University of California Los Angeles.
Provincial Laboratory for Public Health, Alberta Precision Laboratories, Canada; University of Alberta, Edmonton, Canada.
Am Fam Physician. 2024 Jul;110(1):45-51.
Prostatitis is a common clinical syndrome classified into four categories: acute bacterial, chronic bacterial, chronic prostatitis/chronic pelvic pain syndrome, and asymptomatic. Bacterial prostatitis (acute and chronic) is primarily diagnosed with history and microbiologic studies, although physical examination can be helpful to localize infection within the genitourinary system. Bacterial prostatitis is treated with antibiotics; the span of treatment is guided by the duration of symptoms and presence of complications. Chronic prostatitis/chronic pelvic pain syndrome is the most common form of prostatitis and is a diagnosis of exclusion with no standardized treatments. Asymptomatic prostatitis does not require treatment and is usually diagnosed incidentally during the workup for other urologic presentations.
前列腺炎是一种常见的临床综合征，分为四类：急性细菌性、慢性细菌性、慢性前列腺炎/慢性骨盆疼痛综合征和无症状性。细菌性前列腺炎（急性和慢性）主要通过病史和微生物研究来诊断，尽管体格检查有助于确定泌尿生殖系统内的感染部位。细菌性前列腺炎采用抗生素治疗；治疗时间取决于症状持续时间和并发症的存在。慢性前列腺炎/慢性骨盆疼痛综合征是前列腺炎最常见的形式，是一种排除性诊断，没有标准化的治疗方法。无症状性前列腺炎不需要治疗，通常是在其他泌尿科表现的检查中偶然诊断出来的。
