In a nutshell
This study aimed to develop guidelines for diagnosis and treatment of chronic bacterial prostatitis (CBP – infection of the prostate) and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS – inflammation of the prostate and other pelvic organs). The study found that patients with these conditions should be treated according to their individual symptoms.
Some background
CBP/CP/CPPS are common problems among men of all ages. It can cause symptoms such as pain in the pelvic area, pain and difficulty during urination, psychological problems and sexual dysfunction. It is important to research the best ways to treat these conditions. Developing guidelines will allow doctors and patients to work together on diagnosis and treatment plans.
Methods & findings
Expert groups on prostate issues worked together to review the current research and practice on CBP/CP/CPPS. These groups included 58 participants of General Practitioners (Family Medicine specialists), nurses, urologists and physiotherapists.
The groups found that CBP can be diagnosed as an early stage if they have symptoms lasting less than 6 months. Late stage diagnosis is based on symptoms for more than 6 months not controlled by medications.
Patients should be informed about their diagnosis of CBP/CP/CPPS and other possibilities such as cancer should be ruled out.
Alpha-adrenergic antagonists (drugs that help shrink the prostate) can be used for initial treatment in patients with bladder symptoms.
Antibiotics called quinolones (example: ciprofloxacin – Cipro) should be used as they are considered the most effective in CBP. This may vary depending on the type of bacteria causing CBP.
Paracetamol (acetaminophen – Tylenol) can be used for mild pain. If NSAIDs (anti-inflammatories) are used, they should be stopped within 4-6 weeks if they do not work.
Referral to specialists and physiotherapists is important if symptoms cannot be controlled.
Surgical treatment was not recommended for the treatment of CBP/CP/CPPS.
The bottom line
The study concluded that guidelines to diagnose and treat CBP/CP/CPPS depends on specific symptoms and should involve a team approach.
The fine print
The study was funded by Prostate Cancer UK. More research is needed on treatment of sexual dysfunction and psychological issues.
What’s next?
Talk to your doctor about these guidelines when diagnosing and treating CBP/CP/CPPS.
Published By :
BJU international
Date :
Oct 01, 2015
