[Diagnosis of chronic prostatitis: 4 or 2 glass sample?].
Chronic pelvic pain syndrome is still an important clinical problem. The NIH-prostatitis classification introduced 1998 for diagnosis and treatment measures is based on extended microbiological analysis of urine, expressed prostate secretion (4-glass test), and ejaculate. We investigated if a simple urine analysis of an urine sample before and after prostatic massage (2-glass test) could replace the 4-glass test. 143 patients with the diagnosis chronic prostatitis were included in this prospective study. The results showed that the expensive and time consuming 4-glass test can be replaced by a simple 2-glass test. Extended examinations should only be performed in special cases.
Seiler
D
D
Urologische Klinik, Universitätsspital Zürich, Schweiz. Daniel.Seiler@ksl.ch
Zbinden
R
R
Hauri
D
D
John
H
H
D000328:Adult; D000368:Aged; D001424:Bacterial Infections / Q000175:diagnosis* / Q000382:microbiology / Q000652:urine; D002908:Chronic Disease; D006801:Humans; D008297:Male; D008875:Middle Aged; D017699:Pelvic Pain / Q000209:etiology*; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011472:Prostatitis / Q000175:diagnosis* / Q000382:microbiology / Q000652:urine; D013048:Specimen Handling / Q000379:methods*; D014556:Urine / Q000382:microbiology*