What are the clinical features, diagnostic tests and management considerations for acute and chronic prostatitis?

Recent review

Benway BM. Bacterial prostatitis. Urol Clin North Am.  2008;35(1):23-32.

Summary of recent diagnostic studies for chronic prostatitis begins at the bottom of p. 25.

Diagnosis by 4 cultures (2 from voiding bladder, 1 from expressed prostatic secretion, 1 from post-massage bladder void) has been considered the gold standard, but most urologists actually utilize a 2 glass method utilizing pre-massage and post-massage urine specimens.  The summary also discusses a recent retrospective study (n=895) (Scand J Urol Nephrol. 2006;40(4):326-31) that compares semen specimens to the 4 glass method for diagnosing infections by gram-negative and gram-positive organisms.  Table V (p. 329) displays the sensitivity of both expressed prostatic secretion and semen in gram-negative and gram-positive cultures.


About Amy

Clinical Informationist at EUH Branch Library
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