RT Journal Article
SR Electronic
T1 Prostatitis: Infection, neuromuscular disorder, or pain syndrome? Proper patient classification is key
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP S63
OP S71
VO 74
IS 5 suppl 3
A1 Rosenberg, Matt T.
A1 Lakin, Milton M.
A1 Staskin, David R.
A1 Potts, Jeannette
A1 Payne, Richard E.
YR 2007
UL http://www.ccjm.org/content/74/5_suppl_3/S63.abstract
AB Prostatitis is a broad term used to describe inflammation of the prostate that may be associated with a myriad of lower urinary tract symptoms and symptoms of sexual discomfort and dysfunction. The condition affects 5% to 10% of the male population and is the most common urologic diagnosis in men younger than 50 years. Prostatitis is classified into four categories, including acute and chronic bacterial forms, a chronic abacterial form, and an asymptomatic form. The bacterial forms are more readily recognized and treated, but symptoms in most affected men are not found to have an infectious cause. Indeed, chronic abacterial prostatitis (also known as chronic pelvic pain syndrome) is both the most prevalent form and also the least understood and the most challenging to evaluate and treat. This form of prostatitis may respond to non–prostate-centered treatment strategies such as physical therapy, myofascial trigger point release, and relaxation techniques. Because the various forms of prostatitis call for vastly different treatment approaches, appropriate evaluation, testing, and differential diagnosis are crucial to effective management.