Overview summary statement. Diagnosis and management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).
Members of the Chronic Prostatitis Collaborative Research Network (CPCRN) met in a 1-day symposium to review recent findings and to debate unanswered issues in the diagnosis and management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). The meeting was focused on producing an overview summary statement that would, as nearly as possible, represent the consensus views of the attendees. As discussed below, the participants agreed that a history, physical examination, and urinalysis/urine culture are mandatory for the evaluation of all patients presenting with CP/CPPS, with other assessments categorized as recommended or optional, depending on the history and physical findings. Observations and suggestions regarding first- and second-line therapies are also offered, with the recognition that randomized, placebo-controlled trials to guide selection of therapies for chronic nonbacterial prostatitis are currently lacking.
Schaeffer
Anthony J
AJ
Department of Urology, Northwestern University Medical School, Chicago, Illinois, USA. ajschaeffer@northwestern.edu
Datta
Nand S
NS
Fowler
Jackson E
JE
Krieger
John N
JN
Litwin
Mark S
MS
Nadler
Robert B
RB
Nickel
J Curtis
JC
Pontari
Michel A
MA
Shoskes
Daniel A
DA
Zeitlin
Scott I
SI
Hart
Carol
C
D015415:Biomarkers / Q000032:analysis; D002908:Chronic Disease; D019317:Evidence-Based Medicine; D017408:Guidelines as Topic; D006801:Humans; D007239:Infections / Q000150:complications; D007958:Leukocyte Count; D008297:Male; D017699:Pelvic Pain / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D011472:Prostatitis / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy*
D015415:Biomarkers