PROSTATITIS - 03/09/11
Riassunto |
Prostatitis is a pervasive condition that accounts for up to 25% of all visits to a urologist.29 There are more visits to urologists for prostatitis than benign prostatic hypertrophy or prostate cancer.43 It is the most common urologic diagnosis in men below the age of 50, and the third most common in men greater than 50.4 Additionally, autopsy results reveal inflammation in the prostate in 6.3% of males.40 As many as 50% of men will experience an episode of prostatitis in their life.69 Of these men, 5% will have bacterial prostatitis, 64% nonbacterial prostatitis, and 31% prostatodynia.11, 55 Because this disease is so common, the impact on the patient has been compared to coronary artery disease or Crohn's disease.72
The precise pathogenic mechanism causing prostatitis remains unclear. The most prevalent theory is that reflux of urine from the urethra into the intraprostatic ducts promotes ascending infection and leads to chemical or bacterial prostatitis. Treatment can be quite challenging. Many antimicrobial agents do not effectively diffuse into prostatic tissue or cannot function in the acidic pH within the prostate. In addition, most cases of prostatitis are found not to have an infectious etiology.
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| Address reprint requests to William E. Lummus, MD, 703 Oxford House, Nashville, TN 37232–4700 |
Vol 19 - N° 3
P. 691-707 - agosto 2001 Ritorno al numeroBenvenuto su EM|consulte, il riferimento dei professionisti della salute.
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