Is there a role for urodynamics in chronic nonbacterial prostatitis?

被引:19
作者
Gonzalez R.R. [1 ]
Te A.E. [1 ]
机构
[1] Brady Prostate Center, Department of Urology, Weill Medical College of Cornell University, New York, NY 10021
关键词
Lower Urinary Tract Symptom; Bladder Neck; Prostatitis; Bladder Outlet Obstruction; Chronic Prostatitis;
D O I
10.1007/s11934-996-0014-0
中图分类号
学科分类号
摘要
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. Copyright © 2006 by Current Science Inc.
引用
收藏
页码:335 / 338
页数:3
相关论文
共 17 条
[1]  
Collins M.M., Stafford R.S., O'Leary P., Barry M.J., How common is prostatitis? A national survey of physician visits, J Urol, 157, (1997)
[2]  
Kaplan S.A., Ikeguchi E.F., Santarosa R.P., Et al., Etiology of voiding dysfunction in men less than 50 years of age, Urology, 47, pp. 836-839, (1996)
[3]  
Kaplan S.A., Te A.E., Jacobs B.Z., 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, 152, pp. 2063-2065, (1994)
[4]  
Norlen L.J., Blaivas J.G., Unsuspected proximal urethral obstruction in young and middle-aged men, J Urol, 135, pp. 972-976, (1986)
[5]  
Hruz P., Danuser H., Studer U.E., Hochreiter W.W., Non-inflammatory chronic pelvic pain syndrome can be caused by bladder neck hypertrophy, Eur Urol, 44, pp. 106-110, (2003)
[6]  
Krieger J.N., Nyberg Jr. L., Nickel J.C., NIH consensus definition and classification of prostatitis, JAMA, 282, pp. 236-237, (1999)
[7]  
Nickel J.C., Prostatitis: An infectious disease?, Infect Urol, 13, (2000)
[8]  
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)
[9]  
Nickel J.C., Prostatitis: Lessons from the 20th century, BJU Int, 85, pp. 179-185, (2000)
[10]  
Hyman M.J., Groutz A., Blaivas J.G., Detrusor instability in men: Correlation of lower urinary tract symptoms with urodynamic findings, J Urol, 166, pp. 550-552, (2001)