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Acute bacterial prostatitis: two different sub-categories according to a previous manipulation of the lower urinary tract

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Abstract

Acute bacterial prostatitis (ABP) (NIH Category I), has not undergone any modification in the update of prostatitis classification. ABP was diagnosed in 614 patients in our centre over 9 years (1993–2001). We analyse the clinical pattern of ABP and the role of bladder outlet obstruction in its etiology, as well as whether two different ABP sub-categories could be defined as a function of a history of previous manipulation of the lower urinary tract. The results of the study show that the clinical pattern of a patient suffering from ABP does not differ from the statements of previous publications. On the other hand, patients with ABP have been shown to present with no bladder outlet obstruction. Finally, this study has disclosed the fact that the cases of ABP elicited by previous manipulation of the lower urinary tract (10%) show a different pattern from those cases where no previous manipulation has occurred (90%). The patients with ABP secondary to manipulation are older, have a higher risk of prostate abscess and higher frequency of multiple infections and also infections by pathogens other than Escherichia coli. Due to all of these reasons, it would be advisable to subdivide category I within the classification of prostatitis.

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References

  1. Meares EW, Stamey TA (1968) Bacteriologic localization patterns in bacterial prostatitis and urethritis. Invest Urol 5:492–518

    PubMed  CAS  Google Scholar 

  2. Drach GW, Meares EM, Fair WR, Stamey TA (1978) Classification of benign disease associated with prostatic pain: prostatitis or prostatodynia?. J Urol 120:266

    PubMed  CAS  Google Scholar 

  3. Krieger JN, Nyberg L Jr, Nickel JC (1999) NIH consensus definition and classification of prostatitis. JAMA 282:236–237

    Article  PubMed  CAS  Google Scholar 

  4. Meares EM Jr (1991) Prostatitis. Med Clin North Am 75:405–424

    PubMed  Google Scholar 

  5. Stewart C (1988) Prostatitis. Emerg Med Clin North Am 6:391–402

    PubMed  CAS  Google Scholar 

  6. Nickel JC (2002) Lower urinary tract evaluation. Prostatitis and related conditions. Campbell’s urology, 8th edn.

  7. Roberts RO, Lieber MM, Bostwick DG, Jacobsen SJ (1997) A review of clinical and pathological prostatitis syndromes. Urology 49:809–821

    Article  PubMed  CAS  Google Scholar 

  8. Kirby RS, Lowe D, Bultitude MI, Shuttleworth KED (1982) Intra-prostatic urinary reflux: an aetiological factor in abacterial prostatitis. Br J Urol 54:729–731

    PubMed  CAS  Google Scholar 

  9. Blacklock NJ (1974) Anatomical factors in prostatitis. Br J Urol 46: 47–54

    Article  PubMed  CAS  Google Scholar 

  10. Dowling KJ, Roberts JA, Kaack MB (1987) P-fimbriated E. coli urinary tract infection: a clinical correlation. South Med J 80:1533–1536

    PubMed  CAS  Google Scholar 

  11. Neal DE Jr (1999) Acute bacterial prostatitis in textbook of prostatitis. In: Nickel JC (ed) Isis medical media, 1st edn. Oxford

  12. Stamey TA (1980) Pathogenesis and treatment of urinary tract infections. Williams & Wilkins, Baltimore, pp 343–429

    Google Scholar 

  13. López-Plaza I, Bostwick DG (1990) Prostatitis. In: Bostwick DG (ed) Pathology of the prostate. Churchill Livingstone, New York, pp 15–30

    Google Scholar 

  14. Nickel JC (2002) Treatment. Prostatitis and related conditions. Campbell’s Urology, 8th edn.

  15. Hellstrom W, Shimidt RA, Lue TF, Tanagho EA (1987) Neuromuscular dysfunction in nonbacterial prostatitis. Urology 30:183–188

    Article  PubMed  CAS  Google Scholar 

  16. Kaplan SA, Te AE, Jacobs BZ (1994) Urodynamic evidence of vesical neck obstruction in men with misdiagnosed chronic nonbacterial prostatitis and the therapeutic role of endoscopic incision of the bladder and neck. J Urol 152:2063–2065

    PubMed  CAS  Google Scholar 

  17. Kaplan SA, Santarosa RP, D’Alisera PM, Fay BJ, Ikeguchi EF, Hendricks J, Klein L, Te AE (1997) Pseudodyssinergia (contraction of the external sphincter during voiding) misdiagnosed as chronic nonbacterial prostatitis and the role of biofeedback as a therapeutic option. J Urol 157:2234–2237

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Urology, Fundación Puigvert, Cartagena 340-350, 08025, Barcelona, Spain

    Félix Millán-Rodríguez, J. Palou, Anna Bujons-Tur, Mireia Musquera-Felip, Carlota Sevilla-Cecilia, Marc Serrallach-Orejas, Carlos Baez-Angles & Humberto Villavicencio-Mavrich

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  1. Félix Millán-Rodríguez
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  2. J. Palou
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  3. Anna Bujons-Tur
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  4. Mireia Musquera-Felip
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  5. Carlota Sevilla-Cecilia
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  6. Marc Serrallach-Orejas
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  7. Carlos Baez-Angles
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  8. Humberto Villavicencio-Mavrich
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Correspondence to Félix Millán-Rodríguez.

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Millán-Rodríguez, F., Palou, J., Bujons-Tur, A. et al. Acute bacterial prostatitis: two different sub-categories according to a previous manipulation of the lower urinary tract. World J Urol 24, 45–50 (2006). https://doi.org/10.1007/s00345-005-0040-4

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  • DOI: https://doi.org/10.1007/s00345-005-0040-4

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