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Published on: January 22, 2021
[Chronic prostatitis and biofilm]
1Dipartimento di Area Critica Medico-Chirurgica - Unita di Urologia, Universita degli studi di Firenze, Italy.
Abstract:
Nowadays, inflammatory prostatic diseases represent one of the main social and economic problems that affect male gender in our country. The disease's prevalence is estimated at 11-14% in European countries, and males aged between 20 and 50 years are the most affected subjects. Bacterial prostatitis is documented at a very low prevalence (7-13% of prostatitis overall considered) due to either reduced utilization of viral and bacteriological tests (Meares test, urethral swab, bacterial and viral PCR) or to the possibility that individual patients show a scarce expression of bacterial disease in biological fluids, because of intraglandular biofilm presence, with subsequent spreading of the sole plankton microrganisms. Actually, the presence of a biofilm may possibly represent the reason for difficult diagnoses and ineffective antibacterial treatments.
Insights
Inflammatory prostatic diseases, particularly bacterial prostatitis, are a significant health concern affecting men aged 20-50. Biofilm presence complicates diagnosis and treatment of this condition.
Area of Science:
- Urology
- Microbiology
Context:
- Inflammatory prostatic diseases pose significant social and economic burdens.
- Prevalence in European countries ranges from 11-14%, primarily affecting men aged 20-50.
Purpose:
- To investigate the challenges in diagnosing and treating bacterial prostatitis.
- To explore the role of intraglandular biofilm in disease presentation and therapeutic resistance.
Summary:
- Bacterial prostatitis has a low documented prevalence (7-13%) potentially due to underutilization of diagnostic tests.
- Intraglandular biofilm may lead to scarce bacterial expression in biological fluids, hindering accurate diagnosis.
- Biofilm formation is implicated as a key factor in the difficulties encountered during diagnosis and antibacterial treatment of prostatitis.
Impact:
- Highlights the need for improved diagnostic methods for bacterial prostatitis.
- Suggests biofilm disruption as a potential therapeutic target for prostatitis.
- Emphasizes the importance of understanding microbial communities in prostatic diseases.
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