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Informe de caso: Prostatitis crónica como una manifestación extraintestinal de la colitis ulcerosa
Naoya Sugihara1, Ryuta Watanabe1, Noriyoshi Miura1
1Department of Urology Ehime University School of Medicine Toon-shi Japan.
IJU case reports
|September 5, 2025
Resumen
Este caso pone de relieve un posible vínculo entre la colitis ulcerosa y la prostatitis crónica. El tratamiento de la colitis ulcerosa mejoró los síntomas urinarios, lo que sugiere que la prostatitis puede ser una manifestación extraintestinal.
Área de la Ciencia:
- Gastroenterología y Urología
- Investigación de las enfermedades inflamatorias intestinales
- Estudios de casos clínicos
Sus antecedentes:
- Los síntomas del tracto urinario inferior (LUTS) son frecuentes en pacientes con enfermedad inflamatoria intestinal (IBD).
- A menudo se pasa por alto la conexión entre la colitis ulcerosa (UC) y la prostatitis crónica.
- Los síntomas de prostatitis crónica refractaria justifican la investigación de las condiciones subyacentes.
Objetivo del estudio:
- Para reportar un caso que relaciona la prostatitis crónica con la colitis ulcerosa.
- Para enfatizar el potencial de la prostatitis como una manifestación extraintestinal de la UC.
- Para aumentar la conciencia clínica de esta asociación poco reconocida.
Principales métodos:
- Un caso presentado de un hombre de 38 años con prostatitis crónica refractaria.
- El diagnóstico incluyó la evaluación de los síntomas gastrointestinales y la colonoscopia.
- El tratamiento se centró en el tratamiento de la colitis ulcerosa con mesalamina y corticosteroides.
Principales resultados:
- El paciente presentaba una frecuencia urinaria persistente y dolor.
- La colitis ulcerosa fue diagnosticada debido a los hallazgos de la hematoquecia y la colonoscopia.
- El tratamiento combinado de UC resolvió los síntomas gastrointestinales y urinarios.
Conclusiones:
- La prostatitis crónica puede ser una manifestación extraintestinal de la colitis ulcerosa.
- Las vías inflamatorias compartidas y la proximidad rectal podrían explicar la asociación.
- Considere la EII en hombres con prostatitis crónica refractaria y síntomas gastrointestinales.
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