Reduced zinc concentration in expressed prostatic secretion relates to the pain symptoms of types Ⅲ and Ⅳ prostatitis / 中华男科学杂志

<p><b>Objective</b>To determine the zinc levels in the expressed prostatic secretion (EPS) of the patients with different types of chronic nonbacterial prostatitis, and explore the reference value of zinc concentration in EPS in the diagnosis and treatment of prostatitis.</p><p><b>METHODS</b>We collected EPS samples from 35 healthy men and 173 patients with chronic nonbacterial prostatitis, including 65 cases of type ⅢA, 69 cases of type ⅢB, and 39 cases of type Ⅳ, according to the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI). We compared the zinc levels in the EPS samples among different groups and analyzed the correlations of zinc concentration with the NIH-CPSI scores, WBC count, pH value, and age of the subjects.</p><p><b>RESULTS</b>The participants were aged 17－65 (32.5±8.5) years. The zinc concentrations in the EPS were significantly lower in the ⅢA (［162.2±10.8］ μg/ml) and ⅢB (［171.2±12.0］ μg/ml) than in the Ⅳ (［234.6±17.9］ μg/ml) (P<0.05 ) and the control group (［259.5±14.6］ μg/ml) (P<0.05 ). The zinc level was correlated negatively with the NIH-CPSI pain score (r=－0.248, P<0.01), quality of life score (r=－0.232, P<0.01), severity score (r=－0.270, P<0.01), total NIH-CPSI score (r=－0.281, P<0.01), and the pH value in EPS (r=－0.208, P<0.01), but showed no correlation with the WBC count and age of the subjects.</p><p><b>CONCLUSIONS</b>The reduced zinc concentration in the EPS of the patients with chronic nonbacterial prostatitis may be associated with the pain symptoms of the disease, which suggests the potential reference value of measuring the zinc concentration in EPS in the diagnosis and treatment of prostatitis.</p>

Measurement and correlation of electrolytes in EPS and urine of patients with chronic prostatitis / 中华泌尿外科杂志

Objective To measure the concentration of electrolytes such as potassium,sodium,chloride,calcium in EPS and urine of patients with chronic prostatitis and to analyze the correlation of the electrolytes in different patient groups. Methods The concentrations of potassium,sodium,chloride and calcium in EPS and urine of 31 controls and 79 patients with prostatitis were measured and analyzed. Results There was no significant difference between the patients and normal controls in electrolytical concentration of potassium,sodium,calcium except chloride (P=0.001).The concentration of chloride in the patients was significantly higher than that in the normal controls.In the treatment effective group, potassium concentrations were decreased from 40.66?17.10 to 33.42?17.27 mmol/L after treatment.In the treatment ineffective group, potassium concentrations were (37.57?16.93)mmol/L before treatment and 50.66?18.77 mmol/L after treatment.Potassium concentrations were 36.02?12.36 and 48.90?16.93 mmol/L in the pain group and painless group,respectively.There were positive correlations between the concentrations of potassium and calcium of EPS,sodium and chloride of urine as well. Conclusions The concentrations of potassium in EPS are obviously different between the effective group and ineffective group or the pain group and painless group.There is a close relationship between the concentration of potassium and calcium of EPS,sodium and chloride of urine; and they are positively correlated.

Anaerobic Bacterial Isolation in Patients with Chronic Prostatitis Syndrome / 대한비뇨기과학회지

In a general way, anaerobic isolation is troublesome and needs competent personnel and fittings. In addition, bacterial isolation from the prostate is disappointing because of difficulty in interpretation of the results. In this experiment, we tried the best way to isolate anaerobes from the prostate in terms of processing of the specimens such as catching, transportation, etc. We performed this antegrade experiment for 12 months in 1992 and got the results from 43 patients with chronic prostatitis syndrome as follows. l. Age distribution was in broad range between 20 and 54 showing peak incidence in 31-40 years(49% ) and the next in 20-30 years( 30%). 2. Subjective symptoms and signs consisted of perineal discomfort, suprapubic discomfort, frequency, urethral discomfort, dysuria, morning drop, testicular discomfort, and hemospermia 3. Majority of the cases( 36 cases. 83.7% ) were normal in the microscopy of VB1 EPS of 31 cases(72%) showed WBC more than 10/HPF. VB3 of 23 cases(53.5% ) showed than l0/HPF 4. A total of 40 cases showed aerobes in EPS and/or VB3 by culture. However, only 8 cases showed aerobes in EPS and/or VB, exclusive of 32 cases in which aerobes also appeared in VB1. 5. Anaerobic bacteria were cultured only from EPS for a total of 8 cases. There were 2 cases with Bacteroides species, 2 cases with Prevotella bivia, 2 cases with Peptostreptococcus anaerobrus,2 cases with Actinomyces meyeri, 1 case with Eubacterium lentum and 1 case with Eubacterium limosum.

The Concentrations of Zinc in Expressed Prostatic Secretion of Chronic Prostatitis Patients / 대한비뇨기과학회지

We have performed assay for zinc on the expressed prostatic secretion in 52 consecutative patients with complaints of chronic prostatitis along with 23 controls. Among 52 patients, 29 are chronic bacterial prostatitis and 23 are chronic non-bacterial prostatitis. The result is as follows: 1. There is a significant difference(p<0.01) of the concentration of zinc in expressed prostatic secretion between the patient and the control. 2. Not remarkable difference of the concentration of zinc between the bacterial prostatitis and the non-bacterial prostatitis is elucidated.