Retrospective review of clinical practice in chronic pelvic pain syndrome i.e. category III chronic prostatitis at two hospital sites over five years 2000–2005 (an audit)

Abstract

All category III chronic prostatitis cases in two hospital sites were retrospectively reviewed from the year 2000 until 2005. The mean age of the patients was 38.7 years. Of these, 56.6% were St Bartholomew's Genitourinary Medicine Department patients and 43.5% were Southend Genitourinary Medicine Clinic patients. We observed that 33.1% of these had at least one transrectal ultrasound of the prostate. The commonest abnormal findings in transrectal ultrasounds of the prostate of the series were focal calcification (16.2%), calculi (9.3%) and inflammatory changes (5.4%). Of this series, 35% were lost to follow-up. The vast majority of the remainder got better over periods ranging from approximately two weeks to approximately three years.

Relationship Between Erectile Dysfunction and Moderate to Severe Prostatitis-Like Symptoms: a Propensity Score–Matched Analysis

“…However, those studies had inconsistent results and were limited by small numbers of participants, 4,5 minimal adjustment for potential confounding factors, [4][5][6][7][8] or cross-sectional study design. 6,7,9 It is very important to investigate the association between ED and CP/CPPS because some guidelines 10 still do not recommend screening or treatment of these two conditions, and current clinical practice focuses more on the patient's chief complaint than on screening or treating comorbidities, 11,12 although both CP/CPPS and ED can seriously impact quality of life.…”

Kronik Prostatit/Kronik Pelvik Ağrı Sendromunda Etyoloji ve Tanı

“…Bir çalışmada detrusor sfinkter dissinerjisinin %18.6 civarında görüldüğü bildirilmiştir (43). Yine nanobakterilerin prostatta taş oluşumu-na yol açacağı, bunun da; KPAS etiyopatogenezinde rol alabileceği vurgulanmaktadır (44). Evans ve ark'larının ortalama yaşları 38.7 yıl olan 131 olguyu inceledikleri çalış-malarında transrektal ultrasonografi incelenmesinde %16.2 oranında prostatik kalsifikasyon ve %9.4 oranında da prostat taşları saptanmıştır (44).…”

“…Yine nanobakterilerin prostatta taş oluşumu-na yol açacağı, bunun da; KPAS etiyopatogenezinde rol alabileceği vurgulanmaktadır (44). Evans ve ark'larının ortalama yaşları 38.7 yıl olan 131 olguyu inceledikleri çalış-malarında transrektal ultrasonografi incelenmesinde %16.2 oranında prostatik kalsifikasyon ve %9.4 oranında da prostat taşları saptanmıştır (44). Sonuçta ne olursa olsun mikroorganizma, idrar metabolitleri, yabancı protein ya da sperm gibi diğer etkenler mast hücreleri, endotoksinler, sitokin ve kemokinlerin aracılığı ile lökositleri de; inflamasyon alanına çekerek inflamatuar süreci başlatmaktadırlar.…”