Hochreiter W, Bader P
Urologische Universitätsklinik, Anna-Seiler-Haus, Inselspital, CH-3010 Bern.
Urologe A. 2001 Jan;40(1):4-8. doi: 10.1007/s001200050424.
The first step in adopting a practical approach to the management of patients with prostatitis lies in the realization that the etiology of the symptoms often remains unclear and the traditional etiologically based classification system is part of the problem and not the solution. This problem was recognized in 1995 by the National Institutes of Health Consensus Conference on prostatitis. It was suggested that the classification of this disease be changed. The traditional categories "chronic nonbacterial prostatitis" and "prostatodynia" were replaced by the new category "chronic pelvic pain syndrome." The introduction of the term "syndrome" reflects two issues: despite lack of evidence for bacterial involvement based on conventional methods, nonbacterial prostatitis may indeed still be an infectious disease, and the etiology of the symptoms may be caused by a disorder not related to the prostate gland alone.
采取切实可行的方法来管理前列腺炎患者的第一步，在于认识到症状的病因往往仍不明确，而且传统的基于病因的分类系统是问题的一部分而非解决方案。1995年，美国国立卫生研究院前列腺炎共识会议认识到了这个问题。会议建议改变这种疾病的分类。传统的类别“慢性非细菌性前列腺炎”和“前列腺痛”被新的类别“慢性盆腔疼痛综合征”所取代。“综合征”一词的引入反映了两个问题：尽管根据传统方法缺乏细菌感染的证据，但非细菌性前列腺炎可能实际上仍是一种传染病，而且症状的病因可能由一种并非仅与前列腺相关的病症引起。
