How urologists deal with chronic prostatitis? The preliminary results of a Mediterranean survey
https://doi.org/10.4081/aiua.2020.4.353
Accepted: March 12, 2020
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Objectives: We performed a questionnaire survey to investigate various issues in the diagnosis of chronic prostatitis (CP) performed by Greek urologists and to assess some aspects of prostatitis workup in Greece. Replies were compared with those of Italian clinical research partners in an attempt to clarify the CP diagnostic approaches in Southern European Mediterranean countries. Methods: We translated the original Italian questionnaire presented by Magri and Montanari in the frame of a urological congress held in Milan on October 26th, 2018. Τhis 5-item questionnaire explores clinical practice characteristics, attitudes, and diagnostic strategies for the management of chronic prostatitis (Chronic Bacterial Prostatitis or Chronic Prostatitis/Chronic Pelvic Pain Syndrome, according to NIH criteria). After its validation the questionnaire was uploaded in the internet and Greek healthcare professionals were invited by mail to respond. Responses were compared with those of Italian urologists, in order to determine similarities and differences in attitudes between clinicians regarding the diagnostic assessment of CP. Results: There is a wide variation in participants' preferences for diagnostic methods, laboratory tests and clinical examinations both in Italy and in Greece. In both countries many diagnostic tests performed in affected patients are only geared to exclude other treatable conditions (e.g., benign prostatic hyperplasia, bladder cancer), but more suitable methods and tests for the assessment of CP are less frequently used. Conclusions: Urologists' choices for the diagnostic workup of CP, show a wide international or intra-national variability between Greece and Italy. Although several diagnostic tests are available to differentiate and categorize the types of CP, a large number of urologists use less suitable methods and tests. This fact reflects both the lack of consensual vision in the literature and the difficulties encountered on a daily basis by the physicians. Under the light of this evidence, the need of studies establishing consensual guidelines for the optimal diagnosis of CP is becoming imperative.
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Krieger JN, Ross SO, Riley DE. Chronic prostatitis: epidemiology and role of infection. Urology 2002;60:8-12. DOI: https://doi.org/10.1016/S0090-4295(02)02294-X
Zbrun S, Schumacher M, Studer UE, Hochreiter WW. Chronic prostatitis—a nationwide survey of all urologists in Switzerland. J Urol. 2004;171(4):27. DOI: https://doi.org/10.1016/S0022-5347(18)37366-X
Luzzi GA, Bignell C, Mandal D, Maw RD. Chronic prostatitis/chronic pelvic pain syndrome: national survey of genitourinary medicine clinics. Int J STD AIDS 2002;13:416–419. DOI: https://doi.org/10.1258/095646202760029859
Delavierre D. Chronic prostatitis and chronic pelvic pain syndrome: a survey of French urologists. Prog Urol 2007;17:69–76. DOI: https://doi.org/10.1016/S1166-7087(07)92229-0
Liu L, Yang J. Physician's practice patterns for chronic prostatitis. Andrologia 2009;41(5):270-6. DOI: https://doi.org/10.1111/j.1439-0272.2009.00958.x
Magri V, Boltri M, Cai T, et al. Multidisciplinary approach to prostatitis. Arch Ital Urol Androl. 2019;90(4):227-248. DOI: https://doi.org/10.4081/aiua.2018.4.227
Stamatiou K, Karageorgopoulos D. A prospective observational study of chronic prostatitis with emphasis on epidemiological and microbiological features. Urologia 2013;10.5301. DOI: https://doi.org/10.5301/urologia.5000024
Stamatiou K, Moschouris H A prospective interventional study in chronic prostatitis with emphasis to clinical features. Urol J. 2014;11(4):1829-33.
Litwin MS, McNaughton-Collins M, Fowler FJ Jr, et al. The National Institutes of Health chronic prostatitis symptom index: development and validation of a new outcome measure. J Urol. 1999;162:369–75. DOI: https://doi.org/10.1016/S0022-5347(05)68562-X
Roberts RO, Jacobson DJ, Girman CJ, Rhodes T, Lieber MM, Jacobsen SJ. Low agreement between previous physician diagnosed prostatitis and National Institutes of Health chronic prostatitis symptom index pain measures J Urol. 2004;171:279-283 DOI: https://doi.org/10.1097/01.ju.0000100088.70887.29
Wagenlehner FM, van Till JW, Magri V, et al. National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) symptom evaluation in multinational cohorts of patients with chronic prostatitis/chronic pelvic pain syndrome. Eur Urol. 2013;63(5):953-9. DOI: https://doi.org/10.1016/j.eururo.2012.10.042
Rees J, Abrahams M, Doble A, Cooper A. Prostatitis Expert Reference Group (PERG). Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline. BJU Int. 2015;116(4):509-25. DOI: https://doi.org/10.1111/bju.13101
Nickel JC, Rizzo M, Marchetti F, Travaglini F, Trinchieri A. Prevalence, Characterization, Diagnosis and Treatment of the Prostatitis Patient in Italy: An Opportunity to Compare the European Prostatitis Patient to the North American Experience J Urol 2004;171(4):27 DOI: https://doi.org/10.1016/S0022-5347(18)37365-8
Nickel JC, Nigro M, Valiquette L, et al. Diagnosis and treatment of prostatitis in Canada. Urology 1998;52:797–802. DOI: https://doi.org/10.1016/S0090-4295(98)00297-0
McNaughton Collins M, Fowler FJ Jr, Elliott DB, Albertsen PC, Barry MJ. Diagnosing and treating chronic prostatitis: do urologists use the four-glass test? Urology 2000;55(3):403-7. DOI: https://doi.org/10.1016/S0090-4295(99)00536-1
de la Rosette JJ, Hubregtse MR, Karthaus HF, Debruyne FM. Results of a questionnaire among Dutch urologists and general practitioners concerning diagnostics and treatment of patients with prostatitis syndromes. Eur Urol 1992;22:14–19. DOI: https://doi.org/10.1159/000474715
Kiyota H, Onodera S, Ohishi Y, Tsukamoto T, Matsumoto T. Questionnaire survey of Japanese urologists concerning the diagnosis and treatment of chronic prostatitis and chronic pelvic pain syndrome. Int J Urol. 2003;10(12):636-42. DOI: https://doi.org/10.1046/j.1442-2042.2003.00720.x
Yang J, Liu L, Xie HW, Ginsberg DA. Chinese urologists’ practice patterns of diagnosing and treating chronic prostatitis: a questionnaire survey. Urology 2008;72:548–551. DOI: https://doi.org/10.1016/j.urology.2008.03.061
Krieger JN, Ross SO, Limaye AP, Riley DE. Inconsistent localization of Gram-positive bacteria to prostate-specific specimens from patients with chronic prostatitis, Urology 2005;66:721-725. DOI: https://doi.org/10.1016/j.urology.2005.04.065
Stamatiou K, Magri V, Perletti G, et al. Chronic prostatic infection: Microbiological findings in two Mediterranean populations. Arch Ital Urol Androl. 2019;91(3):177-181. DOI: https://doi.org/10.4081/aiua.2019.3.177
Ku JH, Paick JS, Kim SW. Factors influencing practices for chronic prostatitis: a nationwide survey of urologists in South Korea. Int J Urol. 2005;12(11):976-83. DOI: https://doi.org/10.1111/j.1442-2042.2005.01165.x
Stamatiou K, Magri V, Perletti G, et al. Prostatic calcifications are associated with a more severe symptom burden in men with type II chronic bacterial prostatitis. Arch Ital Urol Androl. 2019;91(2):79-83. DOI: https://doi.org/10.4081/aiua.2019.2.79
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