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Recommendations for the evaluation of patients with prostatitis
1Department of Urology, Queen's University, Kingston General Hospital, Kingston, ON K7L 2V7, Canada. jcn@post.queensu.ca
World Journal of Urology
|April 10, 2003
Summary
Prostatitis evaluation is complex for urologists. This study reviews consensus statements to suggest a tiered approach for diagnosing prostatitis and chronic prostatitis/chronic pelvic pain syndrome.
Area of Science:
- Urology
- Medical Diagnosis
Background:
- Prostatitis presents a diagnostic challenge for urologists.
- Multiple international and North American consensus meetings have addressed prostatitis evaluation.
Purpose of the Study:
- To review published consensus statements on prostatitis evaluation.
- To develop suggestions for the evaluation of men presenting with prostatitis symptoms.
Main Methods:
- Examination of published consensus statements from key international meetings (2000 Washington, 2002 Virginia, 2002 Giessen).
- Categorization of clinical, laboratory, and imaging evaluations into basic, recommended, and optional tiers.
Main Results:
- Evaluation strategies for prostatitis and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) were categorized.
- Basic evaluations include history, physical exam, urinalysis, and urine culture.
- Further and optional evaluations are recommended for selected patients.
Conclusions:
- The proposed tiered evaluation approach aims to standardize prostatitis assessment.
- These suggestions may evolve into formal practice guidelines with further research.
- Standardized evaluation can improve the management of prostatitis and CP/CPPS.