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The Diagnostic Approach to Patients with Prostatitis-Like Symptoms: What Do We Have to Do?

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Prostatitis and Its Management

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Abstract

The prostatitis syndrome remains nowadays a big challenge for urologists in everyday clinical practice. It is one of the most common urological diseases, the pathogenesis is often complex, and a correct diagnostic process involves a large spectrum of aspects. Collecting a careful medical history focused on the lower urinary tract is always fundamental; it should be validated with the NIH Chronic Prostatitis Symptom Index (NIH-CPSI) in case of chronic disease (>3 months), accompanied by a phenotyping management strategy for chronic pelvic pain syndrome (CPPS). The diagnosis of acute bacterial prostatitis (ABP) is based on clinical findings and microbiological culture of urine which is the only laboratory examination required. The 2-glass test is the key examination of the diagnosis and classification of chronic prostatitis; it is a reasonably accurate alternative to the 4-glass test and nowadays accepted at least for the initial evaluation of patients with chronic prostatitis symptoms. An additional ejaculate analysis may be helpful but is not sufficient for the diagnosis by its own. Imaging and instrumental investigation remain an option in patients with specific indications.

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Author information

Authors and Affiliations

  1. Department of Urology, University of Genoa, Genoa, Italy

    Andrea Benelli

  2. Clinic of Urology, Pediatric Urology and Andrology, Klinik und Poliklinik für Urologie, Kinderurologie und Andrologie, Universitätsklinikum Giessen und Marburg GmbH, Justus-Liebig-Universität Giessen, Giessen, Germany

    Florian M. E. Wagenlehner

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  1. Andrea Benelli
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  2. Florian M. E. Wagenlehner
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Correspondence to Florian M. E. Wagenlehner .

Editor information

Editors and Affiliations

  1. Dept. of Urology, Santa Chiara Regional Hospital, Trento, Italy

    Tommaso Cai

  2. Department of Urology, Oslo University Hospital, Oslo, Norway

    Truls E. Bjerklund Johansen

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Benelli, A., Wagenlehner, F.M.E. (2016). The Diagnostic Approach to Patients with Prostatitis-Like Symptoms: What Do We Have to Do?. In: Cai, T., Bjerklund Johansen, T. (eds) Prostatitis and Its Management. Springer, Cham. https://doi.org/10.1007/978-3-319-25175-2_3

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  • DOI: https://doi.org/10.1007/978-3-319-25175-2_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-25173-8

  • Online ISBN: 978-3-319-25175-2

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