost\u00e1tica, CP\/CPPS (para prostatitis cr\u00f3nica\/s\u00edndrome de dolor p\u00e9lvico cr\u00f3nico), Prostatitis de categor\u00eda I-IV de los NIH, Prostatitis bacteriana (PA), Prostatitis bacteriana aguda (ABP), Prostatitis bacteriana cr\u00f3nica (PBC), prostatitis inflamatoria, Prostatitis no bacteriana","gt-citation":"[1] Nickel JC. Prostatitis. Can Urol Assoc J. 2011;5(5):306-315. DOI: 10.5489\/cuaj.11211\r\n\r\n[2] Krieger JN, Nyberg L Jr, Nickel JC. NIH consensus definition and classification of prostatitis. JAMA. 1999;282(3):236-237. DOI: 10.1001\/jama.282.3.236\r\n\r\n[3] Davis NG, Silberman M. Acute Bacterial Prostatitis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. PMID: 29083799. Bookshelf ID: NBK459257.\r\n\r\n[4] Magistro G, Wagenlehner FM, Grabe M, Weidner W, Stief CG, Nickel JC. Contemporary Management of Chronic Prostatitis\/Chronic Pelvic Pain Syndrome. Eur Urol. 2016;69(2):286-297. DOI: 10.1016\/j.eururo.2015.08.061\r\n\r\n[5] Rees J, Abrahams M, Doble A, Cooper A; Prostatitis Expert Reference Group (PERG). Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis\/chronic pelvic pain syndrome: a consensus guideline. BJU Int. 2015;116(4):509-525. DOI: 10.1111\/bju.13101","gt-clinical-context":"<p>La prostatitis es un trastorno urol\u00f3gico importante que representa aproximadamente 2 millones de consultas ambulatorias al a\u00f1o en los Estados Unidos.<sup>2<\/sup> La presentaci\u00f3n cl\u00ednica y el tratamiento var\u00edan considerablemente seg\u00fan la categor\u00eda espec\u00edfica de prostatitis.<\/p>\r\n<p>La prostatitis bacteriana aguda (categor\u00eda I) se presenta como una infecci\u00f3n urinaria grave con s\u00edntomas sist\u00e9micos como fiebre, escalofr\u00edos, dolor p\u00e9lvico, disuria y, en ocasiones, retenci\u00f3n urinaria.<sup>3<\/sup> Este trastorno requiere un tratamiento antimicrobiano r\u00e1pido y, a veces, hospitalizaci\u00f3n en los casos graves. La evaluaci\u00f3n diagn\u00f3stica suele incluir un an\u00e1lisis de orina, un urocultivo y, en algunos casos, pruebas de imagen para descartar un absceso prost\u00e1tico en pacientes inmunodeprimidos o que no responden al tratamiento.<sup>4<\/sup><\/p>\r\n<p>La prostatitis bacteriana cr\u00f3nica (categor\u00eda II) se manifiesta con infecciones urinarias recurrentes causadas por la misma cepa bacteriana, a menudo acompa\u00f1adas de dolor p\u00e9lvico y s\u00edntomas urinarios leves a moderados.<sup>1<\/sup> El tratamiento consiste en ciclos prolongados de tratamiento antimicrobiano, normalmente con f\u00e1rmacos que alcanzan una buena penetraci\u00f3n prost\u00e1tica, como las fluoroquinolonas, la trimetoprima, las tetraciclinas o los macr\u00f3lidos.<sup>5<\/sup> Las caracter\u00edsticas estructurales y bioqu\u00edmicas propias de la pr\u00f3stata, como su entorno alcalino y sus capilares menos permeables, obligan a seleccionar antibi\u00f3ticos espec\u00edficos.<sup>3<\/sup><\/p>\r\n<p>La prostatitis cr\u00f3nica\/s\u00edndrome de dolor p\u00e9lvico cr\u00f3nico (categor\u00eda III) es la forma m\u00e1s frecuente; las encuestas poblacionales estiman que alrededor del 2-10% de los hombres presentan s\u00edntomas de tipo prostatitis (8,2% combinado).<sup>2<\/sup> Se caracteriza por dolor p\u00e9lvico cr\u00f3nico (perineal, suprap\u00fabico, testicular o peneano), s\u00edntomas urinarios variables y disfunci\u00f3n sexual, en particular dolor asociado a la eyaculaci\u00f3n.<sup>1<\/sup> La etiolog\u00eda sigue sin conocerse por completo, pero puede implicar procesos neuroinflamatorios, disfunci\u00f3n del suelo p\u00e9lvico, factores psicol\u00f3gicos y, posiblemente, agentes infecciosos no bacterianos.<sup>5<\/sup> El tratamiento suele requerir un enfoque multimodal que aborde el dolor, los s\u00edntomas urinarios, los aspectos psicol\u00f3gicos y la rehabilitaci\u00f3n funcional del suelo p\u00e9lvico.<sup>4<\/sup><\/p>\r\n<p>La prostatitis inflamatoria asintom\u00e1tica (categor\u00eda IV) se diagnostica de forma incidental durante la evaluaci\u00f3n de otros trastornos y no requiere un tratamiento espec\u00edfico.<sup>2<\/sup><\/p>\r\n<p>La selecci\u00f3n de pacientes para los distintos enfoques terap\u00e9uticos depende de una categorizaci\u00f3n precisa, la gravedad de los s\u00edntomas, la repercusi\u00f3n en la calidad de vida y las respuestas a tratamientos previos. El National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) proporciona una herramienta estandarizada para evaluar la gravedad de los s\u00edntomas y los resultados del tratamiento.<sup>1<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":74},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Prostatitis: Gu\u00eda Completa to Prostate Inflammation...<\/title>\n<meta name=\"description\" content=\"La prostatitis es la inflamaci\u00f3n o infecci\u00f3n de la pr\u00f3stata. 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