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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
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.
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:
- 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.