Potts Jeannette, Payne Richard E
Glickman Urological Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Cleve Clin J Med. 2007 May;74 Suppl 3:S63-71. doi: 10.3949/ccjm.74.suppl_3.s63.
Prostatitis is a broad term used to describe inflammation of the prostate that may be associated with a myriad of lower urinary tract symptoms and symptoms of sexual discomfort and dysfunction. The condition affects 5% to 10% of the male population and is the most common urologic diagnosis in men younger than 50 years. Prostatitis is classified into four categories, including acute and chronic bacterial forms, a chronic abacterial form, and an asymptomatic form. The bacterial forms are more readily recognized and treated, but symptoms in most affected men are not found to have an infectious cause. Indeed, chronic abacterial prostatitis (also known as chronic pelvic pain syndrome) is both the most prevalent form and also the least understood and the most challenging to evaluate and treat. This form of prostatitis may respond to non-prostate-centered treatment strategies such as physical therapy, myofascial trigger point release, and relaxation techniques. Because the various forms of prostatitis call for vastly different treatment approaches, appropriate evaluation, testing, and differential diagnosis are crucial to effective management.
前列腺炎是一个宽泛的术语，用于描述前列腺的炎症，它可能与众多下尿路症状以及性不适和功能障碍症状相关。这种疾病影响5%至10%的男性人群，是50岁以下男性中最常见的泌尿外科诊断疾病。前列腺炎分为四类，包括急性和慢性细菌性前列腺炎、慢性非细菌性前列腺炎以及无症状性前列腺炎。细菌性前列腺炎更容易被识别和治疗，但在大多数受影响的男性中，症状并非由感染引起。事实上，慢性非细菌性前列腺炎（也称为慢性盆腔疼痛综合征）既是最普遍的形式，也是最不为人所理解且评估和治疗最具挑战性的形式。这种形式的前列腺炎可能对非以前列腺为中心的治疗策略有反应，如物理治疗、肌筋膜触发点松解和放松技巧。由于各种形式的前列腺炎需要截然不同的治疗方法，因此适当的评估、检测和鉴别诊断对于有效管理至关重要。
