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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such as Proteus,...

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Measurement of Tactile Allodynia in a Murine Model of Bacterial Prostatitis
06:46

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Published on: January 16, 2013

Chronic abacterial prostatitis and cold exposure: an explorative study.

Hans Hedelin1, Karin Jonsson

  • 1Centre for Research and Development and Department of Urology, Kärnsjukhuset, Skövde, Sweden. hans.hedelin@vgregion.se

Scandinavian Journal of Urology and Nephrology
|September 14, 2007
PubMed
Summary

Cold exposure appears to trigger chronic abacterial prostatitis/pelvic pain syndrome (CP/CPPS) and its relapses. Patients with CP/CPPS avoid cold to prevent symptom aggravation and seek heat for relief.

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Area of Science:

  • Urology
  • Pain Management
  • Phenomenology

Background:

  • Chronic abacterial prostatitis/pelvic pain syndrome (CP/CPPS) involves persistent pain and dysfunction.
  • CP/CPPS symptoms often occur in relapses of varying duration.

Purpose of the Study:

  • To identify triggers for CP/CPPS relapses.
  • To understand patient-undertaken precautions to avoid symptom relapse or aggravation.

Main Methods:

  • Semi-structured in-depth interviews with 10 men diagnosed with CP/CPPS.
  • Phenomenological analysis of interview transcripts using Giorgi's method (modified by Malterud).

Main Results:

  • Cold exposure was identified as a potential initiating stimulus for CP/CPPS.
  • Cold exposure aggravated symptoms and provoked relapses in patients.
  • Patients avoided sitting on cold surfaces and cold, damp, or windy environments; heat provided symptom relief.

Conclusions:

  • Cold is a significant factor that can trigger CP/CPPS and its relapses.
  • The link between cold exposure and symptom aggravation is recognized but not systematically studied.
  • Cold's role in initiating CP/CPPS in susceptible individuals is a novel finding, warranting further mechanistic research, possibly involving reflex vasoconstriction.