title: Investigation of granulomatous prostatitis incidence following intravesical BCG therapy.
abstract: In the present manuscript, we studied the incidence of granulomatous prostatitis in the prostatectomy specimen of the patients who underwent transurethral resection of the prostate (TURP) after superficial bladder cancer treatment with intravesical Bacillus Calmette-Guerin (BCG) and were diagnosed with benign prostate hyperplasia (BPH). The clinical data and histopathological specimen records of 472 patients who underwent TUR-P due to BPH diagnosis, obtained over a period of 6 years in the urology department of Private Konya Hospital, Konya, Turkey, were studied retrospectively. The cases were divided into two groups as (Group I) who did not undergo any treatment and as (Group II) who underwent BCG treatment. The frequency and the clinical course of the cases with granulomatous prostatitis were studied histopathologically. There were in total 472 patients who underwent TUR-P. Out of the 459 patients who did not undergo BCG treatment (Group I), the histopathological specimen records of 262 (57%) was BPH, of 197 (43%) BPH + chronic prostatitis. Of the second group, 13 cases underwent intravesical BCG treatment before surgical intervention due to superficial bladder CA diagnosis. In this group 4 of the cases were diagnosed as (30%) BPH, 9 as (70%) chronic prostatitis + BPH. 6 out of the 9 chronic prostatitis cases were chronic prostatitis, 2 caseous granulomatous prostatitis, 1 non-caseous granulomatous prostatitis. Granulomatous prostatitis cases should require no specific therapy.
  
  
  CONCLUSIONS
  In patients with obstruction complaints following intravesical BCG treatment, granulomatous prostatitis should also be considered and treatment plans should be made accordingly.
authors.affiliation: Department of Urology, Meram Medical School, Necmettin Erbakan University Konya, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Balasar
authors.affiliation: Department of Medical Microbiology, Meram Medical School, Necmettin Erbakan University Konya, Turkey.
authors.forename: Metin
authors.initials: M
authors.lastname: Doğan
authors.affiliation: Department of Urology, Meram Medical School, Necmettin Erbakan University Konya, Turkey.
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Kandemir
authors.affiliation: Department of Urology, Meram Medical School, Necmettin Erbakan University Konya, Turkey.
authors.forename: Hakan Hakki
authors.initials: HH
authors.lastname: Taskapu
authors.affiliation: Department of Anesthesiology and Intensive Care, Numune State Hospital Konya, Turkey.
authors.forename: Faruk
authors.initials: F
authors.lastname: Cicekci
authors.affiliation: Department of Pathology, Meram Medical School, Necmettin Erbakan University Turkey.
authors.forename: Hatice
authors.initials: H
authors.lastname: Toy
authors.affiliation: Department of Urology, Meram Medical School, Necmettin Erbakan University Konya, Turkey.
authors.forename: Recai
authors.initials: R
authors.lastname: Gurbuz
keywords: Granulomatous prostatitis; TUR-P; intravesical BCG immunotherapy