Prostatitis: Diagnostic criteria and classification

ABSTRACT

Our aim from this prospective study is to determine the prevalence and classification of maj types of prostatitis, also determining the commonest etiological agents. Materials and We analyzed 54 patients with symptoms suggestive of prostatitis, the patients were presented to the family clinic at Princess Haya Hospital/ Aqaba between January - June 2000, and underwent prostatic localization [diagnostic] studies. 54 consecutive patients were analyzed, and according to the currently accepted criteria for the diagnosis of prostatitis; 4 patients were given a diagnosis of acute bacterial postatitis which account for [7%] of all cases, 10 patients diagnosed as chronic bacterial prostatitis with [18%] prevalence, 25 had chronic non-bacterial prostatitis [46%] and 15 given a diagnosis of chronic pelvic pain syndrome [28%]. Bacterial growth was obtained from 14 patients [26%], of which Escherichia coli was grown from 5 [36%], Staphylococcus aureus from 4 [29%], Proteus from 3 [21%], Serratia from one [7%] and Klebsiella from one patient [7%]. The dilemma of diagnosing prostatitis is discussed. Conclusions: prostatitis is an important diagnosis in urological and primary care practice, this study emphasizes the need for improved diagnosis of prostatitis, also the higher prevalence of Staphylococcus aureus in our patients should prompt researchers to study their patient since cultural, social habits and evolusion of microbial world may have an impact on the etiology of the disease