Prostatitis and Related Conditions, Orchitis, and Epididymitis

Nickel, J. Curtis

doi:10.1016/b978-1-4160-6911-9.00011-6

Cited by 46 publications

(44 citation statements)

References 453 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A rationale and description for this recommendation are available. 6 At this nickel time, there is no evidence that suggests that microscopy of the EPS or urine sediment adds any clinical value (microscopy optional). …”

Section: -Glass Test and 2-glass Pre-and Post-massage Test (Ppmt)mentioning

confidence: 99%

“…A number of physical therapies have been recommended, 6 but they also suffer from a lack of prospective controlled data obtained from properly designed controlled studies. Prostatic massage, perineal or pelvic floor massage and myofascial trigger point release has also been suggested as a beneficial treatment modality for patients, however focused pelvic physiotherapy has yet to be shown to provide more benefit compared to SHAM physiotherapy.…”

Section: G Physiotherapiesmentioning

confidence: 99%

“…Muscle relaxants, saw palmetto, corticosteroids, and tricyclic antidepressants have all been suggested 6 and used, but recommendations will have to wait for results from properly designed randomized placebo controlled trials (4:D).…”

Section: F Other Potential Medical Therapiesmentioning

confidence: 99%

See 2 more Smart Citations

Prostatitis

Nickel

2013

CUAJ

Self Cite

View full text Add to dashboard Cite

Section: -Glass Test and 2-glass Pre-and Post-massage Test (Ppmt)mentioning

confidence: 99%

Section: G Physiotherapiesmentioning

confidence: 99%

See 1 more Smart Citation

Prostatitis

Nickel

2013

CUAJ

Self Cite

View full text Add to dashboard Cite

“…Furthermore, the identification of prostatic calcifications and the heterogeneity seen in TRUS in some prostatitis patients 2017 Volume 29 Number 02 24 ORIGINAL ARTICLE will lead to unnecessary prostate biopsies 29 . Pelvic imaging using ultrasound or computed tomography scan, or magnetic resonance imaging in selected patients can identify potentially treatable pelvic pathology 30 .…”

Section: Table-ii: Prevalence Of Prostatitis In All Patients (N = 135)mentioning

confidence: 99%

Prematur e Ejaculation and Chronic Bacterial Prostatitis

Islam

2017

Med. Today

View full text Add to dashboard Cite

show abstract

“…The final outcome is the clinical manifestation of chronic perineal/pelvic painassociated symptoms associated with local and central neuropathic mechanisms (Fig. 1) [61].…”

Section: Proposed Mechanisms In Development Of Pain In Cp/cppsmentioning

confidence: 99%

Proposed New Pathophysiology of Chronic Prostatitis/Chronic Pelvic Pain Syndrome

Cho

Min

2015

Urogenit Tract Infect

View full text Add to dashboard Cite

The most common type of prostatitis is category III, also known as chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). The current National Institutes of Health definition of CP/CPPS includes genitourinary pain with or without voiding symptoms in the absence of uropathogenic bacteria, as detected by standard microbiological methods, or other identifiable causes such as malignancy. Many different etiologies and mechanisms of pathogenesis of CP/CPPS have been proposed with a suggested role for immunological, neurological, endocrine, and psychological factors. We examined the data supporting the role of each of these areas and also examined the possible interrelationship of these factors in producing the symptoms of CP/CPPS. Prostatitis types IIIa and IIIb are classified according to the presence of pain without concurrent presence of bacteria; however, it is becoming more evident that, although levels of bacteria are not directly associated with levels of pain, the presence of bacteria might act as the initiating factor that drives primary activation of mast-cell-mediated inflammation in the prostate. The gate control theory provides a neurologic basis for the influence of both somatic and psychological factors on pain. Acceptance of chronic pain as a diagnosis may be difficult for the clinician and patient, however it is an important concept in the care of CP/CPPS, which enables the use of pain-directed therapies. Management of CP/CPPS will remain challenging; however, this review provides a better understanding of the condition and improved management strategies based on the newest evidence and concepts available. Keywords: Prostatitis; Chronic pain; Physiopathology INTRODUCTIONChronic prostatitis/chronic pelvic pain syndrome (CP/ CPPS) is a condition of chronic pelvic pain in men [1]. It has been estimated that between 2% and 14% of men worldwide may have symptoms of CP/CPPS [2,3]. The diagnosis is made on the basis of symptoms of pain with or without voiding symptoms in the absence of other identifiable causes [4]. The etiology of symptoms in a given patient can be from many causes. Whether there are identifiable, repeatable patterns of causes of symptoms, or just individual patients with distinct individual phenotypes are unknown. Because CP/CPPS is a common condition associated with significant physical, mental, and social burden, the medical community has made tremendous efforts to understand the condition and improve management strategies. Despite these efforts, answers remain elusive. Robust tools to measure symptom severity Our improved understanding of the etiology and clinical phenotypes associated with CP/CPPS has made the condition less of a clinical enigma. Acceptance of clinical definitions (and classification system) and validated, reliable outcome questionnaire (the CP symptom index) has led to high-quality treatment evidenced from randomized placebo-controlled trials. This article is a very timely review of the topic and provides the clinician with an improved understanding of CP/CPPS a...

show abstract

Prostatitis and Related Conditions, Orchitis, and Epididymitis

Cited by 46 publications

References 453 publications

Prostatitis

Prostatitis

Prematur e Ejaculation and Chronic Bacterial Prostatitis

Proposed New Pathophysiology of Chronic Prostatitis/Chronic Pelvic Pain Syndrome

Contact Info

Product

Resources

About