Urodynamic Findings of Chronic Nonbacterial Prostatitis Patients with Urinary Symptoms

Changug Lee; Bongmo Seong

doi:10.4111/kju.2006.47.3.268

Journal List > Korean J Urol > v.47(3) > 1069847

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Lee and Seong: Urodynamic Findings of Chronic Nonbacterial Prostatitis Patients with Urinary Symptoms

Original Article

Korean Journal of Urology

Korean Journal of Urology 2006; 47(3): 268-271.

Published online: 31 March 2006

DOI: https://doi.org/10.4111/kju.2006.47.3.268

Urodynamic Findings of Chronic Nonbacterial Prostatitis Patients with Urinary Symptoms

Changug Lee, Bongmo Seong

Department of Urology, Hanil General Hospital, Seoul, Korea.

Corresponding author (againgu@paran.com)

Received 19 July 2005 Accepted 29 October 2005

Abstract

Purpose

Chronic nonbacterial prostatitis represents a major portion of all the chronic prostatitis syndromes. Yet its pathogenesis is not definitive. Therefore, the treatment of chronic nonbacterial prostatitis in men is unclear. In this study, the patients with chronic nonbacterial prostatitis, especially those with complaints of voiding difficulty, were analyzed with conducting a urodynamic study to search for the pathophysiology and the effective treatments.

Materials and Methods

Sixty men (mean age: 38.9%8.3 years) diagnosed with chronic nonbacterial prostatitis were included in this study after excluding the patients with prostatic infection via the standard bacteriological methods. Thereafter, the patients were evaluated urodynamically, including measurements by uroflowmetry, cystometry and a pressure flow study.

Results

According to their symptoms, 37 (61.7%) patients complained of frequency, 28 (46.7%) patients complained of a weak stream, 10 (16.7%) patients complained about urgency, and 5 (8.3%) patients complained about pelvic pain. Of the 60 patients, detrusor underactivity (DU), detrusor overactivity (DO), and bladder outlet obstruction (BOO) were found in 19 (31.7%), 12 (20.0%), and 11 (18.3%) patients respectively; there were equivocal findings in 30.3% of patients.

Conclusions

This study demonstrated that 42 (70%) patients suffering with chronic nonbacterial prostatitis had different urodynamically abnormal patterns such as DU, DO and BOO. A urodynamic study may to be useful in establishing a correct diagnosis and for launching the appropriate therapy for the selected group of patients who were not helped by general treatments.

Keywords: Urodynamics, Prostatitis, Pelvic pain

Figures and Tables

Table 1

The symptoms of chronic nonbacterial prostatitis

Table 2

The UDS finding of chronic nonbacterial prostatitis

UDS: urodynamics, DU: detrusor overactivity, DO: detrusor overactivity, BOO: bladder outlet obstruction

Table 3

The UDS finding of each symptoms

UDS: urodynamics, DU: detrusor underactivity, DO: detrusor overactivity, BOO: bladder outlet obstruction

References

1. Chronic Prostitis Workshop: summary statement. 1995. Bethesda, Maryland: National Institutes of Health.

2. Abrams P, Blaivas JG, Stanton SL, Andersen JT. The International Continence Society Committee on Standardisation of Terminology. The standardisation of terminology of lower urinary tract function. Scand J Urol Nephrol. 1988. 114:Suppl. 5–19.

3. Kaplan SA, Ikeguchi EF, Santarosa RP, D'Alisera PM, Hendricks J, Te AE, et al. Etiology of voiding dysfunction in men less than 50 years of age. Urology. 1996. 47:836–839.

4. Lim CS, Abrams P. The Abrams-Griffiths nomogram. World J Urol. 1995. 13:34–39.

5. Griffiths D, Hofner K, Van Mastrigt R, Rollema HJ, Spangberg A, Gleason D. Standardization of terminology of lower urinary tract function: presure-flow studies of voiding, urethral resistance, and urethral obstruction. Neurourol Urodyn. 1997. 16:1–18.

6. Van Mastrigt R, Rollema HJ. The prognostic value of bladder contractility in transurethral resection of the prostate. J Urol. 1992. 148:1856–1860.

7. Kirby RS, Lowe D, Bultitude MI, Shuttleworth KE. Intraprostatic urinary reflux: an aetiologic factor in abacterial prostatitis. Br J Urol. 1982. 54:729–731.

8. Hellstrom WJ, Schmidt RA, Lue TF, Tanagho EA. Neuromuscular dysfunction in nonbacterial prostatitis. Urology. 1987. 30:183–188.

9. Segura JW, Opitz JL, Greene LF. Prostatosis, prostatitis or pelvic floor tension myalgia? J Urol. 1979. 122:168–169.

10. Krieger JN, Egan KJ, Ross SO, Jacobs R, Berger RE. Chronic pelvic pains represent the most prominent urogenital symptoms of "chronic prostatitis". Urology. 1996. 48:715–722.

11. Alexander RB, Trissel D. Chronic prostatitis: results of an Internet survey. Urology. 1996. 48:568–574.

12. Moon TD. Questionnaire survey of urologists and primary care physicians diagnostic and treatment practices for prostatitis. Urology. 1997. 50:543–547.

13. Abrams P. In support of pressure-flow studies for evaluating men with lower urinary tract symptoms. Urology. 1994. 4:153–155.

14. Kaplan SA, Bowers DL, Te AE, Olsson CA. Differential diagnosis of prostatism: a 12-year retrospective analysis of symptoms, urodynamics and satisfaction with therapy. J Urol. 1996. 155:1305–1308.

15. Lee JG, Shin KS, Koh SK. Incidence of detrusor underactivity in men with prostadism older than 50 years. Korean J Urol. 1999. 40:347–352.

16. Theodorou C, Konidaris D, Moutzouris G, Becopoulos T. The urodynamic profile of prostatodynia. Br J Urol. 1999. 84:461–463.

17. Abrams P. Bladder outlet obstruction index, bladder contractility index and bladder voiding efficiency: three simple indices to define bladder voiding function. BJU Int. 1999. 84:14–15.

18. Mayo ME, Ross SO, Krieger JN. Few patients with "chronic prostatitis" have significant bladder outlet obstruction. Urology. 1998. 52:417–421.

TOOLS

Similar articles