[Psychosomatic studies of chronic prostatitis].

The psychosomatic aspects of chronic prostatitis, especially the differentiation of the so-called vegetative urogenital syndrome from chronic state of infection isn't sufficiently clarified. That's why a study of 34 non-selected adult males with symptoms of chronic prostatitis has been undertaken to establish the incidence of infective urological and psychological factors. With urological, bacteriological and radiological examinations we found 44% of the patients with infective-prostatitis, 18% with subvesical disorders and 38% without any pathological findings. Comparing the group of patients with and without pathological urological findings in psychodynamic and testpsychological (Giessen-Test) examinations we couldn't see any significant difference. On the other hand they showed a significant difference compared with a control group of patients suffering from neurotic and/or psychosomatic diseases. Nearly all of our 34 patients showed neurotic disorders irrespective of the urological findings. A special characteristic of their pathogene psychodynamic seems to be the problems in male identity according to internalized disturbed father image. We discussed these results according to psychodynamic and interactional factors of origin and maintenance on chronic prostatitis.