Asymptomatic inflammatory prostatitis
From Wikipedia, the free encyclopedia
| Asymptomatic inflammatory prostatitis Classification and external resources |
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| ICD-10 | N41.9. | |
| ICD-9 | 601.9 | |
| DiseasesDB | 10801 | |
| MeSH | D011472 | |
Asymptomatic inflammatory prostatitis is a symptomless microscopic condition of the prostate gland. It should be distinguished from other forms of prostatitis such as chronic bacterial prostatitis, acute bacterial prostatitis and chronic pelvic pain syndrome (CPPS).
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[edit] Signs and symptoms
These patients have no history of genitourinary pain complaints, but leukocytosis is noted, usually during evaluation for other conditions.
[edit] Diagnosis
Diagnosis is through tests of semen, EPS or prostate tissue that reveal inflammation in the absence of symptoms.[1]
[edit] Treatment
No treatment required. It is standard practice for men with infertility and category IV prostatitis to be given a trial of antibiotics and/or anti-inflammatories however evidence for efficacy are weak.[2] Since signs of asymptomatic prostatic inflammation may sometimes be associated with prostate cancer, this can be addressed by tests that assess the ratio of free-to-total PSA. The results of these tests were significantly different in prostate cancer and category IV prostatitis in one study.[3]
[edit] References
- ^ Clemens JQ, Meenan RT, O'Keeffe Rosetti MC, Gao SY, Calhoun EA (2005). "Incidence and clinical characteristics of National Institutes of Health type III prostatitis in the community". J. Urol. 174 (6): 2319-22. doi:. PMID 16280832.
- ^ Weidner W, Krause W, Ludwig M (1999). "Relevance of male accessory gland infection for subsequent fertility with special focus on prostatitis". Hum. Reprod. Update 5 (5): 421–32. doi:. PMID 10582781. “Several inflammatory and reactive alterations of sperm quality seem to be proven; nevertheless, the impact of these findings on male fertility remains in many cases unclear."”
- ^ Stancik I, Lüftenegger W, Klimpfinger M, Müller MM, Hoeltl W (2004). "Effect of NIH-IV prostatitis on free and free-to-total PSA". Eur. Urol. 46 (6): 760–4. doi:. PMID 15548444.
[edit] External links
[edit] Additional images
 Prostate, urethra, and seminal vesicles. |
 The arteries of the pelvis. |
 Male pelvic organs seen from right side. |
