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Abstract

Prostatic inflammation implies the presence of pathological infiltration of the prostate by inflammatory cells. However, the relationship of these findings with the clinical prostatitis due to infection, prostatitis-like symptoms, and imaging is not correlated. Prostatitis is defined as “a combination of acute and chronic infectious diseases (bacterial prostatitis), chronic pelvic pain syndrome (CPPS) and asymptomatic inflammations” [1]. Prevalence in population is estimated to be 12 % [2]. However, prostatitis is a heterogeneous clinical entity, and current clinical and pathological classification is reported with ultrasound correlations.

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References

  1. Krieger JN, Nyberg L Jr, Nickel JC (1999) NIH consensus definition and classification of prostatitis. JAMA 282:236

    Article  CAS  PubMed  Google Scholar 

  2. Krieger JN, Lee SW, Jeon J, Cheah PY, Liong ML, Riley DE (2008) Epidemiology of prostatitis. Int J Antimicrob Agents 31 Suppl 1:S85–S90

    Article  PubMed  Google Scholar 

  3. Nickel JC, True LD, Krieger JN et al (2001) Consensus development of a histopathological classification system for chronic prostatic inflammation. BJU Int 87:797–805

    Article  CAS  PubMed  Google Scholar 

  4. Nickel JC (2003) Recommendations for the evaluation of patients with prostatitis. World J Urol 21:75–81

    Article  PubMed  Google Scholar 

  5. Naik KS, Carey BM (1999) The transrectal ultrasound and MRI appearances of granulomatous prostatitis and its differentiation from carcinoma. Clin Radiol 54:173

    Article  CAS  PubMed  Google Scholar 

  6. Galosi AB, Parri G, Lacetera V, Muzzonigro G (2010) Management of large prostatic abscess associated with urethral stenosis and penile cancer recurrence. Arch Ital Urol Androl 82(3):181–185

    PubMed  Google Scholar 

  7. Kim SH, Jung KI, Koh JS, Min KO, Cho SY, Kim HW (2013) Lower urinary tract symptoms in benign prostatic hyperplasia patients: orchestrated by chronic prostatic inflammation and prostatic calculi? Urol Int 90(2):144–149

    Article  PubMed  Google Scholar 

  8. Ficarra V, Rossanese M, Zazzara M, Giannarini G, Abbinante M, Bartoletti R, Mirone V, Scaglione F (2014) The role of inflammation in lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) and its potential impact on medical therapy. Curr Urol Rep 15:463–469

    Article  PubMed  Google Scholar 

  9. Tamsel S, Killi R, Ertan Y, Demirpolat G (2007) A rare case of granulomatous prostatitis caused by Mycobacterium tuberculosis. J Clin Ultrasound 35:58–61

    Article  PubMed  Google Scholar 

  10. Mohan H, Bal A, Punia RPS et al (2005) Granulomatous prostatitis: an infrequent diagnosis. Int J Urol 12:474

    Article  PubMed  Google Scholar 

  11. Stillwell TJ, DeRemee RA, McDonald TJ, Weiland LH, Engen DE (1987) Prostatic involvement in Wegener’s granulomatosis. J Urol 138:1251–1253

    CAS  PubMed  Google Scholar 

  12. Walton EW (1958) Giant-cell granuloma of the respiratory tract (Wegener’s granulomatosis). Br Med J 2:265–270

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Middleton G, Karp D, Lee E, Cush J (1994) Wegener’s granulomatosis presenting as lower back pain with prostatitis and ureteral obstruction. J Rheumatol 21:566–569

    CAS  PubMed  Google Scholar 

  14. Schaeffer AJ (2006) Clinical practice: chronic prostatitis and the chronic pelvic pain syndrome. N Engl J Med 355:1690–1698

    Article  CAS  PubMed  Google Scholar 

  15. Lotti F, Corona G, Mondaini N, Maseroli E, Rossi M, Filimberti E, Noci I, Forti G, Maggi M (2014) Seminal, clinical and colour-doppler ultrasound correlations of prostatitis-like symptoms in males of infertile couples. Andrology 2:30–41

    Article  CAS  PubMed  Google Scholar 

  16. Moreira DM, Nickel JC, Andriole GL, Castro-Santamaria R, Freedland SJ (2015) Chronic baseline prostate inflammation is associated with lower tumor volume in men with prostate cancer on repeat biopsy: results from the REDUCE study. Prostate 75(13):1492–1498

    Article  PubMed  Google Scholar 

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Correspondence to Andrea B. Galosi MD, PhD .

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Galosi, A.B., Quaresima, L., Montironi, R. (2017). Prostatic Inflammation. In: Martino, P., Galosi, A. (eds) Atlas of Ultrasonography in Urology, Andrology, and Nephrology. Springer, Cham. https://doi.org/10.1007/978-3-319-40782-1_21

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  • DOI: https://doi.org/10.1007/978-3-319-40782-1_21

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