TY - JOUR
T1 - Surgical therapy of prostatitis
T2 - a systematic review
AU - Schoeb, Dominik S.
AU - Schlager, Daniel
AU - Boeker, Martin
AU - Wetterauer, Ulrich
AU - Schoenthaler, Martin
AU - Herrmann, Thomas R.W.
AU - Miernik, Arkadiusz
N1 - Publisher Copyright:
© 2017, Springer-Verlag Berlin Heidelberg.
PY - 2017/11/1
Y1 - 2017/11/1
N2 - Purpose: The clinical term “prostatitis” refers to a clinical syndrome defined by the following 4 distinct entities: acute bacterial prostatitis (category 1), chronic bacterial prostatitis (category 2), chronic prostatitis/chronic pelvic pain syndrome (category 3), and asymptomatic prostatitis (category 4) The etiology of the chronic forms is still not fully understood and choice of therapy is often debated. The objective of this systematic review is to collect evidence on the surgical treatment of the chronic form of prostatitis and to evaluate its clinical implication. Methods: We performed a systematic literature search and identified 6683 relevant publications, of which 16 were included in the review. Results: Transurethral prostate resection was performed in 110 patients; 78 patients (70%) were reported as “cured”, 16 patients (15%) as improved, and 16 patients (15%) as unchanged. Radical prostatectomy was performed in 21 patients; a full resolution of prostatitis related symptoms was reported for 20 patients (95%). No increased rates of complications or unusual complications were noted. Conclusions: Surgical therapy of chronic bacterial prostatitis or chronic pelvic pain syndrome might be a viable option; however, since little evidence is currently available and no randomized controlled trials have been conducted, the presently available data does not provide a base for clinical decisions.
AB - Purpose: The clinical term “prostatitis” refers to a clinical syndrome defined by the following 4 distinct entities: acute bacterial prostatitis (category 1), chronic bacterial prostatitis (category 2), chronic prostatitis/chronic pelvic pain syndrome (category 3), and asymptomatic prostatitis (category 4) The etiology of the chronic forms is still not fully understood and choice of therapy is often debated. The objective of this systematic review is to collect evidence on the surgical treatment of the chronic form of prostatitis and to evaluate its clinical implication. Methods: We performed a systematic literature search and identified 6683 relevant publications, of which 16 were included in the review. Results: Transurethral prostate resection was performed in 110 patients; 78 patients (70%) were reported as “cured”, 16 patients (15%) as improved, and 16 patients (15%) as unchanged. Radical prostatectomy was performed in 21 patients; a full resolution of prostatitis related symptoms was reported for 20 patients (95%). No increased rates of complications or unusual complications were noted. Conclusions: Surgical therapy of chronic bacterial prostatitis or chronic pelvic pain syndrome might be a viable option; however, since little evidence is currently available and no randomized controlled trials have been conducted, the presently available data does not provide a base for clinical decisions.
KW - Lower urinary tract symptoms
KW - Male
KW - Pelvic pain
KW - Prostatitis
KW - Urologic surgical procedures
UR - http://www.scopus.com/inward/record.url?scp=85020715593&partnerID=8YFLogxK
U2 - 10.1007/s00345-017-2054-0
DO - 10.1007/s00345-017-2054-0
M3 - Review article
C2 - 28612108
AN - SCOPUS:85020715593
SN - 0724-4983
VL - 35
SP - 1659
EP - 1668
JO - World Journal of Urology
JF - World Journal of Urology
IS - 11
ER -