The new age of prostatitis |
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Authors: | Granville L Lloyd MD Anthony J Schaeffer MD |
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Institution: | (1) Department of Urology, Northwestern University School of Medicine, Tarry 11-713, 303 E. Chicago Avenue, 60611-3008 Chicago, IL, USA |
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Abstract: | Prostatitis has long been a poorly understood and poorly characterized entity. Characterized in 1980 as a "wastebasket of
clinical ignorance," it has only recently begun to be studied effectively. Prostatitis represents over 2 million medical office
visits per year in the United States, and is the diagnosis given to 8% of urology clinic patients. Its prevalence may be as
high as 10% among the male population at large. Sufferers report a sickness impact of prostatitis that is similar to myocardial
infarction or Crohn’s disease. Less than 10% of cases of prostatitis are easily demonstrable to have a bacterial cause; these
respond to conventional antimicrobial treatment. The etiology, pathogenesis, and optimum treatment for the remaining 90% of
sufferers of this disease complex are quite unclear. Application of clinical research techniques and molecular biology promise
new insight into this challenging and difficult problem. |
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