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Prostatitis

Field	Value
name	Prostatitis
synonyms	Prostatosis
image	Inflammation of prostate.jpg
caption	Micrograph showing an inflamed prostate gland, the histologic correlate of prostatitis. A normal non-inflamed prostatic gland is seen on the left of the image. H&E stain.
field	Urology

Prostatitis is an umbrella term for a variety of medical conditions that incorporate bacterial and non-bacterial origin illnesses in the pelvic region. In contrast with the plain meaning of the word (which means "inflammation of the prostate"), the diagnosis may not always include inflammation. Prostatitis is classified into acute, chronic, asymptomatic inflammatory prostatitis, and chronic pelvic pain syndrome.

In the United States, prostatitis is diagnosed in 8% of all male urologist visits and 1% of all primary care physician visits for male genitourinary symptoms.

Classification

The term prostatitis refers to inflammation of the tissue of the prostate gland. It may occur as an appropriate physiological response to an infection, or it may occur in the absence of infection, or there may be no inflammation of the prostate at all.

In 1999, the National Institutes of Health devised a new classification system. For more specifics about each type of prostatitis, including information on symptoms, treatment, and prognosis, follow the links to the relevant full articles.

Category	Current name	Old name	Pain	Bacteria	WBCs	Description
I	Acute prostatitis	Acute bacterial prostatitis	Yes	Yes	Yes	Bacterial infection of the prostate gland that requires urgent medical treatment.
II	Chronic bacterial prostatitis	Chronic bacterial prostatitis	±	Yes	Yes	A relatively rare condition that usually presents as intermittent urinary tract infections.
IIIa	Inflammatory CP/CPPS	Nonbacterial prostatitis	Yes	No	Yes	Accounts for 90–95% of prostatitis diagnoses, formerly known as chronic nonbacterial prostatitis.
IIIb	Noninflammatory CP/CPPS	Prostatodynia	Yes	No	No
IV	Asymptomatic inflammatory prostatitis	(none)	No	No	Yes	No history of genitourinary pain complaints, but leukocytosis is noted, usually during evaluation for other conditions. Between 6 and 19% of men have pus cells in their semen but no symptoms.

In 1968, Meares and Stamey determined a classification technique based on the culturing of bacteria. This classification is no longer used.

The conditions are distinguished by the different presentation of pain, white blood cells (WBCs) in the urine, duration of symptoms and bacteria cultured from the urine. To help express prostatic secretions that may contain WBCs and bacteria, prostate massage is sometimes used.

References

(1998). "How common is prostatitis? A national survey of physician visits". J. Urol..
(January–February 2015). "Editor's Comment on Diagnosis and treatment of chronic prostatitis/chronic pelvic pain syndrome". Trends in Urology and Men's Health.
(July 1999). "NIH consensus definition and classification of prostatitis". JAMA.
J. Curtis Nickel. (1999). "Textbook of prostatitis". Taylor & Francis.
(2006). "Prostatitis/chronic pelvic pain syndrome". Annu. Rev. Med..
(June 2008). "Prevalence of asymptomatic inflammatory (National Institutes of Health Category IV) prostatitis in young men according to semen analysis". Urology.
(March 1968). "Bacteriologic localization patterns in bacterial prostatitis and urethritis". Invest Urol.
"Prostatitis: Benign Prostate Disease: Merck Manual Professional".

Info: Wikipedia Source

This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.

inflammations inflammatory-prostate-disorders men's-health

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