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{{Prostatitis}}
{{Prostatitis}}
{{CMG}} {{AE}} {{YD}}
{{CMG}} {{AE}} {{YD}}, {{USAMA}}
==Overview==
==Overview==
According to the International Prostatitis Collaboration Network, prostatitis may be classified into 5 subtypes based on the duration of symptoms and evidence of bacterial infection/inflammation into either acute bacterial prostatitis, chronic bacterial prostatitis, inflammatory chronic prostatitis/chronic pelvic pain syndrome, non-inflammatory chronic prostatitis/chronic pelvic pain syndrome, or asymptomatic inflammatory prostatitis.<ref name="pmid10422990">{{cite journal| author=Krieger JN, Nyberg L, Nickel JC| title=NIH consensus definition and classification of prostatitis. | journal=JAMA | year= 1999 | volume= 282 | issue= 3 | pages= 236-7 | pmid=10422990 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10422990  }} </ref>
Prostatitis has been classified by International Prostatitis Collaboration Network, into 5 subtypes. This classification is done on the basis of timing of the symptoms and the presence of bacterial pathogens and other markers of infection and [[inflammation]]. The categories include acute bacterial prostatitis, chronic bacterial prostatitis, inflammatory chronic prostatitis/chronic pelvic pain syndrome, non-inflammatory chronic prostatitis/chronic pelvic pain syndrome, and asymptomatic inflammatory prostatitis.<ref name="pmid10422990">{{cite journal| author=Krieger JN, Nyberg L, Nickel JC| title=NIH consensus definition and classification of prostatitis. | journal=JAMA | year= 1999 | volume= 282 | issue= 3 | pages= 236-7 | pmid=10422990 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10422990  }} </ref><ref>{{Cite journal
| author = [[Yorio Naide]], [[Kiyohito Ishikawa]], [[Toshiyuki Tanaka]], [[Shin Ando]], [[Keizo Suzuki]] & [[Kiyotaka Hoshinaga]]
| title = A proposal of subcategorization of bacterial prostatitis: NIH category I and II diseases can be further subcategorized on analysis by therapeutic and immunological procedures
| journal = [[International journal of urology : official journal of the Japanese Urological Association]]
| volume = 13
| issue = 7
| pages = 939–946
| year = 2006
| month = July
| doi = 10.1111/j.1442-2042.2006.01444.x
| pmid = 16882059
}}</ref>


==Classification==
==Classification==
According to the International Prostatitis Collaboration Network, prostatitis may be classified based on the duration of symptoms and evidence of bacterial infection as shown below:<ref name="pmid10422990">{{cite journal| author=Krieger JN, Nyberg L, Nickel JC| title=NIH consensus definition and classification of prostatitis. | journal=JAMA | year= 1999 | volume= 282 | issue= 3 | pages= 236-7 | pmid=10422990 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10422990  }} </ref>
Prostatitis has been classified by International Prostatitis Collaboration Network, into 5 subtypes. This classification is done on the basis of timing of the symptoms and the presence of [[bacterial]] pathogens and other markers of infection and inflammation. The categories include:<ref name="pmid10422990">{{cite journal| author=Krieger JN, Nyberg L, Nickel JC| title=NIH consensus definition and classification of prostatitis. | journal=JAMA | year= 1999 | volume= 282 | issue= 3 | pages= 236-7 | pmid=10422990 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10422990  }} </ref>
*'''Acute bacterial prostatitis''': Acute symptoms with evidence of bacterial infection
 
*'''Chronic bacterial prostatitis''': Chronic symptoms with evidence of bacterial infection
 
*'''Inflammatory chronic prostatitis/chronic pelvic pain syndrome''': Chronic symptoms with inflammation but without any evidence of bacterial infection
{{familytree/start}}
**Non Granulomatous prostatitis:
{{familytree | | | | | | | | | A01 | | | | | | | | | | | | | | | |A01=Prostatitis}}
**Granulomatous prostatitis: This type of prostatitis can result from a systemic granulomatous disease or malakoplakia or intravesical BCG for Tuberculosis. It has high [[PSA]] levels and may be confused initially with prostatic cancer.<ref>{{Cite journal
{{familytree | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | }}
{{familytree | |,|-|-|-|v|-|-|-|+|-|-|-|v|-|-|-|.| | | | | | | | | | | | }}
{{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | | | | | | | | | | }}
{{familytree | B01 | | B02 | | B03 | | B04 | | B05 | | | | | | |B01=Acute bacterial prostatitis|B02=Chronic bacterial prostatitis|B03=Inflammatory chronic prostatitis/chronic pelvic pain syndrome|B04=Non-inflammatory chronic prostatitis/chronic pelvic pain syndrome|B05=Asymptomatic inflammatory prostatitis}}
{{familytree/end}}
 
