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Measurement of Tactile Allodynia in a Murine Model of Bacterial Prostatitis
Published on: January 16, 2013
Theories of prostatitis etiology
Matthew E Karlovsky1, Michel A Pontari
1Department of Urology, Temple University Hospital, 3401 North Broad Street, Philadelphia, PA 19140, USA. karlovsky@rcn.com
Abstract:
Prostatitis reflects a broad spectrum of prostatic infections, both acute and chronic. Chronic prostatitis, known as National Institutes of Health category III or chronic pelvic pain syndrome, broadly defines a disease that is still poorly understood, and as a consequence, difficult to treat. Typical symptoms include pelvic pain and voiding dysfunction. Infection is often cited as the cause of this condition, despite frequent negative cultures. A close look at the local prostatic microenvironment may yield clues. The role of inflammatory mediators and what stimulates them can point to potential sites of prevention. A genetic link or relationship to other diseases may prove to be part of the cause. Furthermore, a neurologic source, whether anatomic or psychologic, has been strongly debated. Ultimately, it may become clear that chronic prostatitis represents the final common result of a disease that originates from a cascade of multiple stimuli.
Insights
Chronic prostatitis, or chronic pelvic pain syndrome, is a poorly understood condition causing pelvic pain and voiding issues. Research suggests multiple factors, including inflammation and potential genetic links, contribute to its complex origins.
Area of Science:
- Urology
- Inflammation Research
- Pain Management
Background:
- Prostatitis encompasses acute and chronic prostatic infections.
- Chronic prostatitis (NIH category III/chronic pelvic pain syndrome) is poorly understood and challenging to treat.
- Symptoms often include pelvic pain and voiding dysfunction, with infection frequently suspected despite negative cultures.
Purpose of the Study:
- To explore the underlying causes and potential prevention strategies for chronic prostatitis.
- To investigate the role of the prostatic microenvironment, inflammatory mediators, and genetic factors.
- To examine the debated contribution of neurologic factors to chronic prostatitis.
Main Methods:
- Analysis of the local prostatic microenvironment.
- Investigation into inflammatory mediators and their triggers.
- Review of potential genetic links and associations with other diseases.
- Consideration of neurologic etiologies.
Main Results:
- Negative cultures are common in chronic prostatitis, suggesting non-infectious or complex infectious origins.
- The prostatic microenvironment and inflammatory mediators are key areas for further investigation.
- Multiple stimuli likely contribute to the development of chronic prostatitis.
Conclusions:
- Chronic prostatitis is a complex condition with multifactorial origins.
- Understanding the prostatic microenvironment and inflammatory pathways is crucial for developing effective treatments.
- Future research should focus on a holistic approach, considering infectious, inflammatory, genetic, and neurologic factors.
Related Concept Videos
Urinary Tract Infection I: Introduction
Urinary Tract Infection II: Pathophysiology
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
Acute Pyelonephritis I: Introduction
Microbiota of the Urogenital Tract
Gastritis II: Pathophysiology

