Results of a Questionnaire among Dutch Urologists and General Practitioners Concerning Diagnostics and Treatment of Patients with Prostatitis Syndromes

Rosette, Jean J.M.C.H. de la; Hubregtse, M.; Karthaus, H. F. M.; Debruyne, F. M. J.

doi:10.1159/000474715

Cited by 50 publications

(34 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is evident from the previous study that infectious causes are detected in only 8% of patients and the majority of cases appear to be suffering from either nonbacterial prostatitis or prostatodynia (National Institutes of Health [NIH] category III: CP/CPPS) (Schaeffer et al, 2002). This is likely why urologists in the Netherlands (40%), Wisconsin (59%) and China (64.6%) believed nonbacterial causes to be the most important factor in the aetiology of the syndrome (de la Rosette et al, 1992;Moon, 1997;Yang et al, 2008). However, Dutch General Practitioners (GPs) (63%) and PCPs (78%) in Wisconsin tended to implicate bacterial infection as the most important cause (de la Rosette et al, 1992;Moon, 1997).…”

Section: Aetiologymentioning

confidence: 99%

“…This is likely why urologists in the Netherlands (40%), Wisconsin (59%) and China (64.6%) believed nonbacterial causes to be the most important factor in the aetiology of the syndrome (de la Rosette et al, 1992;Moon, 1997;Yang et al, 2008). However, Dutch General Practitioners (GPs) (63%) and PCPs (78%) in Wisconsin tended to implicate bacterial infection as the most important cause (de la Rosette et al, 1992;Moon, 1997). Recently, modern molecular biological research has opened exciting possibilities to discover the causes of this enigmatic disease.…”

Section: Aetiologymentioning

confidence: 99%

“…Psychological factors may also be important aetiologically in CP and patients may benefit from psychotherapy and behavioural support (Mehik et al, 2001). In the Netherlands, about 40% of the GPs and 65% of the urologists envisaged a psychosomatic component (de la Rosette et al, 1992). Similarly, 40.8% of the Chinese urologists considered psychosomatic factors as the cause of CP .…”

Section: Aetiologymentioning

confidence: 99%

See 2 more Smart Citations

Physician’s practice patterns for chronic prostatitis

Liu

Yang

2009

Andrologia

View full text Add to dashboard Cite

Chronic prostatitis (CP) is one of the most prevalent conditions in urology, yet the most poorly understood. Although there is little controversy regarding the therapy for documented acute bacterial infections, most symptomatic men do not have bacterial prostatitis, for which treatment and management are usually successful. Throughout the past century, the diagnostic entity of CP has been recognised and its clinical characteristics have been well described. However, no hard and fast guidelines have been developed. To date, several surveys of physicians have been undertaken in order to examine their practice characteristics, attitude, diagnostics and treatment modalities applied in patients with CP. These surveys demonstrate that physicians show large deficits in familiarity with and knowledge of CP along with significant uniformity in the medical approach to this condition and confirm the frustration experienced by physicians in the management of this disease. The results of these studies also suggest an important role for continuing education on the diagnosis and treatment of CP. Further study is needed to identify the aetiology and pathogenesis of male chronic pelvic pain and to establish guidelines for its diagnosis and treatment.

show abstract

Section: Aetiologymentioning

confidence: 99%

Section: Aetiologymentioning

confidence: 99%

Section: Aetiologymentioning

confidence: 99%

See 1 more Smart Citation

Physician’s practice patterns for chronic prostatitis

Liu

Yang

2009

Andrologia

View full text Add to dashboard Cite

show abstract

“…The urologic evaluation should include urinalysis, urine culture, urine cytology, and urethral cultures [21]. Prostatodynia is a diagnosis of exclusion, where it is assumed that the chronic pain syndrome is related to the prostate, but no inflammatory prostatic process can be identified.…”

Section: Prostatitis and Prostatodyniamentioning

confidence: 99%

“…Despite the fact that in patients with prostatodynia no infection can be demonstrated, the most frequently advocated treatment is antibiotics, probably based on the assumption that there might be an infection that is undiagnosed [20]. De la Rosette et al [21] reviewed the diagnostic and therapeutic results of patients diagnosed with pain from the prostate. Patients with prostatodynia who received antibiotics for treatment were compared with patients who received no antibiotics.…”

Section: Prostatitis and Prostatodyniamentioning

confidence: 99%

Pain of urogenital origin

Wesselmann

Czakanski

1999

Current Review of Pain

View full text Add to dashboard Cite

This review highlights the clinical presentation of common pain syndromes of urogenital origin (including testicular pain, prostatitis, prostatodynia, penile pain, vulvodynia, clitoral pain, urethral syndrome, and perineal pain) and discusses pain management options.Chronic pain of urogenital origin is a common and debilitating problem that can significantly impair the quality of life of the patient. Patients with these pain syndromes often suffer for many years, have seen numerous physicians in numerous subspecialties, and are frustrated and embarrassed. They are usually evaluated and treated by urologists, gynecologists, gastroenterologists, and internists. In many cases the focus is on finding and treating the underlying etiology of the chronic pain syndrome, and these patients often undergo many diagnostic tests and procedures. However, often the examination and work-up remain unrevealing, and no specific cause of the pain can be identified. Although these patients are often depressed, rarely are these pain syndromes the only manifestation of a psychiatric disease. In these cases it is important to recognize that the patient is suffering from a chronic pain syndrome and to direct treatment strategies towards symptomatic pain management. Despite the challenge inherent in the management of chronic urogenital pain, many patients can be treated successfully. Our focus is on chronic nonmalignant urogenital pain syndromes. Another very important topic is the management of chronic pain syndromes associated with cancer of the urogenital tract, and the reader is referred to excellent reviews on cancer pain management [1]. The present article is intended to first give a brief overview of the current knowledge of the neurobiology of the urogenital tract, and then to review the clinical presentations, etiologies, differential diagnoses, and treatment options of chronic pain syndromes of urogenital origin. Neurobiology of the Urogenital TractThe urogenital tract is a highly specialized area of the body, responsible for carrying out a host of basic biologic functions including micturition, copulation, and reproduction. The display of these diverse functions relies on precise nervous system control, coordinated with endocrine and other local control mechanisms. The complexity of this network has largely been considered to account for the slow progress in our understanding of the neurobiology of the urogenital tract as compared to other areas of the body. In addition, these areas of the body are often considered taboo in our society, and this might be another reason why there has been fairly little neuroanatomic, neurophysiologic, and neuropharmacologic research in this area. This article gives a condensed overview of urogenital neurobiology, targeted towards the physician who is evaluating and treating patients with chronic urogenital pain, and for whom a basic understanding of the neurobiology of the urogenital tract is important. A detailed review of the neurobiology of the pelvis perineum is provided in Wesselmann et al....

show abstract

Pelvic, Perineal, and Genital Pain

Stone¹,

Kim²

1998

The Pain Management Handbook

View full text Add to dashboard Cite

Results of a Questionnaire among Dutch Urologists and General Practitioners Concerning Diagnostics and Treatment of Patients with Prostatitis Syndromes

Cited by 50 publications

References 10 publications

Physician’s practice patterns for chronic prostatitis

Physician’s practice patterns for chronic prostatitis

Pain of urogenital origin

Pelvic, Perineal, and Genital Pain

Contact Info

Product

Resources

About