 
*'''Acute bacterial prostatitis''': Acute symptoms with evidence of [[bacterial]] infection.<ref>{{Cite journal
| author = [[Gabriel Stoica]], [[Gerard Cariou]], [[Alexandre Colau]], [[Ariane Cortesse]], [[Patrice Hoffmann]], [[Antoine Schaetz]] & [[Raphael Sellam]]
| title = &#91;Epidemiology and treatment of acute prostatitis after prostatic biopsy&#93;
| journal = [[Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie]]
| volume = 17
| issue = 5
| pages = 960–963
| year = 2007
| month = September
| pmid = 17969797
}}</ref>
**Emphysematous prostatitis: This is characterised by presence of air in the prostate. It is found in [[diabetic]] or [[immunocompromised]] individuals and [[Klebsiella]] is the most common cause.<ref>{{Cite journal
| author = [[Hsun-Shuan Wang]] & [[Ming-Chen Shih]]
| title = IMAGES IN CLINICAL MEDICINE. Emphysematous Prostatitis
| journal = [[The New England journal of medicine]]
| volume = 375
| issue = 9
| pages = 879
| year = 2016
| month = September
| doi = 10.1056/NEJMicm1507124
| pmid = 27579638
}}</ref><ref>{{Cite journal
| author = [[Daniel A. Thorner]], [[John P. Sfakianos]], [[Fernando Cabrera]], [[Erich K. Lang]] & [[Ivan Colon]]
| title = Emphysematous prostatitis in a diabetic patient
| journal = [[The Journal of urology]]
| volume = 183
| issue = 5
| pages = 2025
| year = 2010
| month = May
| doi = 10.1016/j.juro.2010.01.084
| pmid = 20303525
}}</ref>
*'''Chronic bacterial prostatitis''': Chronic symptoms with evidence of bacterial infection.<ref>{{Cite journal
| author = [[James D. Holt]], [[W. Allan Garrett]], [[Tyler K. McCurry]] & [[Joel M. H. Teichman]]
| title = Common Questions About Chronic Prostatitis
| journal = [[American family physician]]
| volume = 93
| issue = 4
| pages = 290–296
| year = 2016
| month = February
| pmid = 26926816
}}</ref>
*'''Inflammatory chronic prostatitis/chronic pelvic pain syndrome''': Chronic symptoms with inflammation but without any evidence of bacterial infection.<ref>{{Cite journal
| author = [[Anthony J. Schaeffer]], [[Nand S. Datta]], [[Jackson E. Jr Fowler]], [[John N. Krieger]], [[Mark S. Litwin]], [[Robert B. Nadler]], [[J. Curtis Nickel]], [[Michel A. Pontari]], [[Daniel A. Shoskes]], [[Scott I. Zeitlin]] & [[Carol Hart]]
| title = Overview summary statement. Diagnosis and management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)
| journal = [[Urology]]
| volume = 60
| issue = 6 Suppl
| pages = 1–4
| year = 2002
| month = December
| pmid = 12521576
}}</ref>
**Non [[Granulomatous]] prostatitis: All forms of prostatitis without the presence of granulomatosis are included in this category.
**Granulomatous prostatitis: This type of prostatitis can result from a systemic [[granulomatous]] disease or [[malakoplakia]] or intravesical [[BCG]] for transitional cell [[bladder carcinoma]]. It has high [[PSA]] levels and may be confused initially with [[Prostate cancer|prostatic cancer]].<ref>{{Cite journal
  | author = [[Waldemar Bialek]], [[Slawomir Rudzki]], [[Pawel Iberszer]] & [[Lech Wronecki]]
  | author = [[Waldemar Bialek]], [[Slawomir Rudzki]], [[Pawel Iberszer]] & [[Lech Wronecki]]
  | title = Granulomatous prostatitis after intravesical immunotherapy mimicking prostate cancer
  | title = Granulomatous prostatitis after intravesical immunotherapy mimicking prostate cancer
Line 32: Line 107:
  | month = June
  | month = June
  | pmid = 27391977
  | pmid = 27391977
}}</ref>
}}</ref><ref>{{Cite journal
<ref>{{Cite journal
  | author = [[Su-Min Lee]], [[Jay Joshi]], [[Konrad Wolfe]], [[Peter Acher]] & [[Sidath H. Liyanage]]
  | author = [[Su-Min Lee]], [[Jay Joshi]], [[Konrad Wolfe]], [[Peter Acher]] & [[Sidath H. Liyanage]]
  | title = Radiologic presentation of chronic granulomatous prostatitis mimicking locally advanced prostate adenocarcinoma
  | title = Radiologic presentation of chronic granulomatous prostatitis mimicking locally advanced prostate adenocarcinoma
Line 45: Line 119:
  | pmid = 27257455
  | pmid = 27257455
}}</ref>
}}</ref>
 
