ABSTRACT
Authors review the up-to-date questions of the prostatitis diagnostics on the basis of data of nearly 2,000 patients. In case of symptoms indicative of chr. prostatitis it is essential to localise the inflammation to the prostate with laboratory methods and in case of negative finding to identify the organic and functional diseases hidden behind the nonspecific clinical picture. A modified variation of the bacterial localisation culture (4 glasses test) has been applied by the authors in addition to previous methods. Among the potential etiological factors the hypertrophy of prostate stands first above 45 years of age. In the majority of cases etiological factor cannot be proved under 45 years. Among the subjective symptoms the cystitis syndrome, the low back and scrotal pain predominate, whereas among the objective symptoms above 45 years the microscopic pyuria, under 45 years of age the concomittant urethritis. Among Drach's prostatitis prevails (61%) whereas in the older patients prostetodynia, chr. nonbacterial and bacterial prostatitis have similar prevalence. In acute and subacute prostatitis the cystitis and the epididymitis, in chr. prostatis the pathozoospermia (44%) and the neurosis are the most frequent complications. Prostatitis presents a common differential diagnostic problem not only for the urology, but also for the abdominal diagnostics, rheumatology, proctology etc.
