CHRONIC PROSTATITIS: A CHALLENGE TO THE PHYSICIANS
Dr. Suren Kumar Das and Dr. Rajashree Panigrahy*
Chronic prostatitis (CP)/chronic pelvic pain syndrome (CPPS) is a common disorder seen in men under the age of 50 and has a considerable negative impact on quality of life. It is a complex and difficult condition to treat, owing to its wide symptomatology. CP/CPPS can be a challenging condition to treat, and a multimodal approach is usually required. Most of these patients have usually been on multiple courses of antibiotics without relief, leading to frustration among patients and practitioners. Diagnosis is often based on exclusion of other urologic conditions (e.g., voiding dysfunction, bladder cancer) in association with its presentation. Commonly used medications include antimicrobials, alpha blockers, and anti-inflammatory agents, but the effectiveness of these agents has not been supported in clinical trials. Small studies provide limited support for the use of nonpharmacologic modalities. Asymptomatic prostatitis is an incidental finding in a patient being evaluated for other urologic problems.
Keywords: Chronic prostatitis, chronic pelvic pain syndrome.
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