Seiler D, Zbinden R, Hauri D, John H
Urologische Klinik, Universitätsspital Zürich, Schweiz.
Praxis (Bern 1994). 2003 Jun 4;92(23):1081-4. doi: 10.1024/0369-8394.92.23.1081.
Chronic pelvic pain syndrome is still an important clinical problem. The NIH-prostatitis classification introduced 1998 for diagnosis and treatment measures is based on extended microbiological analysis of urine, expressed prostate secretion (4-glass test), and ejaculate. We investigated if a simple urine analysis of an urine sample before and after prostatic massage (2-glass test) could replace the 4-glass test. 143 patients with the diagnosis chronic prostatitis were included in this prospective study. The results showed that the expensive and time consuming 4-glass test can be replaced by a simple 2-glass test. Extended examinations should only be performed in special cases.
慢性盆腔疼痛综合征仍然是一个重要的临床问题。1998年引入的用于诊断和治疗措施的美国国立卫生研究院前列腺炎分类是基于对尿液、前列腺分泌物（四杯试验）和精液进行的扩展微生物学分析。我们研究了前列腺按摩前后尿液样本的简单尿液分析（两杯试验）是否可以替代四杯试验。143例诊断为慢性前列腺炎的患者纳入了这项前瞻性研究。结果表明，昂贵且耗时的四杯试验可以被简单的两杯试验所替代。仅在特殊情况下才应进行扩展检查。
