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07-SEPTEMBER-2008 03:17:44 - Prostatitis Prostatitis is an inflammation of the prostate gland in men. A prostatitis diagnosis is assigned at 8% of all urologist and 1% of all primary care physician visits in the United States.1 Classification The term prostatitis refers, in its strictest sense, to histological microscopic inflammation of the tissue of the prostate gland, although it is loosely and confusingly used to describe several completely different conditions. To remedy this, the National Institute of Diabetes and Digestive and Kidney Diseases NIDDK devised a new classification system in 1999, comprising four categories of prostatitis: Category I Main article: Acute prostatitis Acute prostatitis is a bacterial infection of the prostate gland that requires urgent medical treatment. Category II Main article: Chronic bacterial prostatitis Chronic bacterial prostatitis is a relatively rare condition that usually presents as intermittent urinary tract infections. Category III Main article: Chronic prostatitis/chronic pelvic pain syndrome Chronic Prostatitis/Chronic Pelvic Pain Syndrome CP/CPPS, accounting for 90%-95% of prostatitis diagnoses,2 is also known as chronic nonbacterial prostatitis. The annual prevalence in the population of chronic pelvic pain syndrome is 0.5%.3 Men in this category have no known infection, but do have extensive pelvic pain lasting more than 3 months.4 There are no standard diagnostic tests; diagnosis is by exclusion of other disease entities. Multimodal therapy is the most successful treatment option,5 and includes α-blockers,6 phytotherapy,78 and protocols aimed at quieting the pelvic nerves through myofascial trigger point release with psychological re-training for anxiety control.910 Antibiotics are not recommended.1112 Category IV Main article: Asymptomatic inflammatory prostatitis Asymptomatic inflammatory prostatitis patients have no history of genitourinary pain complaints, but leukocytosis is noted, usually during evaluation for other conditions. Between 6-19% of men have pus cells in their semen but no symptoms.13 See also Interstitial cystitis - a related disease. External links Prostatitis at the Open Directory Project Footnotes ^ Collins MM, Stafford RS, O'Leary MP, Barry MJ 1998. How common is prostatitis? A national survey of physician visits. J. Urol. 159 4: 1224-8. doi:10.1016/S0022-53470163564-X. PMID 9507840. ^ Habermacher GM, Chason JT, Schaeffer AJ 2006. Prostatitis/chronic pelvic pain syndrome. Annu. Rev. Med. 57: 195-206. doi:10.1146/annurev.med.57.011205.135654. PMID 16409145. ^ Taylor BC, Noorbaloochi S, McNaughton-Collins M, et al May 2008. Excessive antibiotic use in men with prostatitis. Am. J. Med. 121 5: 444-9. doi:10.1016/j.amjmed.2008.01.043. PMID 18456041. ^ Luzzi GA 2002. Chronic prostatitis and chronic pelvic pain in men: aetiology, diagnosis and management. Journal of the European Academy of Dermatology and Venereology : JEADV 16 3: 253-6. PMID 12195565. ^ Potts JM 2005. Therapeutic options for chronic prostatitis/chronic pelvic pain syndrome. Current urology reports 6 4: 313-7. PMID 15978236. ^ Yang G, Wei Q, Li H, Yang Y, Zhang S, Dong Q 2006. The effect of alpha-adrenergic antagonists in chronic prostatitis/chronic pelvic pain syndrome: a meta-analysis of randomized controlled trials. J. Androl. 27 6: 847-52. doi:10.2164/jandrol.106.000661. PMID 16870951. ...treatment duration should be long enough more than 3 months ^ Shoskes DA, Zeitlin SI, Shahed A, Rajfer J 1999. Quercetin in men with category III chronic prostatitis: a preliminary prospective, double-blind, placebo-controlled trial. Urology 54 6: 960-3. PMID 10604689. ^ Elist J 2006. Effects of pollen extract preparation Prostat/Poltit on lower urinary tract symptoms in patients with chronic nonbacterial prostatitis/chronic pelvic pain syndrome: a randomized, double-blind, placebo-controlled study. Urology 67 1: 60-3. doi:10.1016/j.urology.2005.07.035. PMID 16413333. ^ Anderson RU, Wise D, Sawyer T, Chan C 2005. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. J. Urol. 174 1: 155-60. doi:10.1097/01.ju.0000161609.31185.d5. PMID 15947608. ^ Anderson RU, Wise D, Sawyer T, Chan CA 2006. Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: improvement after trigger point release and paradoxical relaxation training. J. Urol. 176 4 Pt 1: 1534-8; discussion 1538-9. doi:10.1016/j.juro.2006.06.010. PMID 16952676. ^ Alexander RB, Propert KJ, Schaeffer AJ, et al 2004. Ciprofloxacin or tamsulosin in men with chronic prostatitis/chronic pelvic pain syndrome: a randomized, double-blind trial. Ann. Intern. Med. 141 8: 581-9. PMID 15492337. ^ Nickel JC, Downey J, Clark J, et al 2003. Levofloxacin for chronic prostatitis/chronic pelvic pain syndrome in men: a randomized placebo-controlled multicenter trial. Urology 62 4: 614-7. PMID 14550427. ^ Korrovits P, Ausmees K, Mändar R, Punab M June 2008. Prevalence of asymptomatic inflammatory National Institutes of Health Category IV prostatitis in young men according to semen analysis. Urology 71 6: 1010-5. doi:10.1016/j.urology.2007.12.082. PMID 18455767. v d e Diseases of the pelvis and genitals N40-N99, 600-629 Female Adnexa Ovary Oophoritis · Ovarian cyst · Ovarian hyperstimulation syndrome · Anovulation · Mittelschmerz Fallopian tube Salpingitis · Hydrosalpinx · Hematosalpinx Parametrium Parametritis Uterus Endometrium: Endometriosis Adenomyosis · Endometrial polyp menstruation Amenorrhoea, Anovulation, Hypomenorrhea, Oligomenorrhea, Menorrhagia, Menometrorrhagia, Metrorrhagia, Dysmenorrhea Hematometra · Retroverted uterus · Asherman's syndrome Cervix Cervicitis - Cervical polyp - Nabothian cyst Vagina Vaginitis Bacterial vaginosis, Atrophic vaginitis · Leukorrhea · Hematocolpos/Hydrocolpos intercourse Dyspareunia, Vaginismus Prolapse Cystocele, Rectocele, Urethrocele · Fistulae Vesicovaginal, Rectovaginal Vulva Vulvitis · Bartholin's cyst Other/general Pelvic inflammatory disease · Female infertility Habitual abortion Male Testicular Orchitis · Hydrocele testis · Testicular torsion · Male infertility Azoospermia, Oligospermia Epididymis Epididymitis · Spermatocele · Hematocele Prostate Prostatitis · Benign prostatic hyperplasia Penis Balanoposthitis/Balanitis · Phimosis · Priapism · Sexual dysfunction Erectile dysfunction · Peyronie's disease Other Hematospermia · Retrograde ejaculation See also congenital, neoplasia Retrieved from http://en..org/wiki/Prostatitis Categories: Inflammations | Urology | Andrology Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page Languages Deutsch Español Français Italiano Қазақша Nederlands Português РуÑ?Ñ?кий Suomi 䏿–‡ This page was last modified on 27 August 2008, at 18
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