Chronic prostatitis/chronic pelvic pain syndrome: national survey of genitourinary medicine clinics.
We sought to determine current practice in the diagnosis and management of chronic prostatitis/chronic pelvic pain syndrome (CPPS) in genitourinary medicine departments in the UK, using a detailed questionnaire survey. Evaluable responses were received from 147 (69%) clinics. Seventy-nine (54%) clinics reported seeing >10 new CPPS patients per year. A broad range of investigations was reported to be used in the diagnosis of CPPS. Whilst 89 (61%) clinics reported using the four-glass test in diagnosis, 46 (32%) reported using the test in >90% of patients with CPPS, and 42 (29%) reported never using the test. In the treatment, doxycycline or ciprofloxacin were reported to be first line treatment by 98% clinics, mostly in 4-6 week courses; however, great variation was recorded in second-line choices and use of non-antibiotic approaches. This survey demonstrates that patients with CPPS are regularly diagnosed and managed in genitourinary clinics in the UK, with wide variations in diagnostic and treatment practices.
Luzzi
G A
GA
Department of Genitourinary Medicine, Wycombe Hospital, High Wycombe HP11 2TT, UK.
Bignell
C
C
Mandal
D
D
Maw
R D
RD
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002908:Chronic Disease; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D017699:Pelvic Pain / Q000175:diagnosis / Q000628:therapy; D010818:Practice Patterns, Physicians'; D011472:Prostatitis / Q000175:diagnosis / Q000188:drug therapy; D011795:Surveys and Questionnaires; D013577:Syndrome; D006113:United Kingdom
D000900:Anti-Bacterial Agents