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Microbiology of the prostate.

J C Lee1

  • 1Department of Urology, University of Washington, Box 356510, 1959 Pacific NE, Seattle, WA 98195, USA. jayclee @u.washington.edu

Current Urology Reports
|June 27, 2002
PubMed
Summary

Prostatitis affects many men, with bacterial causes well-understood. However, the microbiology of chronic pelvic pain syndrome (CPPS) remains unclear, prompting research into potential infectious origins.

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Area of Science:

  • Urology
  • Infectious Diseases
  • Microbiology

Background:

  • Prostatitis is a common genitourinary condition in men, categorized into four types by the National Institutes of Health.
  • The microbiology of acute and chronic bacterial prostatitis is established, with causative agents identified via urine cultures.
  • Chronic pelvic pain syndrome (CPPS), also known as chronic abacterial prostatitis, presents an ongoing diagnostic challenge regarding its etiology.

Purpose of the Study:

  • To review the current scientific literature on the prostate's microbiology in cases of chronic pelvic pain syndrome (CPPS).
  • To explore the hypothesis that CPPS may stem from an infectious process within the prostate gland.

Main Methods:

  • Literature review of existing research on prostatitis and CPPS.
  • Analysis of studies investigating the microbiological causes of CPPS.
  • Examination of diagnostic methods for identifying prostate infections.

Main Results:

  • The bacteriology of acute and chronic bacterial prostatitis is well-characterized.
  • Causative organisms in bacterial prostatitis can be identified using four-glass urine cultures.
  • The microbiological basis for CPPS remains largely unknown and requires further investigation.

Conclusions:

  • While bacterial prostatitis is understood, the role of microorganisms in CPPS is an area of active research.
  • Further studies are needed to elucidate the potential infectious causes of chronic pelvic pain syndrome.
  • Understanding the microbiology of CPPS is crucial for developing effective diagnostic and treatment strategies.

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