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泌尿外科医生和初级保健医生对前列腺炎的诊断和治疗实践的问卷调查

Questionnaire survey of urologists and primary care physicians' diagnostic and treatment practices for prostatitis.

作者信息

Moon T D

机构信息

Middleton Memorial Veteran's Administration Hospital and Department of Surgery, University of Wisconsin, Madison 53792-3236, USA.

出版信息

Urology. 1997 Oct;50(4):543-7. doi: 10.1016/S0090-4295(97)00308-7.

Abstract

OBJECTIVES

To establish diagnostic and treatment practices for chronic prostatitis by survey of urologists in Wisconsin and primary care providers in Dane County, Wisconsin.

METHODS

All Wisconsin urologists (n = 135) and primary care providers in Dane County, Wisconsin (n = 365) were surveyed by mail with a 10-item questionnaire used to establish diagnostic and treatment practices for prostatitis.

RESULTS

Seventy-eight percent of primary caregivers consider prostatitis to be bacterial in nature, whereas 59% of urologists consider it to be noninfectious. Fewer than 50% of primary care providers consider pain to be other than perineal in the diagnosis. Fewer than 50% of urologists or primary caregivers evaluate expressed prostatic secretions and few primary care providers (11%) use nonantibiotic therapy.

CONCLUSIONS

The diagnostic and treatment practices for prostatitis do not follow standard textbook algorithms.

摘要

目的

通过对威斯康星州的泌尿科医生以及威斯康星州戴恩县的初级保健提供者进行调查,确立慢性前列腺炎的诊断和治疗方法。

方法

通过邮件向威斯康星州所有的泌尿科医生(n = 135)以及威斯康星州戴恩县的初级保健提供者(n = 365)发放一份包含10个条目的问卷,以确立前列腺炎的诊断和治疗方法。

结果

78%的初级保健提供者认为前列腺炎本质上是细菌性的,而59%的泌尿科医生认为它是非感染性的。不到50%的初级保健提供者在诊断时认为疼痛部位不在会阴部。不到50%的泌尿科医生或初级保健提供者对前列腺液进行评估,很少有初级保健提供者(11%)使用非抗生素疗法。

结论

前列腺炎的诊断和治疗方法并不遵循标准教科书上的算法。

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