Meares E M
Department of Urology, New England Medical Center Hospitals, Tufts University School of Medicine, Boston, Masschusetts.
Infect Dis Clin North Am. 1987 Dec;1(4):855-73.
Several distinct types of prostatitis, or prostatitis syndromes, are now recognized. The most common types include acute and chronic bacterial prostatitis, nonbacterial prostatitis, and prostatodynia. Bacterial prostatitis, caused mainly by enterobacteria, is often difficult to cure, and chronic bacterial prostatitis is a common cause of relapsing recurrent urinary tract infection in men. Nonbacterial prostatitis, the most common syndrome, is an inflammation of the prostate of unknown cause. Patients with prostatodynia typically have sterile cultures and normal prostatic secretions but demonstrate an acquired voiding dysfunction on video-urodynamic testing. Since nonbacterial types of prostatitis have no recognized infectious cause, treatment using antimicrobial agents is ineffective and unwarranted.
目前已确认有几种不同类型的前列腺炎或前列腺炎综合征。最常见的类型包括急性和慢性细菌性前列腺炎、非细菌性前列腺炎和前列腺痛。细菌性前列腺炎主要由肠杆菌引起，往往难以治愈，慢性细菌性前列腺炎是男性复发性尿路感染的常见原因。非细菌性前列腺炎是最常见的综合征，是一种病因不明的前列腺炎症。前列腺痛患者的培养物通常无菌，前列腺分泌物正常，但在影像尿动力学检查中显示有获得性排尿功能障碍。由于非细菌性前列腺炎没有公认的感染病因，使用抗菌药物治疗无效且不必要。
