Clinical courses following acute bacterial prostatitis.
OBJECTIVE
There are few studies about clinical courses following acute bacterial prostatitis (ABP). We evaluated the progression rates of chronic bacterial prostatitis (CBP) and inflammatory chronic pelvic pain syndrome (CPPS) after ABP treatment. Also evaluated the characteristics of the patients who developed CBP and inflammatory CPPS after ABP treatment.


METHODS
Total 437 patients compatible with a confirmed diagnosis of ABP from 5 urological centers between 2001 and 2010 were enrolled to study. We defined chronic infection (CI) as a progression to CBP and inflammatory CPPS after treatment of ABP in admission periods when followed up at 3 months or more. Results were analyzed between two groups: recovered without CI (group A, n=385) and developed to CI (group B, n=52).


RESULTS
Of the 437 ABP patients, 1.3% (6/437) progressed to CBP and 10.5% (46/437) progressed to inflammatory CPPS. The progression rate of CI was 11.8% (52/437). The patients who developed to CI were higher in alcohol consumption rate, diabetes, voiding symptoms, prior manipulation rate, enlarged prostate volume, catheterization history rate and short duration of antibiotic treatment (P<0.05).


CONCLUSIONS
The identification and characterization of these factors may accelerate the development of preventive, diagnostic and therapeutic strategies for the treatment of CI from ABP.
Department of Urology, The Catholic University of Korea College of Medicine, Seoul, Korea.
Byung Il
BI
Yoon
Dong-Seok
DS
Han
U-Syn
US
Ha
Seung-Ju
SJ
Lee
Dong Wan
DW
Sohn
Hyun Woo
HW
Kim
Chang-Hee
CH
Han
Yong-Hyun
YH
Cho
Acute; Bacterial prostatitis; Chronic; Inflammatory chronic pelvic pain syndrome; Progression