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The chronic prostatitis syndromes

R N Thin1

  • 1Department of Genitourinary Medicine, Guys and St Thomas' Hospital Trust, St Thomas' Hospital, London.

Journal of the Royal Army Medical Corps
|December 24, 1997
PubMed
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.

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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.

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