[Some controversial conditions in the management of chronic prostatitis/chronic pelvic pain syndrome].
Chronic prostatitis (CP)/chronic pelvic pain syndrome (CPPS) is a common problem of medically controversial condition that causes considerable morbidity and impact on life. Although there are many competing causes proposed, the etiology and pathogenesis of CP/CPPS remain unclear. The causative factors underlying the CPPS are not fully understood. The optimal management of CP/CPPS is still unknown. The guideline of diagnosis and management of CP/CPPS based on evidence base medicine is not yet established. Many problems are still not resolved, such as the significance of leukocytes and the role of inflammation in CP/CPPS, the significance of bacteria presence and the role of infection in CP/CPPS, the correlation between leukocytes/bacteria and severity of symptoms, how to divide the subgroups of CP/CPPS, the role of antimicrobial therapy in the treatment of men with CP/CPPS, why patients with category IIIb complain of symptoms, while those with category IV complain of none. Although CP/CPPS is now achieving greater recognition, well-designed studies with large sample size should be performed.
Department of Urology, First People's Hospital, Shanghai Jiao Tong University, Shanghai 200080, China.
Xiao-Da
XD
Tang
D002908:Chronic Disease; D006801:Humans; D008297:Male; D017699:Pelvic Pain / Q000209:etiology / Q000382:microbiology / Q000628:therapy*; D011472:Prostatitis / Q000209:etiology / Q000382:microbiology / Q000628:therapy*