BLADDER PETECHIAE AFTER CYSTOSCOPY AND HYDRODISTENSION IN MEN DIAGNOSED WITH PROSTATE PAIN

Purpose: We determined if men with prostate pain syndromes have petech iae in the bladder after hydrodistension. Materials and Methods: A tot al of 60 men with the diagnosis of prostate pain and without bacteriur ia underwent cystoscopy and hydrodistension under a general or regiona l anesthetic. Results: Of the 60 men 35 (58%) had moderate to severe p etechiae similar in appearance to women with interstitial cystitis aft er hydrodistension. Men with moderate to severe bladder petechiae had fewer leukocytes in expressed prostatic secretions, smaller bladder ca pacities and less often testicular pain than men with more normal appe aring bladders after hydrodistension. Symptomatic improvement 2 to 6 w eeks after hydrodistension was more common in men with moderate to sev ere petechiae than in those with fewer petechiae. Absence of rectal pa in predicted symptomatic improvement after hydrodistension. Conclusion s: We suggest that bladder petechiae, and possibly interstitial cystit is or a related condition, may be more frequently associated with pros tate pain syndromes in men than previously appreciated.