Rizzo Michelangelo, Marchetti Federico, Travaglini Fabrizio, Trinchieri Alberto, Nickel J Curtis
Department of Urology, University of Florence, Florence, Italy.
World J Urol. 2005 Feb;23(1):61-6. doi: 10.1007/s00345-004-0456-2. Epub 2004 Nov 17.
A prospective multi-center Italian urology outpatient survey, undertaken to determine the prevalence of prostatitis in Italy, provided an ideal opportunity to identify and characterize the typical prostatitis patient presenting to Italian urologists. A total of 70 urologists, representing a cross section of urologic centers in Italy, counted and recorded the overall total male patients reported in the clinic and the overall total patients diagnosed with prostatitis over a 5 week period in late 2001. Data on demographics, previous diagnoses, symptoms (frequency and severity), quality of life, physical examination and laboratory data were prospectively collected. A total of 1,148 patients were identified with prostatitis (12.8%). Of these, 1,074 patients had complete data and could be included in this characterization analysis. The mean age of the prostatitis patients was 47.1 years (range 16-83); two thirds had experienced their first symptom within the last year. A family history of prostatitis was reported by 20.4%. The most common urinary diseases were benign prostatic hyperplasia (17.4%), recurrent urinary tract infection (11.2%) and urinary calculogenesis (11.1%), while the most common concurrent diseases were diabetes (7.2%) and depression (6.8%). The most frequently reported and most severe symptoms at the time of evaluation were irritative voiding symptoms, perineal and suprapubic pain and discomfort. Over three quarters of the patients were dissatisfied with their quality of life. Bacteria were cultured in 15.6%, 17.7% and 14.0% of expressed prostatic secretions, urine specimens after prostatic massage and semen specimens, respectively. Prostatitis is a common outpatient diagnosis, comprising over 10% of male outpatient visits to urologists in Italy. This comprehensive characterization of the typical prostatitis patient diagnosed in routine urological outpatient practice can be employed to generate hypothesis-driven studies in diagnosis and treatment.
一项前瞻性多中心意大利泌尿外科门诊调查旨在确定意大利前列腺炎的患病率，为识别和描述前往意大利泌尿外科医生处就诊的典型前列腺炎患者提供了理想机会。2001年末，共有70位代表意大利泌尿外科中心各个层面的泌尿外科医生，统计并记录了诊所报告的男性患者总数以及在5周内被诊断为前列腺炎的患者总数。前瞻性收集了有关人口统计学、既往诊断、症状（频率和严重程度）、生活质量、体格检查和实验室数据。共识别出1148例前列腺炎患者（占12.8%）。其中，1074例患者有完整数据，可纳入本次特征分析。前列腺炎患者的平均年龄为47.1岁（范围16 - 83岁）；三分之二的患者在过去一年内首次出现症状。20.4%的患者报告有前列腺炎家族史。最常见的泌尿系统疾病是良性前列腺增生（17.4%）、复发性尿路感染（11.2%）和尿路结石形成（11.1%），而最常见的并发疾病是糖尿病（7.2%）和抑郁症（6.8%）。评估时最常报告且最严重的症状是刺激性排尿症状、会阴和耻骨上疼痛及不适。超过四分之三的患者对其生活质量不满意。分别在15.6%、17.7%和14.0%的前列腺按摩后尿液标本、前列腺按摩后尿液标本和精液标本中培养出细菌。前列腺炎是一种常见的门诊诊断疾病，在意大利男性泌尿外科门诊就诊患者中占比超过10%。这种对常规泌尿外科门诊实践中诊断的典型前列腺炎患者的全面特征描述可用于开展诊断和治疗方面的假设驱动研究。