**IgG4 related prostatitis: It is the inflammation of the prostate in a person with [[IgG4-related systemic disease|IgG4 related disease]].<ref>{{Cite journal
**IgG4 related prostatitis: It i the inflammation of the prostate in a person with IgG4 related disease.<ref>{{Cite journal
  | author = [[Kais Kasem]], [[Kris Kerr]], [[Peter Campbell]] & [[Daman Langguth]]
  | author = [[Kais Kasem]], [[Kris Kerr]], [[Peter Campbell]] & [[Daman Langguth]]
  | title = IgG4-related prostatitis clinically mimicking prostatic carcinoma: A case report
  | title = IgG4-related prostatitis clinically mimicking prostatic carcinoma: A case report
Line 57: Line 130:
  | pmid = 27773113
  | pmid = 27773113
}}</ref>
}}</ref>
*'''Non-inflammatory chronic prostatitis/chronic pelvic pain syndrome''': Chronic symptoms with neither inflammation nor evidence of bacterial infection
*'''Non-inflammatory chronic prostatitis/chronic pelvic pain syndrome''': Chronic symptoms with neither [[inflammation]] nor evidence of [[bacterial]] infection.<ref>{{Cite journal
*'''Asymptomatic inflammatory prostatitis''': No symptoms with evidence of inflammation (incidental finding)
| author = [[Pasquale Urbano]] & [[Francesco Urbano]]
| title = Nanobacteria: facts or fancies?
| journal = [[PLoS pathogens]]
| volume = 3
| issue = 5
| pages = e55
| year = 2007
| month = May
| doi = 10.1371/journal.ppat.0030055
| pmid = 17530922
}}</ref>
*'''Asymptomatic inflammatory prostatitis''': No symptoms with evidence of [[inflammation]] (incidental finding).<ref>{{Cite journal
| author = [[J. Quentin Clemens]], [[Richard T. Meenan]], [[Maureen C. O'Keeffe Rosetti]], [[Sara Y. Gao]] & [[Elizabeth A. Calhoun]]
| title = Incidence and clinical characteristics of National Institutes of Health type III prostatitis in the community
| journal = [[The Journal of urology]]
| volume = 174
| issue = 6
| pages = 2319–2322
| year = 2005
| month = December
| doi = 10.1097/01.ju.0000182152.28519.e7
| pmid = 16280832
}}</ref>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Emergency mdicine]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Urology]]

Latest revision as of 23:50, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Yazan Daaboul, M.D., Usama Talib, BSc, MD [2]

Overview

Prostatitis has been classified by International Prostatitis Collaboration Network, into 5 subtypes. This classification is done on the basis of timing of the symptoms and the presence of bacterial pathogens and other markers of infection and inflammation. The categories include acute bacterial prostatitis, chronic bacterial prostatitis, inflammatory chronic prostatitis/chronic pelvic pain syndrome, non-inflammatory chronic prostatitis/chronic pelvic pain syndrome, and asymptomatic inflammatory prostatitis.[1][2]

Classification

Prostatitis has been classified by International Prostatitis Collaboration Network, into 5 subtypes. This classification is done on the basis of timing of the symptoms and the presence of bacterial pathogens and other markers of infection and inflammation. The categories include:[1]


 
 
 
 
 
 
 
 
Prostatitis
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Acute bacterial prostatitis
 
Chronic bacterial prostatitis
 
Inflammatory chronic prostatitis/chronic pelvic pain syndrome
 
Non-inflammatory chronic prostatitis/chronic pelvic pain syndrome
 
Asymptomatic inflammatory prostatitis
 
 
 
 
 
 


  • Acute bacterial prostatitis: Acute symptoms with evidence of bacterial infection.[3]
  • Chronic bacterial prostatitis: Chronic symptoms with evidence of bacterial infection.[6]
  • Inflammatory chronic prostatitis/chronic pelvic pain syndrome: Chronic symptoms with inflammation but without any evidence of bacterial infection.[7]
  • Non-inflammatory chronic prostatitis/chronic pelvic pain syndrome: Chronic symptoms with neither inflammation nor evidence of bacterial infection.[12]
  • Asymptomatic inflammatory prostatitis: No symptoms with evidence of inflammation (incidental finding).[13]

