Abstract
Objectives
To evaluate the possibility that patients with inflammatory and noninflammatory chronic
prostatitis/chronic pelvic pain syndrome (CP/CPPS) might present with different symptoms.
Patients with CP/CPPS present with characteristic symptoms without bacteriuria. The
new National Institutes of Health consensus suggests that CP/CPPS can be divided into
inflammatory and noninflammatory categories.
Methods
Standardized symptom surveys were completed by 130 subjects who met the criteria for
CP/CPPS after clinical examination and urethral, urine, expressed prostatic secretion
(EPS), and seminal fluid analysis evaluations.
Results
When classified by either EPS or postprostatic massage urine (VB3) findings, subjects
with and without inflammation had similar symptoms. However, when classified using
the combination of EPS, VB3, and seminal fluid analysis, subjects with inflammatory
CP/CPPS had more severe (P <0.02) and more frequent symptoms, in particular, difficulty reaching erection (P <0.01), weak urinary stream (P <0.01), urinary frequency (P = 0.03), and penile pain (P = 0.04).
Conclusions
The increased severity and frequency of symptoms among patients with inflammatory
CP/CPPS provide empirical support for the new consensus classification on the basis
of the combination of EPS, VB3, and seminal fluid analysis findings.
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Article info
Publication history
Accepted:
July 18,
2002
Received:
April 12,
2002
Footnotes
☆This study was partially supported by grant RO1 DK38955 from the National Institutes of Health.
Identification
Copyright
© 2002 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
