Asymptomatic inflammatory prostatitis

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Asymptomatic inflammatory prostatitis
SpecialtyUrology

Asymptomatic inflammatory prostatitis is a painless

chronic pelvic pain syndrome (CPPS).[2] It is a common finding in men with benign prostatic hyperplasia.[3]

Signs and symptoms

These patients have no history of genitourinary pain complaints, but leukocytosis is noted, usually during evaluation for other conditions.[citation needed]

Diagnosis

Diagnosis is through tests of semen, expressed prostatic secretion (EPS) or prostate tissue that reveal inflammation in the absence of symptoms.[4]

Treatment

No treatment required. It is standard practice for men with infertility and category IV prostatitis to be given a trial of antibiotics and/or anti-inflammatories, although evidence of efficacy are weak.[5] Since signs of asymptomatic prostatic inflammation may sometimes be associated with prostate cancer, this can be addressed by tests that assess the ratio of free-to-total PSA. The results of these tests were significantly different in prostate cancer and category IV prostatitis in one study.[6]

Additional images

  • Prostate, urethra, and seminal vesicles.
    Prostate, urethra, and seminal vesicles.
  • The arteries of the pelvis.
    The arteries of the pelvis.
  • Male pelvic organs seen from right side.
    Male pelvic organs seen from right side.

References

  1. ^ "Prostatitis: Benign Prostate Disease: Merck Manual Professional". Archived from the original on 28 April 2010. Retrieved 2010-04-17.
  2. PMID 26926816
    .
  3. ^ Nickel JC; Downey J; Young I; Boag S. (Dec 1999). "Asymptomatic inflammation and/or infection in benign prostatic hyperplasia".
    S2CID 25119588
    .
  4. .
  5. . Several inflammatory and reactive alterations of sperm quality seem to be proven; nevertheless, the impact of these findings on male fertility remains in many cases unclear."
  6. .

External links