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Related Experiment Videos

Few patients with "chronic prostatitis" have significant bladder outlet obstruction

M E Mayo1, S O Ross, J N Krieger

  • 1Department of Urology, University of Washington, School of Medicine, Seattle, USA.

Urology
|September 8, 1998
PubMed
Summary

Men with chronic prostatitis symptoms rarely have bladder outlet obstruction. Those referred to a Urodynamic Unit showed obstruction less often than those seen in a Prostatitis Clinic.

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Area of Science:

  • Urology
  • Men's Health
  • Lower Urinary Tract Symptoms

Background:

  • Chronic prostatitis is often associated with high rates of bladder outlet obstruction.
  • This study investigates if patient selection influences reported obstruction prevalence.

Purpose of the Study:

  • To compare bladder outlet obstruction findings in patients referred to a Urodynamic Unit versus a Prostatitis Clinic.
  • To determine if "chronic prostatitis" diagnosis is linked to specific patient referral patterns.

Main Methods:

  • Videourodynamics of 201 men (18-50 years) with lower urinary tract symptoms were analyzed.
  • Findings were compared to 123 Prostatitis Clinic patients evaluated for obstruction.

Main Results:

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  • Only 18% of Urodynamic Unit patients had pain suggestive of chronic prostatitis; 11% had definite obstruction.
  • Prostatitis Clinic patients showed significantly lower obstruction rates (2.4% definite/equivocal).
  • Bladder filling abnormalities were more common in the Urodynamic Unit group.

    • Conclusions:

    • Bladder outlet obstruction is uncommon in Urodynamic Unit patients presenting with lower urinary tract symptoms and pain.
    • Patients referred to the Prostatitis Clinic are less likely to have obstruction than those directly referred for urodynamics.