Chronic prostatitis: differential diagnosis. Case report discussion

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Abstract

The diagnostics of chronic pelvic pain is a complex interdisciplinary problem. It requires a thorough and detailed clinical examination involving clinicians of various specialties. Neuropathic pain in the structure of chronic pelvic pain is present in 1/3 of patients, which call the need for a close cooperation between the urologist and neurologist at all the stages of the management of these patients. The presented clinical analysis demonstrates an algorithm for such an interdisciplinary interaction, which provides a care for a patient with this complex and debilitating pathology.

About the authors

Vladimir P. Kovalyk

Academy of Postgraduate Education under the FSBU «Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency»

Author for correspondence.
Email: kovalyk@mail.ru
ORCID iD: 0000-0002-0453-2771
SPIN-code: 6037-2898
ResearcherId: Y-7962-2018

MD, PhD, Рrofessor, Dermatovenereology and Cosmetology Department, urologist

Russian Federation, 125371, Moscow, Volokolamskoe shosse, 91

Evgenia V. Ekusheva

Academy of Postgraduate Education under the FSBU «Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency»

Email: ekushevaev@mail.ru
ORCID iD: 0000-0002-3638-6094
SPIN-code: 8828-0015

MD, Рrofessor, Head of Neurology Department 

Russian Federation, 125371, Moscow, Volokolamskoe shosse, 91

References

  1. Lipsky BA, Byren I, Hoey CT. Treatment of bacterial prostatitis. Clin Infect Dis. 2010;50(12):1641-1652. doi: 10.1086/652861.
  2. Krieger JN, Lee SW, Jeon J Epidemiology of prostatitis. Int J Antimicrob Agents. 2008;31 Suppl 1:S85-90. doi: 10.1016/j.ijantimicag.2007.08.028.
  3. Krieger JN, Nyberg L, Jr, Nickel JC. NIH consensus definition and classification of prostatitis. JAMA. 1999;282(3):236-237. doi: 10.1001/jama.282.3.236.
  4. Thakkinstian A, Attia J, Anothaisintawee T, Nickel JC. Alpha-blockers, antibiotics and anti-inflammatories have a role in the management of chronic prostatitis/chronic pelvic pain syndrome. BJU Int. 2012;110(7):1014-1022. doi: 10.1111/j.1464-410X.2012.11088.x.
  5. Anothaisintawee T, Attia J, Nickel JC, et al. Management of chronic prostatitis/chronic pelvic pain syndrome: A systematic review and network meta-analysis. JAMA. 2011;305(1):78-86. doi: 10.1001/jama.2010.1913.
  6. Doiron RC, Tripp DA, Tolls V, Nickel JC. The evolving clinical picture of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS): a look at 1310 patients over 16 years. Can Urol Assoc J. 2018;12(6):196-202. doi: 10.5489/cuaj.4876.
  7. Stamey TA. Prostatitis. J R Soc Med. 1981;74(1):22-40. doi: 10.1177/014107688107400106.
  8. Nickel JC. The Pre and Post Massage Test (PPMT): a simple screen for prostatitis. Tech Urol. 1997;3(1):38-43.
  9. Feldman EL, Grisold W, Russell JW, Löscher WN. Atlas of Neuromuscular Diseases. 2nd ed. Wien: Springer-Verlag, 2014.
  10. Labat JJ, Riant T, Robert R, et al. Diagnostic criteria for pudendal neuralgia by pudendal nerve entrapment (Nantes criteria). Neurourol Urodyn. 2008;27(4):306-10. doi: 10.1002/nau.20505
  11. Kaiser T, Jost WH, Osterhage J, et al. Penile and perianal pudendal nerve somatosensory evoked potentials in the diagnosis of erectile dysfunction. Int J Impot Res. 2001;13(2):89-92. doi: 10.1038/sj.ijir.3900520.
  12. Cejas CP, Bordegaray S, Stefanoff NI. [Magnetic resonance neurography for the identification of pudendal neuralgia. (Article in Spanish)]. Medicina (B Aires). 2017;77(3):227-232.

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Copyright (c) 2019 Kovalyk V.P., Ekusheva E.V.

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