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Chronic bacterial and non-bacterial prostatitis.

R N Thin, P D Simmons

British Journal of Urology

|October 1, 1983

Summary

This summary is machine-generated.

Diagnosing chronic prostatitis is challenging. Expressed prostatic secretion (EPS) analysis helps differentiate inflammatory prostatitis from other conditions by detecting white blood cells and microorganisms.

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Area of Science:

Urology
Microbiology

Background:

Chronic prostatitis remains poorly understood, posing diagnostic and therapeutic challenges.
Existing diagnostic methods for prostatitis lack clarity and consistency.

Purpose of the Study:

To investigate diagnostic difficulties in chronic prostatitis.
To differentiate between chronic bacterial prostatitis, chronic non-bacterial prostatitis, and prostatodynia.

Main Methods:

Prospective study of 135 patients and 28 controls.
Analysis of expressed prostatic secretion (EPS) for leukocytes and microorganisms.
Comparison of demographic characteristics and symptoms across patient groups.

Main Results:

Inflammatory response in EPS confirmed prostatitis, absent in non-prostatitis groups.

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EPS leukocyte counts are more sensitive than microscopic estimation, with an upper normal limit around 500 cells/mm³.

Usual urinary pathogens found in chronic bacterial prostatitis; saprophytic organisms more common in chronic non-bacterial prostatitis.

Conclusions:

EPS analysis is crucial for diagnosing inflammatory prostatitis.
Prostatodynia patients exhibit demographic differences and increased symptoms, potentially linked to emotional stress.
Further consideration of emotional stress in prostatodynia management is warranted.