# Sneezing during Micturition: A Possible Trigger of Acute Bacterial Prostatitis

## TL;DR

A man developed acute bacterial prostatitis after sneezing while urinating, suggesting a new possible cause for this condition.

## Contribution

This is the first reported case linking sneezing during urination to acute bacterial prostatitis.

## Key findings

- Sneezing during micturition may trigger acute bacterial prostatitis.
- A biologically plausible mechanism is proposed to explain this association.
- The patient's prostate-specific antigen levels decreased significantly after treatment with levofloxacin.

## Abstract

A perfectly well 39-year-old man sneezed during micturition and developed classic features of acute bacterial prostatitis corroborated by laboratory evidence of prostatic inflammation/infection. The prostate-specific antigen level at presentation was 9.6 ng/mL and declined to 1.23 ng/mL one month later on levofloxacin. This is the first report in the medical literature of sneezing while voiding being a possible trigger of acute bacterial prostatitis. A biologically plausible mechanism is provided.