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Related Experiment Videos

Prostatosis, prostatitis or pelvic floor tension myalgia?

J W Segura, J L Opitz, L F Greene

    The Journal of Urology
    |August 1, 1979
    PubMed
    Summary

    Patients experiencing prostatitis symptoms without bacterial infection may have pelvic floor tension myalgia. This condition, not a prostate issue, requires alternative diagnostic and treatment approaches.

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    Area of Science:

    • Urology
    • Pain Management
    • Musculoskeletal Disorders

    Background:

    • Prostatitis and prostatosis are common diagnoses for patients presenting with lower urinary tract symptoms.
    • Current diagnostic criteria often involve identifying pathogenic bacteria in prostatic secretions.

    Observation:

    • A subset of patients with prostatitis-like symptoms lack evidence of bacterial infection in their prostatic fluid.
    • These patients may not have primary prostatic inflammation or infection.

    Findings:

    • Pelvic floor tension myalgia (PFTM) is a potential alternative diagnosis for patients with non-bacterial prostatitis symptoms.
    • PFTM involves muscle dysfunction in the pelvic floor, mimicking prostatitis.

    Implications:

    • Considering PFTM can lead to more accurate diagnoses for patients with non-bacterial prostatitis.
    • This may redirect treatment strategies from antibiotics to physical therapy and pain management for PFTM.
    • Improved patient outcomes are possible by addressing the underlying musculoskeletal cause rather than a non-existent prostatic infection.

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