Medicus, Vol. 12 No. 2_Spolne bolesti, 2003.
Pregledni rad
Prostatitis Syndrome
Ivan Krhen
Sažetak
Prostatitis syndrome is a frequent clinical
entity, comprising a series of functional disorders in prostate.
We speak about this syndrome because its etiology is still
unknown and diagnostic criteria are not firmly established. It is
clinically manifested with the symptoms of lower urogenital
tract and perineum. The basic criterion for classification within
the prostatitis syndrome are clinical symptoms and signs, as
well as the presence of leukocytes and bacteria in selectively
taken samples of urine and in prostate exprimate by using the
method described by Meares and Stamey. Antimicrobic treatment
is indicated in patients with acute bacterial, chronic bacterial,
and chronic inflammatory non-bacterial prostatitis, a
part of which is bacterial prostatitis with cause unproved by
classical methods. Patients with acute bacterial prostatitis and
acute exacerbation of chronic bacterial prostatitis must be
immediately treated with empirical antimicrobic therapy. In
patients with chronic bacterial prostatitis, microbiological finding
must be obtained and then target antimicrobic therapy
should be applied. Due to the wide spectrum of activity, as
well as pharmacodynamic and pharmacokinetic properties,
antimicrobic drugs of the first choice for the treatment of
prostate inflammatory diseases are fluorokinolons, ciprofloxacin
and ofloxacin. The efficacy of performed antimicrobic
therapy should be followed up 4-6 weeks (early follow-up) and
6 months (late follow-up) after the completed antimicrobic
treatment. The treatment of chronic non-inflammatory pelvic
pain syndrome without provable infection includes phytotherapy,
hygienic dietary measures, microwave thermotherapy,
alpha-adrenoreceptor antagonists, myorelaxants, analgesics,
non-steroid antiphlogistics, 5-alpha reductase inhibitors,
change of life style, psychotherapy and spasmoanalgesics. All
the patients with chronic types of prostatitis syndrome are
advised to avoid alcohol, carobanted beverages, strong spices,
cycling, coldness, particularly sitting on cold surfaces.
Ključne riječi
prostatitis syndrome; diagnostics; treatment; Fluorokinolons
Hrčak ID:
20574
URI
Datum izdavanja:
7.10.2003.
Posjeta: 6.252 *