Current Views on Diagnostic Approach and Treatment of Chronic Bacterial Prostatitis
- Author Vladimer Papava
- Co-Author Tamar Didbaridze, David Kochiashvili, Nino Gogokhia
- DOI
- Country : Georgia
- Subject : Urology
Keywords : Bacteria, prostatic gland, men
Abstract
Prostatitis is a prevalent condition that encompasses a large array of clinical symptoms with significant impacts on men's life. The diagnosis and treatment of this disorder presents numerous challenges for urologists, most notably, a lack of specific and effective diagnostic methods. Chronic bacterial prostatitis is successfully treated with appropriate antibiotics that penetrate the prostate and kill the causative organisms. National Institutes of Health (NIH) classification four categories. Prostatitis category II (chronic bacterial prostatitis) is common, very bothersome, and enigmatic. Prostatitis accounts for 25% of all visits to urologists. Of patients diagnosed with prostatitis syndrome, 5 to 10% are suffering from chronic bacterial prostatitis (CBP). This condition is often triggered by an infection of the urinary tract. The pathogen spectrum includes that of complex urinary tract infections, with gram-negative and gram-positive bacteria, although the latter often occur only transiently. Animal experiments have shown that chronic infection leads to the formation of a biofilm in the prostatic acini, leading to pathogens forming colonies with enhanced growth conditions. We reported the clinical evaluation, diagnostic work-up and successful management of chronic bacterial prostatitis.
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