Skip to main content
Log in

Evaluation of 42 patients with chronic abacterial prostatitis: Are there any underlying correctable pathologies?

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Forty-two young men with abacterial prostatitis underwent physical examination, semen analyses, rectal US (TRUS) and magnetic resonance imaging (MRI) of the pelvis.

Findings on TRUS showed no distinct differences like capsular irregularity, dilatation of the seminal vesicles and calcified foci in the prostate. In MRI pathologic conditions were noted as transitional zone cysts, prostatic utricle cysts and abscesses of the seminal vesicles.

MRI had been found superior to TRUS in imaging the prostate and to predict associated pathologic conditions. It is also concluded that some additional factors as a cause of prostatitis must be determined in patients with chronic abacterial prostatitis.

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

Access this article

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

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Meares, E. M. Jr.: Prostatitis syndromes: New perspectives about old woes.J. Urol., 123, 141 (1980).

    PubMed  Google Scholar 

  2. Kazanci, G., Büyükalpelli, R.: Reappraisal of antibiotic susceptibility tests in the management of chronic bacterial prostatitis.Eur. Urol., 14, 398 (1988).

    PubMed  CAS  Google Scholar 

  3. Meares, E. M. Jr., Stamey, T. A.: Bacteriologic localization patterns in bacterial prostatitis and urethritis.Invest. Urol., 5, 492 (1968).

    PubMed  CAS  Google Scholar 

  4. Drach, G. W., Fair, W. R., Meares, E. M. Jr., Stamey, T. A.: Classification of benign disease associated with prostatic pain: Prostatitis or prostatodynia?J. Urol., 120, 266 (1978).

    PubMed  CAS  Google Scholar 

  5. Doble, A.: Chronic prostatitis.Br. J. Urol., 74, 537 (1994).

    PubMed  CAS  Google Scholar 

  6. Meares, E. M. Jr.: Acute and chronic prostatitis: Diagnosis and treatment.Infect. Dis. Clin. North. Am., 1, 855 (1987).

    PubMed  Google Scholar 

  7. Abdelatif, O. M. A., Chandler, F. W., McGuire, B. S. Jr.: Chlamydia trachomatis in chronic abacterial prostatitis: Demonstration by colorimetric in situ hybridization.Hum. Pathol., 22, 41 (1991).

    Article  PubMed  CAS  Google Scholar 

  8. Shurbaji, M. S., Gupta, P. K., Myers, J.: Immunohistochemical demonstration of chlamydial antigens in association with prostatitis.Mod. Pathol., 1, 348 (1988).

    PubMed  CAS  Google Scholar 

  9. Berger, R. E., Krieger, J. N., Kessler, D., Ireton, R. C., Close, C., Holmes, K. K., Roberts, P. L.: Case-control study of men with suspected idiopathic prostatitis.J. Urol., 141, 328 (1989).

    PubMed  CAS  Google Scholar 

  10. Shortliffe, L. M. D., Sellers, R. G., Schacter, J.: The characterization of bacterial and nonbacterial prostatitis by prostatic immunoglobulins.Medicine, 65, 399 (1986).

    Article  PubMed  CAS  Google Scholar 

  11. Schnall, M. D., Pollack, H. M.: Magnetic resonance imaging of the prostate gland.Urol. Radiol., 12, 109 (1990).

    Article  PubMed  CAS  Google Scholar 

  12. Bockisch, A., Jager, N., Biersack, H. J., Vahlensieck, W., Hunermann, B., Schmitz, H. G., Knopp, R., Christ, F., Winkler, C.: Magnetic resonance (MR) imaging of prostatic tumours, a comparison with X-ray, CT and transrectal sonography (TRS).Eur. J. Radiol., 8, 54 (1988).

    PubMed  CAS  Google Scholar 

  13. Doble, A., Carter, S. St. C.: Ultrasonographic findings in prostatitis.Urol. Clin. North Am., 16 (4), 763 (1989).

    PubMed  CAS  Google Scholar 

  14. Griffiths, G. J., Crooks, A. J. R., Roberts, E. E., Evans, K. T., Buck, A. C., Thomas, P. J., Peeling, W. B.: Ultrasonographic appearances associated with prostatic inflammation: A preliminary study.Clin. Radiol., 35, 343 (1984).

    Article  PubMed  CAS  Google Scholar 

  15. Bezzi, M., Kressel, H. Y.: The prostate. In: Fishmann-Javitt, M. C., Stein, H. L., Lovecchio, J. L. (eds.): Imaging of the Pelvis. MRI Correlations to CT and Ultrasound. Chapt. 9, Little Brown and Co., Boston 1990, pp. 159–181.

    Google Scholar 

  16. Szolar, D. H., Ranner, G., Preidler, K. W., Lax, S.: Non-granulomatous prostatitis: MR image with endorectal surface coil (“Endo-MRI”).Akt. Radiol., 5, 67 (1995).

    CAS  Google Scholar 

  17. Gevenois, P. A., Van Regemorten, G. Van Gansbeke, D., Delcour, C., Corbusier, A., Struyven, J.: Prostatic pathology imaged by magnetic resonance. 58 cases.J. Radiol., 68, 185 (1987).

    PubMed  CAS  Google Scholar 

  18. Resnick, M. I., Kursh, E. D., Bryan, P. J.: Magnetic resonance imaging of the prostate.Prog. Clin. Biol. Res., 243, 89 (1987).

    Google Scholar 

  19. McDermott, V. G., MeakemIII, T. J., Stolpen, A. H., Schnall, M. D.: Prostatic and periprostatic cysts: Findings on MR imaging.AJR, 164, 123 (1995).

    PubMed  CAS  Google Scholar 

  20. Christiansen, E., Purvis, K.: Diagnosis of abacterial prostato-vesiculitis by rectal ultrasonography in relation to symptoms and findings.Br. J. Urol., 67, 173 (1991).

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Atilla, M.K., Sargin, H., Odabaş, Ö. et al. Evaluation of 42 patients with chronic abacterial prostatitis: Are there any underlying correctable pathologies?. International Urology and Nephrology 30, 463–469 (1998). https://doi.org/10.1007/BF02550227

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02550227

Keywords

Navigation