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Prostatitis.

E M Meares1

  • 1Division of Urology, Tufts University School of Medicine, Boston, Massachusetts.

The Medical Clinics of North America
|March 11, 1991
PubMed
Summary
This summary is machine-generated.

Prostatitis, or inflammation of the prostate, has several types. Bacterial prostatitis requires long antimicrobial therapy, while nonbacterial prostatitis and prostatodynia, affecting 90% of men, have unknown causes and do not respond to antibiotics.

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Area of Science:

  • Urology
  • Andrology
  • Infectious Diseases

Background:

  • Prostatitis syndromes encompass several distinct conditions affecting the prostate gland.
  • Common forms include acute and chronic bacterial prostatitis, nonbacterial prostatitis, and prostatodynia.
  • Bacterial prostatitis is often challenging to treat, necessitating prolonged antimicrobial therapy.

Purpose of the Study:

  • To differentiate between various prostatitis syndromes.
  • To outline appropriate diagnostic and treatment strategies for each type.
  • To emphasize the ineffectiveness of antibiotics for nonbacterial prostatitis and prostatodynia.

Main Methods:

  • Review of current medical literature on prostatitis.
  • Analysis of etiological factors and causative agents for bacterial prostatitis.

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  • Evaluation of diagnostic criteria for nonbacterial prostatitis and prostatodynia, including videourodynamic testing.

    • Main Results:

    • Bacterial prostatitis, primarily caused by coliform bacteria, Pseudomonas, and Enterococcus faecalis, requires 4-16 weeks of targeted antimicrobial treatment.
    • Nonbacterial prostatitis and prostatodynia constitute approximately 90% of prostatitis cases.
    • Prostatodynia is characterized by sterile cultures, normal prostatic secretions, and voiding dysfunction, with no identifiable infectious cause.

    Conclusions:

    • Effective treatment for bacterial prostatitis involves extended antimicrobial therapy.
    • Nonbacterial prostatitis and prostatodynia, lacking an infectious etiology, do not benefit from antibiotic treatment.
    • Accurate diagnosis is crucial for appropriate management of the diverse prostatitis syndromes.