Asymptomatic inflammatory prostatitis

Infobox Disease
Name = Asymptomatic inflammatory prostatitis
ICD10 = ICD10|N|41.9| |n|40
ICD9 = ICD9|601.9


Caption =
DiseasesDB = 10801
eMedicineSubj =
eMedicineTopic =
eMedicine_mult =
MedlinePlus =
MeshName = Prostatitis
MeshNumber = 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).

igns and symptoms

These patients have no history of genitourinary pain complaints, but leukocytosis is noted, usually during evaluation for other conditions.

Diagnosis

Diagnosis is through tests of semen, EPS or prostate tissue that reveal inflammation in the absence of symptoms.cite journal |author=Clemens JQ, Meenan RT, O'Keeffe Rosetti MC, Gao SY, Calhoun EA |title=Incidence and clinical characteristics of National Institutes of Health type III prostatitis in the community |journal=J. Urol. |volume=174 |issue=6 |pages=2319-22 |year=2005 |pmid=16280832 |doi=10.1097/01.ju.0000182152.28519.e7]

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.cite journal |author=Weidner W, Krause W, Ludwig M |title=Relevance of male accessory gland infection for subsequent fertility with special focus on prostatitis |journal=Hum. Reprod. Update |volume=5 |issue=5 |pages=421–32 |year=1999 |pmid=10582781 |doi= |quote=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." | doi = 10.1093/humupd/5.5.421 ] 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.cite journal |author=Stancik I, Lüftenegger W, Klimpfinger M, Müller MM, Hoeltl W |title=Effect of NIH-IV prostatitis on free and free-to-total PSA |journal=Eur. Urol. |volume=46 |issue=6 |pages=760–4 |year=2004 |pmid=15548444 |doi=10.1016/j.eururo.2004.08.003]

References

External links

*Dmoz|Health/Men%27s_Health/Conditions_and_Diseases/Prostate/Prostatitis/|Prostatitis

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