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Prostatitis--clinical and bacterial studies.

S Chandiok1, P G Fisk, V C Riley

  • 1Department of Genitourinary Medicine, Leicester Royal Infirmary, UK.

International Journal of STD & AIDS
|May 1, 1992
PubMed
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This study on prostatitis found that prostatic pH may help diagnose chronic bacterial prostatitis. Measuring pH in prostatic secretions offers a potential diagnostic tool for this condition.

Area of Science:

  • Urology
  • Microbiology

Background:

  • Prostatitis is a common condition in men.
  • Accurate diagnosis of prostatitis subtypes is crucial for effective treatment.

Purpose of the Study:

  • To evaluate the diagnostic value of symptomatology, prostatic localization studies, and expressed prostatic secretion (EPS) pH in classifying prostatitis.
  • To differentiate between chronic bacterial prostatitis, chronic abacterial prostatitis, and prostatodynia.

Main Methods:

  • Forty men with clinical prostatitis were assessed.
  • Prostatic localization studies were performed for classification.
  • Expressed prostatic secretion (EPS) pH was measured and compared across prostatitis groups.

Main Results:

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  • 30 men (75%) were classified with prostatitis: 3 chronic bacterial, 18 chronic abacterial, and 9 prostatodynia.
  • Enterobacteriaciae were isolated in chronic bacterial prostatitis; other bacteria and Chlamydia trachomatis were found in additional patients.
  • Mean EPS pH was 7.6 for chronic bacterial prostatitis, 7.1 for chronic abacterial prostatitis, and 6.5 for prostatodynia.

    • Conclusions:

    • Prostatic localization studies effectively classified prostatitis subtypes.
    • Expressed prostatic secretion (EPS) pH may serve as a valuable diagnostic marker for chronic bacterial prostatitis, with higher pH observed in bacterial cases.