When chronic prostatitis is to be considered?

ABSTRACT

We studied 50 patients with lower urinary symptoms, sexual symptoms and/or bacteruria. Their age ranged between 25-50 years. All patients were subjected to full history taking, clinical and laboratory investigation including urine analysis and culture and sensetivity; prostatic smear analysis and culture; prostatic needle biopsy and culture. All specimens were grown on aerobic cultures and blood agar plates. The most common presentations of our cases were sexual troubles as weak erection [40%] and lower urinary symptoms as burning micturation [18%]. Significant bacteriuria was found in only 20% of patients and E.coli was the most common isolated organism. Infected prostatic secretion with pus cells over 100/H P.F. was found in most cases [45%]. Prostatic secretion, semen and prostatic needle biopsy cultures revealed bacteriological growth in 76%, 67%, and 72% respectively. Regarding cost benefit and invasion, prostatic biopsy was of significant value in diagnosis of chronic prostatitis