Comparison of symptoms, morphological, microbiological and urodynamic findings in patients with chronic prostatitis/pelvic pain syndrome - Is it possible to differentiate separate categories?

164 patients with prostatitic symptoms were evaluated by segmented urinalys is and culture and classified according to the National Institutes of Healt h classification system: 64 patients (38%) suffered from chronic bacterial prostatitis; 12 (7%) from inflammatory chronic pelvic pain syndrome, and 92 (55%) from non-inflammatory chronic pelvic pain syndrome. Transrectal ultr asound of the prostate, uroflowmetry and measurement of residual urine were also performed. Complaints were recorded using a questionnaire. Our studie s revealed that leukocytes in expressed prostatic secretions could be detec ted in only 24 and 36% of patients with positive bacterial or chlamydial cu lture, Complaints, ultrasound and urodynamic findings were similar in the 3 groups. Therefore the differential diagnosis and therapy, based on the res ults of the LF-glass test and cultures as well as on transrectal ultrasound of the prostate, seem to be difficult. Copyright (C) 2000 S. Karger AG, Ba sel.