Chronic prostatitis and sensory urgency: Whose pain is it?

被引：3
作者：
Gonzalez R.R. [1 ]
Te A.E. [1 ]
机构：
[1] Department of Urology, Weill Medical College of Cornell University, 525 East 68th Street, F918, New York, 10021, NY
来源：
Current Urology Reports | 2004年 / 5卷 / 6期
关键词：
Benign Prostatic Hyperplasia; International Prostate Symptom Score; Interstitial Cystitis; Lower Urinary Tract Symptom; Prostatitis;
D O I：
10.1007/s11934-004-0067-x
中图分类号：
学科分类号：
摘要：
Difficulties encountered in diagnosing and effectively treating chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is frustrating for clinicians and patients. Scientific evidence cannot establish an exact relationship between the prostate and the symptoms of CP/CPPS, and the prostate continues to be the diagnosis of convenience in this complex syndrome in men. However, if the pain is not the prostate’s, whose pain is it? A heterogeneous group of insults can result in a common neurogenic pain response, resulting in recurring pain and voiding or sexual dysfunction. To add to this dilemma, certain life-threatening diagnoses, such as carcinoma-in-situ, is in the differential diagnosis and must be excluded. Urodynamics may be useful in evaluating and treating patients whose voiding symptoms predominate. However, many patients with CP/ CPPS will not have measurable abnormalities by conventional methods and likely suffer from a functional somatic syndrome that is best treated with a multimodality approach. © 2004, Current Science Inc.
引用
收藏
页码：437 / 441
页数：4
相关论文
共 35 条
  • [1] Krieger J.N., Nyberg L., Nickel J.C., NIH consensus definition and classification of prostatitis, JAMA, 282, pp. 236-237, (1999)
  • [2] Nickel J.C., Downey J., Hundter D., Clark J., Prevalence of prostatitis-like symptoms in a population-based study using the National Institutes of Health Chronic Prostatitis Symptom Index, J Urol, 165, pp. 842-845, (2001)
  • [3] Roberts R.O., Jacobson D.J., Girman C.J., Et al., Prevalence of prostatitis-like symptoms in a community-based cohort of older men, J Urol, 168, pp. 2467-2471, (2002)
  • [4] McNaughton-Collins M., Stafford R.S., O'Leary M.P., Et al., How common is prostatitis? A national survey of physician visits, J Urol, 159, pp. 1224-1228, (1998)
  • [5] Wenninger K., Hieman J.R., Rothman I., Et al., Sickness impact of chronic non-bacterial prostatitis and its correlates, J Urol, 155, pp. 965-968, (1996)
  • [6] Calhoun E.A., McNaughton C.M., Pontari M.A., Et al., The economic impact of chronic prostatitis, Arch Intern Med, 164, pp. 1231-1236, (2004)
  • [7] Schaeffer A.J., Knauss J.S., Landis J.R., Et al., Leukocyte and bacterial counts do not correlate with severity of symptoms in men with chronic prostatitis: the National Institutes of Health Chronic Prostatitis Cohort Study, J Urol, 168, pp. 1048-1053, (2002)
  • [8] McNaughton C.M., Fowler F.J., Elliott D.B., Et al., Diagnosing and treating chronic prostatitis: Do urologists use the four-glass test?, Urology, 55, pp. 403-407, (2000)
  • [9] Nickel J.C., Downey J., Clark J., Casey R.W., Et al., Levofloxacin for chronic prostatitis/chronic pelvic pain syndrome in men: a randomized, placebo-controlled, multicenter trial, Urology, 62, pp. 614-617, (2003)
  • [10] Andersson K.E., Storage and voiding symptoms: pathophysiologic aspects, Urology, 62, pp. 3-10, (2003)
1234