Skip to main content

Advertisement

SpringerLink
Log in

Is there a role for urodynamics in chronic nonbacterial prostatitis?

  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

The etiology of chronic nonbacterial chronic prostatitis/ chronic pelvic pain syndrome (CP/CPPS) is unclear. That may be why treatment with antibiotics and anti-inflammatory drugs often fail. The use of urodynamic testing in evaluating any patient with both pelvic/perineal pain coexistent with voiding symptoms can help identify voiding dysfunction. If identified, urodynamic voiding disorders, such as bladder neck obstruction and pseudodyssynergia, should be specifically treated to ameliorate symptoms. Through more research of nonbacterial CP/CPPS, we will be able to further define the successful role of videourodynamics in men with this disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References and Recommended Reading

  1. Collins MM, Stafford RS, O’Leary P, Barry MJ: How common is prostatitis? A national survey of physician visits. J Urol 1997, 157:243.

    Article  Google Scholar 

  2. Kaplan SA, Ikeguchi EF, Santarosa RP, et al.: Etiology of voiding dysfunction in men less than 50 years of age. Urology 1996, 47:836–839. This study demonstrates how urodynamic evaluation of men with chronic voiding symptoms can result in an accurate diagnosis and avoidance of unnecessary and inappropriate treatments.

    Article  PubMed  CAS  Google Scholar 

  3. Kaplan SA, Te AE, Jacobs BZ: Urodynamic evidence of vesical neck obstruction in men with misdiagnosed chronic nonbacterial prostatitis and the therapeutic role of endoscopic incision of the bladder neck. J Urol 1994, 152:2063–2065. This study demonstrates the frequency of misdiagnosis of bladder neck obstruction as chronic prostatitis and how appropriate treatment with endoscopic incision can relieve symptoms in these men.

    PubMed  CAS  Google Scholar 

  4. Norlen LJ, Blaivas JG: Unsuspected proximal urethral obstruction in young and middle-aged men. J Urol 1986, 135:972–976. An early study demonstrating how an unsuspected urodynamic diagnosis of bladder neck obstruction can be effectively treated to relieve symptoms.

    PubMed  CAS  Google Scholar 

  5. Hruz P, Danuser H, Studer UE, Hochreiter WW: Nonin flammatory chronic pelvic pain syndrome can be caused by bladder neck hypertrophy. Eur Urol 2003, 44:106–110. This study takes a strategic approach at identifying treatable forms of voiding dysfunction in men with CP/CPPS type-3. Endoscopy and urodynamics can predict bladder outlet obstruction due to bladder neck hypertrophy in these men.

    Article  PubMed  Google Scholar 

  6. Krieger JN, Nyberg L Jr, Nickel JC: NIH consensus definition and classification of prostatitis. JAMA 1999, 282:236–237. Explains the current definition, rationale, and classification system of prostatitis.

    Article  PubMed  CAS  Google Scholar 

  7. Nickel JC: Prostatitis: an infectious disease? Infect Urol 2000, 13:31.

    Article  Google Scholar 

  8. Schaeffer AJ, Knauss JS, Landis JR, 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 2002, 168:1048–1053. Interesting study, given the importance of leukocyte counts in prostatic secretions in the NIH classification system of prostatitis.

    Article  PubMed  Google Scholar 

  9. Nickel JC: Prostatitis: lessons from the 20th century. BJU Int 2000, 85:179–185.

    Article  PubMed  CAS  Google Scholar 

  10. Hyman MJ, Groutz A, Blaivas JG: Detrusor instability in men: correlation of lower urinary tract symptoms with urodynamic findings. J Urol 2001, 166:550–552.

    Article  PubMed  CAS  Google Scholar 

  11. Reynard JM, Peters TJ, Lim C, Abrams P: The value of multiple free-flow studies in men with lower urinary tract symptoms. Br J Urol 1996, 77:813–818.

    PubMed  CAS  Google Scholar 

  12. Ghobish AA: Quantitative and qualitative assessment of flowmetrograms in patients with prostatodynia. Eur Urol 2000, 38:576–583.

    Article  PubMed  CAS  Google Scholar 

  13. Nitti VW, Lefkowitz G, Ficazzola M, Dixon CM: Lower urinary tract symptoms in young men: videourodynamic findings and correlation with noninvasive measures. J Urol 2002 Jul;168(1):135–8. This study demonstrates that high voiding symptom scores and abnormal uroflowmetry can predict abnormal urodynamic diagnoses.

    Article  PubMed  Google Scholar 

  14. Kaplan SA, Santarosa RP, D’Alisera PM, Fay BJ, Ikeguchi EF, Hendricks J, Klein L, Te AE: Pseudodyssynergia (contraction of the external sphincter during voiding) misdiagnosed as chronic nonbacterial prostatitis and the role of biofeedback as a therapeutic option. J Urol 1997, 157:2234–2237. This study further demonstrates how urodynamics can be used to identify treatable forms of voiding dysfunction in men with chronic prostatitis.

    Article  PubMed  CAS  Google Scholar 

  15. Blaivas JG, Kaplan SA: Urological dysfunction in patients with multiple sclerosis. Semin Neurol 1998, 8:159–165.

    Article  Google Scholar 

  16. Wenninger K, Heiman JR, Rothman I, et al.: Sickness impact of chronic nonbacterial prostatitis and its correlates. J Urol 1996, 155:965–968.

    Article  PubMed  CAS  Google Scholar 

  17. Clemens JQ, Nadler RB, Schaeffer AJ, et al.: Biofeedback, pelvic floor re-education, and bladder training for male chronic pelvic pain syndrome. Urology 2000, 56:951–955.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Brady Prostate Center, Department of Urology, Weill Medical College of Cornell University, 1300 York Avenue, F9West, Box 261, 10021, New York, NY, USA

    Ricardo R. Gonzalez MD

Authors
  1. Ricardo R. Gonzalez MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alexis E. Te MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ricardo R. Gonzalez MD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gonzalez, R.R., Te, A.E. Is there a role for urodynamics in chronic nonbacterial prostatitis?. Curr Urol Rep 7, 335–338 (2006). https://doi.org/10.1007/s11934-996-0014-0

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11934-996-0014-0

Keywords

Search

Navigation