Komeda H, Takeuchi T, Yamada S, Shinoda I, Ban Y, Kawada Y
Department of Urology, Gifu University School of Medicine.
Hinyokika Kiyo. 1988 Oct;34(10):1815-7.
A case of non-specific granulomatous prostatitis is presented. A 61-year-old male consulted a doctor with the chief complaint of dysuria. For suspicion of prostate cancer, he was referred to our hospital. A digital examination showed stony hard prostate gland which was asymmetrically enlarged to hen's egg size with an irregular surface. Since biopsy specimen from the prostate showed eosinophilic granulation without fibrinoid necrosis, the case was diagnosed as simple nonspecific granulomatous prostatitis. After oral administration of chlormadinone acetate (CMA), he showed a remarkable increase in urinary stream. The findings of urethrogram and prostatic sonogram demonstrated dramatic improvement. He has remained asymptomatic for 29 months without any further treatment. Therefore, CMA could be effective against granulomatous prostatitis.
本文报告一例非特异性肉芽肿性前列腺炎。一名61岁男性因排尿困难为主诉就诊。因怀疑前列腺癌，他被转诊至我院。直肠指检显示前列腺坚硬如石，不对称性增大至鸡蛋大小，表面不规则。由于前列腺活检标本显示嗜酸性粒细胞肉芽肿，无纤维蛋白样坏死，该病例被诊断为单纯性非特异性肉芽肿性前列腺炎。口服醋酸氯地孕酮（CMA）后，他的尿流显著增加。尿道造影和前列腺超声检查结果显示有显著改善。未经进一步治疗，他已29个月无症状。因此，CMA可能对肉芽肿性前列腺炎有效。
