Treating Chronic Prostatitis: Antibiotics No, α-Blockers Maybe
Authors: Wolfgang Weidner
Journal: Annals of Internal Medicine (2004)

Editorials19 October 2004Treating Chronic Prostatitis: Antibiotics No, α-Blockers MaybeWolfgang Weidner, MDWolfgang Weidner, MDFrom University of Giessen, D-35382 Giessen, Germany.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-141-8-200410190-00012 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Prostatitis is a common cause of visits to a physician. The National Institutes of Health (NIH) consensus classification of prostatitis syndromes includes acute bacterial prostatitis (type I), chronic bacterial prostatitis (type II), chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) (type III), and asymptomatic inflammatory prostatitis (type IV) (1). Type III, by far the most common of these syndromes, presents in 2 forms. Type III A is inflammatory, as shown by leukocytes in expressed prostatic secretions, post–prostate massage urine, or semen. Type III B is noninflammatory, and leukocytes are not present in these fluids. The cause of CP/CPPS is not known.Therapeutic ...References1. Krieger JN, Nyberg L, Nickel JC. NIH consensus definition and classification of prostatitis [Letter]. JAMA. 1999;282:236-7. [PMID: 10422990] CrossrefMedlineGoogle Scholar2. Nickel JC, Nyberg LM, Hennenfent M. Research guidelines for chronic prostatitis: consensus report from the first National Institutes of Health International Prostatitis Collaborative Network. Urology. 1999;54:229-33. [PMID: 10443716] CrossrefMedlineGoogle Scholar3. Schaeffer AJ, Datta NS, Fowler JE, Krieger JN, Litwin MS, Nadler RB, et al . Overview summary statement. Diagnosis and management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Urology. 2002;60:1-4. [PMID: 12521576] CrossrefMedlineGoogle Scholar4. Krieger JN, Ross SO, Riley DE. Chronic prostatitis: epidemiology and role of infection. Urology. 2002;30:8-12; discussion 13. 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[PMID: 12682773] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Giessen, D-35382 Giessen, Germany.Disclosures: None disclosed.Corresponding Author: Wolfgang Weidner, MD, Department of Urology, University of Giessen, D-35382 Giessen, Germany; e-mail, Wolfgang.[email protected]med.uni-giessen.de. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCiprofloxacin or Tamsulosin in Men with Chronic Prostatitis/Chronic Pelvic Pain Syndrome Richard B. Alexander , Kathleen J. Propert , Anthony J. Schaeffer , J. Richard Landis , J. Curtis Nickel , Michael P. O'Leary , Michel A. Pontari , Mary McNaughton-Collins , Daniel A. Shoskes , Craig V. Comiter , Nand S. Datta , Jackson E. Fowler Jr , Robert B. Nadler , Scott I. Zeitlin , Jill S. Knauss , Yanlin Wang , John W. Kusek , Leroy M. Nyberg Jr , Mark S. Litwin , and Metrics Cited ByAcupuncture combined with tamsulosin hydrochloride sustained-release capsule in the treatment of chronic prostatitis/chronic pelvic pain syndromePHYTOTHERAPY FOR INFLAMMATORY DISEASES OF THE PROSTATETraditional Chinese medicine on treating chronic prostatitis/chronic pelvic pain syndromeEffectiveness comparisons of acupuncture for chronic prostatitis/chronic pelvic pain syndromeEffectiveness of antibiotic treatment in infertile patients with sterile leukocytospermia induced by tobacco useProstate DiseasesSexual dysfunction and the prostateSexually Transmitted Diseases and Sexual FunctionPrimary care physician practices in the diagnosis, treatment and management of men with chronic prostatitis/chronic pelvic pain syndromeTraditional therapy for chronic pelvic pain does not work: what do we do now? 19 October 2004Volume 141, Issue 8Page: 639-640KeywordsAntibioticsAntimicrobialsClinical trial reportingClinical trialsDrugsProstatitisRandomized trialsSemenUrineUrology ePublished: 19 October 2004 Issue Published: 19 October 2004 CopyrightCopyright © 2004 by American College of Physicians. 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