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The chronic prostatitis syndromes
1Department of Genitourinary Medicine, Guys and St Thomas' Hospital Trust, St Thomas' Hospital, London.
Journal of the Royal Army Medical Corps
|December 24, 1997
Summary
This study outlines three chronic prostatitis syndromes: chronic bacterial prostatitis (CBP), chronic nonbacterial prostatitis (CNBP), and prostatodynia. Diagnosis involves analyzing prostatic secretions and ultrasound, with management tailored to each syndrome.
Area of Science:
- Urology
- Andrology
- Infectious Diseases
Background:
- Three chronic prostatitis syndromes (CBP, CNBP, prostatodynia) affect men, impairing military duty.
- Diagnosis traditionally relies on prostatic secretion analysis.
- Prostatodynia presents with prostatitis symptoms but lacks inflammation evidence.
Purpose of the Study:
- To review the diagnosis and management of chronic prostatitis syndromes.
- To highlight the role of trans-rectal ultrasound in investigation.
- To discuss treatment strategies for each prostatitis type.
Main Methods:
- Analysis of prostatic secretion (EPS) for microorganisms (CBP) and white cells (CNBP).
- Pre-prostatic massage trans-rectal ultrasound to identify pathology.
- Clinical evaluation for prostatodynia.
Main Results:
- CBP diagnosis confirmed by microorganisms in EPS.
- CNBP diagnosis indicated by white cells in EPS.
- Prostatodynia characterized by clinical symptoms without inflammatory markers.
Conclusions:
- Trans-rectal ultrasound simplifies prostatitis syndrome investigation.
- Management includes lifestyle changes, prostatic drainage, and targeted antimicrobials for CBP/CNBP.
- Prostatodynia requires careful evaluation, potentially including psychiatric support.