Taylor E W, Wheelis R F, Correa R J, Gibbons R P, Mason J T, Cummings K B
J Urol. 1977 Mar;117(3):316-8. doi: 10.1016/s0022-5347(17)58445-1.
Non-specific granulomatous prostatitis is an inflammatory response of a foreign body type to extravasated prostatic fluid. Its significance is incident to its frequent confusion with carcinoma of the prostate. Noteworthy is the rapidity of onset of irritative and obstructive symptoms in a relatively younger age group than one generally sees in carcinoma of the prostate. Tissue diagnosis in those suspected of carcinoma of the prostate should be established by needle biopsy and conservative measures used for at least 4 weeks in the treatment of obstructive symptoms to allow the inflammatory response to subside before intervening surgically . Most patients frequently have associated benign prostatic hyperplasia with persistent obstructive symptoms and significant residual urine. Transurethral resection of the prostate has been performed in this study without postoperative complications.
非特异性肉芽肿性前列腺炎是对外渗前列腺液的一种异物型炎症反应。其重要性在于它常与前列腺癌混淆。值得注意的是，与前列腺癌相比，在相对年轻的年龄组中，刺激性和梗阻性症状的起病速度较快。对于疑似前列腺癌的患者，应通过针吸活检进行组织诊断，并在治疗梗阻性症状时采用保守措施至少4周，以便在手术干预前使炎症反应消退。大多数患者常伴有良性前列腺增生，存在持续性梗阻症状和大量残余尿。本研究中已进行经尿道前列腺切除术，且无术后并发症。
