title: [IS A NONBACTERIAL PROSTATITIS NONBACTERIAL?].
abstract: The study involved 287 patients with chronic recurrent urethroprostatitis. In 83 (28.9%) of them the bacterial microflora in prostatic secretions was detected. The remaining 204 patients with nonbacterial prostatitis underwent in-depth laboratory testing. Cytological and immunological methods, electron microscopy, PCR, McCoy cell culture and developed by the authors the pre-culture pathogen accumulation technique were used to investigate urethral and prostatic smears. As a result C. trachomatis was detected in 84.8% of patients, T. vaginalis--75.5%, and viruses of the Herpesviridae family--in 68.6%. Co-infection was diagnosed in 82.4% of patients, no infection was found in 6.9% of patients. The highest diagnostic sensitivity and specificity were observed in the pre-culture pathogen accumulation technique. According to electron microscopy, T. vaginalis was presented in several morphological shapes: flagellated, spherical and amoeboid. Thus, in 93.1% of patients who had previously been diagnosed with nonbacterial prostatitis by standard bacterial culture, the in-depth microbiological examination identified atypical infections (chlamydia, herpes virus, trichomonas), revealing that the rate of real nonbacterial (non-infectious) prostatitis did not exceed 6.9%.
authors.forename: A V
authors.initials: AV
authors.lastname: Strockij
authors.forename: A A
authors.initials: AA
authors.lastname: Gavrusev
authors.forename: L V
authors.initials: LV
authors.lastname: Rubanik
authors.forename: N N
authors.initials: NN
authors.lastname: Poleshchuk
mesh_terms: D000328:Adult; D002690:Chlamydia Infections / Q000382:microbiology*; D002692:Chlamydia trachomatis / Q000302:isolation & purification*; D006558:Herpes Genitalis / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011472:Prostatitis / Q000382:microbiology*; D014245:Trichomonas Infections / Q000382:microbiology*; D014246:Trichomonas vaginalis / Q000302:isolation & purification*