title: [Diagnosis and treatment of non-specific granulomatous prostatitis: a report of 32 cases].
abstract: OBJECTIVE
  To discuss the diagnosis and treatment of non-specific granulomatous prostatitis (NSGP).
  
  
  METHODS
  Thirty-two cases of NSGP were diagnosed by puncture biopsy under transrectal ultrasound (TRUS) and treated with antibiotics and other medicines from September, 2000 to May, 2006.
  
  
  RESULTS
  Pathomorphologically, NSGP was basically characterized by granuloma with vessels or grand alveoli in the center. The mean follow-up was 24 months. Urination irritation and obstruction were improved. Q(max) was increased to 15.0-24.0 ml/s, and in 3 cases of urinary retention, to 12.0, 14.5 and 16.5 ml/s, respectively. Digital rectal examination (DRE) indicated a reduced size and softened texture of the prostate induration. PSA was decreased to 1.3-11.5 microg/L. Four cases experienced relapse but were cured after retreated. No prostate cancer was observed.
  
  
  CONCLUSIONS
  NSGP can be definitely diagnosed by puncture biopsy under TRUS and effectively relieved by antibiotics with the alpha-receptor blocker. In case of serious obstruction complicated by urinary retention, transurethral electrotomy can be considered.
authors.affiliation: Department of Urology, Second Hospital of Jilin University, Changchun, Jilin 130041, China. jlfanht@sina.com
authors.forename: Hai-Tao
authors.initials: HT
authors.lastname: Fan
authors.forename: Kai-Chen
authors.initials: KC
authors.lastname: Wang
authors.forename: Mu-Chun
authors.initials: MC
authors.lastname: Zhang
authors.forename: Wei-Hua
authors.initials: WH
authors.lastname: Wang
authors.forename: Guo-Yi
authors.initials: GY
authors.lastname: Ji
authors.forename: Yao
authors.initials: Y
authors.lastname: Wang
authors.forename: Xiang-Bo
authors.initials: XB
authors.lastname: Kong
mesh_terms: D000317:Adrenergic alpha-Antagonists / Q000627:therapeutic use; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D006099:Granuloma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011472:Prostatitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy*; D012007:Rectum; D014463:Ultrasonography / Q000379:methods
chemical_list: D000317:Adrenergic alpha-Antagonists; D000900:Anti-Bacterial Agents