Wu Xue-jie, Yang Luo-yan, Zhang Xuan-zhi
Department of Urology, the Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.
Zhonghua Nan Ke Xue. 2008 Jun;14(6):527-9.
To study the incidence of benign prostatic hyperplasia (BPH) complicated by chronic prostatitis.
We performed routine examinations and bacterial culture of the expressed prostate secretion (EPS) for 213 cases of BPH, detected mycoplasma, chlamydia and serum PSA, and compared the results of IPSS of those complicated with chronic prostatitis before and after a 4-week anti-inflammatory treatment.
Of the total cases, 69 (32.4%) were complicated by chronic prostatitis, 27 (12.7%) EPS positive and 15 (7.0%) mycoplasma and chlamydia positive. Among the 69 cases of chronic prostatitis, 7 were found with an elevated level of PSA (> 4 microg/L), and 43 with the mean IPSS score decreased from (12.2 +/- 2.6) before anti-inflammatory treatment to (10.5 +/- 2.3) after it (P < 0.01).
EPS examination should be performed for patients with BPH, which is highly significant for the diagnosis of prostatitis, choice of medical or surgical treatment, improvement of therapeutic effect and reduction of complications.
研究良性前列腺增生（BPH）合并慢性前列腺炎的发生率。
对213例BPH患者进行前列腺按摩液（EPS）常规检查及细菌培养，检测支原体、衣原体及血清前列腺特异抗原（PSA），并比较4周抗炎治疗前后合并慢性前列腺炎患者的国际前列腺症状评分（IPSS）结果。
总病例中，69例（32.4%）合并慢性前列腺炎，27例（12.7%）EPS阳性，15例（7.0%）支原体和衣原体阳性。69例慢性前列腺炎患者中，7例PSA水平升高（>4μg/L），43例IPSS平均评分从抗炎治疗前的（12.2±2.6）降至治疗后的（10.5±2.3）（P<0.01）。
BPH患者应行EPS检查，这对前列腺炎的诊断、药物或手术治疗的选择、提高治疗效果及减少并发症具有重要意义。
