Some controversial conditions in the management of chronic prostatitis/chronic pelvic pain syndrome.
- Author:
Xiao-Da TANG
1
Author Information
1. Department of Urology, First People's Hospital, Shanghai Jiao Tong University, Shanghai 200080, China.
- Publication Type:Journal Article
- MeSH:
Chronic Disease;
Humans;
Male;
Pelvic Pain;
etiology;
microbiology;
therapy;
Prostatitis;
etiology;
microbiology;
therapy
- From:National Journal of Andrology
2003;9(6):403-406
- CountryChina
- Language:Chinese
-
Abstract:
Chronic prostatitis (CP)/chronic pelvic pain syndrome (CPPS) is a common problem of medically controversial condition that causes considerable morbidity and impact on life. Although there are many competing causes proposed, the etiology and pathogenesis of CP/CPPS remain unclear. The causative factors underlying the CPPS are not fully understood. The optimal management of CP/CPPS is still unknown. The guideline of diagnosis and management of CP/CPPS based on evidence base medicine is not yet established. Many problems are still not resolved, such as the significance of leukocytes and the role of inflammation in CP/CPPS, the significance of bacteria presence and the role of infection in CP/CPPS, the correlation between leukocytes/bacteria and severity of symptoms, how to divide the subgroups of CP/CPPS, the role of antimicrobial therapy in the treatment of men with CP/CPPS, why patients with category IIIb complain of symptoms, while those with category IV complain of none. Although CP/CPPS is now achieving greater recognition, well-designed studies with large sample size should be performed.
