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The New Age of Prostatitis.
Granville L. Lloyd1, Anthony J. Schaeffer
1Northwestern University School of Medicine, Department of Urology, Tarry 11-713, 303 E. Chicago Avenue, Chicago, IL 60611-3008, USA. ajschaeffer@nwu.edu
Current Infectious Disease Reports
|November 28, 2001
Summary
Prostatitis is a common condition affecting millions annually, with unclear causes for most cases. Further research using clinical and molecular techniques is needed for better understanding and treatment.
Area of Science:
- Urology
- Andrology
- Inflammatory Diseases
Background:
- Prostatitis is a complex condition, historically poorly understood and under-researched.
- It accounts for over 2 million US medical visits annually and affects up to 10% of the male population.
- The impact on patients' quality of life is comparable to severe conditions like myocardial infarction or Crohn's disease.
Purpose of the Study:
- To highlight the significant clinical burden and diagnostic challenges of prostatitis.
- To emphasize the limited understanding of non-bacterial prostatitis etiology and pathogenesis.
- To advocate for advanced research methodologies to unravel the complexities of prostatitis.
Main Methods:
- Review of existing clinical data and epidemiological studies on prostatitis.
- Analysis of the diagnostic criteria and treatment outcomes for prostatitis.
- Discussion of the potential of molecular biology and clinical research techniques.
Main Results:
- Less than 10% of prostatitis cases have a clear bacterial origin responsive to antibiotics.
- The etiology and pathogenesis of the remaining 90% of prostatitis cases remain largely unknown.
- Current understanding is insufficient for optimizing treatment in the majority of patients.
Conclusions:
- Prostatitis represents a significant public health issue with substantial unmet medical needs.
- Advanced research, including molecular biology, is crucial for elucidating the underlying mechanisms of prostatitis.
- Improved understanding is essential for developing effective diagnostic and therapeutic strategies for prostatitis.