title: Comparison of symptoms, morphological, microbiological and urodynamic findings in patients with chronic prostatitis/pelvic pain syndrome. Is it possible to differentiate separate categories?
abstract: 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.
authors.affiliation: Department of Urology, Klinikum Coburg, Germany. lkhco.strohmaier@t-online.de
authors.forename: W L
authors.initials: WL
authors.lastname: Strohmaier
authors.forename: K H
authors.initials: KH
authors.lastname: Bichler
mesh_terms: D002908:Chronic Disease; D006801:Humans; D008297:Male; D017699:Pelvic Pain / Q000503:physiopathology*; D011472:Prostatitis / Q000175:diagnosis* / Q000382:microbiology / Q000503:physiopathology*; D013577:Syndrome; D014563:Urodynamics