References

  1. 1.0 1.1 Krieger JN, Nyberg L, Nickel JC (1999). "NIH consensus definition and classification of prostatitis". JAMA. 282 (3): 236–7. PMID 10422990.
  2. Yorio Naide, Kiyohito Ishikawa, Toshiyuki Tanaka, Shin Ando, Keizo Suzuki & Kiyotaka Hoshinaga (2006). "A proposal of subcategorization of bacterial prostatitis: NIH category I and II diseases can be further subcategorized on analysis by therapeutic and immunological procedures". International journal of urology : official journal of the Japanese Urological Association. 13 (7): 939–946. doi:10.1111/j.1442-2042.2006.01444.x. PMID 16882059. Unknown parameter |month= ignored (help)
  3. Gabriel Stoica, Gerard Cariou, Alexandre Colau, Ariane Cortesse, Patrice Hoffmann, Antoine Schaetz & Raphael Sellam (2007). "[Epidemiology and treatment of acute prostatitis after prostatic biopsy]". Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie. 17 (5): 960–963. PMID 17969797. Unknown parameter |month= ignored (help)
  4. Hsun-Shuan Wang & Ming-Chen Shih (2016). "IMAGES IN CLINICAL MEDICINE. Emphysematous Prostatitis". The New England journal of medicine. 375 (9): 879. doi:10.1056/NEJMicm1507124. PMID 27579638. Unknown parameter |month= ignored (help)
  5. Daniel A. Thorner, John P. Sfakianos, Fernando Cabrera, Erich K. Lang & Ivan Colon (2010). "Emphysematous prostatitis in a diabetic patient". The Journal of urology. 183 (5): 2025. doi:10.1016/j.juro.2010.01.084. PMID 20303525. Unknown parameter |month= ignored (help)
  6. James D. Holt, W. Allan Garrett, Tyler K. McCurry & Joel M. H. Teichman (2016). "Common Questions About Chronic Prostatitis". American family physician. 93 (4): 290–296. PMID 26926816. Unknown parameter |month= ignored (help)
  7. Anthony J. Schaeffer, Nand S. Datta, Jackson E. Jr Fowler, John N. Krieger, Mark S. Litwin, Robert B. Nadler, J. Curtis Nickel, Michel A. Pontari, Daniel A. Shoskes, Scott I. Zeitlin & Carol Hart (2002). "Overview summary statement. Diagnosis and management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)". Urology. 60 (6 Suppl): 1–4. PMID 12521576. Unknown parameter |month= ignored (help)
  8. Waldemar Bialek, Slawomir Rudzki, Pawel Iberszer & Lech Wronecki (2016). "Granulomatous prostatitis after intravesical immunotherapy mimicking prostate cancer". Journal of ultrasonography. 16 (67): 404–410. doi:10.15557/JoU.2016.0040. PMID 28138411. Unknown parameter |month= ignored (help)
  9. Octavio Castillo Cadiz, Lorena Villasenin Parrado, Vincenzo Borgna Christie, Ivan Gallegos Mendez & Virginia Martinez Corta (2016). "Late-onset granulomatous prostatitis following intravesical bacille Calmette-Guerin therapy: case report". Medwave. 16 (5): e6473. PMID 27391977. Unknown parameter |month= ignored (help)
  10. Su-Min Lee, Jay Joshi, Konrad Wolfe, Peter Acher & Sidath H. Liyanage (2016). "Radiologic presentation of chronic granulomatous prostatitis mimicking locally advanced prostate adenocarcinoma". Radiology case reports. 11 (2): 78–82. doi:10.1016/j.radcr.2016.02.009. PMID 27257455. Unknown parameter |month= ignored (help)
  11. Kais Kasem, Kris Kerr, Peter Campbell & Daman Langguth (2016). "IgG4-related prostatitis clinically mimicking prostatic carcinoma: A case report". Pathology. 48 Suppl 1: S71. doi:10.1016/j.pathol.2015.12.185. PMID 27773113. Unknown parameter |month= ignored (help)
  12. Pasquale Urbano & Francesco Urbano (2007). "Nanobacteria: facts or fancies?". PLoS pathogens. 3 (5): e55. doi:10.1371/journal.ppat.0030055. PMID 17530922. Unknown parameter |month= ignored (help)
  13. J. Quentin Clemens, Richard T. Meenan, Maureen C. O'Keeffe Rosetti, Sara Y. Gao & Elizabeth A. Calhoun (2005). "Incidence and clinical characteristics of National Institutes of Health type III prostatitis in the community". The Journal of urology. 174 (6): 2319–2322. doi:10.1097/01.ju.0000182152.28519.e7. PMID 16280832. Unknown parameter |month= ignored (help)