Whither "chronic prostatitis"?

Luzzi, G A

doi:10.1136/sti.2004.012310

Cited by 6 publications

(4 citation statements)

References 33 publications

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“…Whether GU medicine can develop services for chronic conditions, such as prostatitis, given the strengthened focus on STIs, has been questioned. 46 However, the move towards managing uncomplicated STIs in the community setting provides an ideal opportunity for promoting GU medicine for the management of patients with diverse sexual health problems in addition to the more complex STI cases. Destigmatizing STIs require a shift in mindset.…”

Section: Resultsmentioning

confidence: 99%

Destigmatizing genitourinary medicine and sexually transmitted infections in the UK

Sonnex

2009

Int J STD AIDS

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Sexually transmitted infections (STIs) and the clinics patients attend for STI management remain stigmatized. Although emphasizing sexual intercourse rather than sexual behaviour as an important factor in STI acquisition may help to destigmatize STIs, this will require a change in the national mindset. A different approach entails destigmatizing genitourinary (GU) medicine/sexual health thereby normalizing the conditions managed in these settings. This may be helped by emphasizing the non-STI-related aspect of GU medicine and by considering a change in terminology that removes the focus from STIs and attempts to absorb the term into the broader category of genital infection.

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Section: Resultsmentioning

confidence: 99%

Destigmatizing genitourinary medicine and sexually transmitted infections in the UK

Sonnex

2009

Int J STD AIDS

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“…Luzzi 3 reports, in addition, that white cells in the expressed prostatic secretion (EPS) of the Stamey procedure are a regular feature in symptom-less controls. Multimodal therapy is best 4 with most patients being cured over time and some taking a few years quite feasibly.…”

Section: Discussionmentioning

confidence: 98%

“…At no time were Stamey segmental urines and prostatic massages attempted from 1999 onwards, because it is construed that Stamey results do not alter any patient's management. Luzzi 3 reports, in addition, that white cells in the expressed prostatic secretion (EPS) of the Stamey procedure are a regular feature in symptom-less controls. Multimodal therapy is best 4 with most patients being cured over time and some taking a few years quite feasibly.…”

Section: Discussionmentioning

confidence: 99%

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)

2007

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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.

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“…Others [15,16] have said much the same thing. Luzzi [17][18][19] agreed, and with Lamont [19] described a number of such cases and also recommended a psychotherapeutic approach to deal with them. Bernardy and Köllner [20] went further: 'Numerous studies accentuated the need for a psychosomatic diagnostics and therapy of urologic diseases.…”

Section: Discussionmentioning

confidence: 99%

A new approach to the treatment of non‐specific male genital pain

Naim

Ende

2011

BJU International

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OBJECTIVES • To review the literature and the generally accepted unsatisfactory management of chronic genital pain in men. • To refer such patients for Journey psychotherapy and record the outcomes of such treatment. PATIENTS AND METHODS • We describe an alternative psychotherapeutic approach in the treatment of such men, whereby deep‐seated emotions are considered an underlying cause in the expression of chronic genital pain. • Eleven men with refractory chronic genital pain were counselled, and given one Journey process, lasting 2–3 h. • They were followed up for up to 4 years in some cases, and their outcomes recorded. • No further treatment was undertaken in this time. RESULTS • Of the 11 cases, four had significant pain relief, four had partial relief of their symptoms, and three did not (or may have had some relief but were lost to follow‐up). CONCLUSION • Chronic genital pain syndromes are common and often debilitating. Patients are subject to an array of investigations that usually identify non‐specific abnormalities at best. Treatment is usually aimed at symptomatic control as underlying organic pathology is rarely identified. Patients have been given multiple courses of antibiotics even in the absence of identifiable organisms, anti‐inflammatory drugs in the absence of proven inflammation, and narcotic analgesics in an attempt to control chronic pain. Occasionally surgery, such as orchidectomy, has been performed to remove the painful organ, without satisfactory results. We therefore looked for an alternative approach that had the promise of a more satisfactory outcome. • Given the usual psychotherapeutic requirement of lengthy periods of therapy, and given that each patient only had one session, we find the above results remarkable and very encouraging. • With this experience, we now offer this approach early to avoid wasting time and money, and would persist with further therapy sessions especially in those with partial relief of their pain.

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Whither "chronic prostatitis"?

Cited by 6 publications

References 33 publications

Destigmatizing genitourinary medicine and sexually transmitted infections in the UK

Destigmatizing genitourinary medicine and sexually transmitted infections in the UK

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)

A new approach to the treatment of non‐specific male genital pain

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