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A protocol for evaluation of prostatitis

J L Marmar, D E Praiss, S Katz

    Urology
    |September 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

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    This study improves prostatitis diagnosis by analyzing prostatic fluid for bacteria, white blood cells, and zinc levels. This helps differentiate bacterial prostatitis from nonbacterial forms for better patient classification.

    Area of Science:

    • Urology
    • Microbiology
    • Clinical Diagnostics

    Background:

    • Traditional prostatitis diagnosis relies on limited methods like clinical history and gland palpation.
    • Current diagnostic approaches for prostatitis are often incomplete.
    • Accurate differentiation between bacterial prostatitis, nonbacterial prostatitis, and prostatodynia is clinically significant.

    Purpose of the Study:

    • To enhance the diagnostic accuracy of prostatitis.
    • To differentiate bacterial prostatitis from nonbacterial prostatitis and prostatodynia.
    • To introduce a simple, office-based diagnostic protocol.

    Main Methods:

    • Collected expressed prostatic fluid from 41 prostatitis patients and 17 controls under sterile conditions.
    • Performed bacterial culture on all specimens.

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  • Conducted microscopic examination for white blood cells and zinc assay on each specimen.

    • Main Results:

    • The study established a protocol to classify prostatitis subtypes.
    • Bacterial culture, WBC count, and zinc levels were used for differentiation.
    • The proposed method is suitable for busy clinical settings.

    Conclusions:

    • The combined analysis of bacterial culture, white blood cell count, and zinc levels in prostatic fluid offers a more comprehensive prostatitis diagnosis.
    • This approach aids in distinguishing bacterial prostatitis from nonbacterial prostatitis and prostatodynia.
    • The protocol is practical for routine office use.