Abstract
Objective: To report on a small group of patients with chronic abacterial prostatitis/chronic pelvic pain syndrome treated with oral corticosteroids in order to suggest a hypothesis for a future randomised controlled trial.
Design: A retrospective, observational report.
Results: Three out of the four patients reported improvement in symptoms following steroid treatment.
Conclusions: These reports suggest that there is scope for conducting a randomised, placebo controlled study to investigate the role of oral corticosteroids in patients with chronic abacterial prostatitis/chronic pelvic pain syndrome who have failed on conventional therapy.
Key Words: prostatitis; prostatodynia; steroids
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Selected References
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- Alexander R. B., Ponniah S., Hasday J., Hebel J. R. Elevated levels of proinflammatory cytokines in the semen of patients with chronic prostatitis/chronic pelvic pain syndrome. Urology. 1998 Nov;52(5):744–749. doi: 10.1016/s0090-4295(98)00390-2. [DOI] [PubMed] [Google Scholar]
- Brunner H., Weidner W., Schiefer H. G. Studies on the role of Ureaplasma urealyticum and Mycoplasma hominis in prostatitis. J Infect Dis. 1983 May;147(5):807–813. doi: 10.1093/infdis/147.5.807. [DOI] [PubMed] [Google Scholar]
- Doble A., Thomas B. J., Furr P. M., Walker M. M., Harris J. R., Witherow R. O., Taylor-Robinson D. A search for infectious agents in chronic abacterial prostatitis using ultrasound guided biopsy. Br J Urol. 1989 Sep;64(3):297–301. doi: 10.1111/j.1464-410x.1989.tb06017.x. [DOI] [PubMed] [Google Scholar]
- Drach G. W., Fair W. R., Meares E. M., Stamey T. A. Classification of benign diseases associated with prostatic pain: prostatitis or prostatodynia? J Urol. 1978 Aug;120(2):266–266. doi: 10.1016/s0022-5347(17)57135-9. [DOI] [PubMed] [Google Scholar]
- Krieger J. N., Nyberg L., Jr, Nickel J. C. NIH consensus definition and classification of prostatitis. JAMA. 1999 Jul 21;282(3):236–237. doi: 10.1001/jama.282.3.236. [DOI] [PubMed] [Google Scholar]
- Lundgren R., Holmquist B., Hesselvik M., Müntzing J. Treatment of prostatitis in the rat. Prostate. 1984;5(3):277–284. doi: 10.1002/pros.2990050305. [DOI] [PubMed] [Google Scholar]
- Meares E. M., Jr Prostatitis: diagnosis and treatment. Drugs. 1978 Jun;15(6):472–479. doi: 10.2165/00003495-197815060-00005. [DOI] [PubMed] [Google Scholar]
- Meares E. M., Stamey T. A. Bacteriologic localization patterns in bacterial prostatitis and urethritis. Invest Urol. 1968 Mar;5(5):492–518. [PubMed] [Google Scholar]
- Smart C. J., Jenkins J. D., Lloyd R. S. The painful prostate. Br J Urol. 1975;47(7):861–869. doi: 10.1111/j.1464-410x.1975.tb04069.x. [DOI] [PubMed] [Google Scholar]
- Thin R. N., Simmons P. D. Review of results of four regimens for treatment of chronic non-bacterial prostatitis. Br J Urol. 1983 Oct;55(5):519–521. doi: 10.1111/j.1464-410x.1983.tb03360.x. [DOI] [PubMed] [Google Scholar]