Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline

• DOI: 10.1111/bju.13101
• Publication Date: 2015-02-24T15:18:32Z
• Authors: Jon Rees; Mark Abrahams; Andrew Doble; Alison Cooper
• Keywords: Guideline; Chronic bacterial prostatitis

Objectives To improve awareness and recognition of chronic bacterial prostatitis ( CBP ) prostatitis/chronic pelvic pain syndrome (CP/CPPS) among non‐specialists patients. provide guidance to healthcare professionals treating patients with CP / CPPS , in both non‐specialist specialist settings. promote efficient referral care between specialists the involvement multidisciplinary team MDT ). Patients Methods The guideline population were men or (persistent recurrent symptoms no other urogenital pathology for ≥3 previous 6 months). Consensus recommendations guidelines based on a search identify literature diagnosis management (published 1999 February 2014). A Delphi panel process was used where high‐quality, published evidence lacking. Results can present wide range clinical manifestations. four main symptom domains are pain, lower urinary tract LUTS – voiding storage symptoms), psychological issues sexual dysfunction. should be managed according their individual pattern. Options first‐line treatment include antibiotics, α‐adrenergic antagonists (if present) simple analgesics. Repeated use such as quinolones, avoided if there is obvious symptomatic benefit from infection control cultures do not support an infectious cause. Early treatments targeting neuropathic and/or services considered who respond initial measures. An approach (urologists, specialists, nurse physiotherapists, general practitioners, cognitive behavioural therapists/psychologists, health specialists) recommended. fully informed about possible underlying causes options, including explanation cycle. Conclusion Chronic variety signs symptoms. Identification patterns symptom‐based Further research required evaluate options .