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Measurement of Tactile Allodynia in a Murine Model of Bacterial Prostatitis
Published on: January 16, 2013
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Mental status in patients with chronic bacterial prostatitis
Oleg Banyra1, Olha Ivanenko2, Oleg Nikitin3
12 Lviv Municipal Polyclinic, Lviv, Ukraine.
Central European Journal of Urology
|March 1, 2014
Summary
Psychosomatic disorders are common in chronic bacterial prostatitis (CBP). Multimodal therapy including psychotherapy significantly improves symptoms, but some patients require long-term psychiatric care.
Area of Science:
- Urology
- Psychosomatic Medicine
- Psychiatry
Background:
- Chronic bacterial prostatitis (CBP) is a common, recurrent urological condition.
- Many patients lack adequate response to standard anti-inflammatory therapies.
- Physicians face challenges in identifying underlying causes for persistent symptoms.
Purpose of the Study:
- To investigate the prevalence of psychosomatic disorders (PSD) in treatment-resistant CBP patients.
- To evaluate the efficacy of multimodal therapy, including psychotherapy, for CBP with comorbid mental health conditions.
Main Methods:
- Reviewed 337 patients with treatment-resistant CBP from a psychosomatic perspective.
- Utilized standard questionnaires for mental status and treatment control.
- Referred patients with dominant psychopathological symptoms for psychiatric evaluation and treatment.
Main Results:
- 28.2% of CBP patients had concomitant psychosomatic disorders, and 26.4% had neurotic disorders.
- Multimodal therapy (anti-inflammatory, psychotherapy) reduced PSD (30.5%) and neurotic disorders (51.7%).
- Psychotherapy combined with pharmacotherapy showed effectiveness in resistant cases, though some patients still required long-term psychiatric care.
Conclusions:
- A significant number of CBP patients present with neurotic, psychosomatic, or depressive disorders.
- Integrated treatment combining antibacterial, anti-inflammatory, psychotherapy, and pharmacotherapy effectively reduces mental disorder manifestations in CBP patients.
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