Revista de la Sociedad Argentina de Diabetes (Jun 2019)
ACUTE CYSTITIS, PROSTATITIS AND URETHRITIS
Abstract
Acute bacterial cystitis is an infectious process of the bladder. The presence of dysuria, pollakiuria, tenesmus, hypogastric pain and / or hematuria increases the diagnostic probability. In view of clinical suspicion, urinary sediment should be requested to evaluate the presence of leukocyturia, pyuria or microhematuria, and urine culture requested before starting treatment. Acute bacterial prostatitis is a less frequent entity but requires early diagnosis and treatment, with germ isolation. Urethritis can be of infectious etiology or not. In these pathologies, treatment does not differ from patients without diabetes, but factors such as autonomic neuropathy that can conceal the symptoms and increase the risk of metabolic decompensation and ketoacidosis should be considered.
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