Comparison of Symptoms, Morphological, Microbiological and Urodynamic Findings in Patients with Chronic Prostatitis/Pelvic Pain Syndrome.

Autor: Strohmaier, Walter L., Bichler, K.-Horst
Předmět:
Zdroj: Urologia Internationalis; Aug2000, Vol. 65 Issue 2, p112-116, 5p, 4 Charts, 2 Graphs
Abstrakt: 164 patients with prostatitic symptoms were evaluated by segmented urinalysis and culture and classified according to the National Institutes of Health classification system: 64 patients (38%) suffered from chronic bacterial prostatitis; 12 (7%) from inflammatory chronic pelvic pain syndrome, and 92 (55%) from non-inflammatory chronic pelvic pain syndrome. Transrectal ultrasound of the prostate, uroflowmetry and measurement of residual urine were also performed. Complaints were recorded using a questionnaire. Our studies revealed that leukocytes in expressed prostatic secretions could be detected in only 24 and 36% of patients with positive bacterial or chlamydial culture. Complaints, ultrasound and urodynamic findings were similar in the 3 groups. Therefore the differential diagnosis and therapy, based on the results of the 4-glass test and cultures as well as on transrectal ultrasound of the prostate, seem to be difficult.Copyright © 2000 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index